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Building Permit #208-2017 - 10 GREAT LAKE LANE 8/29/2016
BUILDING PERMITof NORTl qti TOWN OF NORTH ANDOVER �,= h ```', Y,'k.*` o APPLICATION FOR PLAN EXAMINATION Permit No#: � Date Received ��SSacHus Date Issued: D PORTANT:Applicant must complete all items on this page LOCATION AE�& JA WQ� CLOT 1 PROPERTY OWNER T kZ L L C, Print Print 100 Year Structure yes no MAP PARCEL: DISTRICT: R3_Historic. District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential KNew Building KOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement- ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ rSeptic DUV�'1 ❑ Floodplain ❑Wetlantls ; WafershedDlst'rict —� _.. 9 4 `Wates/S,�ewe� DESCRIPTION OF WORK TO BE PERFORMED: -ZO 1 6) entification- Please Type or Print Clearly OWNER: Name: d-L LLL Phone:` ?F KZ-gOGZ Address: Contractor Nam �r Phone: �'�3'-Z' ) i Email: Z� Address: Ll Supervisor's Construction License: e S S /z Exp. Date: Home Improvement License: Exp. Date;; ARCHITECT/ENGINEER Phone: `-- Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.0Q PER S.F. Total Project Cost: $ l{874am . Calc) FEE: $ V-7gq+ Ivo C-4=5�tly. (See►'io�) Check No.: OOZ ( Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f r, —_ Location No. Dated • • TOWN OF NORTH ANDOVER Certificate of Occupancy IF $ Building/Frame Permit Fee Foundation Permit Fee `4 $ Other Permit Fee $ TOTAL $ Check# y Building Inspector" 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 Rnz Favlw1 lbs l PLANNING a DEVELOPMENT Reviewed On Signature_ -Zolfo COMMENTS I� ly CONSERVATION Reviewed on Si naturee I COMMENTS 2-�� cw CA T I � HEALTH 1 Reviewed onSignature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter&. Sewer Connection/si nature&Date Driveway Permit % �44WA&- DPW Town Engineer: Signature: Located 384 Osgood Street FIPARMEIVT'-- Temp Dumpster on;site .,yes.�s �w .; ,;>�, 'no' " L�oc�ated at,1- Main�S reet '� '"' , ti ` 'F-.ire Departmentsi l rr,,,,, h gnatu.re/dater . .i.4,,,, � '. ��..r. `• Z.� t 'r,.}7f - S cpri.:�:a�asi- �na..7.`�lT".l'�7;y'{r�:.`�Ner:e�/xt. COM %ENTS :R. tY i4M. `' Dimension Number of Stories: �Z Totalsquare feet of floor area based on Exterior dimensions.3I Total land area, sq. ft.: 4. 003 s f, ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA-- (For department use) F► t,� z la 6 F g qS Z S� ? S 8 ,F � 7r OT,hL— Vi 38clfo SF ZSrt 1 Z115"ot] y 066 *k2 6600- Less F v wtr F s i ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumPster permits require sign offrom Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application 4 Certified Surveyed Plot Plan 4. Workers Comp Affidavit i Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (if Applicable) 16 Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ,Building Permit Application . Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans One To Be Returned to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE. All dumpster permits require sign offrom Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 I Enter construction cost for fee cal- North Andover Fee Cakulatlon Construction Cost $ 4875000.00 m $ - $ 5,844.00 Plumbing Fee $ 730.