HomeMy WebLinkAboutBuilding Permit #004-12 - 19 COCHICHEWICK DRIVE 7/1/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: *ict
I RTANT:Aust complete all items on this page
LOCATION a C o c t-41 c*k e W l ex D 21 V 6
Print
PROPERTY OWNER C-prm Pi o C ZTi4TES LLC
Print
MAP NO:_&;_PARCEL14 / ZONING DISTRICT: Historic District yes (0
Machine Shop Village e yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
❑Addition XTwo or more family ❑ Industrial
❑Alteration No. of units: 4 ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other _ _ z
` (®IFlogcl'lau �q Wetlands �' 1 Watershed11W t y
LE0 Septic ��Well t
p-
Water/Sewer -
DESCRIPTION OF WORK TO BE PERFORMED:
Cot,1STR�CTIoM of- 4 l��00-FtzomE4 Towr11.1-ouSE pw�c.crin�C, UNtrt,
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Identification Please Type or Print Clearly)
OWNER: Name: it A-M h t o N lz STA-'V S LLC- Phone: q 7 8•fig -�[o
Address: a s rAa Ra A N O2"VE M 6-'m , nn o t V44
CONTRACTOR Name: '1� 14 • Leape Phone: 7b'-(off'1'"1�°S
Address: S Ma 2 G A-0 OLIVE , rn(:,TK-u 15A. 1N 04 01 '94 4
Supervisor's Construction License: CSq I0(o a Exp. Date: `1 $ /2012
Home Improvement License: Exp. Date:
ARCH ITECT/ENGI NEE L —Phone:-!q-)8-1q4 - 3 (o(63—
Address:
(o(3Address: I J epitLIZ ST nxiaoll , MA Reg. No. 4
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FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ - Say,ice= 1, ZrS, 000 FEE: $ /4; ZS
Check No.: -� Receipt No.:
NOTE: Persons contracting with unregistere contractors do not have access to the guaranty fund
- .�-
Si nature of
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Agent/Owner ' :.Signature:ocontraefor� p.-
Location ��
No. Date 7 l
MORT1y TOWN OF NORTH ANDOVER
3?Oi�t�•o '•,h00
F w
Certificate of Occupancy $
��s''•'°'E<� Building/Frame Permit Fee $� 1
ACMUS / Ilk
Foundation Permit Fee $
Other Permit Fee $ f�
TOTAL $ ._
Check #
24 4 �6 -
Building Inspector
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ permanent Dump ster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
J '
CONSERVATION Reviewed on Si nature ,t
COMMENTS
HEALTH Reviewed on. = Signature
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COMMENTS
1 4 j
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
70- it
Water & Sewer Connectionisig nature&Dat Drivewav Permit
DPW Town,Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dum er on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS ..
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Dimension
Number of Stories:_______ Total square feet of floor area, based on Exterior dimensions. j
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Total land area, sq. ft.:
Movement of Meter location,
mast or service drop requires approval of
ELECTRICAL: No i
Electrical Inspector Yes
DANGER ZONE LITERATURE: Yes
No
MGL Chapter 166 section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use
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® Notified for pickup - Date
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Doc:.Building Permit Revised 2008
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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
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❑ Building Permit Application
G
❑ Certified Surveyed Plot Plan !
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of BldgPermit
t
NOW 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 Calcul
atlonsIf
( Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
MOTE: 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 Boardof Appeals
Mat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording
i
rnust be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
Manzi McCann Baddour Nierman
ATTORNEYS AT LAW
59 Jackson Street f
Lawrence,Massachusetts 01840
�Gb
Manzi McCan4 Ba r & Nierman
ATT iNEY ATL r
VINCENT C. MANZI, JR '' "` OF COUNSEL
EUGENE PATRICK McCANN '" Patrick F. McCann
STEVEN A. BADDOUR Texas Only
CHARLES SCOTT NIERMAN, Angela Delmonte
Massachusetts&Florida Michaelene O'Neill McCann
LEGAL ASSISTANT REAL ESTATE DIVISION
Barbara M. Day Maria Trovato
Jennifer M. Boylan I
June 16, 2010
Albert P. Manzi, III, Chairman
North Andover Zoning Board of Appeals
1600 Osgood Street, Bldg. 20, Suite 2-36 Q
North Andover, MA 01845
JUN 16 blu
Re: Campion Hall,North Andover Massachusetts
BOARD OF APPEALS
Dear Chairman Manzi and Members of the North Andover Zoning Board of Appeals:
I represent the Technical Training Foundation, prior owners of the property known as
Campion Hall located on Cochichewick Drive. This letter is formal notice to the board that said
property was transferred from the Technical Training Foundation to Campion Estates, LLC on
May 21, 2010. On that day, the Technical Training Foundation as assignees of the
comprehensive permit issued by the North Andover Zoning Board of Appeals dated June 21,
2004 recorded in the Essex North District Registry of Deeds in Book 8940, Page 266 transferred
and assigned said permit to Campion Estates, LLC.
