HomeMy WebLinkAboutBuilding Permit #255-204 - 137 SALEM STREET 5/1/2018 BUILDING PERMIT "°oT" qti
TOWN OF NORTH ANDOV
r APPLICATION FOR PLAN MINATIQ#V ��
,
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PermitN
O: .� Date A-e'L�ived �, "�„�TEo••�`'.�y
—SACHUS��
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION. 2:(2
0
Print
PROPERTY-OWNER
Print
MAP 210 _PARCELZONING DISTRICT: Historic District yes =no
1lachine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED USE
Resid ti Non- Residential
Ne uildingOne family
Addition wo or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic.•, Well Floodplain Wetlands . Watershed District
Water/Serer
DESCRIPTION OF WORK TO BE PREFORMED: 1
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F-ko✓
Identification Please Type or Print Clearly)
OWNER: Name: I2C�L ` � � Phone• ,�,P,9"�
Address: ;•�
CONTRACTIR Name: Phone: 24
Address; ' 72 0
Supervisor''Construction License: C5 -���� � Exp. Date: Ezz� l
,Home Improvement License: ' 1(,>57 j Exp. Date-
ARCH ITEC-6NG I NEER,
ate:ARCHITECT/ENGINEER, ���oAr l� COr--e vi Phone:
Address: %Z � Reg. No. ��
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $�6 (,�Cj °�^ FEE: $ , I .6�
l
Check No.: Receipt No.: .2
NOTE: Persons contractingth unregistered contractors do not have access to the guaranty fund
ntareoAgent/Owner f
18--id 3 -
F�'
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
o .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
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
a/ Building Permit Application
q( Certified Surveyed Plot Plan
o/ Workers Comp Affidavit
2 Photo Copy of H.I.C. And C.S.L. Licenses
o/Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
oI Mass check Energy Compliance Report (If Applicable)
v"En ineerin
g g 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
o Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2008
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art Swimming Pools
Well Tobacco Sales Food Packaging/Sales .
Private(septic tank,etc. , Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
E
COMMENTS Ct>�J kale
CONSERVATION Reviewed on '?,) signature!!5LI
COMMENTS oexzj
s�
r
HEALTH Reviewed on Signature f'
TSall-
r
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
*Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
.FIRE DEPARTMENT, -Temp Durnpster onqAtsite- fres: T no
Locatedat124 Main4Street ,-
Fire Department signature/date
..
- Y -
COMMENT
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq..ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2010
Location
No. Date
�oRTM TOWN OF NORTH ANDOVER
►o s
a
a �
Certificate of Occupancy $
�ss,��M�,tt�' Building/Frame Permit Fee $�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2 13 4 6
Buil ding Inspector
F NORTH
Town of Andover
O V.<.; 0
-o dower, Mass., `� a
LAKE 1.
COCHICMEWICK \1
ATED PP�`"`�
1 v ` BOARD OF HEALTH
PERMIT _T 1i
Food/Kitchen
Septic System
�J BUILDING INSPECTOR
THISCERTIFIES THAT..................�<°.'.���!:............................................................................................................................. Foundation
has permission to erect........................................ buildings on . .... .A' ......�7 ....................................... Rough
�V [�G f^e d, lc��• Chimney
to be occupied as......................................... ..C...........�...............CT..�......ri .................... .�.�......:..,.�.�.................
provided that the person accepting this permit shall in every respect cono the terms(o the ap lication on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations-Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS Rough
........................... . ........ .. ... . .....................
Service
UILDING IN PECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the- Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burnei
Street No.
S E E REVERSE SIDE Smoke Det.
Paychex, Inc. 9/17/2010 10 : 47 : 21 AM PAGE 2/003 Fax Server
c9
TOWN OF NORTH ANDOVER
1600 OSGOOD ST. BUILDING 20
STE 2-36
NORTH ANDOVER, MA 01845
ACORD 474291 0011/0011F968
Paychex, Inc . 9/17/2010 10 : 47 : 21 AM PAGE 3/003 Fax Server
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.. .. CERTIFICATE::: 0
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,
subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate
does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER COMPANIES AFFORDING COVERAGE
PAYCHEX INSURANCE AGENCY, INC. COMPANY A
150 SAWGRASS DRIVE GUARD INSURANCE GROUP
ROCHESTER, NY 14620 COMBPANY
INSURED
PAUL MARCUS COMC'PANY
218 DUDLEY RD
BEDFORD, MA 01730- COMDPANY
.................•::::::.::::::::::. .:::..:.::::..............;.•.....;.............:.
: : >: >: z< R'13 t1r�4T.:E::IVU:MB R: :::<::?: ?: >::RE1 i 4N:tdtJ:MBFIR
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, .
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
[=�LAIMS MADE[=JDCCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $
FIRE DAMAGE(Any one lire) $
MED EXP(Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGELIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION ANDWC STATU- o-T
A EMPLOYERS'LIABILITY TORYLIMRS E RH
THEPROPRIEPAWC122116 08/19/10 08/19/11 EL EACH ACCIDENT $ 100,000.00
ECU OINCL
PARTNERS�'EXECUTIVE EL DISEASE-POLICY LIMIT $ 500,000.00
OFFICERS ARE: O EXCL EL DISEASE-EA EMPLOYEE $ 100,000.00
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,i1 more space is required)
.. .........
CCELLAT �� ........... ...... . . ........ ....................C O . . . ...
TOWN OF NORTH ANDOVER SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
1600 OSGOOD ST. BUILDING 20 DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
STE 2-36 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
NORTH ANDOVER, MA 01845 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUT 'BIPED REPPREtSENTA iVE
ACQFEa 5S:t210�0.9. :-: ::;:•;:•::•::•:•:•::•::•::•::•;:•::•;:•::•::•::•::::......... :•;:•>:•>:•: .::•::•;:•;:•::•;:•::•;:•::•::•;:•;:•:;::;:•:::-;: ::-::•:::•::•>:•:•>:•:•:• 3 fIF1 CQFiPOF>lAT3 N:19B6:< :
.................................................................... .................................................... .............................................