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 730.50 Total fees collected $ 7,405.00 10 Great Lake Lane Lot 1 208-2017 on 8/29/2016 single family home I NORTl1y Town of IF, n ove r No. 61 1 � Zti h ver, Mass, don iel W/;L COCNICMEWICK y1. - S U ' T BOARD OF HEALTH Food/Kitchen Septic System PERMIT . LD ' MP THIS CERTIFIES THATi1 ... BUILDING INSPECTOR has permission to erect .... buildings on ... �............ Foundation Rough to be occupied as .A0.** .. . . ...........v .. .. . .. .................................. chimney provided that the person accepting this permit shall in every r con orm 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 CONST N S Rough Service .... . .. . .. ... ..4UILD61i ..... ...... Final NG INS TOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i Plans Submitted flans Waived ❑ Certified Plot Plan k Stamped flans ❑ TYPE OF SEWERAGE DISPOSAL �. Public Sewer Tanuiug/Massage/BodyArt ❑ SwaminingPools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dmnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF A U FORM A L �75 AVA-�,�D k-p-, F694.-rj PLANNING & DEVELOPMENT Reviewed On VIN W6 Sidnature_ bJ COMMENTS P __tt6n j Glr1+1► �U-(�IGr� c , CONSERVATION Reviewed on Lq A Signature COMMENTS 2-�� `� ., c� - �.� `cL . HEALTH � l�. Reviewed on_ Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Si nature&Date Drivewav Permit DPW Town Engineer: Signature: 71/ � Located 384 Osgood Street ARTIE , T�empDumpster on sit ;,yes Located at.1, .4fM�a0. reet'L-Tird '' i, .;� artme } gnature/date . ;,i, , `a' ... �2a. . . ,, w' : .. � -•,y> �.t••v,e •'1,-"'l"�(:�T"L ".;� r+'yy"ty"�yw�'����, * � .�i •. COMIVIENTS�' Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions.31 Total land area,sq. ft.: 4 003 xf.. 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.$1oo=$1000 fine NOTES and DATA-- (For department use) 5 g 9S Z Sir Rfl ��l8 S g T% Z S 12S cm y 8 aa� Zia- Le Le S F v . ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Town of tAORTM: FAndover �. C No. h ver Mass coc.iu lW.CK U BOARD OF HEALTH Food/Kitchen PERM_ -.IT T LD Septic System /'ZtCTTHIS CERTIFIES THAT ........ ... ..Q....................................... . .... ... s 1VG INS . has permission to erect ........... .. b ildin son .11..���....�sJcy % dtiu'�' FO p . ...... g ...... ........................................ Rough to be occupied as ................. .. .. .. ......... ..... � S-�.::............................................................... 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 E y-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 C. ,• Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinje Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i P4ans Submitted Plans Waived El Certified Plot Plan ElStamped Plans El�1 TYPE OF SEWElUCTE DISPOSAL Public Sewer Tanning/Mass ageBady Aft ❑ Swimming Pools p Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic ta*etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM PLANNING & DEVELOPMENT Reviewed On I/11/1& Signature_ COMMENTS �u=s�a��' Sal;p2�IZ- �? u�ntZ p�vsi�✓Ud� till f�� 4ZO.5tom CIUT-roL im PW-15 LOT 4 770& CONSERVATION Reviewed on Signature ?j COMMENTS p!mU4e - HEALTH Reviewed on / < < Si COMMENTS 6it leno a Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: IS3U 118` Comments Conservation Decision: S1(Z-11622: Comments Water&Sewer Connection/si natureDate Drivewa Permit DPW Town Engineer: Signature: tl Located 384 Osgood Street FIRE DE_i'ART T mpDust ositeye's} w `, st no Located at 7% 4 ain r1l I U Departr ent sig tureldat�e �. f ' ' l:`..