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Building Permit #709-15 - 100 MOLLY TOWNE ROAD 3/11/2015
BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIO �I� '�ra-� o . W • . St P.) 'a Permit No#: Date ReceivedfArED Date Issued: 510,uc SACHUS���� IMPORTANT:Applicant must ttQcomplete all items on this page LOCATION �� !' ► �� �t�v�'1e `�` {o Print PROPERTY OWNERn�D �ter j Print �,a 100 Year Structure yes MA PARCEL.-()291 ZONING DISTRICT: Historic District yes Qnj Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE ResiqIential Non- Residential ew Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Nater/Sewer C DESCRIPT�ON of WQRK Taj BE PERFORM 1 rho N►� � -r�� "t h/`e�2. a VU V n ���►� 5Q q&1(01S I entifcation- Please Tyle or Print Clearly OWNER: Name: .� Co Phone: -18 eY711 X277{0 Address: Contractor NamJAn%o fid)( Phone: V71P V79 277A Address: .�/ �, t�� /�, c� r�S B n , � C�ll�.�• o �.� Supervisor's Construction License: ° 3 SD 3 Exp. Date: 7 I1 16 Home Improvement License: l7l q!:' ^ Exp. Date: 31t 1, ARCHITECT/ENGINEER � N Ac.- Oc CX r\ Phone: �1 56a40 a t Address: Jig tYlg;n T('r�ocgtr�.•�nfMA p1637 Reg. No. a77(P5 FEE SCHEDULE:BULDING PERMIT.-$,12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost; $ ��l/T�p FEE: $ I yen �Q Check No.: Receipt No.: NOTE: Persons contractink with unregistered contrarys d not have access to the guaranty fund Signature of Agent/Owner i ture of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSA Public Sewer Tanning/Massage/Body Art ❑ Swimmning 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 PLANNING & DEVELOPMENT Reviewed OnSignature- COMMENTS i9natureCOMMENTS CONSERVATION Reviewed on u Signature COMMENTS - a Gr S-JvVI I`7� I HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/Siq nature& Da DrivewaV Permit DPW Town Engineer: Signature: D p Located 384 P9good Street FIRE DEPARTMENT - Temp Duter on site yes no Located at 124 Main Street Fire Department signature/date �-' COMMENTS T �_ Dimension Number of Stories: 2-' 2 Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: Z a 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) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Perinit 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application a Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: 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) o Copy of Contract ❑ Mass check Energy Compliance Report o 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:Building Permit Revised 2014 Location l JCJ W Li r"l No. Date.-,Z, . - TOWN OF NORTH ANDOVER . Certificate of Occupancy Building/Frame Permit Fee $�8 Foundation Permit Fee 40 Other Permit Fee $ TOTAL $ ..�- -7� v Check#�� Building Inspector '`y s Registry ID 986008669 T Home Energy Rating Certificate Rating Number EH0561 Certified Energy Rater Ian Rex 100 Mollytowne Rd Rating Date 10/22/2015 North Andover, MA 01845 Rating Ordered For North Andover RE Corp. AN Estimated Annual Energy Cost Use MMBtu Cost Percent 5 Stars Plus Heating 98.5 $1942 44% Confirmed Cooling 4.1 $214 5% HERS Index: 52 Hot Water 18.9 $354 8% Lights/Appliances 34.0 $1679 38% General Information Photovoltaics -0.0 . $.0 -0% Conditioned Area 4819 sq. ft. House Type Single-family detached Service Charges $190 4% Conditioned Volume 43344 cubic ft. Foundation. Conditioned basement Total 155.5 $4380 1000/0 Bedrooms 4 Criteria This home meets or exceeds the minimum criteria for the following: Mechanical Systems Features Heating: Fuel-fired air distribution, Natural gas, 95.0 AFUE. Heating: Fuel-fired air distribution, Natural gas, 95.0 AFUE. Cooling: Air conditioner, Electric;13.0 SEER. Duct Leakage to Outside 112.00 CFM25, Ventilation System Exhaust Only: 86 cfm, 8.6 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-37.4 Slab R-13.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.300, SHGC: 0.300 Tim Gould, ServPresices, Inc. Above Grade Walls R=21.0 Infiltration Rate Htg: 2191 Clg: 2191 CFM50 Ace Energy Services, Inc. Foundation Walls R-21.0 Method Blower door test Da North A Suite A3 Danvers, MA Lights and Appliance Features (978)992-1439 Percent Interior Lighting 94.00 Range/Oven Fuel Natural gas www.AceEnergyMA.com Percent Exterior Lighting 8.00 Clothes Dryer Fuel Electric Refrigerator (kWh/yr) 500.00 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.00 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. © 1985-2014 Architectural Energy Corporation, Boulder,Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Property/Builder Information Building Name NAND L-16 Mollytowne Owner's Name North Andover RE Corp. Property Address 100 Mollytowne Rd City, St, Zip North Andover, MA 01845 Phone Number Builder's Name Carroll Construction Phone Number 978-479-2776 Email Address Plan/Model Name Community/Development North And Permit Date/Number Rating Organization/RESNET Information Organization Name The Energy Hound Address 11 Broadway, #3 City, St, Zip Beverly, MA 01915 Phone Number 978-233-1433 Website www.TheEnergyHound.com Rater's Name Ian Rex Rater's Email Ian@TheEnergyHound.com Rater's ID 1454792 Provider ID 1998-136 Sample Set ID 00000000 Registry ID 986008669 Rating Date 10/22/2015 Rating Type Confirmed Reason for Rating New Home Rating Number EH0561 REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg I General Building Information Area of Conditioned. Space(sq ft) 4819 Volume of Conditioned. Space 43344 Year Built 2015 Housing Type Single-family detached Level Type(Apartments Only) None Floors on or Above-Grade 2 Number of Bedrooms 4 Foundation Type Conditioned basement Enclosed Crawl Space Type N/A Thermal Boundary Location N/A Foundation Wall Information Name Library Entry Location Length(ft) Total Depth Height Uo Value Uo Value Height(ft) Below Above Combo* (wall only) Grade(ft) Grade(ft) UncBsmt>Exterior R21,G1,6-16 Cond->ambient/grr 45.0 8.0 0.0 8.0 0.056 0.059 UncBsmt>Gnd R21,G1,6-16 Cond->ambient/grr 92.0 8.0 6.5 1.5 0.044 0.059 UncBsmt>Garage R21,G1,6-16 Cond->garage/grnd 34.0 8.0 0.0 8.0 0.056 0.059 * Uo Value Combo combines wall, airfilm, and soil path Foundation Wall Library List Foundation Wall: R21,G1,6-16 Type Solid concrete or stone Thickness(in) 10.0 Studs Wood, 2x6, 16"o.c. Interior Insulation Continuous R-Value 