Paychex, Inc 9/17/2010 10: 41 : 57 AM PAGE 1/003 Fax Server
Phone: (585)336-7600
Faw (585)654-3145
Over 30 years experience To
Date Friday, September 17, 2010
serving American business. Company
• Economical payroll Recipient's Fax No. 978-688-9542
• Payroll tax administration
From PAYCHEX
•Employee pay services,including direct
deposit,check signing, and Readychex® Branch No.
• Retirement plan administration,including Phone No. (585) 336-7600
401(k)plan recordkeeping NO.of Pages (including cover page) 03
• Section 125 plans
• Benefits administration Message
• Online payroll and HR services
. Time& attendance Workers' Compensations Cover Page
• Workers' compensation administration
• Paychex PremierSMHuman Resources:
comprehensive payroll and HR solutions
• Paychex Major Market Services:
complete payroll and HR administration
for larger companies
For information about these
and other Paychex services,
call,fax, or visit our Web site.
www.paychex.com
I
Confidential. This facsimile transmission(including the accompanying documents)contains proprietary,confidential,
and/or privileged information from Paychex, Inc.This information is intended for use only by the individual or entity named above
as the recipient.If you are not the intended recipient,reading,using,disclosing,copying,distributing,taking,or failing to take any
action based on the information contained herein is strictly prohibited.If you received this transmission in error,please notify us
by telephone immediately and return the original transmission to Paychex at the above address via the U.S.Postal Service.
CORPOO52 9105
Paychex, Inc 9/17/2010 10 : 41 : 57 AM PAGE 2/003 Fax Server
TOWN OF NORTH ANDOVER
1600 OSGOOD ST. BUILDING 20
STE 2-36
NORTH ANDOVER, MA 01845
ACORD 474291 0011/0011F968
Paychex, Inc 9/17/2010 10 : 41 : 57 AM PAGE 3/003 Fax Server
:::•:•:•:•
CERTIFICATE:.:
•:....::,:•:.:.:.:-....-:.:.,......:.•..:•..........................;...;...:::..:.::•:•::•:•:•:::•:•:•:•:•:•:•:•:•:•:•:•:•::•:•::•:::•:
A CORD:..<:::CERTIFICATE:: F..���►B:I. I :: (A� :<>:.:.::.:.:.:.:.:..:.:.::::::::::::::::::::::::::::::::::::::
L•; •;I-i1 . G :..•.•.•..•.•.•..,.•.•.DATE(MM/DD/YY)
..TH.:•:•::::•:•::•::<•::<•;::•;:;•::•;::•;:;:::•:::•:•:;•:•:•:•:•:•:•:•:•:«•:::«•::-;:::;:::«:««:<•:::::•::.•::>.•:::.::::::::::•.::::•::.•.:•:. :::•.:•:.•.:•.•.•.:•.•.•:.•.•.•. :::::::::::09/17/10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
s THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,
subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate
does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER COMPANIES AFFORDING COVERAGE
PAYCHEX INSURANCE AGENCY,INC. COMPANY
150 SAWGRASS DRIVE GUARD INSURANCE GROUP
ROCHESTER, NY 14620 COMPANY
B
INSURED
PAUL MARCUS COMGPANV
218 DUDLEY RD
BEDFORD, MA 01730- COMPANY
V• :.•.•:.•.•.•:.•.•.•::...............................
:. :::..:.:•....t= »> >; < «: :: ER'f7R>vA' :.�1U:M9R;: :::::::::::::::::::::::::RE1lfA1U:MgI :::.•.•.•..•.•.•.•:.
........................:...•.•.•.•.•.•.•.•.•.•.•.•............................::. .•. :::::::::::::::::::::::.•:.•. :::::...................:::•.....•..•.:•.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
=�LAIMS MADE[=]3CCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT
EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTOONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRE NCE $
UMBRELLA FORM
AGGREGATE $
F=OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION ANDXi WC STATU- OTH-
A EMPLOYERS'LIABILITY To LIMIT,
ER
THEPROPRIETOPo`
PAWC122116 08/19/10 08/19/11 EL EACH ACCIDENT $ 100,000.00
O
PARTNERS;EINCLXECUTIVE EL DISEASE-POLICY LIMIT $ 500,000.00
OFFICERS ARE: O EXCL EL DISEASE-EA EMPLOYEE $ 100,000.00
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required)
GERT1 1 Arl=:1� cx R::<::<:.;:.;:.:;::.:;:.:::.::.::.;:;.:.;::::::::::::; ::::::::::::::::::<::<::<::<::<::<:.. . :.::.::..........:.::.::•::•:....................:.:.:.;;:.:.:.::.:.:.:.::.::.::.::.::.::.::::::.:.:.:.:.:.:.
O O CANCELLATION.............................................................................
WN OF NORTH ANDOVER - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
TOWN
OSGOOD NORTH
BUILDING 20 DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
STE 2 36 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
NORTH ANDOVER, MA 01845 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUT -RIMED REPRESENTA VE
:ACQEEOI� 5+;,: 21�09A.9: .:.. . :.....•:......::•:•:::•:•::::•;:•>:•......:: ;::::::::::;•::•>::•:::::;:•;:•:::•::•::•::•;:•::•;:•;:•:•:•:•:•: •:::<;;:::::•:•>::;:•:•::•:
(.. ?. .. .... ............ .....::•:.•.•.•::.•.•:::::::::::.:::.::::::...:.;;. .::::•:•:::::•::::::::::::.•.••.•.:•:....:....:..,.•..,...::.•:.: 3�4C 1�0;CQkYPOE1ATiON:1988::;:
384 Osgood Street Phone:(978)685-0950
North Andover,MA'01845 FaN: (978)688-9573
E-mail:dconcessi@townofnorthandover.com
Z. 664
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass.
Application by the undersigned is hereby made to connect with the town sewer main in l
subject to the rules and regulations of the Division of Public Works.
Street,
The premises are known as No. 7
or subdivision lot no. Street
Owner
Contractor /SCS.
Address
Applicant's ignature
PERMIT TO CONNECT WITH SEWER MAtN
The Division of Public Works hereby grants permission to '
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Street
Di isian of Public Works
BY
Inspected by
Date
See back for rules and regulations
a
e
a.
r
SH61i7-FORM FIXED PRICE AGREEMENT
P.J.M' Construction LLC
218 Dudley RD Bedford ma 01730
781-771-0451
FAX: 781-275-0450
E-MAIL:
PJMCONSTRUCTION@COMCAST.NET
9/17/10
OWNER'S NAME: Charles and.Grechin Trafton
ADDRESS: 137 Salem ST North Andover MA
I. PARTIES
This contract (hereinafter referred to as "Agreement") is made and
entered into on this 10 day of September , 2010 , by and between
Charles and Gr& hereinafter referred�i, ( e red to as Owner"), and PJM
Construction LLC, (hereinafter referred to as "Contractor"). In
consideration of the mutual promises contained herein, Contractor
agrees to perform the following work, subject to the terms and
conditions below:
II. GENERAL SCOPE OF WORK DESCRIPTION
Build new Family room on rear of house, Remove old garage
,Build new garage with rooms above
(Additional Scope of Work pages attached: .. L/ Yes No
`3f�� e�;
A. LUMP SUM PRICE FOR ALL WORK ABOVE
218,660.00-
This
18,660.00This Agreement will expire 15 days after the date at the top of page
one of this Agreement if not accepted in writing by Owner and returned
to Contractor within that time.
B. NOTES AND CLARIFICATIONS
Contractor Owner Owner
If any conflict should arise between the plans, specifications, addenda to
plans, and this Agreement, then the terms and conditions of this
Agreement shall be controlling and binding upon the parties to this
Agreement.
III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
A. EXCLUSIONS
This Agreement does not include labor or materials for the following
work:
1. PROJECT-SPECIFIC EXCLUSIONS:
2. STANDARD EXCLUSIONS: Unless specifically included in the
"General Scope of Work" section above, this Agreement does not include
labor or materials for the following work: Plans, engineering fees, or
governmental permits and fees of any kind. Additional work required by
governmental plan checkers on final "Red Lined" lob copy of plans that
are yet to be issued. Testing, removal and disposal of any materials
containing asbestos (or any other hazardous material as defined b
the
EPA). Custom milling of any wood for use in project. Moving Owner's
property around the site. Labor or materials required to repair or replace
any Owner-supplied materials. Repair of concealed underground utilities
not located on prints or physically staked out by Owner which are
damaged during construction. Surveying that may be required to
establish accurate property boundaries for setback purposes (fences and
old stakes may not be located on actual property lines). Final
construction cleaning (Contractor will leave site in "broom swept"
condition). Landscaping and irrigation work of any kind. Temporary
sanitation, power, or fencing. Removal of soils under house in order to
obtain 18 inches (or code-required height) of clear space between
bottom of joists and soil. Removal of filled ground or rock or any other
materials not removable by ordinary hand tools (unless heavy
equipment is specified in Scope of Work section above), correction of
existing out-of-plumb or out-of-level conditions in existing structure.
Correction of concealed substandard framing. Rerouting/removal of
vents, pipes, ducts, structural members, wiring or conduits, steel mesh
which may be discovered in the removal of walls or the cutting of
openings in walls. Removal and replacement of existing rot or insect
infestation. Failure of surrounding part of existing structure, despite
Contractor's good faith efforts to minimize damage, such as plaster or
Contractor Owner Owner
drywall cracking and popped nails in adjacent rooms or blockage of pipes
or plumbing fixtures caused by loosened rust within pipes. Construction
of a continuously level foundation around structure (if lot is sloped more
than 6 inches from front to back or side to side, Contractor will step the
foundation in accordance with the slope of the lot). Exact matching of
existing finishes. Public or private utility connection fees. Repair of
damage to roadways, driveways, or sidewalks that could occur when
construction equipment and vehicles are being used in the normal course
of construction. Cost of correcting errors and omissions by the Owner's
design professionals and separate contractors. Cost of
correcting/testing/remediating mold/fungus/mildew and organic
pathogens unless caused by the sole and active negligence of Contractor
as a direct result of a construction defect that caused sudden and
significant water infiltration into a part of the structure. Cost of removing
ponding ground water or other unusual concealed site conditions during
excavation. Extra costs associated with refusal of caisson drilling, cave-
ins, etc. Cost to modify and/or remanufacture custom brackets and other
custom-fabricated materials that are manufactured per plans and/or
specifications but do not fit properly into the structure.
B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL
COMPLETION
Commence work: 10/16/10. Construction time through substantial
completion: Approximately 4 to 6 months, not including delays and
adjustments for
3 o delays caused by: holidays; inclement weather;
accidents; shortage of labor or materials; additional time required for
Change Order and additional work; delays caused by Owner, Owner's
design professionals, agents, and separate contractors; and other delays
unavoidable or beyond the control of the Contractor.
C. CHARGES FOR ADDITIONAL WORK: CONCEALED CONDITIONS,
DEVIATION FROM SCOPE OF WORK,"AND CHANGES IN THE WORK
1. CONCEALED CONDITIONS: This Agreement is based solely on the
observations Contractor was able to make with the project in its
condition at the time the work of this Agreement was bid. If additional
concealed conditions are discovered once work has commenced or after
this Agreement is executed which were not visible at the time this
Agreement was bid, Contractor will point out these concealed conditions
to Owner, and these concealed conditions will be treated as Additional
Work under this Agreement. Contractor and Owner may execute a
Change Order for this Additional Work. Contractor is released, held
harmless, and indemnified by Owner from all pre-existing mold, fungus,
mildew, and organic pathogen problems and is not responsible for costs
ontractor Owner Owner
or damages associated with correcting, containing, testing, or
remediating the same.
I
I .
Contractor Owner Owner
2. DEVIATION FROM SCOPE OF WORK: Any alteration or deviation
from the Scope of Work referred to in this Agreement involving extra
costs of materials or labor (including any overage on ALLOWANCE work
and any changes in the Scope of Work required by Owner, Owner's
design professional, Owner's agent, or governmental plan checkers or
field building inspectors) will be treated as Additional Work under this
Agreement resulting in an additional charge to Owner as set forth
herein. Contractor and Owner may execute a Change Order for this
Additional Work.
Contractor to supervise, coordinate, and charge 15% profit and
overhead on the following: all Additional Work under this Agreement,
Additional Work caused by concealed conditions, all overages on
ALLOWANCE work, all Owner-furnished materials, and all work of
Owner's separate contractors who are working on site at same time as
Contractor (any time in between when Contractor has commenced work
and when the work is 100% complete by Contractor). The amount of the
Additional Work will be reasonably determined by the Contractor.
2a. Exceptions to the Contractor charging profit and overhead on Owner-
supplied materials and Owner's separate contractors are strictly limited
to the following:
2b. Contractor's profit and overhead and any supervisory su erviso labor will not
be credited back to Owner with any deductive Change Orders (work
deleted from Agreement by Owner).
3. RATES CHARGED FOR ALLOWANCE-ONLY AND TIME-AND-
MATERIALS WORK: Journeyman Carpenter: $ 60 per hour; Apprentice
Carpenter: $ 40 per hour; Laborer: $ 30 per hour; Contractor: $ 70 per
hour; Subcontractor: Amount charged by Subcontractor. Note:
Contractor will charge for profit and overhead at the rate of 15% on all
work performed on a Time-and-Materials basis (on both materials and
labor rates set forth in Section III.C. of this Agreement) and on all costs
that exceed specifically stated ALLOWANCE estimates in the Agreement.
D. PAYMENT SCHEDULE AND PAYMENT TERMS
I. PAYMENT SCHEDULE:
* First Payment: $1,000 or 10% of contract amount (which ver is fess) L4"
due when Agreement is signed and returned to Contractor: $
I
i
Contractor Owner Owner
* Final Payment: Balance of contract amount due upon Substantial
Completion of all work under contract: $
* Interest in the amount of 1% per month will be charged on all late
payments under this Agreement.
2. PAYMENT OF CHANGE ORDERS/ADDITIONAL WORK: Payment
for Additional Work is due upon completion of either all or part of the
Additional Work and submittal of invoice by Contractor.
3. ADDITIONAL PAYMENTS FOR ALLOWANCE WORK AND
RELATED CREDITS: Payment for work designated in the Agreement as
ALLOWANCE work has been initially factored into the Lump Sum Price
and Payment Schedule set forth in this Agreement. If the final amount of
the ALLOWANCE work exceeds the line item ALLOWANCE amount in the
Agreement, the difference between the final amount and the line item
ALLOWANCE amount stated in the Agreement will be treated as
Additional Work and is subject to Contractor's profit and overhead at the
rate 15%.
If the final amount of the ALLOWANCE work is less than the ALLOWANCE
line item amount listed in the Agreement, a credit will _be issued to
Owner after all billings related to this particular line item ALLOWANCE
work have been received by Contractor. This credit will be applied
toward the final payment owing under the Agreement. Contractor profit
and overhead and any supervisory labor will not be credited back to
Owner for ALLOWANCE work.
E. WARRANTY
Thank you for choosing our company to perform this work for you. Your
satisfaction with our work is a high priority for us, however, not all
possible complaints are covered by our warranty. Contractor does
provides a limited warranty against material defects on all Contractor-
and subcontractor-supplied labor and materials used in this project for a
period of one year following substantial completion of all work. This
warranty covers normal usage only. You must contact the Contractor at
the address on page one of this Agreement in writing for warranty
service immediately upon discovering an item in need of warranty
service. If the matter is urgent, you must .also call the Contractor and
send written notice of the need for warranty service. Failure to notify the
Contractor of the need for warranty service within ten days of discovery
of a warranty item may void this warranty. Additionally, Owner's hiring
f
0 others or direct actions b Owner or Owners separate e crate contractors to
P
repair a warranty item are not covered by this warranty and will not be
Contractor Owner Owner
reimbursed by Contractor.
No warranty is provided by Contractor on any materials furnished by the
Owner for installation. No warranty is provided on any existing materials
that are moved and/or reinstalled by the Contractor within the dwelling
or the property (including any warranty that existing/used materials will
not be damaged during the removal and reinstallation process). One
year after substantial completion of the project, the Owner's sole remedy
(for materials and labor) on all materials that are covered by a
manufacturer's warranty is strictly with the manufacturer, not with the
Contractor.
Repair of the following items and related damages of every kind are
specifically excluded from Contractor's warranty: problems caused by
lack of Owner maintenance; problems caused by Owner abuse, Owner
misuse, vandalism, Owner modification, or alteration; and ordinary wear
and tear. Damages resulting from mold, fungus, and other organic
pathogens are excluded from this warranty unless caused by the sole
and active negligence of contractor as a direct result of a construction
defect which caused sudden and significant amounts of water infiltration
into a part of the structure. Deviations that arise such as the minor
cracking of concrete, stucco, and plaster; minor stress fractures in
drywall due to the curing of lumber; warping and deflection of wood;
shrinking/cracking of grouts and caulking; fading of paints and finishes
exposed to sunlight are all typical (not material) defects in construction,
and are strictly excluded from Contractor's warranty.
THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF
ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
ANY WARRANTIES OF MERCHANTABILITY, HABITABILITY, OR
FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED
WARRANTY EXCLUDES CONSEQUENTIAL, INCIDENTAL, AND
SPECIAL DAMAGES AND LIMITS THE DURATION OF IMPLIED
WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER
STATE AND FEDERAL LAW. SOME STATES RESTRICT
LIMITATIONS ON VARIOUS WARRANTIES, AND SO A
CONSUMER'S RIGHTS UNDER THIS WARRANTY MAY VARY. THIS
LIMITED WARRANTY MAY NOT BE VERBALLY MODIFIED BY ANY
PERSON. THIS LIMITED WARRANTY IS GOVERNED BY THE LAWS
OF THE STATE WHERE THE WORK WAS PERFORMED.