�"*-�k +-.t► *r.. f..E�:.y� �' _ .�.7f'*s� 'r t •i�•�,� ,�h>�t3�t�',lxr",f' 1-aS1F,',�t;��'� as A 10 G RF-AT L A V C- 1- Am F- Ct-ca i1 �z t2 cr») ILLU F-FH Ell LI n2 _ 1T1 ,== w0.v0C< rc++� 00 eip V VV,oNT EI.F-VAT1otJ 10 GRCAS %--RYE 1..A',.IE CL6'r it NC>RTk1 ATJDoVER, MJF TKA LLC, \/all- `�Oi� 3UNE 20.201fo ,p. 1 r !�1tt j REAR?-LEVATI 0N FTT FIT LEFT EL�vf�Tlo1�1 �, 2 t r-1 RST FLOOR, PRAM f lad-o :'�• ���� o f �• 3o�4ti6$'S lTYP, Philp I tib RA6C- ° ssy k84 i o .� N SUNRAC).7l J 683t(65 '�� • �c��ckea ° o L__ VS11.9TY _ � O O P GReA-r 4LooAn I.._ , M, WALL RR AVA.M%:-j . 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SNsThu-%1J-v ko? ?ADS hnu &PtK91l� IGFIAD��Cov4Rci 9 4 / l TF 0 1_o xry2 N • c �1�0��DRo¢' 0 90 GREAT LJ:Ke- LANE (LOT 11 0 - `� NoR71d Ati�oVER, !�.F1 TKZ LLC Co-0 46-0 (,-0 12-0 10-0 1y-o 1 i,y sr-AU. �S )'0" TUNI` Zo,2o116 03J Pl.Am- - __.._.-. -__. . --p 5 i ,i a LVL if�' Z x - r,.v `i V 1 L L SECOND �'LooR FRAM \ \ x 2 K t 16' r- \ i i I I 1 1 i RooF fl,AME �1oTES: Zx� K9�RAMC —'t.NSULATW%)PiR HERSREPo♦Z1' Z I P SYSCE 1A SHC RTq,AK5 "'BITUTHEN6 6AVES.V ALLCyS,�HEGKS b IY2'avER�AP,CAuLKCl7 To FOuwj�R'TLUm P" W-krT AcL%-C —EXTE N3�RA14a 5 8,1 UAV.V% Si DINGLL'' Z " -fIPt?LAGE A.O.I'16'/Ewx4tl'YNXIA13 cAu�w,x vE'cv xfv- P;�� z 'o _ '�.�NTVKR op, -books Zia W � CTyp p�nnS comoctessiv6 el>•LSEnl.rg 9 @-ZI.oW pLATe 1 �" a VAPaR'6haR+�/L - �1 - -- -- Cl>S-kPRCP6D 3�41r SCoSJE QRs5ole 1ChbotJ PIPE til' zxa oa LI avi b/� aul�c u9 rt�sT-PROT@Cri>.X� 2n to 6R ASE PfRco.DE ./ 9' LnP� - _ ���/ I 8"P.c. 3"Pot2LsocYAnwRgTE �,- WALL. :t"suLJao" (R 1q.5> 3047 psi ---- 'f-oll 3"po\YLs,Oc: �v&hTe yl.,su��tt�N (R 19.$) KAME SEcrlo>-A baMPPaoaFl�c ZS M hD.CH.541N6LL- KCYwAY 4516 T- / 11QREBI�R $ITUTtAF>JF �z'coxPlysli¢g1H v PAF}CR / 20"x l0°QG,Irl L-z ALuv.btul POW 2x%ol t2 J/ —CsrP�j 3 00o pst cRl LI N6 �lsT FLhre FOU)`1DA`T\0� SEGTl06�S1DETAiL., ra„bH PLATE -”' MCI pp) . - ........_..._..,.._......._,........�... PVG TRIIA I�2'@L.uE3DPR.D� S1(IMwlf� DVFsi'ait SFC AO-DIV CG T 101J, ?AC."T. FFIT t'NT Z X{p M EIRbbF-DETAIL �p, g .....I_ .i _I14, . I : : I 1 i I I I I L... .'... .! ! i t i � � tau i ; aa�Psxs�r�.SWG+�v�;las►b, .I...-I 1 I � I 1 4y I �x y6��'1 I I I I I 1 I i ( 12 , �2a I� SLAB ,u I I ! 12 1 �XP0.90 z61 I � I , - I , RAbe I : I I I I L._i_.__�._ _. I . � �i 8'!QS.�S'?'fiE:r.. I 2-6 : i I I 11 ! i I I I I i I IL R ISI L f I ! A 10 01eat Lak6 Lane 8-16-1, Mey. Bewm NoahAndovea,MA 9:36an CS Beam 4.17.0.2 1 Of kml3amFnga�4.13.7.1 Nit:`:iriak Datalmse 1527 Member Data Description:Main 2nd Floor Member Type: Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 15.6 PLF Filename: Beam1 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top U 0.00" 22' 0.00" 16 0.00" 30 10 Live Additional Uniform(PSF) Top 22 0.00" 36' 0.00" 16' 0.00" 30 10 Live Additional Uniform(PLF) Top 010.001, 36 0.00" 0 65 Live Additional Uniform(PSF) Top 0' 0.00" 22 0.00" 15' 0.00" 20 10 Live Additional Uniform(PSF) Top 22' 0.00" 36' 0.00" 16' 000" 20 10 Live 9 1000 ® 1200 14 O 0 / 3600 1 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) 3.500" 2.346" 5234# 2 10' 0.000" Wall Steel 11.000" 3.718" 14641# Y 3 22' 0.000" Wall Steel 11.000" 4.790" 18860# 4 36 0.000" Wall SPF Plate(425psi) 3.500" 3.2w 7318# Maximum Load Case Reactions Used for applying point lads(or line loads)to carrying members Live Dead 1 3721# 1513# 2 102989 4343# 3 12829# 6031# 4 5038# 2279# Design spans 9 9.375" 12' 0.0w, 13' 9.375' Product: 2.0 Rigidlam LVL 1-3/4 x 11-7/8 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Positive Moment Actual Allowable Capacity Location Loading 213364 33194.