0.0 Frame Cavity R-Value 21.0 Cavity Insulation Grade 1 Ins top 0.0 ft from top of wall Ins Bottom 0.0 ft from bottom of wall Exterior Insulation R-Value 0.0 Ins top 0.0 ft from top of wall REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. jPage 2 of 15 BuildingSummary Property Organization HERS P Y '; North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978.233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.big Foundation Wall Library List Ins bottom 0.0 ft from top of wall Note created AP 11-21-05 Slab Floor Information Name Library Entry Area(sq ft) Depth Below Full Exposed On-Grade Grade(ft) Perimeter(ft) Perimeter(ft) Perimeter(ft) R13 P 1500 2.0 140 45 45 Slab Floor Library List Slab Floor: R13 P Slab Covering Carpet Perimeter Insulation (R-Value) 13.0 Perimeter Insulation Depth (ft) 2.0 Under-Stab Insulation (R-Value) 0.0 Under-Slab Insulation Width (ft) 0.0 Slab Insulation Grade 1 Radiant Slab No Note Rim and Band Joist Information Name Location Area(sq ft) Continuous Framed Cavity Ins Joist Insulation Uo Value Ins Cavity Ins Thk(in) Spacing Grade Band-Blockers Cond 168.00 0.0 21.0 5.5 16.0 1 0.047 ambient Band-Runners Cond -> 68.00 21.0 0.0 5.5 16.0 1 0.040 ambient Above-Grade Wall Name Library Entry Location Exterior Color Area(sq ft) Uo Value Exterior R21,FG1,6-16 Cond > ambient Medium 3712.00 0.058 Attic R21,FG1,6-16 Cond > attic Medium 78.30 0.058 UncoBsmt> Garage R13, FG1,4-16 Cond > garage Medium 200.00 0.083 REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 3 of 15 i Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Above-Grade Wall Library List Above-Grade Wall: R21,FG1,6-16 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 21.0 Frame Cavity Insulation Thickness(in) 5.5 Frame Cavity Insulation Grade 1 Stud Size(w x d, in) 1.5 x 5.5 Stud Spacing(in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Updated Grade I BH 10/24/05 Above-Grade Wall: R13, FG1,4-16 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 13.0 Frame Cavity Insulation Thickness(in) 3.5 Frame Cavity Insulation Grade 1 Stud Size(w x d, in) 1.5 x 3.5 Stud Spacing(in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Window Information Overhang Interior Adjacent Name Wall Orient U-Value SHGC Area Depth To Top To Btm Winter Summer Winter Summer Assignment (sqft) (ft) (ft) (ft) Shading Shading Shading Shading Front-t AGWall1 West 0.300 0.300 222.70 0.0 0.0 0.0 0.85 0.70 None None Left AGWall1 North 0.300 0.300 56.00 0.0 0.0 0.0 0.85 0.70 None None Back AGWall1 East 0.300 0.300 146.30 0.0 0.0 0.0 0.85 0.70 None None Back Slider AGWall 1 East 0.340 0.300 40.20 0.0 0.0 0.0 0.85 0.70 None None REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 4 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Window Information Overhang Interior Adjacent Name Wall Orient U-Value SHGC Area Depth To Top To Btm Winter Summer Winter Summer Assignment (sqft) (ft) (ft) (ft) Shading Shading Shading Shading Back- Fdw FndWall 1 East 0.300 0.300 22.40 0.0 0.0 0.0 0.85 0.70 None None Back-Fdw FndWall1 East 0.340 0.300 40.20 0.0 0.0 0.0 0.85 0.70 None None Slider Right AGWall1 South 0.300 0.300 11.20 0.0 0.0 0.0 0.85 0.70 None None Door Information Name Library Entry Wall Assignment Opaque Uo Value R-Value of Storm Door Area(sq ft) Opaque Area Front Therma-Tru R7 steel insul AGWalt 1 20.1 0.126 7.0 No Cond>Attic R6.7 fiberglas insul AGWall 2 20.1 0.132 6.7 No Unc>Gar Steel-urethane foam FndWall 3 20.1 0.380 1.7 No Roof Information Name Library Ceiling Roof Exterior Radiant Type Uo Value Cement or Roof Tile Entry Area(sq ft) Area(sq ft) Color Barrier Clay Tiles Ventilation Flat R38,CEU ,10- 2162.00 2703.00 Medium No Attic 0.030 No No x10,straped +4 Sloped R32,CE,10-16, 491.00 491.00 Dark No Attic 0.036 No No x10,vent,str Sloped- R30,FG3,X-16 51.00 51.00 Medium No Attic 0.072 No No Attic stair Roof Library List Ceiling: R38,CE10",10-160 Information From Quick Fill Screen Continous Insulation (R-Value) 3.0 Cavity Insulation (R-Value) 34.4 Cavity Insulation Thickness(in) 9.3 Cavity Insulation Grade 1 Gypsum Thickness (in) 0.500 Bottom Chord/Rafter Size(w x h, in) 1.5 x 9.3 REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 5 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Roof Library List Bottom Chord/Rafter Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Attic Note 12"@ 3.7 Ceiling: R32,CE,10-16,DP Information From Quick Fill Screen Continous Insulation (R-Value) 0.0 Cavity Insulation (R-Value) 32.4 Cavity Insulation Thickness(in) 9.3 Cavity Insulation Grade 1 Gypsum Thickness(in) 0.500 Bottom Chord/Rafter Size(w x h, in) 1.5 x 9.3 Bottom Chord/Rafter Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Attic Note checked, change to default, MP 11/4/05 Ceiling: R30,FG3,X-16 Information From Quick Fill Screen Continous Insulation (R-Value) 0.0 Cavity Insulation (R-Value) 30.0 Cavity Insulation Thickness(in) 9.0 Cavity Insulation Grade 3 Gypsum Thickness (in) 0.500 Bottom Chord/Rafter Size(w x h, in) 1.5 x 5.5 Bottom Chord/Rafter Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Attic Note quick-fill by MP 11/04/05 REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 6 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Mechanical Equipment Number of Mechanical Systems 5 Heating SetPoint(F) 68.00 Heating Setback Thermostat Present Cooling SetPoint(F) 78.00 Cooling Setup Thermostat Present Heat: Gas Furn, , 95% SystemType Fuel-fired air distribution Fuel Type Natural gas Rated Output Capacity(kBtuh) 100.0 Seasonal Equipment Efficiency 95.0 AFUE Auxiliary Electric 900 Eae Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 50 Heat: Gas Furn, , 95% SystemType Fuel-fired air distribution Fuel Type Natural gas Rated Output Capacity(kBtuh) 100.0 Seasonal Equipment Efficiency 95.0 AFUE Auxiliary Electric 900 Eae Note Number Of Units 1 Location Attic Performance Adjustment 100 Percent Load Served 50 Cool: ACC, 24K, 13 SEER System Type Air conditioner Fuel Type Electric REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 7 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Mechanical Equipment Rated Output Capacity(kBtuh) 24.0 Seasonal Equipment Efficiency 13.0 SEER Sensible Heat Fraction (SHF) 0.70 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 