The Technical Training Foundation and Campion Estates, LLC respectfully request that
these transfers be placed on the agenda of the Zoning Board of Appeals for its June 22 meeting.
Also at that meeting, Campion Estates, LLC will be presenting conceptual plans for an
adjustment to the garage on the approved plans and a conceptual plan for the adjustment for a lot
line for the single family home lot shown on the approved plans. Campion Estates, LLC will be
requesting determination of insignificant change of these two matters.
59 Jackson Street—Lawrence—Massachusetts—01840
Telephone(978)686-5664 Fax(978)794-9628
Conceptual plans showing these changes will be forwarded to the Board under separate
cover by the end of this week for consideration at your June 22 meeting.
Thank you for your cooperation and consideration on this matter.
Very truly yours,
Technic Training Foundation
By Attorney:
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: d 6 Date Received
Date Issued: i
I RTANT:A lic t must complete all items on this page
LOCATION. 1 — L 9 C O CA4 t Ct-k O W t C!dC- p 2 J U6
Print
PROPERTY O WNER UA m P i o N 6 VrO T-r—S L L C
Print
MAP NO: PARCEL/� / ZONING DISTRICT: Historic District yes t0
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
❑Addition XTwo or more family ❑ Industrial
❑Alteration No. of units: 4 ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
�'WatershedTDistrict -1
� s
DESCRIPTION OF WORK TO BE PERFORMED:
Co R STRU C-TI o M o f 4 W o0 0-Ft2etm f 0 TT►w t.L t+ov S E 1DLU F,c.(_t nJ G V Iv 1'i S
�.-r-r wrr.,c-t�o, cam►�� a s�l t G.�rt.��E
Identification Please Type or Print Clearly)
OWNER: Name: E Pcri►h t o N fI.STS rg S , LL C Phone:
Address: a V rvto P.C.A N 01UUF- M F Twd" , M o 16,44
CONTRACTOR Name: _fa S fP t� A Le a o e Phone: 118-(aT 1"710.
Address: bt ftLoeGA-o OyyE , yyy(,7T}ruEM. PA 01 ''44
Supervisor's Construction License: C S L 3 0!0 0l Exp. Date: 11 IIS 2 012
Home Improvement License: Exp. Date:
ARCH ITECT/ENGI NEE L Phone: q 7 8-'1� 9— 3 (o(63
Address: 14 PA&V ST AN00"_ M19 Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF-THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ q-1SaX1ce= 't1, ZtJ, oo0 FEE: $ IgGa8
t
Check No.: Receipt No.: 2�/3;,6
NOTE: Persons contracting with unregister3�1 contractors do not have access to the guaranty fund
.... Si ' nature of contractor
Signatuceof`Agent/OWner,
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Massachusetts- Deln►i•tment of Public. Safer-
Board(►f Buildin- Re,--ulations and Standards
Con s#ruction Supervisor License
License: CS 43062
JOSEPH A LEONE III
28 MORGAN DR
METHUEN, MA 01844
c—l.G
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anon. 11/18/2012
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uintrai.wiFr�tr Tr#: 5390
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NORTH
own of . . _ . ndover0
.
4 •
o , dover, Mass., 7LAKE
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COCMICMEWICK
7 ORATED PQP ��
S U BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
THIS CERTIFIES THAT .. .