F. WORK STOPPAGE AND TERMINATION OF CONTRACT FOR
DEFAULT
Contractor shall have the right to stop all work on the project and keep
Contractor Owner Owner
the job idle if payments are not made to Contractor strictly in
accordance with the Payment Schedule in this Agreement, or if Owner
repeatedly fails or refuses to furnish Contractor with access to the job
site and/or product selections or information necessary for the
advancement of Contractor's work. Simultaneous with stopping work on
the project, the Contractor must give Owner written notice of the nature
of Owner's material breach of this Agreement and must also give the
Owner a 14-day period in which to cure this breach of contract. Owner to
follow this same notice procedure with Contractor if Owner alleges
Contractor is in material breach of this Agreement.
If work is stopped due to any of the above reasons (or for any other
material breach of contract by Owner) for a period of 14 days, and the
Owner has failed to take significant steps to cure his default, then
Contractor may, without prejudicing any other remedies Contractor may
have, give written notice of termination of the Agreement to Owner and
demand payment for all completed work and materials ordered through
the date of work stoppage, and any other reasonable loss sustained by
Contractor, including Contractor's Profit and Overhead at the rate of
on the balance of the incomplete work under the Agreement.
Thereafter, Contractor is relieved from all other contractual duties,
including all Punch List and warranty work.
G. DISPUTE RESOLUTION AND ATTORNEY'S FEES
Any controversy or claim arising out of or related to this Agreement
involving an amount less than $5,000 (or the maximum limit of the
Small Claims court) must be heard in the Small Claims Division of the
Municipal Court in the county where the Contractor's office is located.
Any dispute over the dollar limit of the Small Claims Court arising out of
this Agreement shall be submitted to an experienced private
construction arbitrator that shall be mutually selected by the parties to
conduct a binding arbitration in accordance with the arbitration laws of
the state where the project is located. The arbitrator shall be either a
licensed attorney or retired judge who is familiar with construction law.
If the parties can not mutually agree on an arbitrator within 30 days of
written demand for arbitration, then either of the parties shall submit the
dispute to binding arbitration before the American Arbitration Association
in accordance with the Construction Industry Rules of the American
Arbitration Association then in effect. Judgment upon the award may be
entered in any Court having jurisdiction thereof.
The prevailing party in any legal proceeding related to this Agreement
shall be entitled to payment of reasonable attorney's fees, costs, and
post-judgment interest at the legal rate.
Contractor Owner Owner
H. ENTIRE AGREEMENT, SEVERABILITY, AND MODIFICATION
This Agreement represents and contains the entire agreement and
understanding between the parties. Prior discussions or verbal
representations by Contractor or Owner that are not contained in this
Agreement are not a part of this Agreement. In the event that any
provision of this Agreement is at any time held by a Court to be invalid
or unenforceable, the parties agree that all other provisions of this
Agreement will remain in full force and effect. Any future modification of
this Agreement should be made in writing and executed by Owner and
Contractor.
I. ADDITIONAL LEGAL NOTICES REQUIRED BY STATE OR
FEDERAL LAW
See page(s) attached: Yes No
J. ADDITIONAL TERMS AND CONDITIONS
See page(s) attached: Yes No
I have read and understood, and I agree to, all the terms and conditions
contained in the Agreement above.
�2m J�—/'vt Co o_ �� L (_C
DATE CONTRACTOR'S SIGNATURE
ATE O ER'S SIGNATURE
eZ*'�-' I"�-11) OWNER'S SIGNATURE
IIS
Contractor Owner Owner
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'Office of Consumer Affairs 'an
Regulation
10 Park Plaza - Suite.:5170
Boston, Massachusetts 021.16
Home Improvement Cao a_tractor Registration
fi
Registration 11600
Type: Ltd Lia iiity torpor
Expiration: 5/9/201 Tr# 296952
. 7 r I S .
P.J.M. CONSTRUCTION, L.L.0
PAUL MARCUS �
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218 DUDLEY RD ; FA �1
BEDFORD,.MA 01730
Update Address and return card. ark reason for change.
Address F� Renewal E pioyment Lost Card
DPS-CAI 0 50M-04/04-G101218 wf
Information an- d Instructions
Massachusetts General Laws chapter 152 requires all.employers to provide workers'compensation for their employees.
Pursuant to this statute.,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other,legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association Dx-other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartmL tints and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintemmce,construction or repair work on such dwelling house
or on the grounds or building appurtmant thereto shall not be cause of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensingagency 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 c0inpliance 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 uatil acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contmLcting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workms' comp c_-nsation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that thus affidavit may be submitted to the Department of Industrial
Accidents for confirmation of ingm-ance coverage. .Also be sure to sigh and date the affidavit The affidavit should
be;�tu-ned to the,,:c�or town the the application for the.r r x&or license is being r e que&zd,not the.Deparanent.of
Industrial Accidents. Should you have any questions regardira,o the law or if you are rmpired to obtain a workers'
compensation policy,please call the Department at the numbs=listed below. Self-insured companies should enter thein
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/liccuse number which will be used as a-reference number. In addition,an applicant
that must submit multiple pmmit/licease applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under`.`Job Site Address"the applicant should write;"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office oflnvestigations would Mm 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..fag_numberr_....... .
The Commonwealtb; Gf Ma.ssachumtts
Department OfFndustHalAccidmits
Office of Inves,�atioas
600 Washirtgtan Street
Boston,M—A 0.2111
Tel. # 617-72.7-4900 ext 4406 or 1-977-MASSAFE
Revised 5-26-OS
Fay: #617-72.7-7749
vry rvu,.mass._a ov/dia.
The Commonwealth of Massachusetts
Department o f Industrial Accidents
office Of LnIoemigations
600 Tf�ashi glon Street
Boston, .1L4 02111
M'orkers' Com ensaiion Insurance Affidavit:asS�ov/&a
P Builders/Contractors/Electricians/Plumbers
A lieant Informa5on
PIease Print Leaibiv
Name (Business/Organization/individual):
Address:—'.