# 64% 30.2T Negative Moment 24093.# 331944 72% 22 Odd Spans D+L Shear 9128A 120534 75% Adjacent 2 D+L Max.Reaction 7318.# 7809_# 93% 2 Adjacent 2 D+L 366'' Odd Spans D+L TL Deflection 0.4444" 0.6891" 0372 29.58' Odd Spans D+L LL Deflection 0.3212" 0.4594 0514 29.58' Odd Spans L Control: Max.Reaction DOLS: Live-100% Snow=115% Roof=125% Wirtr=1601/o Design assumes a repetitive member use increase in bending stress: 4% All product names are trademarksof theirrespective owners ^--"d3M try eata qr olmpam onwtg-ne Gollgrany lrc.RLL AI6HTS RESERVED. "Passing isdefinedaswhen the member,floorjoist,beam"rginlet sfrown on thisdrawirg meets applicable des criteria torta lesion must be reviewed by a ouatified designer or design re professional as ouired for approval ThiEde n assumes product insiall on aceordma to the manufactur i s sreci atia�t The a 10 Great Lakz Lane 8-16-1( KeyBem North Andover,MA 9:38am 1 of'. CS Beam 4.17.02 1m9eamFngme 4.13.7.1 MadriahDatatime 157) Member Data Description:Garage Header Member Type. Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: 0360 live, 0240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF Filename: Beam2 Other Loads Type Tiib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top a 0.00" 36 0.00" 12 0.00" 40 10 Live Additional Uniform(PSF) Top a 0.00" 36 0.00" 12 0.00" 10 10 Live Additional Uniform(PSF) Top 0' 0.00" 36 0.00" 12 0.00" 55 15 Snow ' 0 1260 O ii 0 G 1260 ® , 3600 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) 30.000" 2.773" 6188# -- 2 12' 6.000" Wali SPF Plate(425psi) 24.000" 7.791" 17385# -- 3 23' 6.000" well SPF Plate(425psi) 24.000" 7.791" 17385# -- 4 36' 0.000" Wall SPF Plate(425psi) 30.000" 2.773" 6188# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Snow Dead 1 2918# 3009# 1742# 2 80329 8283# 5149# 3 80329 8283# 5149# 4 29189 3009# 1742# Design spans 10' 0.875" 11' 0.000" 10' 0.875" Product: 2.0 RigidLam LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 120"oc NOTE:Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 13485.# 25122# 530/6 29.04' Odd Spans D+0.75(L+S) Negative Moment 17345'# 25122.# 69% 23.5' Adjacent 2 D+0.75(L+S) Shear 77394 110894 69% 23.51' Adjacent 2 D+0.75(L+S) Max.Reaction 173854 535501 32% 23.5' Adjacent 2 D+0.75(L+S) TL Deflection 0.2984" 0.5036" 0405 6.96' Odd Spans D+0.75(L+S) LL Deflection 0.2326" 0.3358" 0519 28.54' Odd Spans 0 75(L+S) control: Shear DOLs: Live=1000/. Snow=115% Raaf=125% Wind-_160% Design assumes a repetitive member use increase in bending stress: 4% All product names are tiademadts of theirreTective owners Wflyngm(G)2055 by Simpson Sbong Tis Company Inc.ALL MGM RESERVED_ -Passing Is defined as when theme fiaorjoist,beam orgirdeS gown on this diavirrg meets applicable design criteria forLoads Loading Conditiorq and Spans listed on this sheet The design must be reviewed by a aualifieddestunerordesiSn pmtessonal as nxitired torapmoval Thisdesion assumesproduct installation according to the manutacturersyecifications necome Energy RaUng Certificate