50 Cool: ACC, 24K, 13 SEER System Type Air conditioner Fuel Type Electric Rated Output Capacity(kBtuh) 24.0 Seasonal Equipment Efficiency 13.0 SEER Sensible Heat Fraction (SHF) 0.70 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 50 DHW: Gas,ST40g,67% Water Heater Type Conventional Fuel Type Natural gas Energy Factor 0.67 Recovery Efficiency 0.76 Water Tank Size (gallons) 40 Extra Tank Insulation (R-Value) 0.0 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 100 REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 8 of 15 t Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg I Duct Systems Name Basement Et 1st flr Conditioned Floor Area(sq ft) 3228.0 #of Returns 6 Heating System Gas Furn, _, 95% Cooling System ACC, 24K, 13 SEER Supply Duct Surface Area(sq ft) 326.8 Return Duct Surface Area(sq ft) 302.6 Duct Leakage Qualitative Assessment Not Applicable Duct Leakage to Outside Supply+Return 32.00 CFM @ 25 Pascals Supply Only Not Applicable Return Only Not Applicable Total Duct Leakage 281.00 CFM @ 25 Pascals Duct Tightness Test Postconstruction Test Type Location Percent Location R-Value Supply Conditioned basement 50.0 6.0 Conditioned space 50.0 4.2 Return Conditioned basement 50.0 6.0 Conditioned space 50.0 4.2 Name Attic 2nd fir Conditioned Floor Area(sq ft) 1591.0 #of Returns 4 Heating System Gas Furn, _, 95% Cooling System ACC, 24K, 13 SEER Supply Duct Surface Area(sq ft) 161.1 Return Duct Surface Area(sq ft) 119.3 Duct Leakage Qualitative Assessment Not Applicable Duct Leakage to Outside Supply+Return 80.00 CFM C 25 Pascals REM/Rate- Residential Energy Analysis and Rating Software 04.5.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 9 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover, MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Duct Systems Supply Only Not Applicable Return Only Not Applicable Total Duct Leakage 246.00 CFM @ 25 Pascals Duct Tightness Test Postconstruction Test Type Location Percent Location R-Value Supply Attic, exposed 50.0 6.0 Conditioned space 10.0 4.2 Attic, exposed 40.0 8.0 Return Attic, exposed 50.0 6.0 Conditioned space 10.0 4.2 Attic, exposed 40.0 8.0 REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 10 of 15 . • II BuildingSummary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover, MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Infiltration and Mechanical Ventilation Whole House Infiltration Measurement Type Blower door test Heating Season Infiltration Value 2191 CFM @ 50 Pascals Cooling Season Infiltration Value 2191 CFM @ 50 Pascals Shelter Class 4 2009 IECC Verification Tested Mechanical Ventilation for IAQ Type Exhaust Only Rate(cfm) 86 Sensible Recovery Efficiency(%) 0.00 Total Recovery Efficiency(%) 0.00 Hours per Day 24.0 Fan Power(watts) 8.60 Ventilation Strategy for Cooling Cooling Season Ventilation Natural Ventilation REM/Rate - Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 11 of 15 i Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover, MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Lights and Appliances Rating/RESNET audit Ceiling Fan CFM /Watt 0.00 Refrigerator kWh/yr 500 Refrigerator Location Conditioned Range/Oven Fuel Type Natural gas Induction Range No Convection Oven No Dishwasher Energy Factor 0.00 Dishwasher kWh/yr 300 Place Setting Capacity 12 Clothes Dryer Fuel Type Electric Location Conditioned Moisture Sensing No Energy Factor 3.01 Gas Energy Factor 2.67 Clothes Washer Location Conditioned LER(kWh/yr) 281 MEF 1.720 Capacity(CU.Ft) 3.500 Electricity Rate 0.09 Gas Rate 0.91 Annual Gas Cost 14.00 Qualifying Light Fixtures Interior CFLs% 90.0 Interior Fluorescent% 4.0 Exterior Lights% 8.0 Garage Lights% 3.0 REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 12 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover, MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 Mollytowne confirmed.blg Mandatory Requirements IECC Requirements Verified IECC 04 false Verified IECC 06 false Verified IECC 09 true Verified IECC 12 false Verified IECC NY false ENERGY STAR Version 2 Checklist Thermal Bypass Checklist false ENERGY STAR Products false ENERGY STAR Version 3 Checklist Thermal Enclosure Checklist false HVAC System Quality Installation Contractor Checklist false HVAC System Quality Installation Rater Checklist false Water Management System Builder Checklist false ENERGY STAR Version 3 Appliances Exist Amount Refrigerators false 0 Ceiling Fans false 0 Exhaust Fans false 0 Dishwashers false 0 ENERGY STAR Version 3 Basements Basement Wall Area 50% Below Grad: false Basement Floor Area 0.00 2009 IECC Prescriptive Requirements for ENERGY STAR v3.0 false Slab Insulation Exemption: false Indoor airPtus Verification Checklist false REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 13 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carrot(Construction Lot 16 Mollytowne confirmed.blg DOE Zero Energy Ready Home Home Builder ID Number Mandatory Requirements Verified Fenestration false Verified Insulation false Verified Duct Location false Verified Appliance false Verified Lighting false Verified Fan Efficiency false Verified EPA Indoor airPLUS false Verified Renewable Energy Ready Solar Electric false Verified Renewable Energy Ready Solar Hot Water false Optional Home Builder Commitments for Recognition Certified under the EPA WaterSense for New Homes Program Yes Certified under the IBHS fortified for Safer Living Program Yes Followed the DOE Zero Energy Ready Home Quality Yes Management Guidelines The buyer of this home signed a waiver giving DOE Zero Energy Yes Ready Home access to utility bill data for one year. Active Solar System Type None Collector Loop Type None Collector Type None Collector Orientation None Area(sq ft) 0.0 Tilt(degrees) 0.0 Volume(cu ft/gal) 0.0 REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 14 of 15 Building Summary Property Organization HERS North Andover RE Corp. The Energy Hound Confirmed 100 Mollytowne Rd 978-233-1433 10/22/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder NAND L-16 Mollytowne Carroll Construction Lot 16 MoRytowne confirmed.blg Notes No stairs to basement?? Band-blocker Et Band-runs may need to be changed - left as R21 though may be R30 * 6 return grills-guessing, need to verify Uncond B>Garage wall?iinsulated SF?? -------------- Bath Fan SET: w_sones_ Rating# Registry# #ELEC NSTAR_ #GAS NSTAR *PROPANE* Refrigerat kWh/Yr_(691) DishWash kWh/Yr Range Gas Elec Prop+Convection DRYER Gas Elec +MoistSens WASHER—kWh/Yr(LER)Capacity— T-Stat: Ceiling Fan: CFM/w_ BOILER % Ki/o Eae Water: _EF/Recov_gal FURNACE_% K-o_Eae# Attic % K-o Eae# BSMT AirHandlr: K-o Condencr: S/E# ATTIC AirHandir: K-o Condencr: S/E# REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 15 of 15 RESNET HERS Index Certificate , HERS"Index 100 Mollytowne Rd \ More Energy North Andover,MA 01845 Rater: Ian Rex 150 ReRist ID:986008669 Too Annual Estimates* : Existing 130 Elec(kWh): 10956 Gas(Therms): 1181 Homes Tea CO2 emissions(Tons): 13 6 110 Energy Savings($)'": 5168 Standard 1uo 'Based on standard operating conditions New Home 90 ""Based on U.S. DOE designation of a HERS 80 Index of 130 as the'Typical Existing Home' 70 Tim Gould, President — 80 This Home Ace Energy Services,Inc. sa 52 250 North St Suite A3 + 40 Danvers,MA 30 (978)992-1439 20 ne10 This home has been inspected Zero EHome U and performance tested in -� Less Energy accordance with Chapter 3 of MET the RESNET standards. a ,O IN . ro '11,��O1.tro T*x"19 SSA Cj.0 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 709-15 on 3/11/2015 Date: October 23, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED at 100 Molly Towne Road 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: North Andover Realty Corporation 100 Molly Towne Road North Andover,MA 01845 Building Inspector Fee: PrePaid $100.00 Receipt: 28557 Cheek : 431 c NORTH ' F Town of � _ Andover 0 ; AIL h ver, Mass, _31 I Too* COCNICMIWICK y1. ��AERATED pPP�,�S S V BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT .. .. .Q.& .... ................... �/1/� BUILDING INECTOR .� -I Fft 1 ' has permission to erect D �. .. . ....1/.T .......................... buildin son . ............... _ ��jjt��.... ' ����'�Ci to be occupied as .. r . ......+POS: ...3...C.Nn. .�., himney ,C-flu provided that the person accepting this permit shall i every respect conform to the terms of the application Final on file in this office, and to the provisions of the Co s and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. UMBI G I SPEC R Roughaz `� VIOLATION of the Zoning or Building Regulations Voids this Permit. Final �5 /x \ �o?a PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ( t� UNLESS CONSTRUCTI T oug -- ��. (il�� C9•- ���y � � goo .............. .. ..... /�, BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 6�,/-Johi d No Lathing or Dry Wall To Be Done FIRE DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. �©v� <-J A -CJ O SSACHp°jEi CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 709-15 on 3/11/2015 Date: October 23, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED at 100 Molly Towne Road 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: North Andover Realty Corporation oration 100 Molly Towne Road North Andover, MA 01845 Building Inspector Fee: PrePaid$100.00 Receipt: 28557 Check : 431 c NOR*rh O SLED ' q�r . 6 =6 0 0 1. ✓n .`' APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION �` OQA tx.ic«twrcw`1 �9 s IT`D �y BUILDING PERMIT # 701-115 ACUS S H � ADDRES S/LOCATION OF PROPERTY: t o(-) M d �%7©�no- MParcel Lot Number SUBDIVISION: A � M A DATE REQUESTED FILED/READY FOR INSPECTION: 6 CLOSING DATE ON PROPERTY: O �a FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALLITPLICABLE COD S. t APPLICANT SIGNATURE Permit Issued to: d S Address: ROUTING TOWN ENGINEER; SITE PL —,VE-WAYREVIEW r CONSERVATION PLANNING X01 X1`5 f DPW-WATER METER SEWER CONNECTION L� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW �� " SIGNATURE File:Application for OC form revised Jan 2007/2011 �1ORTH ' Town of � s E : Andover 00% No. soh ver, Mass, coc HIc"awl �• �.95°RwTeo �pP��S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT .. .... !�.... �........ C BUILDING INFECTOR .. i'c > has permission to erect :::...:................... buildin s on .4 0.D.....11111011% .. . �. ,.,.� F u a ugh to be occupied as .�O%r ......fftsazv:......&.rawr. �I himney ,-'re provided that the person accepting this permit shall i every respect conform to the terms of the application Final k on file in this office, and to the provisions of the Co s and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. LIMBI G I SPEC R Rough UMW VIOLATION of the Zoning or Building Regulations Voids this Permit. Final 10'?o Fj PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T oug _ �G� S I Ser x Fi� C9 to ��1✓/S BUILDING INSPECTOR t 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 DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. \L 7 -CJ I MATCH LINE 42- 96 ��"TOPVFwnu-+aT.W I i i _ DEP FILE#212 B ++ IX �� �y xrvN,oT.Tx.w ~\t 11�, I Le. 1 4 �� RmRAP ! 1 I_1III lrncrvoAm ^SEE SHEET 2 [+�°^, w .A td 1 pHl Ca18 OMx 1A Aem y �� NM•1Mw0/ PIM-mebS X 'b OIIf-mta] WVIYIN•mi�e(CB 10) -c, w�„ REMWNIS OF - I II I pN,r IN•mim(CB 1+) '^NA qE °NppT i�JbEOIMENTATION / �__ o=L"R aIR�T�l�'i/p�� LOT 12A EwsrmG L«us �o�. 1WQ �- WM.me.fq JM�9 VAl1°EL° �+ ^• 10B _.-____.-�__1 I S @ I NORFF°A lY I m.m&m.m+AJ J roPfND. Aery- ' 18T 62� A I � � •111.01' �1e toe H` et�' / It 1 uQ'� •J cLDI cp_ I D 1°3a � a/ �$/ WATERMAIN yn J3 I T 47c, LOT11 B_ STORAGE AREAS:DETENTION POND#1 t� , , I __up • I I / NF Dose EL-1Nc a DEsloN suRFACE AREA RnnsauaTsuRFACEAREAISF) � q LOCUS MAP NGRMANGWEIi #52 E°OEGF �¢ RFALTYCORP. EaGSIW° m ta.095 tA.tW -AL.I.Loon= WLX b i ] LJ� TOPFNO. PAVEMENT +81�/ N? 179 tIA 1]0� L3 e' �i01 p m2ae' [OT.) auvNtETDURNEAU NGTE:TIE1w YEAR PEAKSfORAGE0.EVAT10N=+]A9FT.a0 RELAUJRSOF , �/// tiofi nM 1111 �O XEAOW111 EIONEW.LLL EOIMENTATION 2 LEGEND /J) /1- TE ro m 9MH NIF NOWORFORMERLYOF A tbNRltt d IIMR /1 j I 8V\•m'V4InroN•1]eAA E%IBTING DF 41 / .{//Gyy f 1m0 / I I HOD E /� p ® DIWNMANNOLE If BnT.t I�I rI AfYE398 LOT 10 CATOHEA3WAN°OR/JNAGEPIP Il l�1// 1 / II // PISEMFItTE Hom�°VEN roT13.90° R/IPEDENDBEOODNB NP-RAP .. sr AA _a i f ns1 ,>m 7 I REALtt ! Z3xFlREHYDRNiT �1?1I I LOT5 LOT —.».-. wAlERAWxa OATEVALVE PPTOENDMI#1N Y 111 O aww mN cxwmoPHERNWG ,'� wnTERaEmlcesHurcmvALVE I III 1 , OEwEILMuma.eleEwERMuu I( 1(4'k 111 II I' $ RIP— tll% If J EKIBTMO $� SRYERSEIMCE8T10 I 11 LOT9 EgBTWO }' J HOUeElnS FJLISDNG --- OASMNN 2A ; IN 1 1 111 I' xEIR /Jj;fti1 �F xonuLSE O ropes HomEw LOT 3 I\ 111�1t�° 1i-8 Ili MAmmEWREMIs ,.0.S roPRNO. BLGRATEj wF -Wv- IWOEfIGRouxo ELEGRUGIEIEFHONEIGHLErvLINE: N� t\ 11 I 11 F •mm pel(sAMENUKPEALNIRU3T f roPGNO. f2f A(OEXIBTING EDGE OFPAVEMEM A I 1111 amIMEWr .41 II =21A.10 'i °�+ RIM•2eT.88 ,a/ 1 1�111\(1\,M��\GREEAY ��1 1°°�T � �•mom rPJG BEWER --im-- FJ°611NO ElE/ATON COMOUR WERMIO-a—EMiEOR E0R0ENN° WA BERVIGE HOUSE 123 ETATEO WERAND \\`\r6\S� \ I1 WBPB'PUC SEAIR 91MGFF roPI-. —,m— LMROFIE°EIIFFEA ZONE �.'A 1\1~w / It 2, ' \\ \\ wryi- 12A'CPP•,NT! LOT BsMH IT—SEWER LOT2-_--- _-28� 9MN INV WmiID BOMEPINO 1 R A \A TRMa�� INVOUT•28Le8 EDGEOF qAe BERNCEATUB(IYP.) _____ L oRV/ORK VEGETATm aN2A•IN=1Am CBA EJBEt01G oaalWG JEREMY NIWRY CET PAVEMENT(1YP.) NOUBE M'ETlAl10� I I IIMROF '1 I INV24'DUT•119m NM-2d.iT PLM•201,31 N Yt5 1Ap' � VIOIOf I I INV IYOU!-1mA8 NV 1Y OIfT•,99A9 `' 4NDS0.VEAREA �D. °MHA CB 2(oBL GRAIL] 9°0. d / A / I PAVEITS EN9RN0 WM•m121 WM•meAe ,0 ,L I i NGUSE ILWJir N:;.t(ORMA) RN ir0UT.9N.11 ry9 Tr. BIT 8 i I LOT7 IM/1r W•1882e(can N—HE I i Iwo m1 sIM .—HEHIP p IIMROF28 I roAF BCOTTIANCFJi9 1RCP MNAA WM•me3T 'UDI N"ISTL lta CAGE RC I BAT11NGl P "IND o RnP! •200.0.9 INVir OUT-20133 WATER MAM p / 1 WI,H CRUSHED } tY IN•,9A.+9 O /�I.IMRDF 100 1 bTONE BORDER 8MH INV tYOUT•,BAW euHRmmeaE I I DWI_ OPEN SPACE B/ IW,2� (m,) LOT 1 2CPPOW rNm I �72) ROUSE I $ I NIM iPT]2 . Y RICNIDODUBE PLANOPENSPACEA Ntv•12wLOT6 4D' 0 40' aD m MOEA«E99 1 1 _N ils roPFNO ,r RCPGRAIN IIYOP.WT P &D"RAGE I •2o2.D2 SCALE:1•-40 1 I mYdOE C HA RIM 2048e } 12CHRI8IIA a NASER I F°.A9R"EAIFM °PYC9 8V\•it INAB22(0Mx1) INV 1r IN•t9e.01(CB)t) tY RCP DRAW CONSERVATION AS—BUILT PLAN SHEET 1 OF2 OMNa1w I,W•10A9e(OMHeol PN1r IN•telae(Ca 1) PROFFSSIONAL N •'eAl2 I _- -- ---------------------- WV HP IN•10010(OMHn INV 1r OUT•19A21 FOR ENGINEER 9/8 8.Y •te1Ae II III 1SNNYDCPPAGNNTAW 1rCPP0N°D'8MVWPINN+•4rVN19K'"T3-O]+U0.T+•°11882?1 I-OOINNIAvi1l3Cr .B1l.w92az WDmRAENINM1A0GEE � _ I "AUTUMN W CHASE"31•INGU-tt3F___ -----CROSSLOU_YO__N_C------ ENT ca1(oAlE7 NORTH ANDOVER,MAS S.WT• ca eloeLGRA Wv,roDr•,9xm .- .-� NM-mtea RIM=,0131 �i�� �� INV IY OUT•1W3e APPUCANr mv,Yovr-+e9oz pN`tN•1: Ce5 ANx p0171��-�' WM•2DLTJ NORTH ANDOVER REALTY CORPORATION irWPDRNN pIyOSS� �� INvfY aUf•teB.3P Ge RINGHIU.R4AU,NORTHANOwM; 01e,S PHILIP S.CHRISfIAN3E4,P.E. vMHT sAW SUMMER STREETPROHR ESaAN EN& E FESSIONAL ENGINEERS SUND SURVEYORS DAEmv m.mx WVt2'W,w.9A(CBa) CAe(DBLGMTE7 T WV fY W+m.ee(CB9) RM•t9LT5 M ,HA ILL.MA85AF mei 3 INV 1r OUT•1W74 INV 12.OUT•1BB.00 ceHENOa.cOM TEL 9ie nYmte 4 s>ASeoxe LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978 352-2858 cell: 978-502-5921 July 23,2015 Mr. James Carroll North Andover Realty Trust North Andover,Ma RE: Lot 16 Molly Towne Road Dear Mr.Carroll As you requested I conducted a site visit 7/22/15 to review the instal,Wion of the Engineered Materials consisting of LVLs,and steel beams utilized in the fifming of the above project.. The Lv1s and steel beams are shown on plans prepared W.A. Hurley dated 12/10/14 with the framing plans sheet A-5 and detail sheets certified by me 1/2/15. Based on the above site visit and based on what I could visibly see. I can certify that to the best of my knowledge the LVLs members and details utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences, provided the following work is performed. All other framing requirements of the drawings and code,including but not limited to materials, nailing schedules,blocking, connections,manufacturers installation requirements and other details are the responsibility of the licensed construction supervisor responsible for the project. Please note at the time of this visit the house was framed,the roofing, siding, and garage door trim were in place,which limited the viewing of certain details. Should you have any questions please do not hesitate to call. Yours truly, dwrence H. Ogden P.E. Structural 27765 OFp E C yG v FoA pLot is P.C"y 6e 2776' i LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-3524318 fax 978 352-2858 cell: 978-502-5921 July 23,2015 Mr. James Carroll North Andover Realty Trust North Andover,Ma. RE: Lot 16 Molly Towne Road Dear Mr.Carroll As you requested I conducted a site visit 7/22/15 to review the install ion of the Engineered Materials consisting of LVLs,and steel beams utilized in the=g of the above project.. The Lvls and steel beams are shown on plans prepared W.A. Hurley dated 12/10/14 with the framing plans sheet A-5 and detail sheets certified by me 1/2/15. Based on the above site visit and based on what I could visibly see. I can certify that to the best of my knowledge the LVLs members and details utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences, provided the following work is performed. All other framing requirements of the drawings and code, including but not limited to materials,nailing schedules,blocking,connections,manufacturers installation requirements and other details are the responsibility of the licensed construction supervisor responsible for the project. Please note at the time of this visit the house was framed,the roofing, siding, and garage door trim were in place,which limited the viewing of certain details. Should you have any questions please do not hesitate to call. Yours truly, dwrence H. Ogden P.E. Structural 27765 . OF CE yG U COQ �4ot RS� ae v7aa ° STEa�O SS�4MAt E�6`�► Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 600,625.00 m $ - $ 7,207.50 Plumbing Fee $ 900.94 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 900.94 Total fees collected $ 9,109.38 r 100 Molly Towne Road 709-15 on 3/11/2015 Single Family Home LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978 352-2858 cell: 978-502-5921 July 23,2015 Mr. James Carroll North Andover Realty Trust North Andover,Ma. RE: Lot 16 Molly Towne Road Dear Mr.Carroll As you requested I conducted a site visit 7/22/15 to review the instal ion of the Engineered Materials consisting of,LVLs,and steel beams utilized in the fr6ming of the above project.. The Lvls and steel beams are shown on plans prepared W.A. Hurley dated 12/10/14 with the framing plans sheet A-5 and detail sheets certified by me 1/2/15. Based on the above site visit and based on what I could visibly see. I can certify that to the best of my knowledge the LVLs members and details utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences, provided the following work is performed. All other framing requirements of the drawings and code,including but not limited to materials,nailing schedules,blocking, connections,manufacturers installation requirements and other details are the responsibility of the licensed construction supervisor responsible for the project. Please note at the time of this visit the house was framed,the roofing, siding, and garage door trim were in place,which limited the viewing of certain detail% Should you have any questions please do not hesitate to call. Yours truly, dwrence H. Ogden P.E. Structural 27765 of M ��or� t to r�icy a 0 U 40rAt 044.1iod to ?7760 MAL E1� -71 t LOT 16 EXISTING �- FOUNDATION MOLL Y TOWNE RD ELEV.=211.s' C 1191, , ZONING DISTRICT R-2 �ry MIN. AREA = 21.780 S.F. MIN. LOT WIDTH = too' 'off MIN. FRONTAGE = 100' MIN. FRONT SETBACK = ZO' MIN. SIDE SETBACK* = 20' MIN. REAR SETBACK = 20' (* - THE STRUCTURE MAY BE PLACED �1 X41 OF UPON A SIDE LOT UNE WITHOUT A SLOE SETBACK. PROVIDED THAT THE ADJACENT LOT A410 TO WHICH THE ZERO SETBACK IS LOCATED J. HAS THE REQUIRED SIDE YARD SETBACK.) SE + Na 3 7 9 '" '� '""r "'E A' Y SraENTu�sxo�,`` `� �'S '° FOUNDATION LOCATION PLAN THE HORLiONTAG SETBACK R£QINREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. CERl1FJCAlYOAI DOES NOT CONSUR ANY OTHER ESTR/CTTONS SUCH AS COVENANTS WETLANDS EASEIIE M ORDERS OF CONDIrIONS,ETC.) CLIENT: NORTH ANDOVER REALTY no DRAWING SHALL NOr or USED or rHE amNr FOR ANY PURPOSE OWN THAN THAT OUTLNED ASOVE.EKCEPr WITH THE THIS CERTIFICATION IS MADE AND LIMITED WRITTEN PERMISSION OF CHRI8NANSEN &SEMI INC. iURMER"E THIS DRAWING IS THE COPYRIGHTED PROPERTY TO THE ABOVE CLIENT. OF CHRISTTANSEN a SERC/IVB AND ANY UNAUTHORIZED U5E IS P14iOMWEMCHR/ST MM&SERO! TAKES NO RESPONSINUTY LOCATION: MOLLY TOWN RD, NORTH ATIO E NEDDHHERED USE of MSDRAWING ORAMnvFaR- ANDOVER, MA. SCALE: 1" = 60' DATE: 3125115 CHRISTIANSEN &SERGI PROLAW UR ISO SUMMER ST. HAVERIILL.MA. 01850 Ta. 978-373-0310 DRAWING N0. 97066010 Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSA 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 PLANNING & DEVELOPMENT Reviewed On o� Signature— COMMENTS i9natureCOMMENTS CONSERVATION Reviewed on _ -Signature COMMENTS a ' I(, S7 C6 K 0 !� S 00�n HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Si nature & Da �� Drivewa Permit DPW Town Engineer: Signature: D p -._.. Located 384 sgood Street FIRE DEPARTMENT - Temp Du er on site yes __.._ noLL a '-Lobated,at 124 Main Street FtreDepartment signature/date _eL--2, —' CgMMENTS NORTH Town of s ndover 0 145 , - ti -- C, hLA" ver, Mass, _awl COCHICHRWI[H �1- U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ..N. .Q..I. A.... �....RO...... ,,,,,,,,,,,,,,,,,,,, BUILDING INSPECTOR .... ..................... . Foundation has permission to erect .......................... buildin s on . 0.D.....M . . .. . .... Rough to be occupied as Svr .L&..Nm. p%r .... QS3 .....vs..rm.Ar_ , Chimney provided that the person accepting this permit shall I every respect conform to the terms of thea application pp Final on file in this office, and to the provisions of the Co s 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 10'?0 PERMIT EXPIRES IN 6 MONTHS' ELECTRICAL INSPECTOR -�to UNLESS CONSTRUCTI T Rough Service ..................... mt�� Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Registry ID Home Energy gating Certificate Rating Number EH0561 NAND L-16 Mollytowne Certified Energy Rater Ian Rex L-16 Mollytowne Rd Rating Date 01/17/2015 ,• North Andover, MA 01845 Rating Ordered For North Andover RE Corp. nee Annual E ray Cost Use MMBtu Cost Percent Ho 5 Stars Plus Heating 106.7 $2117 46% Projected Rating HERS Index: 56 Cooling 4.0 $211 5% Hot Water 19.7 $368 8% Projected Rating: Based on Plans - Field Confirmation Required. Lights/Appliances 34.0 $1679 37% . ........... _. . Gein&417 fifti-171atiCN1 Photovoltaics 0.0 $ 0 0% ra Service Charges $190 4% Conditioned Area 4819 sq. ft. House Type Single-family detached Conditioned Volume 43344 cubic ft. Foundation Unconditioned basement Total 164.4 $4565 100% Bedrooms 4 Criteria %Mechanical Systems f eaturesThis home meets or exceeds the minimum criteria for the following: a 2009 International Energy Conservation Code Heating: Fuel-fired air distribution, Natural gas, 92.0 AFUE. Cooling: Air conditioner, Electric, 13.0 SEER. Water Heating: Conventional, Natural gas, 0.67 EF, 40.0 Gal. Duct Leakage to Outside 120.00 CFM25. Ventilation System Exhaust Only: 86 cfm, 8.6 watts. Programmable Thermostat Heat=Yes; Cool Yes Building Shelli Features Ceiling Flat R-37.4 Slab None __. :.. ._. ... _ __.. _ . .. Sealed Attic NA Exposed Floor R-30.0 .. Vaulted Ceiling NA Window Type U-Value: 0.300, SHGC: 0.300 Ian Rex Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 The Energy Hound Foundation Walls R-0.0 Method Blower door test 11 Broadway, Suite 3 Beverly, ev rly MA 01915 L7Igtlts and Appliance Featu -res 9 -1433 Percent Interior Lighting 94.00 Range/Oven Fuel Natural gas www.TheEnergyHound.com Percent Exterior Lighting 8.00 Clothes Dryer Fuel Electric r Refrigerator(kWh/yr) 500.00 Clothes Dryer EF 3.01 I Dishwasher Energy Factor 0.00 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. I Energy Cede Inspection Checklist G Property Organization HERS 'The—.-. North Andover RE Corp. The Energy Hound Projected Rating ,�iiL► L-16 Mollytowne Rd 978-233-1433 01/17/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 RaterID:1454792 Weather:North Andover,MA Builder Registry ID: NAND L-16 Moltytowne Carrott Construction Lot 12 Mollytowne-.blg Windows and Skylights [ ] 5. Window: U:0.30, SHGC:0.30 1 (22 s.f., East), U-Value: 0.300, SHGC: 0.300 For windows without labeled U-factors, describe features: Name: Back- Fdw Orientation: East Comments/Location [ ] 6. Window: U:0.34, SHGC:0.30"`(40 s.f., East), U-Value: 0.340, SHGC: 0.300 For windows without labeled U-factors, describe features: Name: Back-Fdw Slider Orientation: East Comments/Location [ ] 7. Window: U:0.30, SHGC:0.30 1 (11 s.f., South), U-Vatue: 0.300, SHGC: 0.300 For windows without labeled U-factors, describe features: Name: Right Orientation: South Comments/Location Doors ( ] 1. Door: R7 steel insul(20 s.f.), R-Value 7.0 Comments/Location [ ] 2. Door: R6.7 fiberglas insul(20 s.f.), R-Value 6.7 Comments/Location [ ] 3. Door: Steel-urethane foam (20 s.f.), R-Value 1.7 Comments/Location Frame Floors [ ] 1. Floor: R30,FG2,X-16(1502 s.f.), Between conditioned space and unconditioned basement R-0.0 continuous insulation, R-30.0 cavity insulation. Name: Floor> UncBsmt Insulation Grade: I II III .Face / inset Comments/Location REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 3 of 6 Energy Cade Inspection Checklist Property Organization HERS The North Andover RE Corp. The Energy Hound Projected Rating _- L-16 Mollytowne Rd 978-233-1433 01/17/2015 North Andover, MA 01845 Ian Rex Rating No:EH0561 /i ' Rater ID:1454792 Weather:North Andover,MA Builder Registry ID: NAND L-16 Mollytowne Carroll Construction Lot 12 Mollytowne-.blg Frame Floors [ ] 2. Floor: R30,FG2,X-16 (924 s.f.), Between conditioned space and garage R-0.0 continuous insulation, R-30.0 cavity insulation. Name: Floor>Garage Insulation Grade: 1 II III Face / inset Comments/Location i Slab Floors N/A Foundation Walls [ ] I. Wall: Uninsulated 10" (360 s.f.), Between unconditioned basement and ambient/ground R-0.0 interior continuous insulation, R-0.0 interior cavity insulation, R-0.0 exterior insulation. Name: UncBsmt>Exterior Insulation Grade: 1 II III Face / Inset Comments/Location [ ] 2. Wall: Uninsulated 10" (736 s.f.), Between unconditioned basement and ambient/ground R-0.0 interior continuous insulation, R-0.0 interior cavity insulation, R-0.0 exterior insulation. Name: UncBsmt>Gnd Insulation Grade: 1 II III Face / Inset Comments/Location [ ] 3. Wall: Uninsulated 10"(272 s.f.), Between unconditioned basement and garage/ground R-0.0 interior continuous insulation, R-0.0 interior cavity insulation, R-0.0 exterior insulation. Name: UncBsmt>Garage Insulation Grade: 1 II III Face / inset Comments/Location Rim and Band Joists [ ] 1. Joist: Band-Blockers(168 s.f.), Between conditioned space and ambient R-0.0 continuous insulation, R-21.0 cavity insulation. Name: Band-Blockers Insulation Grade: 1 II III Face / inset Comments/Location REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 4 of 6 i Energy Cade Inspection Checklist "i ..:F' Property Organization HERS North Andover RE Corp. The Energy Hound Projected Rating L-16 Mollytowne Rd 978-233-1433 01/17/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 /� Rater I D:1454792 Weather:North Andover,MA Builder Registry ID: NAND L-16 Mollytowne Carroll Construction Lot 12 Mollytowne -.blg Rim and Band Joists [ ] 2. Joist: Band-Runners(68 s.f.), Between conditioned space and ambient R-21.0 continuous insulation, R-0.0 cavity insulation. Name: Band-Runners Insulation Grade: 1 II III Face / Inset Comments/Location Mechanical Equipment [ ] 1. Heating: Fuel-fired air distribution, Natural gas, 92.0 AFUE. Make and Model Number [ ] 2. Cooling: Air conditioner, Electric, 13.0 SEER. Make and Model Number [ ] 3. Water Heating: Conventional, Natural gas, 0.67 EF, 40.0 Gat. Make and Model Number Mechanical Ventilation System [ ] Mechanical ventilation system rated for, and capable of, providing continuous ventilation. System shall include automatic timing controls. System type: Exhaust Only, 86 cfm, 24.0 hrs/day, 8.6 watts. System description(make) Air Leakage Control [ ] Blower Door Test at Final ( ] House is air-sealed so as to achieve 3.00 ACH50 or less at final blower door test. (Max CFM50 is: 2167) [ ] Visual inspection at rough for.mandatory code air barrier and insulation features. Infiltration Requirements for IECC 2009 IECC Infiltration limit for the design home is 7 ACH50. 2012 IECC Infiltration limit for the design home is g 3 ACH50. Duct Leakage and Insulation [ ] Duct System 1 Leakage to Outside and Total Duct Leakage [ ] Duct System 1 Leakage to Outside is specified in REM/Rate at 120.000 CFM @ 25 Pascals REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 5 of 6 i Energy Code Inspection Checklist Property Organization HERS 7he " North Andover RE Corp. The Energy Hound Projected Rating L-16 Mollytowne Rd 978-233-1433 01/17/2015 North Andover,MA 01845 Ian Rex Rating No:EH0561 HOUn{ ' Rater ID:1454792 Weather:North Andover,MA Builder Registry ID: NAND L-16 Mollytowne . Carroll Construction Lot 12 Mollytowne-.big Duct Leakage and Insulation [ ] Duct System 1 Total Duct Leakage is specified in REM/Rate at 200.000 CFM @ 25 Pascals Duct Leakage Code Requirements for IECC 2009 IECC Postconstruction Leakage Test: Duct Leakage to Outdoors<=8 CFM25 / 100 sq ft CFA. 2009 IECC Rough in Test with AHU: Total Duct Leakage<=6 CFM25 / 100 sq ft CFA. 2009 IECC Rough in Test without AHU:Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. 2012 IECC Postconstruction Leakage Test:Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. 2012 IECC Rough in Test with AHU:Total Duct Leakage<=4 CFM25 / 100 sq ft CFA. 2012 IECC Rough in Test without AHU: Total Duct Leakage<=3 CFM25 / 100 sq ft CFA. Notes REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 6 of 6 } 9 Massachusetts -Departme-: of Gubhc Safety '-� Board of Building Reguiat:ons and Standards Construction Supen isor License: CS-063503 JAMES V CARRO,LL 21 JOHNSON CIRCLE North Andover NFA 01845 Commissioner 07/19/2015 i _ _ I �.. Office of Consumer Affairs&Business Regulation '' :::�HOME IMPROVEMENT CONTRACTOR q: s— Type: t registration: 171245 x iration. 3/1/2016 Individual Z 5_� CARROLL V.JAMES CARROLL JAMES 21 JOHNSON CIRCLE NO.ANDOVER,MA 01845 Undersecretary i The Commonwealth of Massachusetts - Departm nt of Jfidustrig1 Aee1d nts office ofXnvestzgations 600 Washington Sheet Boston,MA 0.2111 Uf lwww massgov/dia 'workers' Compensation Lisurance Af idadt:Buffder°s/Contr actors/ Iectri iana 's]PlPleasrinmb r cant Wormat�ion _-- Name(BusinesslftanizationlXndividaal): t` A.d&ess• Ci /Sfa.e/Zip: (�D n M 1 Phone#• ' ��� Y Are u an employer?Checkthe appropriate box: Type of project(required): q• El am a general contractor and I 6• �ew constrmtion F aro a employer with�_ have hired the sub-contractors employees(blf and/or part time)•' meted on the attached sheet.T 7• ❑Remodeling2.El am a sole proprietor or partner These sub-contractors have 8. []Demolition ship anUtave no employees workers'comp. I working forme in any capacity. p 9. ❑Building addition [No workers,comp.insurance 5, []We are a corp oxation and its 10 f]Electrical repairs or additions required.] officers have exercised their 11.❑Plwnbing.repairs or additions 3.El am a hom eowright of exemptionperMGLner doing all work G.152,§1(4,},and we have no 12,p Roof repairs myself.[No workers comp. employees.PTO workers' insurancerequired•]; 13.0Other comp.insurance required.] zAny applicant drat checks box*1 must also fal outthe section be16w showingtheir workers'compensatlonpoHcy information. Ffomeowners who submit this affidavit indicatingthey sre doing all worlt and then hire outside contractors must submit a new affidavit indicating such. TContractors that eheAthis box must attached an additional sheet showing the name of the sub-contractors andtheir workers'comp.policy information. am an employer that p g is rovidin workers'compensation insurance fon my employees: Below is the policy and job,site X information. Insurance Company Name- Policy#or Self in.s.Lic.M: W GC 3 Expiration Date: Job Site Address: L-tT �� � to C) yw hS -roCity/State/Zip: Attach a.copy of the workers'compensation•polley declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as wellas civil penalties in the form Of a STOP WORD ORDER.and a fine of-up to$250.00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Officero£ Investigations of the DIA for insurance coverage verification. X do liere7r cert untie the pains anid penalties of periury that Elie information provided a ove true and correct - Date: 3 1 Si attire: r Phone �c Official use only. Do not write in this area,to he completed by city or town offzciaZ City or Town: Permit/License# Issuing Authority(cixcle(3ne): 1.Board of Health 2.Building Department: 3.CW]Towlx Clerk d.Electrical Inspector 5.Plumbinglnspeetor 6.Other - Phone M. 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 employe, is defined as"an individual,partnership,association,corporation or other legal entity,or any two ormore Of the foregoing engaged in a joint enterprise,and including the legalrepxesentatives 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 mora 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 Reensing 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 sub div ions 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-contractors)name(s),addresses)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 notrequired to carry workers'compensation insurance. If an LL C or LLP does have employees,apolicyis required. De advised that this aftxdavitmay be submitted the Department of Industrial Accidents for conAmation of iusuran.ce coverage. Also be sure to sign and date the affidavit. the affidavit should be retumedto the city or town that the application for thepermit 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 iscomplete andpriutedkegibly. Tho Departmenthasprovided aspaceatthebottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please he sure to fill in the permit/license number Which-will bowed as a reference number. In addition,an applicant thatmust submitmultiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Jab Site Address"the applicant shouldwrite"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. Anew affidavit must be filled out each year.Where ahome owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license orpermit to bmu leaves etc.)said person is NOTrequired 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 donothesitateto give us a call. The Department's address,telephone and fax number: 'hoo Ox�W.0alth ofW-4ssa.-u otN Department Qfldustdal Aa-oxdona Oboe offs vestigaftua f40 Wa agWa� est Boston, 021 It Q-N-27_49-QQ at 40,6 ox 1-87 AWSAIE Revised 5-26-05 Fax#617"727-YM www•.ms,gov/dia PAGE 01/01 —r DATE(MMIODNYYY) weRTIFICATE OF LIABILITY INSURANCE 6/9/2014 ,.�IS IS3UD AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS E ,RrICATE 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 certiticete Holder Is sn ADDITIONAL INSURED,the pollCypes)must he pndoraed- If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this tartrate does not confer rights to tete Cartmente holder In Ileo of such andorsomerr99. PRODUCER NAME: M P ROBERTS INS AGCY INC A e 1. (97$)683-8073 Alt:No:($78) 683-3147 1060 Osgood StreetoDDREsstsandi@ robartsinsurance-Cam North Andover, MA 01845 INSuttFA($I AFFORDING COVERAGE NAICN INSURER A;ASSOCIATED EMPLOYERS INS CO INSURED NORTH ANDOVER REALTY CORP. INSURER 8: 66 SPICING HILL ROAD INSURER C: 14ORTH ANDOVER, INA 01845 INSURER D INSURER E INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY-THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T4 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 C01401TIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADUL POLI Ir�R TYPE OF'NSURANCE rNSp POLICY NUMBERMMrDOlYYYt M !DD LIMITS LTR coMMIRCIAL GENiaAL LIABILITY EACH OCCURRENCE S CLAIMS r41ADE El OCCUR PREMISES'W�E TUEe accurr*Aloo S MED EXP Any one pembn) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES.PER: GENERAL AGGREGATE S PRO- PRODUCTS-COMPIOP AGG $ POLICY=JE.CT 7 LOC 3 OTHER: AUTOMOBILE LIABILn-Y ES eaodont $ BODILY INJURY(Per person) $ ANYAUTO ALL OWNEDSCHEDULED BODILY INJURY(Par deeidant) 3 AUTOS NON OWNED Per eeddenr HIRED AUTOS AUTOS $ UMBRELLA I,IAe OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS MADE AGGREGATE a DED RETENTION S WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY YIN 5 E.L.EACHACCIOENT 500 ANY PR0PRIEtC"AgT'QR7EXECLMVE WCCSO1073401201403/13/14 03/13/1000 A OFFICERNEMSER EXCLJOEJI NTA C.L.DISEASE-EA EMPLOYE t 500,000 INlaatlatory In N11 If a. tleaerlbe under E1.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORO 101,Addltionel Remarks Schedule,may 6e atteehed If more spam Is required) FAX! 97$--655-4760 CERTIFICATE HOLIER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF NORTH ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER F MA 01845 AUTHORIZED RFPR SE TATNE 1988-2014 ACORD CORPORATION. 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