City/State/Zip: 4ar� � o��3v
A
re you employer?Check the appropriate box:
a employer with 4. ❑ I am a�� Typeofproject(required):yees(fll and/orpart-time)•* have hired eial contractor and Ithe sub-contractors 6• ❑Neu,construction sole proprietor or partner_ fisted onthe attached sheet 7. ❑Remodelingnd have no employees These subcontractors have emofition
ng for me in any capacity. workers con • • g• Dorkers' con : ' P insurance.p isurance 5. ❑ We are a corporation and its9' Building addition
ed] officers have exercised their 10•❑Electrical repairs
3.7.I am a homeowner doing all work right of ex or additions
Myself. [No workers'comp• c. 152 1 emption Per MGL 11.❑Plumb'
§ (4•),and we have no ���or additions
insurance required] t employees. [No avork,.-rs 12.0 Roof repairs
�•--us alit Ott that h boy:.#1 comp.insurance required.] 13.(]Other
mus also fila oc[fhe a are
g aB ork-;nd Thm'Are 0 compq_ ;c�
Homeowners who submit this affidavit indicating thc,are dela-aL work-and
�Contmctors that chi this box must attached an additional sheet showing io�'hire outside contractors must eub ni a n
o the name of the suh can a- affidavit indicating such.
I am an em providing p .ors and their workers'comp.polio,in{ormation
P�Y�Heat is rovidin workers compensation insurance for my employees. Below is the policy a> job site
information,
Insurance Company Name: � ✓
Policy#or Self-ins.Lic.#:_ cu-13 C) _
Expiration Date:—Ah 1
Job Site Address:_j_?� rj�� O q �j
Attach a copy of the workers'compensation policy declaration.pate(sho CRthe S/5 /Zip; !tI(�rF 1-[�
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposiOUPY ti number
bof andexpirationiration date).
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties the form of a STOP W
Of up to $250.00 a day against the violator. Be advised that a co Penalties of i
WORK ORDER and a fine
Investigations of the DIA for insurance coverage verification of thus statement may be forwarded to the Office of
I do hereby certifj,under the pains and penalises of perjury thrzt
Signaturinformation.provided above is true and correct,
e:
_... Date:_... _.
Phone#.
Official use only. Do not write in this area, to be completed
bJ,cio,or town of iciaL
City or Town:
Permit/License#
Issuing Authority(circle.one);
I- Board of Healtb 2.Building Department .3. Ci /Town p
6. Other ' Clerk 4.Electrical Ins ector S.Plumbinb Inspector
Contac;Person:
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REScheck Software Version 4.3.1
Compliance Certificate
Energy Code: 2009 IECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Project Type: Addition/Alteration
Building Orientation: Bldg.faces 45 deg.from North
Heating Degree Days: 6322
Climate.Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
Charles&Gretchen Trafton
137 Salem Street
North Andover,MA 01845
Compliance:1.4%Better Than Code Maximum UA:285 Your UA:281
The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
r
` � Y � 4 �"� kaK 4���� a'� 4 r�.W� e.Y•-I k ��"$MY������M� N'.
ca j r: 5-. " ta�.'f" �Y' �' a,�_,t .?s�. �`�+ ':,.� �� ��ivr.«kw,k' c. • 7?.�f{x r x
q,a.
Ceiling 1:Flat Ceiling or Scissor Truss 631 38.0 0.0 19
Ceiling 2:Cathedral Ceiling(no attic) 145 30.0 0.0 5
Ceiling 3:Cathedral Ceiling(no attic) 620 38.0 0.0 17
Wall 1:Wood Frame,16"o.c. 377 21.0 2.5 14
Orientation:Back
Window 1:Wood Frame:Double Pane with Low-E 93 0.310 .29
SHGC:0.00
Orientation:Unspecified
Window 2:Wood Frame:Double Pane with Low-E 24 0.290 7
SHGC:0.00 `
Orientation:Unspecified
Wall 2:Wood Frame, 16"o.c. 162 21.0 2.5 8
Orientation:Left Side
Window 3:Wood Frame:Double Pane with Low-E 15 0.310 5
SHGC:0.00
Orientation:Unspecified
Wall 3:Wood Frame, 16"o.c. 180 21.0 2.5 5
Orientation:Right Side
Door 1:Glass 80 0.300 24
SHGC:0.00
Orientation:Unspecified
Wall 4:Wood Frame, 16"o.c. 145 15.0 2.5 10
Orientation:Left Side
Wall 5:Wood Frame, 16"o.c. 452 15.0 2.5 27
Orientation:Front
Window 7:Wood Frame:Double Pane with Low-E 39 0.310 12
SHGC:0.00
Orientation:Unspecified
Window 8:Wood Frame:Double Pane with Low-E 4 0.300 1
SHGC:0.00
Orientation:Unspecified
Door 2:Solid 18 0.560 10
Orientation:Unspecified
Wall 6:Wood Frame, 16"o.c. 286 15.0 2.5 18
Orientation:Back
Project Title: Report date: 08/31/10
Data filename:C:\SoftPlan14\Projects\TLC Design\Trafton\5-25-10 Rescheck.rck Page 1 of 6
Window 4:Wood Frame:Double Pane with Low-E 13 0.310 4
SHGC:0.00
Orientation:Unspecified
Window 5:Wood Frame:Double Pane with Low-E 6 0.290 2
SHGC:0.00
Orientation:Unspecified
Wall 7:Wood Frame,16"o.c. 231 15.0 2.5 13
Orientation:Left Side
Window 6:Wood Frame:Double Pane with Low-E 39 0.310 12
SHGC:0.00
Orientation:Unspecified
Wall 8:Wood Frame,16"o.c. 94 15.0 2.5 6
Orientation:Right Side
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 645 30.0 0.0 21
Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 480 38.0 0.0 12
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 2009 IECC requirements in
REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
i
I
Project Title: Report date: 08/31/10
• Data filename: C:\SoftPlan14\Projects\TLC Design\Trafton\5-25-10 Rescheck.rck Page 2 of 6
REScheck Software Version 4.3.1
Inspection Checklist
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments: 0 2LA. L- II Ry- 5tCCjV 7 C(.L cep G L�►
❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation
Comments: P I UL St.c9Gp CA,4 (btAS
❑ Ceiling 3:Cathedral Ceiling(no attic),R-38.0 cavityinsulation
Comments: pVCoL_ L)j'OC,L Cj31�$TRca�n
Above-Grade Walls:
❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity+R-2.5 continuous insulation
Comments:
❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity+R-2.5 continuous insulation
Comments: _ __e h LL L A-r tq occ, W A L A
❑ Wall 3:Wood Frame,16"o.c.,R-21.0 cavity+R-2.5 continuous insulation
Comments: 0— '1 LL L-AIf,asten "L'Lt
❑ Wall 4:Wood Frame,16"o.c.,R-15.0 cavity+R-2.5 continuous insulation
Comments: Q b L` IL'xTb—tion cd C LLC
❑ Wall 5:Wood Frame,16"o.c.,R-15.0 cavity+R-2.5 continuous insulation
Comments: '�' t`� TGA tcn y�ps.tc,
❑ Wall 6:Wood Fyne,16"o.c.,R-15.0 cavity+R-2.5 continuous insulation
Comments: A" t�-(t'"i°e` •vdLLSi
❑ Wall 7:Wood Frame,16"o.c.,R-15.0 cavity+R-2.5 continuous insulation
Comments: Q 4 Lt' iL�`Tf,�i ter a✓l c L�
❑ Wall 8:Wood Frame,16"o.c.,R-15.0 cavity+R-2.5 continuous insulation
Comments: a AL4_ L—A ran%r^ wf+t-S
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled Ll-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: _____�L L-V% W tau FOi'Z L L1 AAZ L 1e oc'iJ8_b M1).%+
❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.290
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: c.Lo W4 ° SITLLPwt- Lx
❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: C
❑ Window 7:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Project Title: Report date: 08/31/10
Data filename:C:\SoftPlan14\Projects\TLC Design\Trafton\5-25-10 Rescheck.rck Page 3 of 6
❑ Window 8:Wood Frame:Double Pane with Low-E,U-factor:0.300
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: 3 L Ll� S r T ct.) chat-q=!:T
❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: �tt.n %-V0Ae Sfrk LJAOO C,:r �vv5t,�, t1a�3K
❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.290
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: 'rt.p "LA,' °jrrL l,;},t le.7k F'ykvn
❑ Window 6:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: U'L,r.'x °'V•�" rt c.>>+s Gx b—"" QVi4
Doors:
❑ Door 1:Glass,U-factor:0.300
Comments: c`•b 4!� ' 4511 L W a3 L L.x (-CL'j.>4 N
❑ Door 2:Solid,U-factor.0.560
Comments: T.%-. -> {sal S Tim s
This door is exempt from the U-factor requirement.
Floors:
❑ Floor 1:All-Wood JoisUTruss:Over Unconditioned Space,R-30.0 cavity insulation
. Comments: Q V L% C,p CLA& ('; CC ttr Z); %, V :'�c n
Floor insulation is installed in permanent contact with the underside of the subfloor decking.
❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space,R-38.0 cavity insulation
Comments: y `'r%. Gf Q.6 d T 62-"rj L..0-C cL
Floor insulation is installed in permanent contact with the underside of the subfloor decking.
Air Leakage:
❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between
window/doorjambs and framing.
❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or
damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed
to maintain insulation application.
❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air.
Air Sealing and Insulation:
❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7
ACH at 33.5 psf OR 2)the following items have been satisfied:
(a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.
(c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
(d)Floors:Air barrier is installed at any exposed edge of insulation.
(e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or
sprayed/blown insulation extends behind piping and wiring.
M Corners,headers,narrow framing cavities,and rim joists are insulated.
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(9)Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall.
Sunrooms:
❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum
skylight LI-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Vapor Retarder:
❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that
moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided.
Comments:
Materials Identification and Installation:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value.
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R-values and glazing U-factors are dearly marked on the building plans or specifications.
Duct Insulation:
❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R-6.
Duct Construction and Testing:
❑ Building framing cavities are not used as supply ducts.
❑ All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means
of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or
UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically
fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet-metal screws.
Exceptions.-
Joint
xceptions.Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w,g.(500 Pa).
Duct tightness test has been performed and meets one of the following test criteria:
❑ 9 P 9
(1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area.
(2)Postconstruction total leakage test(including air handier enclosure):Less than or equal to 12 cfm per 100 ft2 pressure differential of
0.1 inches w.g.
(3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at
a pressure differential of 0.1 inches w.g.
(4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area.
Heating and Cooling Equipment Sizing:
❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating(Sections 503 and 504).
Circulating Service Hot Water Systems:
❑ Circulating service hot water pipes are insulated to R-2.
❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.
Swimming Pools:
❑ Heated swimming pools have an on/off heater switch.
❑ Pool heaters operating on natural gas or LPG have an electronic pilot light.
❑ Timer switches on pool heaters and pumps are present.
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Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar-and/or waste-heat-recovery systems.
Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a
minimum insulation value of R-12.
Exceptions:
Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source.
Lighting Requirements:
A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a)Compact fluorescent
(b)T-8 or smaller diameter linear fluorescent
(c)40 lumens per watt for lamp wattage<=15
(d)50 lumens per watt for lamp wattage>15 and<=40
(e)60 lumens per waft for lamp wattage>40
Other Requirements: '
Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is failing,and c)the outdoor temperature is
above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c').
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.The certificate does not cover or obstruct the visibility
of the circuit directory label,service disconnect label or other required labels.