Property HERS CLE iii Re 5 U l f Rating Type: Projected Rating Certified Energy Rater: Peter Virchick 10 Great Lake Lane Rating Date: 7/25/16 Rating Number: North Andover,MA 01845 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 53 Heating 38.5 $1753 45% General information Cooling 11.1 $180 5% Conditioned Area 3291 sq. ft. House Type Single-family detached Hot Water 5.3 $426 11% Conditioned Volume 28046 cubic ft. Foundation Slab Lights/Appliances 28.7 $1383 36% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $137 4% Mechanical Systems Features Total 83.7 $3880 100% Heating: Fuet-fired air distribution, Propane, 96.1 AFUE. Heating: Fuet-fired air distribution, Propane, 96.1 AFUE. Criteria Cooling: Air conditioner, Electric, 13.0 SEER. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 98.73 CFM25. Massachusetts Stretch Energy Code" Ventilation System Exhaust Only: 56 cfm, 11.0 watts. `Compliance is determined by the rater. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-44.4 Slab R-9.0 Edge, R-18.0 Under Seated Attic NA Exposed Floor NA Vaulted Ceiling R-39.5 Window Type U-Value: 0.290, SHGC: 0.300 Above Grade Watts R-21.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test Conservation Services G roup 50 Washington.St Lights and Appliance Features Suite 3000 Percent Interior Lighting 80.00 Range/Oven Fuel Electric Westborough,MA 01581 Percent Garage Lighting 0.00 Clothes Dryer Fuel Electric 508-836-9500 Refrigerator (kWh/yr) 691 Clothes Dryer EF 3.01 www.csgrp.com Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: REM/Rate -Residential Energy Analysis and Rating Software v14.6.3 This information does not constitute any warranty of energy cost or savings. © 1985.2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. of Mo.,M, CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 208-2017 on 8/29/2016 Date:November 4, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 10 Great Lake Lane MAY BE OCCUPIED AS a single family.home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: TKZ, LLC 10 Great Lake Lane North Andover,MA 01845 G. ilding Inspector Fee: Prepaid $100.00 Receipt: 30803 Cheek : 0021 i NORTH Town of sAndover o No. 61 *Vi � , Mass, Z �A COCHIC NewIc�1• D /�- Okea�,�5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System NIA THIS CERTIFIES THAT ........ .... X .*.......��� BUILDING INSPECTOR.. ....... ........................................................................... has permission to erect ....... buildings on ...�.®.. � �r, Foundation Rough 'd_ `;:; to be occupied as . ..... .. . ...........V* .. .. . .. ....... Chimney provided that the person accepting this permit shall in every r con orm to the terms of the application (� ��I b s on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final t r �(q( Construction of Buildings in the Town of North Andover. YMBING INSPECTIR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. ""N UNLESS CONST N S Rough Service .... .. .. ... .. .... ........ Q BUILDING INS TOR C) GAS INSPEC Occupancy Required to OccuwBuildinzPermit Required to Occupy Rough rDisplay rr in a Conspicuous Place on the Premises — Do Not Remove 'D7 Final l �� ��, 4 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner f)G'S� Street No. Smoke Det. �J3� • � �yoRry O K,LED p APPLICATION FOR CERTIFICATE OF OCC7PA-NCYANSPECTION SRA CCM V�Oy� ' BUILDING PERMIT# Zo 8-2 0 Il S►Claus� 1 ADDRESS/LOCATION OF PROPERTY: �e he Map �o Parcel S 3 j Lot Number / SUBDIVISION: T k2 G 1 Q JIV DATE REQUESTED FILED/READY FOR INSPECTION: 10/28h. Plhk CLOSING DATE ON PROPERTY: 11! q 16 FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WI THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) L E CHARGED IF THE-STRUCTURE DOES NOT MEET ALL ADPL AB CODES. APPLICANT SI ATURE Permit Issued to: T k Z L Address: �1 ff-)44 Slicef s em' ZU/. U d< A►i�M b 0 l 1.s- ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW � t o�z.�l/4 CONSERVATION V41 ` PLANNING `T81zom —ab DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST SIGNATURE File:Application for OC form revised Jan 2007/2011 n 4 NOR71i O 0p _ APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION � Oyb �9A0RrEo °p�`�5 BUILDING PERMIT# Z08-2o 1; 9SSAemus ADDRESS/LOCATION OF PROPERTY: 1 o G t4 �i he Map Parcel '53 0 Lot Number 1 SUBDIVISION: T�� G 1 Q DATE REQUESTED FILED/READY FOR INSPECTION: 10128& PIN11 . CLOSING DATE ON PROPERTY: FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORD ANDI SIGN-OFFS MUST BE COMPLETED WI THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) ILL E CHARGED IF THE-STRUCTURE DOES NOT MEET ALL APPL AB CODFS. APPLICANT SIMATURE Permit Issued to: Address: 11 Y-)g4 Sltgd SZ01, Ucj e-A ,4 digin M,& p l �l ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW t°1z_116 CONSERVATION OG �I�J PLANNING W \ Thom -elb DPW-WATER METER �OU�-3 6 SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW 1 SIGNATURE File:Application for OC form revised Jan 2007/2011 LEult 50 Washington Street Westborough, MA 01581 IECC 2012 402.4.2.1 Testing Option Blower Door Testing Pass Fail Date of Test 11/4/2016 Street Address 10 Great Lake Lane North Andover MA Source of Area and Volume Calculations: Builder Rater x Other HERS Rater: Nick Abreu Certification# Signature Builder TKC LLC Builder Contact Tom Zahoruiko Tested Air Leakage Requirement: 3 Air Changes per hour at 50 Pascals(ACH50)or less Measurement 1329.2 ACH50 2.84 CLEAResuK 50 Washington Street Westborough, MA 01581 IECC 2012&MA Stretch Energy Code Duct Tightness Verification Pass Fail Date of Test 9/15/2016 Permit# Street Address 10 Great Lake Lane North Andover MA Conditioned Floor Area 3291 Source of Area and Volume Calculations: Builder Rater X Other HERS Rater: Nick Abreu Certification# Signature 9.4 Builder TKC LLC Builder Contact Tom Zahoruiko HVAC Contractor 2012 IECC-New Construction Post-Construction Test Total Leakge-4cfm/100ft2 maximum allowed Maximum Leakage 131.64 Test Result 0 Rough-in Test-Total Leakage Air Handler Installed? X Yes-4 cfm/100ft2 maximum allowed No-3 cfm/100ft2 maximum allowed Maximum Leakage-4 cfm/100ft2 131.64 Maximum Leakage-3 cfm/100ft2 98.73 Testing Result 74.71606781 cfm/100ft2 From: Nicholas Abreu Nicholas.Abreu@clearesult.com Subject: Reports Date: Today at 9:25 AM To: Thomas Zahoruikotzeke@me.com Hello Tom Attached are the blower door and duct blaster reports. I will be by later to drop off the sticker, please let me know if you need anything additional. Thanks Nick Nicholas Abreu Project Manager Mobile 508.326.7506 CLEAResult 508.836.9500- Clearesult.com 50 Washington Street-Suite 3000•Westborough, MA 01581 We change the way people use energy TM P Please consider the environment before printing this e-mail CLEARGSUIt 50 wairktiillgl n 5tceet We ibertugh,MA C1158f [ECC 2012 402A.2.1 Testing£0011 ftwe;odor Testing, Date of Tcst 1114/2016 Sheet Addreis 10 Geest Uketane North Andav" MA, Source ai A2e3 and VOutne CaW40Ord: Builder Rbter x Drb� . I HtRS Rates: Nick Lbreu Ce�t'iiit�'tiota I<' �r 39.T y 26.6' I 100' J SETBACK 460) 75.1' / N A -.