... ?I��°
BUILDING INSPECTOR
.............................................. Foundation I
has permission to erect........................................ buildings �j u�� r�
c �l'�u F 1
. ...........aC. ../.G........................... ........... Rough
to be occupied as..........................�.......
OlX/ii/
.................... ................................................................................:.......... Chimney
provided that the person accepting this permit shall in every respect conform to the to of the application on file inf
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in'the Town of North Andover.
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMEXPIRES IN 6 MONTHS Final
IT
UNLESS CONSTRUCTIO STARTS ELECTRICAL INSPECTOR
Rough
....................... .... "" ' ................ ........ Service
BUILD G INSPECTOR
Final
Occupancy Permit Required to Occupy Building FFinal .
S INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE.DEPARTMENT
Burner
Street_ No.
SEE REVERSE_ SIDS - - - - Smoke Det.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/ gani�ation/Individn l; �✓ AA dSpQ fib► SL--.Jfi W%A-S
Address: p (4) 1y1'A S'1'
City/State/Zip: /l4 A &;)(S 01 Phone#: '1$1 Q307 — 6$4.35'
Are on an employer?Check the appropriate box: Type of roject(required):
1.[II am a employer with 6 4. ❑ I am a general contractor and I
employees full and/or part-time).* have hired the sub-contractors 6. New construction
( P )
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
[No workers'comp.insurance comp.insurance. 9. ❑Building addition
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.E]Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.[1 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: � ✓^ 4 k Vue VS
Policy#or Self-ins.Lic.#: W4,4. 5009 6 01 Zfp 1 co Expiration Date: (1, 23, l
Job Site Address: Z7 1,0A I G�4GtW\G—L b f JIM City/State/Zip:N. ,�/ ��• OI$4�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA Wr insurance coverage verification.
Ido hereby c tify under h ains and penalties of perjury that the information provided above is true and correct
Signature: Date:
Phone#: 3-1 i"C 80'�
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
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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."
i
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
i
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth.of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 021.11
TeL#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mass.gov/dia
11/22/2010 16: 11 7817299500 SCOTTI INS PAGE 03
ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID va DATE(MM/DD/YXYY)
i�aOv-1 11 LIL/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
scotti & Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
19 Mount Vernon Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P.O. Sox 1000 ALTER THE COVERAGE AFFORDED Sir THE POLICIES BELOW,
Winchester i4A 01690-8300
Phone: 781-729-9200 gax;781-729_9500 INSURERS AFFORDING COVERAGE NAIC#
INSURED —
INSURERA Essex Insurance Co. 39020
INSURER B: Associated 1EmployelY'a
Andover Renovation —
Solutions Inc, INSURER C:
110 Winn §treat, Ste. 207
Woburn MA 01801 INSURER0 i
COVERAGES INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AROVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING j
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTWFR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED CR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER oATE MMIDD/YY DATE MMIDD/YY _ LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
--
A X COMMERCIAL GF,NF,RALLIABILITY 3DE8091 10/01/10 10/01/11, �MSE
PREeDceurence' 550,000
._
CLAIMS MADE x I OCCUR MED EXP(Any an6 per,-on) S1,000
PERSONALAAOVINJURY $ 1,000, 000
GENERALAGGREOATE s2,000,000
GEN'L AGGREGATE LIMIT APPLICS PER: PRODUCTS-COMPIOP AGC S 1,0 0 0,0 0 0
X POLICY PRO- LOC --• ...—_.
JECT —
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea a�cidenl) 5
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Par poman) R
HIRED AUTOS
--'- BODILY INJURY $
NON-OWNED AUTOS (Per accident)
— PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
— ANY AUTO — -
OTHER THAN EA ACC S
AUTO ONLY, AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 71 CLAIMS MADE AGGREGATE B
DEDUCTIBLE, -- 3
RETENTION $ — S
WORKERS COMPENSATION ANDTOftY LIhIITS CR
8 ANY PRR WCC 5008746012010 11/23/10 EMPLOYERS' _ •
ANY OPRIETOR/PARTNCR/EXECUTIVE 11/23/11 E,I,.EACH ACCfOENT S 5 Q Q,0 0 0
OFFICERlMEMBEREXCLUDED'? E,L.DISEASE-EA EMPLOYEE 8500,000
If D• d.norlba under
SAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 3 5
OTHER
J
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSION$ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
T0WNWIAT SHOULO ANY OF THE ABOVE DESCRIBED POLICIES I)E CANCELI,Eo BFFQRE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Town o£ A7inchestez NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE 70 DO SO SHALLIi
.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Building Department
71. b1CV,nt Vernon Street REPRESENTATIVES,
Winchester MA 01890 AU DREPRESENT V �
1
ACORD 25(2001108) @ ACORD CORPORATION 1988
Massachusetts- Department of Public Safet
Board of Building; Regulations and Standards
Construction Supervisor License
License: CS 79181
WILLIAM C PENNY
4 EMERSON PLACE#514
BOSTON, MA 02114
Expiration: 11/6/2012
Commissioner Tr#: 7791
- r
_ utgelta
All
Office om r Affairs.& mess Regulation �I
HOME IMPROVEMENT CONTRACTOR Type.
Registration: a 4,28016 private Corporatior
Expiration: 1/ Q13 .
AN VER RENO - S,INC
WILLIAM PENNYQ� FJ
. :. 110 WINN ST
is`+ Undersecretary
WOBURN,MA 0180`
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REScheck Software Version 4.2.2
lotCompliance Certificate
Project Title: REScheck Calculation
Energy Code: 20061ECC
Location: North Andover,Massachusetts
Construction Type: Single Family from North
Building Orientation: Bldg.faces 90 deg.
Conditioned Floor Area: 2431 ft2
Glazing Area Percentage: 13%
Heating Degree Days: 5322
Climate Zone: Designer/Contractor:
Owner/Agent:
Construction Site: SUN Engineering Inc.
Summer House 491 Maple Street
Unit#' ,Ji Suite 209
North Andover,MA Danvers,MA 01923
Compliance:3.0%.Better Than Code
-Gr70S-SC--jy Cont. Glazing
avi or Door
Area or R-Value R-Value
Assembly U-Factor
Perimeter
0.0 � 40
4 W 656 15.0 all 1:Wood Frame,l6"o.c. 0.330 40
Orientation:Front 120
Window 1:Wood Frame:Double Pane with Low-E
SHGC:0.27 0.500 11
Orientation:Front 21
Door 1:Solid 42
Orientation:Front 665 15.0 0.0
Wall 2:Wood Frame,16"o.c. 0.330 41
Orientation:Back 125
Window 2:Wood Frame:Double Pane with Low-E
SHGC:0.27 70 I
Orientation:Back 1009 15.0 0.0 `
�
Wall 3:Wood Frame,16"o.c. `I 0.330 28
Orientation:Right Side 85
Window 3:Wood Frame:Double Pane with Low-E
SHGC:0.27 0.500 11
Orientation:Right Side 21 4
Door 3:Solid 62 M
Orientation:Right Side 908 15.0 0.0
Wall 4:Wood Frame,16"o.c. 0.330 33
Orientation:Left Side 99
Window 4:Wood Frame:Double Pane with Low-E
i
SHGC:0.27 42
Orientation:Left Side 1398 38.0 0.0
3
� Ceiling 1"Flat Ceiling or Scissor Truss 119 38.0 0.0 36
Ceiling 2:Cathedral Ceiling(no attic) 1382 38.0 0.0
Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 32 38.0
0.0 1
Floor 2:All-Wood Joist/Truss:Over Outside Air
Furnace 1:Forced Hot Air 90 AFUE
Air Conditioner 1:Electric Central Air 15 SEER
the
ng
ions,and
Compliance Statement: The proposed building The pro proposed building has been desis consistent witigned tol1meetpthe 2006 IECCt requirements mit application.
in
calculations submitted with the perp P
REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Report date: 06/22/10
w Page 1 of 5
Project Title: REScheck Calculation Data filename:\\Computer1\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 1.rck r1 Cate: 06122/1`0
�wTr c: cnecK\5urrimer House Unit 1.rck Page 2 of 5
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F-1 HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2.
Certificate:
A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window
U-factors;type and efficiency of space-conditioning and water heating equipment.
NOTES TO FIELD:(Building Department Use Only)
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Project Title: REScheck Calculation Report date:06/22/10
Data filename:\\Computerl\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 1.rck Page 5 of 5
2006 IECC Energy
Efficiency Certificate
lue
Insulation kati
Ceiling/Roof 38.00
Wall 15.00
Floor/Foundation 38.00
Ductwork(unconditioned spaces):
Glass&Door lRati
Window 0.33 0.27
Door 0.50 NA
CoolingHeating&
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Forced Hot Air Furnace 90 AFUE
Electric Central Air Conditioner 15 SEER
Water Heater:
Name: Date:
Comments:
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REScheck Software Version 4.3.1
Compliance Certificate
Project Title: REScheck Calculation
Energy Code: 2006 IECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.faces 90 deg.from North
Conditioned Floor Area: 2431 ft2
Glazing Area Percentage: 13%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
Summer House SUN Engineering Inc.
Unit#24'A 491 Maple Street
North Andover,MA Suite 209
Danvers,MA 01923
Compliance:
,on equipment perfor
Compliance:0.5%Better Than Code
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or D..
Wall 1:Wood Frame,16"o.c. 636 15.0 0.0 38
Orientation:Front
Window 1:Wood Frame:Double Pane with Low-E 118 0.330 39
SHGC:0.27
Orientation:Front
Door 1:Solid 21 0.500 11
Orientation:Front
Wall 2:Wood Frame,16"o.c. 775 15.0 0.0 51
Orientation:Back
Window 2:Wood Frame:Double Pane with Low-E 119 0.330 39
SHGC:0.27
Orientation:Back
Wall 3:Wood Frame,16"o.c. 557 15.0 0.0 37
Orientation:Right Side
Window 3:Wood Frame:Double Pane with Low-E 70 0.330 23
I SHGC:0.27
i; Orientation:Right Side
Wall 4:Wood Frame,16"o.c. 1009 15.0 0.0 70
Orientation:Left Side
Window 4:Wood Frame:Double Pane with Low-E 75 0.330 25
f SHGC:0.27
{1 Orientation:Left Side
+ Door 2:Solid 21 0.500 11
4+ Orientation:Left Side
Ceiling 1:Flat Ceiling or Scissor Truss 1398 38.0 0.0 42
Ceiling 2:Cathedral Ceiling(no attic) 119 38.0 0.0 3
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1382 38.0 0.0 36
Floor 2:All-Wood Joist/fruss:Over Outside Air 32 38.0 0.0 1
Furnace 1:Forced Hot Air 90 AFUE
Air Conditioner 1:Electric Central Air 15 SEER
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IECC requirements in
REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
i
Project Title: REScheck Calculation Report date:06/22/10
Data filename:\\Computerl\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 2.rck Page 1 of 5
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2.
Certificate:
0 A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window
U-factors;type and efficiency of space-conditioning and water heating equipment.
NOTES TO FIELD:(Building Department Use Only)
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Prosect Title: REScheck Calculation .�_... Report date: 06/22/10 ,
Data filename:\\Computerl\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 2.rck Page 5 of 5
k
• ' F " 2006 i ECC Energy
Efficiency Certificate
Insulation Rating
Ceiling/Roof 38.00
Wall 15.00
Floor/Foundation 38.00
Ductwork(unconditioned spaces):
Glass Door Rating M-Factor'' SHGC
I
Window 0.33 0.27
Door 0.50 NA
CoolingHeating&
Forced Hot Air Furnace 90 AFUE
Electric Central Air Conditioner 15 SEER +
Water Heater:
Name: Date:
Comments:
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REScheck Software Version 4.3.1
Compliance Certificate
Project Title: REScheck Calculation
Energy Code: 2006 IECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.faces 90 deg.from North
Conditioned Floor Area: 2646 ft2
Glazing Area Percentage: 12%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
Summer ouse SUN Engineering Inc.
Unit#x f 491 Maple Street
North Andover,MA Suite 209
Danvers,MA 01923
Compliance:2.1%Better Than Code
Gross Cavity Cont. Glazing UA
Assembi Area or D..
Perimeter U-Factor
Wall 1:Wood Frame,16"o.c. 728 15.0 0.0 51
Orientation:Front
Window 1:Wood Frame:Double Pane with Low-E 24 0.330 8
SHGC:0.27
Orientation:Front
Door 1:Solid 42 0.500 21
Orientation:Front
Wall 2:Wood Frame,16"o.c. 843 15.0 0.0 53
Orientation:Back
Window 2:Wood Frame:Double Pane with Low-E 152 0.330 50
SHGC:0.27
Orientation:Back
Wall 3:Wood Frame,16"o.c. 888 15.0 0.0 58
Orientation:Right Side
Window 3:Wood Frame:Double Pane with Low-E 138 0.330 46
SHGC:0.27
Orientation:Right Side
Wall 4:Wood Frame,16"o.a. 476 15.0 0.0 35
Orientation:Left Side
Window 4:Wood Frame:Double Pane with Low-E 26 0.330 9
SHGC:0.27
Orientation:Left Side
i Ceiling 1:Flat Ceiling or Scissor Truss 1572 38.0 0.0 47
Ceiling 2'Cathedral Ceiling-(no attic) 125 38.0 0.0 3
Floor 1:All-Wood Joistlfruss:Over Unconditioned Space 1556 38.0 0.0 40
Furnace 1:Forced Hot Air 90 AFUE
Air Conditioner 1:Electric Central Air 15 SEER j
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other I {
calculations submitted with the-permit application.The proposed building has been designed to meet the 2006 IECC requirements in !,
REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
I
Prosect Title REScheck Calculation . Report date:06/22/10
Data filename:\\Computerl\pc2 work fi1es\Check\REScheck\2010 REScheck\Summer House Unit 3.rck Page 1 of 5
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-Project-Title; REScheck.Calculation , �_........_,�... _^� Report date:06/22/10
Data filename:\\Computerl\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 3.rckPage 5 of 5
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2606 IECC Energy
Efficiency Certificate
Ceiling/Roof 38.00
Wall 15.00
1
Floor/Foundation 38.00
Ductwork(unconditioned spaces): I
Glass&Door Rating U-Factor SHGIC
Window 0.33 0.27
Door 0.50 NA
Heating& i
Cooling
Forced Hot Air Furnace 90 AFUE
Electric Central Air Conditioner 15 SEER
Water Heater:
Name: Date:
Comments:
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REScheck Software Version 4.2.2
Compliance Certificate
Project Title: REScheck Calculation
Energy Code: 2006 IECC
Location: North Andover, Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.faces 270 deg.from North
Conditioned Floor Area: 2646 ft2
Glazing Area Percentage: 10%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
Summer House SUN Engineering Inc.
Unit 491 Maple Street
North Andover,MA Suite 209
I Danvers,MA 01923
Compliance:4.2%Better Than Code
Gross Cavity Cont. Glazing ILIA
Assembly Area or R-Value R-Value or D..
Perimeter U-Factor
Wall 1:Wood Frame, 16"o.c. 765 15.0 0.0 54
Orientation:Front
Window 1:Wood Frame:Double Pane with Low-E 24 0.330 8
SHGC:0.27
Orientation:Front
Door 1:Solid 42 0.500 21
Orientation:Front
Wall 2:Wood Frame, 16"o.c. 863 15.0 0.0 55
Orientation:Back
Window 2:Wood Frame:Double Pane with Low-E 152 0.330 50
SHGC:0.27
Orientation: Back
Wall 3:Wood Frame, 16"o.c. 878 15.0 0.0 63
Orientation:Right Side
Window 3:Wood Frame:Double Pane with Low-E 56 0.330 18
SHGC:0.27
Orientation:Right Side
Wall 4:Wood Frame,16"o.c. 1178 15.0 0.0 80
Orientation:Left Side
Window 4:Wood Frame:Double Pane with Low-E 138 0.330 46
SHGC:0.27
Orientation:Left Side
Ceiling.1;-Flat Ceiling or Scissor,Truss
I 1572 38.0. 0.0._
25 38.0 0.0
Ceiling 2:Cathedral Ceiling(no`attic) 3
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1556 38.0 0.0 401
Furnace 1:Forced Hot Air 90 AFUE
Air Conditioner 1:Electric Central Air 15 SEER
1.Com liance Statement: The proposed building design,described here is consistent with the building plans,specifications,and other f
P
calculations submitted with the per�md application.The proposed building has been designed to meet the 2006ECC requirements in
REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. I
Protect Title REScheck Calculation w Report date 06/22/10
Data filename:\\Computer1\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 4.rck Page 1,of 5
�nuuSe'11n1T4.rCk���-
- _ ---- — - Page 2 of 5u }
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Project Title: REScheck CalculationReport date: 06/22/10
Data filename:\\Computer1\pc2 work files\Check\REScheck\2010 REScheck\Summer House Unit 4.rck Page 5 of 5
rF 20061ECC Energy
Efficiency Certificate
Insulation Rating
Ceiling/Roof 38.00
Wall 15.00
Floor/Foundation 38.00
Ductwork(unconditioned spaces):
Glass& a..
Window 0.33 0.27
Door 0.50 NA
CoolingHeating&
Forced Hot Air Furnace 90 AFUE
Electric Central Air Conditioner 15 SEER
Water Heater: I
Name: Date:
Comments:
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Moi*M OFFICE OF BUILDING INSPECTO
`} TOWN OF NORTH ANDOVER W'`s
CONSTRUCTION CONTROL
i ��•• , �: �\y��a>r V
PROJECT NUMBER: �` �z'
, No
PROJECT TITLE: eAMMOM tjALL M$412001"UM,$ 1, 4452
MP M
PROJECT LOCATION: ed C H I G 1415 W I C 16' °psl�eld,
OF
W OF
NAME OF BUILDING: LL
f NATURE OF PROJECT: lPE 1.LT{ cL �Of�L17dfN(1�.►,1U 1�/[S
IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
I, )(IL L,1 1*4 REGISTRATION NO. 44-h Z
BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I
HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT ARCHITECTURAL 0 STRUCTURAL 0 MECHANICAL 0-
FIRE PROTECTION 0 ELECTRICAL 0 OTHER(SPECIFY)
FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS,
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS
STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES.
AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B
EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0
1. Review, for conformance to the design concept, shop drawings, samples and other submittals
which are submitted by the contractor in accordance with the requirements of the construction
documents.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become, generally familiar
with6the progress and quality of the work and to determine, in general, if the work is being
performed in a manner consistent with the construction documents. {
PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO H
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC
SIGNATURE
SUBSCRIBED AND SWORN TO BEFORE ME THIS 3 ra(DAY OF N 0-e- 010 / /
S,l SCOTT D. ENOS
Notary Public
NOTARY PUBLIC MY COMMISSION E CommonwealthofMassachusetts
My Commission Expires June 10,2016
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PROJECT LOCATION 11,15,17&19 Cochituate Drive,North Andover,MA
PROJECT NAME Campion Estates—Summer House
f
ARCHITECT Rob Bramhall Architects
ADDRESS 14 Park Street,Andover,MA 01810 TELEPHONE NO .978-749-3663
In accordance with Section 110 and 116.0 of the Massachusetts State Building Code,I,
Registration No. �� being registered 9 g a eg stered professional architect,hereby certify that I have prepared or
directly supervised the preparation of all design plans,computations and specifications concerning:
ARCHITECTURAL DRAWINGS
For the above named project and that,to the best of my knowledge,such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,all accepted
engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further
certify that I shall perform the necessary professional services and be present on the construction site on a
regular and periodic basis to determine that the work is proceeding in accordance with the documents
approved for the building permit and shall be responsible for the following as specified in Section 116.2.
1.Review of shop drawings,samples and other submittals of the contractor as required by the construction contract
documents as submitted for building permit,and approval for conformance to the design concept.
2.Review and approval of the quality control procedures for all code-required controlled materials.
3.Special architectural or engineering professional inspection of critical construction components requiring controlled materials
or construction specified in the accepted engineering practice standards listed in Appendix G.
Upon completion of the work,architect,and/or engineers shall submit final affidavits as to the
satisfactory completion and readiness of the project for occupancy.
I
Signatu
� j i
Subscribed and sworn to before me this�day of�J 1JV ,20 l U . +
* My Commission Expires 1 a/��I s
No ry Public
Z JENNINGS G.McARTHUR
Notary Public
Commonwealth of Massachusetts
SY My commission Expires December 17,2015
'