NOTES TO FIELD:(Building Department Use Only)
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2009 ECC Energy
Effid n-cy CerMicate
Ceiling/Roof 38.00
Wall 17.50
Floor/Foundation 30.00
Ductwork(unconditioned spaces):
1 EM MOM Way1w
Window 0.31
Door 0.30 NA
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments:
I
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I
780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
THE MASSACHUSETTS STATE BUILDING CODE
780 CMR TABLE 5502.5(1) ��
GIRDER SPANS'AND HEADER SPANS°FOR EXTERIOR BEARING WALLS Ayra;t,J h Vd
(Maximum spans for Douglas fir-larch,hem-fir,southern pine and spruce-pine-fir' i—
and required number of jack studs
GROUND SNOW LOAD (psf)`
GIRDERS AND 30 F 50
HEADERS SIZE Buildin width` feet
SUPPORTING 20 28 36 20 28 36
San I NJSan NJ° Span] NJ° San NJ° an' NJ° San SNJ°
2-2 x 4 3-6 1° 3-2 I 2-10 1 1 13-2 1 12-911 12-61 1
2-2 x 6 1 5-5 1 1 4-8 1 1 14-2 1 1 14-8 1 14-0 1 1 13-8 1 2
2-2 x 8 6-10. 1 5-11 2 15-4 2 15-111 2 5-2 2 14-7 2
2-2 x 10 8-5 2 7-3 2 6-6 2 7--3T 2 16-3 2 5-7 2
2-2 x 12 9-9 2 8-5 2 17-61 2 18-5 2 7=3 2 16-6 2
Roof and ceiling 3-2 x 8 8-4 1 7-5 1 6-8 1 7-5 1 6 5 2 5-9 2
10 10-6 1 9-1 2 8-2 2 9-1 2 7-10 2 7-0 2
3-2 x 12 12-2 2 10-7 2 9-5 2 10-7 2 9-2 2 8-2 2
42x 8 7-0 1 4-8 2
4-2 x 10 11-8 1 10-6 1 9-5 2 10-6 1 9-1 2 8-2 2
4-2 x 12 14-1 1 12. 2 2 10-11 2 12-2 2 10-7 2 9-5 2
2-2x4 3-1 1 2-9 1 2-S 1 2-9 1 2-5 1 2-2 1
W1210-
4-6 1 4-0 1 3-7 2 4-0 1 3-7 2
5-9 2 5-0 2 4-6 2 5-2
7-0 2 6-2 2 5-6-1- 2 6-4
oof,ceiling and -1 2 7-1 2 6-5 2 7-4
ne center-bearing -2 1 6-3 2 5-8
floor -9 2 7-
0-2 2 8-11 2 8-1 1 2 9-2 2 8- 1 2 7-3 2
4-2 x 8 5-]0 2 S-2 2 4-8 2 5-3 2 4-7 2 4-2 2
4-2 x 10 10-1 1 8-10 2 8-1 2 9-1 2 8-1 2 7-2 2
4-2 x 12 11-9 1 2 1 10-3 2 9-3 2 10-7 2 9-3 2 8-4 2
2-2 x 4 2-8 1 2-4 1 2-1 1 2-7 1 2-3 1 2-1 l
2-2 x 6 3-11 1 3-5 2 3-1 2 3-10 2 3-4 2 3-1 2
2-2 x 8 5-0 2 4-4 2 3-10 2 4-10 2 4-2 2
10 6-11 2 5-3 2 4-8 2 5-11 Z 5-1
oof,ceiling and 2-2 x 127-I 2 6-1 3 5-5 3 6-]0
ne clear span floor 3-2 x 8 6-3 2 5-5 2 4-101 2 1 6-1 1 2 1 5-3 2 4-8 2
3-2 x 10 7-7 2 6-7 2 5-111 2 1 7-5 1 2 1 6-5 2 5-9 2
3-2 x 12 8-10 2 7-8 2 6-10 2 8-7 1 2
4-2 x 8 5-1 2 4-5 2 3-111 2
4-2 x 10 8-9 2 7-7 2 6-10 2
4-2 x 12 10-2 2 8-l0
2-2 x 4 2-7 1 2-3 1 1 1-1 1 1 2-6 1 2-2 1 1-11 1
2-2 x 6 3-9 2 3-3 2 2-11 2 3-8 2 3-2 2 2-10 2
2-2 x 8 4-9 2 4-2 2 3-9 2 :7 2 4-0 2 3-8 1 2
2-2 x 10 5-9 2 5-1 2 4-7 3 5-8 2 4-11 2 4-5 3
oof,ceiling and 2-2 x 12 6-8 2 5-10 3 5-3 3 6-6 2 5-9 3 5-2 3
o center-bearing 3-2 x 8 5-11 2 5-2 2 4-8 2 5-9 2 5-1 2 4-7 2
oors 3-2 x 10 7-3 2 6-4 2 5-8 2 7-1 2 6-2 2
3-2 x 12 8-5 2 7-4 2 6-7 2 8-2 2 7-2 2 6-5 3
4-2 z 8 4-10 2 4-3 2 3-10 2 4-9 2 4-2 2 3-9 2
4-2 x 10 8-4 2 7-4 2 6-7 2 8-2 2 7-2 2 &5 2
4-2 x 12 9-8 2 8-6 2 7-8 2 9-5 2 8-3 2 7-5 2
2-2x4 2-7 1 1-8 1 1-6 2 2-0 1 I-8 1 1-5 2
2-2 x 6
3-1 2 2-8 2 2-4 2 3-0 2 2-7 2
2-2 x 8 3-10 2 3-4 3 3-0 3 3-10 2 3-4 2 2-l l 3
2-2 x 10 4-9 2 4-1 3 3-8 3 4-8 2 4-0
Roof,ceiling and 2-2 x 12 5-6 3 4-9 3 4-3 3- 5-'5 14-8 3 1 4-2 3
two clear span floor 3-2 x 8 4-10 2 4-2 2 3-9
3-2 x 10 5-11 2 5-1
3-2 x 12 6-10 2 5-1 1 3 5-4 3 1 6-9 . 2 5-101 3 5-3 3
4-2 x 8 5-7 21 4-]0 2
4-2 x 10 6-10 2 5-11 2 1 5-3 1 2 6 9 2 5-10 2 5-2 2
4-2 x 12 7-11 2 6-10 2 6-2 3 7-9 1 2 6-9 1 2 1 6-01 3
For SI: I inch=25.4 mm, 1 pound per square foot=O'.0479kliw.
a. Spans are given in feet and inches.
b. Tabulated values assume#2 grade lumber.
c. Building width is measured perpendicular to the ridge.For widths between those shown,spans are permitted to be interpolated.
d. NJ-Number ofjack studs required to support each end. Where the number of requiredjack studs equals one,the headeris
permitted to be supported by an approved framing anchor attached to the full-height wall stud and to the header.
e. Use 30 psf ground snow load for cases in which ground snow load is less than 30 psf and the roof live load is equal to or less
than 20 psf.
600 780 CMR-Seventh Edition 3/23/07 (Effective 4/1/07)