� 32.1' LOT 1 �j L� j 31.0 I 'EXIST. , '+ FiND. TOF= o i. 196.2' Luc+� 45.1' + 1NOFMA6 \ MICHAEL 28.9' SERGI m v No.33191 Iv ` ty' SURsV I THAT THE PRIRY STRUCTURE SHOWN FOUNDATION LO CATION THERTIFY HORIZON A SETBACK REQUIREMENTS OF THE LOCALRMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. CLIENT: TKZ,LLC (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS.WETLANDS,EASEMENTS, THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT ORDERS OF CONDITIONS.ETC.)THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED LOCATION: NORTH ANDOVER,MASS. ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED DATE: 7/21/16 SCALE: 1 =40' PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHISITED.CHRISTIANSEN&SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. o PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRIISTIIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX.978-372-3960 DWG.NO.:13114.001.014 i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-055417 Construction Supervisor THOMAS D ZAHORUIKO 4 HIGH STREET SUITE 201 NORTH ANDOVER MA 0184C' t - ��"/►�-^� CA_ Expiration: Commissioner 04/05/2018 ••••a Verizon LTE 10:00 AM 83%W All Inboxes (2) Sent from my Wad DATE(MMIDD'YYYY) ARV CERTIFICATE OF LIABILITY INSURANCE 6/21/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT Sandi. Munroe M.P. Roberts Insurance Agency FAX (978) 683-3147 1060 Osgood Street 978 683-8073 No S: sandi@mprobartsinsurance.com North Andover, MA 01845 INSUREIRSIAFFORDING COVERAGE NAICR _ .. _ INSURERA, :Es3ex-_Insurance Co INSURED INSURERa:Associated Employers Insurance TKZ, LLC -- _ INSURERC: c/o TOM ZAHORUIKO INSURER D: 78 GREAT POND ROAD INSURER E: NORTH ANDOVER, MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSIR I D w POUCYNUMBER POLICY POLICY LIMITS A GENERALUABILITY 3DX4936 7/13/15 7/13/16 EACH OCCURRENCE Is 1-1000,0-00 A T RENTED X COMMERCIAL GENERALUABILITY ..PREMISES1.occwenee)._-;. so 000 ., _ CLAIMS-MAGE 51 OCCUR MED EXP IAn ora Ream PERSONALSADVINJURY S 1,000.,.(}00_ GENERAL AGGREGATE S 21000,000 GEN-L AGGREGATE LIMITAPPLIES PER PRODUCTS-COMPIOPAGG S X POLICY P LOC1 $ AUTOMOBILE LIABILITY Ee „)SINGLELIMIT S ANY AUTO BODILY INJURY(Per Parson) s ALL OV"-0 SCHLOULED BODILY INJURY(Per accident) s �•— AUTOS AUTOS NON-OWNFD PROP RrY DAMAGE HIREOAUTOS r+AUTOS ,IPereccideM) ® S UMBRELLA UAB OCCUR _. _.._.._ EACH OCCURRENCE $ _ EXCESSUAI CLAIMS•M%DE AGGREGATE S _ DEO MTIO s s B NORxERSCOMPENSATION WCC5005006517-2014A 10/1/15 10/1/16 X PcRinsR. AND EMPLOYERS'LIABILITY Y� LECT ANY PROPRIETORIPARTNERIEXECUTIVE NIA EL EACHACCICENr_ .__.>: 1 1 0001 000 OFFICE RAIEMBER EXCLUDED? -- (Mandatory In NH) Ci DIS 3 1,000,000_ If yyea dmaibe under - OESGRIPTIONOFOPERATIONS helow E.L.DIS EASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remade Schedule,if mare apace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPT 7 1600 OSGOOD STREET AUTHOM ealESENTA NORTH ANDOVER, MA 01845 ©1888 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: