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Building Permit #068-14 - 165 MASSACHUSETTS AVENUE 7/19/2013 (5)
`PUILDING PERMITef TOWN OF NORTH ANDOVER t APPLICATION FOR PLAN EXAMINATION Permit NO: ` Date Received �1s;,T � Date Issued: sAC"MU g� WPORT kNT: licant must cons Tete all items an this 2aae ,ate „: f!►lt PR C}NN ©PERTYEFZ 6 -»531 �C tint x P NPAP NQ: j PARCEL ZONING DISTRICT Htstoi is Dttrict„ ,�-� - yes rt.o, „r3 Machine Shoff Village �,yes �ro TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne famil A Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well hFloodplain Wetlands 1Natersh? [ sfrictiV - erlSe .er.,,� ' 71�,..,,.e �..wy/� .`' r Identification Please Type or Print Clearly) OWNER: Name: A3'_6J4!17JC19e•eavc7 Phone: 3-jr>—75"0� Address: CONTRACTOR Name �{�' ✓SrttS Phvne 'j4fcf ' :H Supervisors Construction License Ezp. Date: 'Ar33 y y ,. �4, Hone ft,pro t.1 cense Exp Dat e �3 n ARCHITECT/ENGINEER `t4 Phone: Address: Reg. No. FEE SCHEDULE.B ULDING PERMIT.•S12.00 PER$1000.00 OF THE TOTAL ESTIMATED COOS1T BASED ON S125.00 PER S.F. Total Project Cost: $ de-1, 7 .5-0 FEE: $ Check No.: Receipt No.: \OTE: Persons cot tracting ti r vire stored contractors do not have h gr rautj-fund Signature afAgenfilOvuner _Signature of contract" D r " ,J It TC'WN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ ' Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of contractor _ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Pfot Plan ❑ Stamped Plans ❑ TYPEOF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art El Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS t 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 Tow;! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT = Temp Dumpster on site yes no Located at 124 Mair, Street Fire Deparfineritsignature/date COMMENTS i . I 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.$10041000 fine NOTES and DATA— For department use ® Notified for pickup - Date E I Doc.Building Permit Revised 2010 Building Department The foEowing 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract o 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 o Building Permit Application Li Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Li Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li 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 apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.+.ted with the building application Doc: Doc.Building Permit Revised 2012 Location /, j!r /�Y>�-- . No. O� Date 7 r • - TOWN OF NORTH ANDOVER . sTn r ' • Certificate of Occupancy $ Building/Frame Permit Fee $a 57. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building Inspector Location No.a00r -- ` Date • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 90 - Building Inspector of�ORT.9H '1•On.•r�"19 ,SSACNus CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 068-14 on 7/19/2013 Date: June 19,,2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 165 Massachusetts Avenue MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Robert Scarano 1147 Main Street Suite 107 Tewksbury, MA 01876 Building Inspector Fee: $100.00 Receipt: 27697 Check : 294 r 4 i i XAORTH Town oi �.- � E n.dover No. o h , ver, Mass, 13 COC NIc He Wlca BOARD OF HEALTH PFRMIT T. Food/Kitchen Septic System THIS CERTIFIES THAT A).6W'W4 BUILDING INSPECTOR ....... ............. ....®.............................................................. has permission to erect .......................... buildings on .Apc......� .....J640.6.0daw............... Foundation .��. R....... �. .�.... ....., �„�,� • Rough to be occupied as4 ........................ �Chhvprovided that the person accepting this permit shall in every respect conform to the terms o theapplication a ' /V on fele in this office, and to the provisions of the Codes and By Laws relating to the Inspection, Alteration and � � C 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 CONSTRUC TA Rough Service ........... ..... .......................................................... final BUILDING INSPECTOR ''-rz GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final � �41111 ' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE SmokeDet. NORTH own o zAndover �. TO _IiO W No. 8 n h . ver, Mass, q coc NIctOWICK �� �d A04ATED P`P��'�5 BOARD OF HEALTH Food/Kitchen PER Septic System THIS CERTIFIES THAT ........... PT ......... .le.A% .�!N..&i ........................................ BUILDING INSPECTOR . . Foundation has permission to erect .......................... buildings on ..��.4z......mavc.......M- ................ <Ro gh ' � orw- to be occupied as " 000 ............ .............. .... ..... ....... Chi e provided that.the person accepting this permit shall in every respect conform to the terms of the application on file In this office, and to the.provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final �jc>a PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR UNLESS CONSTRUC ST S -'�Roiagh Service ............. ....... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building ' Rough Display in Conspicuous Place on the Premises - Do Not Remove Final p Y a p FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. urn t No. Smoke Det. SEE REVERSE SIDE ���— NORT1r Town o �.. � E 1. Andover - , Jo— h , ver, Mass, 01 all V1 coc"Ic Ml WIcK �A' 04ATED ►`PP�,�S U BOARD OF HEALTH Food/Kitchen PER T T LD Septic System THIS CERTIFIES THAT ..� ......... .C. a....................................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..Lb.4z......rft,x.......m9................... to be occupied as & � �Ro gh 4 ..... '............. ...,�/. ...... ..... � chi ey provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the.provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR e VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final laj/ PERMIT EXPIRES IN 6 MONTH§ ELECTRICAL INSPECTOR • UNLESS CONSTRUC ST S Rough C Service "` ............. ....... ................................................ Final �� 'y BUILDING INSPECTOR � GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough laConspicuous Disp Y in a Cons icuous Place on the Premises - Do Not Remove p Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. urn t No. SEE REVERSE SIDE Smoke Det. NORTH Town of t E �� Andover O - 0 No. o h , ver, Mass, n 13 COC NIG HIWICK ��• 5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT � � SBUILDING INSPECTOR III Foundation has permission to erect .......................... buildings on . V%:7...... , I�r64.....JOS111...... .............. �o.k4 �.... ..... Fm • Rough to be occupied as ...... ... ...... ..............� .......... ... ........................ Chimney provided that the person accepting this permit shall in every respect conform to the terms o the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final &Iqq 40 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TA Rough Service ........... ..... .......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE The Commonwealth of Mtmvachusettv Dcparttrreut o f luclrtstrial_=lccirlc7rfs Office oflit,resti,atious 1 Congress Street; Suite 100 Boston,.11- 03111-2I)1 www.mciss.gov/dia .mass.;ov/dia Workers' Compensation Insurance Affidavit: Builtlers/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nance (Bttsinessrth eauizatiot>Ittdi,iduat): A?p/� eA/- sc,-14�0 Addiess: City-'State/Zip: ��',�t �YI4} D���G P11011e 'O�r Are yon an employer'Check the appropriate boa: Type of project(required): 1.❑ I ani a employer with 4. ® 1 am a general contractor and I eutployees(full and/or p;nt-tulle).* have hn•ed the milt-contractors 6. ❑New construction I tut a sole proprietor or paituer- listed on the attached sheet. t. Remodeling shill attd hate no employees These sub-contractot:s have S. ❑Demolition woricin- for trent any capacity. employees and haP:e xvorkets' ❑Builclitrg addition [No workers"comp.insurance comp,inanmtce.t reryuu ed,] �. ❑ We akv a corporation and its 10.[�ElecG ical repair s or additions 3, aur a houteo,,ner doing all work officers itai-e exercised they' 11.®Plumbing repan s or addition, i self. ' right of exemption per MGL �o workerscom�.1 1...❑Roof repairs Inst •nice recluu-ed.] t C. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp, inslu•ance requu•ed] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit thi s 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ars mr eng)hn!er that it prm,it ing rrot*ers'contpestrrtiou insurance f rr ini,emplm'eet. Be1mv it ttre policy+raid job.site. nrfvnnrrtiorr. Insurance Company Nante: Policy=or Self-ins.Lac.=:_ Expiration Date: Job Site Address: __ Cityr'State/Zip: Attach a copy of the workers'compensation policy declaration page(showfng the policy number mid exTiratiou date). Failure to secure coverage as required antler Section ZSA of MGL c, 152 cart lead to the imposition of criminal penalties of a fine up to$1,500.00 and or one-year-imprisonment,as well as ci-%.il penalties in the form of a STOP WORK ORDER and a fine of tip to$250,00 a day against the violator. Be ad-6secl that a copy of this statement min be fon aided to the Office of Investigations of tile DLA for insurance coverage verification. I do hereby cerci' Yetder the tins and penalties ofperjrer,that the irlfonurclivu prorideW tbore it tate turd correct Sixnaftire: _ _ Date: Ph„rte=: 7� 5-- 2 S 5 ea<f/ Q2 — G Yo — /43G 0 c Q ffirial me onh'. Do not rn7ite in this trent,to be,completed Iny city or tmrtir ojuidI City or Tasty►: PermiuL-icense= Issuing authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector s.Plumbing Inspector 6.Other Contact Person: Phone. Information and Instructions Itiossadkisetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. `Pursuant to this statute,an a mlVoyee is defined as"...every person in the ser vice of mother under any contract of hie, express or implied,oral or written." An emph er is defuied as"an individual,partnership,association,corporation or other legal entity,or any two or more of tine foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trostee of m i ndr,ideal,partnership,association or other legal entity.employing employees. However the owner of a dwelling house having not more than three apartments and wiio resides therein,or the occupant of the dwelling house of arnother wino employs persons to do maintenance,constrnction or repair wort: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 153,§35C(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 consh•uct buildings in the commonwealth for any applicant who has not produced acceptable e-,idence of compliance with the insurance coverage required." Additionally,MGL chapter 153,§25C(7)states"Neither the commonwealth nor any of its political stubdivisiorns shall enter into any contract for the performance of public work until acceptable evidence of compliance%Kith the insurance requirements of this chapter have been presented to tine contracting authority." Applic-wits Please fill out the-workers' compensation affidin it completely,by checking Hie boxes that apply to your situation and,if necessary,supply stub-contractors)naune(s),address(es)and phone nunnber(s)along with their certificate(s)of insurance. Lunited Liability Companies(LLC')or United 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 sloes have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of inslurance coverage. Also be slue to sign and date the affidavit. The affidavit should be returned to Hie city or town that the application for time pennit or license is beim,requested,not.the Department of IndustrialAccidents. Should you have my questions resardi ng the late 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 then- ,-elf heir self-immr-ance license number on Hie appropriate lune. City or Totten Officials Please be sure that the affidavit is complete and printed lesibl-. The Department has provided a space at tine bottom of the affida•it for you to fill out in die event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemnit:`license rmmnber which will be used is a.reference number. In addition,an applicant that must submit multiple permit/license applications in any given yen•,need only tubiilit one nffrdayit indicating currentpolicy 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 officialh'stamped or marked by-the city or town may be provided to the agplicarmt as proof that a valid affidavit is on file for fiubre permits or licenses. A angry affidmrit rmust be filled out each year.Wile]e a home owner or citizen is obtannina a license or permit not related to aunt'business or commercial venture: (i.e. a cloy_license or permit to burr lea es etc.)said person is NOT required to complete this affidavit, The Office of hnvestisations would like to thank you in advance for your cooperation mid should you have any questions, please do not hesitate to;ive us a call. The Deportment's nciclress,telephone and fax number: The Commonwealth of Massachusetts Peparfinent of Inchtstrial Accidents Office of Investigations I Congress Street,Shite 100 Boston,MA 02114-201- Tel, ?114-201-Tel. 4 61--"74900 ext.406 or 1-S -MASSAFE Revised .-2010 Fat 61--�,----49 WWW,111ass,govicha 67/18/2613 16:23 19782566488 "JAY" COLNGELO INSPAGE 01 ACUREII CERTIFICATE OF LIABILITY INSURANCE DATE'M"'°°'Y""' 6/16/13 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 8Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), ALIT HORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the policy(es) must be andorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A stalament on this certificate does not confer rigtlta to the certificate holder in lieu of such endoreemen s- PROOICtA N T Jay Colangelo Insurance Agency P/IONE 800 286-8603 FAx No: (9/e) zso-oees 289 Chelmsford Streets: JCIAIQAOL.COM Chelmsford, MA 01824 INSURE 9 AFFORDIMCOVERAGE NAIC0 IN6uRrAA:Arba1la Insurance CoINSLAM _ INSURER 9: Steven Ford INSURER 0: DSA Had Dog Maintance 1 o: 56 Bolton Street INSURER E. — Lowell, MA 01852 INSURER F; _ _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODC'808R""• '•• •"" ' -- P Y F" HMA Cy tela.. LTR TYPE OF INSURANCE POLICY NUMBER M/LDIY 100YYYYLIMITS A ., GENFRALLIAmLIT' 8500058778 4/5/13 4/5/14 EACH OCCURRENCE S 300 DOO X' COMMERCIAL GENERAL LIABILITY DMMGETO RENTED ' PR MI S( w .Wen el .....$- __100,000 CLAIMS-MADE U OCCUR MED Ela' Moro perecn) s 5,000 PERSONAL a,ADV INJURY S 300.000 Cd NERAL AGGREGATE s _ 600,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG S 600,000 POLICY I PRO LOC -.. ••5--- AUTOMOBILE LIABILITY3M7F E L I S ANY AUID BODILY INJURY(Perpemon) SALL » AUTOS SCHEDULED BODILY INJURY(Per eccldeni) S HIREDAUTOS NON-OwNHO PROPERTY DAMAGE _. S �— AUTOS (PBreoClCenq S . UMDFWLL I LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE .- Ii - DEO RETENTION S S - — WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N AIWPROPRIETDR/PARTNER/EXECUTNE -7 E.L.EACH I!r OFFICERMEMBER EXCLUDED? N/A (Mil dabry in NH) E.L.DISEASE-EA EMPLOYEE S If YYes dwcribe under -•--- D6SG`POTIONOFOPERATION6below E.L.DISEASE•POLICY LIMIT I S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Aharh ACORO 101,Addldonal Rarrarls Schaduka,I1 more space is required► CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bob Scarano ACCORDANCE WITH THE POLICY PROVISIONS. 165 Mass Ave N. Andover Ma 01645 AUTHOkIZEO kE10RE61ENIAIN Jay Colangelo 0 1988 10 C D CORPORATI N. All rlreserved. ACORD 25(2010/05) The AC ORD name and logo are registered marks of RD Phone: Fax: E-Mail: AC` ORQ" CERTIFICATE OP ID:TL CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDDIYYYY) THIS CERTIFICATE 1S 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, It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 11 SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER Phone: 978.658-3805 CONTACT Wilmington Insurance Agency NAME: Five Middlesex Avenue Unit 14 Fax:978-657-5724 HO E FSM; FAx P.O.Box 1010 E•MAtL AIC No Wilmington,MA 01887-0580 ADDRESS: John F. Doherty INSURENS)AFFORDING COVERAGE INSURER Peerless Insurance CO NAICiI INSURED R.C. Flodin 24198 The Bionic Plumber INSURER B:Liberty Mutual 12 Bay Street Unit 102 INSURERC: Wilmington,MA 01887 INSURER D: INSURER E: COVERAGES INSURER F CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED BOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NAMED ABO 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 INSR BEEN REDUCED BY PAID CLAIMS. A wyn LTR TYPE OF INSURANCE POLICY NUMBER POLICY FF POLICY XP GENERAL LIABILITY MMIDDIYYYY NM/DD/YYYY LIMITS A X COMMER:;IAL GENERAL LIABILITY 4009441748 EACH OCCURRENCE 3 11000,00 109/0712012 09107!2013 PAEMIBE�nas s 10,00 C_AIMS-MADE a OCCUR M°D EXP(Any one person) S 1,00 PERSONAL 8 ACV INJURY 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,00 X POLICY PIFCTRO- F LOC PRODUCTS-COMP/OP AGG S 11000100 AUTOMOBILE LIABILITY ; COMBINED SINGLE LIMIT ANY AUTO Ea aciaenl .ALL 01ti'NED SCHEDULED BODILY INJURY(Per person) 3 AUTOS AUTOS HIRED AUTOS NON-OVVNED BODILY INJURY(Per accident) $ AUTOS PROPERTY DAMAGE PeracciJenq S UMBRELLA LIAB OCCUR S EXCESS LIAB CLAIMS-MADE I EACH OCCURRENCE $ DED RETENTION 3 AGGREGATE g WORKERS COMPENSATION 3 AND EMPLOYERS'LIABILITY X ' 'NC STATU- X 0TH_ B ANYPROPRIERIPARTNDEDI)ECUTIVE Y� I WC531S387622012 OFFICER/MEMBERrIn N EI CLUDED? NIA 10/0312012 1010312013 E.L.EACH ACCIDENT g (Mandatory In NH) 1,000,00 If ESdescribe under DSow El DISEASE-EA EMPLOYE' S 1,000,00 DESCRIPTION OF OPERATIONS bel E.L.D,SEASE-POLICY LIMIT 3 1,100100 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Mass Key Development: Robert Searano CERTIFICATE HOLDER CANCELLATION NORTHAN SHOULD TV EXPIRATION DATDESCRIBED POLICIES CANCELLED HEOF, NO ICE WILL BE DEL VERED R THE E; IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 165 Mass Avenue North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2010105) The ACORD name and logo are registered marks82of ACORD VIU D CORPORATION. All rights reserved. Z'd bZL9 L99 8L6 oul Aoue6V sul uol6ulLul!M d£l LO£l Z[ Int 07/17/2013 15:45 FAX 978 957 6612 COUGHLIN INSURANCE 10001/001 -DATE A�tI® CERTIFICATE OF LIABILITY INSURANCE 07/17/2013 THIS CERTFFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICA''E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TiIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENT/►TIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTAN": If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms anc 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 CONT ACT Colleen A Coughlin Charles J Coughlin Insurance PHONE 14 Dinley Street . (978)957-3588 a 978-957-6612 c Nol: R ) Box 10 ADDRESSt colleen@coughlinins.com Or is ut,MA 01826 INSURERS AFFORDING COVERAGE NAIL q INSURER A: Main Street America Assurance Company 29939 INSURED Jo3eph Burke INSURER g: Travelers Indemnity Company TPC 304 University Ave INSURER C: Lom ll,MA 018541646 INSURER D INSURER E: INSURER F: COVERAGE!; - COVERAGE!c CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO,'EIRTIFY 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 CERTIFICAT= MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION13 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _TYPE OF INSURANCE ��SUR POLICY NUMBER POLICY EFF ffDDPOLICY EXP LIMITS A GENERAL I,U,BILITY MPT2609J 05/24/2013 05/24/2014 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED S 500,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) (;LAMS-MADE V OCCUR MED EXP(Any Oneperson) S 10,000 PERSONAL B ADV INJURY I$ 1.000,000 GENERAL AGGREGATE b 2.000,000 GEN'L AGC R; LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 POLICY PRO-IFrT F-1LOC $ AUTOMOB:LI:LIABILITY COMBINED accidEeD SINGLE LIMIT ntl ANY..0 rO BODILY INJURY(Per person) S ALL CA NED SCHEDULED BODILY INJURY(Per acddeni) S AUTCS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREF)NUTOS AUTOS (Per accident b UMBKE,LA LIAB OCCUR EACH OCCURRENCE S EXCESl1 LIAB HCLAIMS-MADE AGGREGATE b DED I RETENTION$ S B WORKERS COMPENSATION 6803028-8-13 05/28/2013 05/28/2014 N4 WC STATU- 1. JOTH- AND EMPLOYERS'LIABILITY I FR ANY PROP-RI=TOR/PARTNER/EXECUTIVE Y/N EL.EACH ACCIDENT $ 100,000 OFFICER/DIE-VIBER EXCLUDE07 E N/A (Mandator rl i NH) E.L.DISEASE-EA EMPLOYEE S 100,000 Ifyyes,descit a under 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION 01:OPERATIONS(LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Carpentry CERTIFICA' E:HOLDER CANCELLATION Fax#:(978)858-0901 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE E-ob Scarano THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 165 Mass Avenue ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE Lq 1!� k_/ � J_ 0 1 988-201 0 ACORD CORPORATION. All rights reserved. ACORD 25 2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-060776 ROBERT G SCARANO i 1147 MAIN ST#46 1 u TEWKSBURY NR 01876 fi `�,•G..- � { ,� �t�`� Expiration commissioner 04/25/2015 JUL-17-2613 15:06 Sennott Insurance 978 887 2484 P.01 &-7V Vaa" - ---- - - -- - -- - - — - 4„ yr/ii/cvl.0 IRODUCER 978,887.4900 FAX 978.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward F. Sennott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 16 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES 9ELOW. P. 0. Box 457 Togsfiield, MA 01983 INSURERS AFFORDING COVERAGE NAIC NSURED Anderson Flooring Inc. INSURERA; Twin City Fire Insurance Co. 1099 Main Street INSURER B: Tewksbury, MA 01876 INSURER C; INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITR N RE TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDDIY I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMFIT— MERCIAL GENERAL LIAeILITY PREMISES Ea oct:urrence S CLAIMS MADE [__j OCCUR MED EXP(Any one pow) S PERSONAL 6 ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 POLICY PRO- JE T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Eo$Wdent) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Por poison) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per aeddent) PROPERTY DAMAGE g (Par acddent) GARAGE UABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA AGC S AUTO ONLY; AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR LICLAIMS MADE AGGREGATE 5 a DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION 08WECE04594 02/13/2013 02/13/2014 X AND EMPLOYERS'LIABILITY YIN TORY LIMIT$ ER ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT S 100 00 A OPMCER/MEMBER EXCLUDED9 (Mandatory In NH) E.L.DISEASE-EA EMPLOYFE S 100,00 IfypsdewAbe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500.00 OTHER DESCRIPTION OF OPERATIONS I LOCA1101181 YEMCL95I"CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS IE: 165 Mass Ave. , North Andover, MA CERTIFICATE HOLDER CANCELLATION BHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TME LEFT,BUT FAILURE TO DO 80 SHALL Robert G. Scarano IMPOSE NO OBLIGATION OR UA131U Y OF ANY KIND UPON THE INSURER.ITS AGENTS OR 1147 Main Street, Suite 106 REPRESENTATIVES. Tewksbury, MA 01876 AUTHORIZED REPRESENTATIVE Peter Sennott AAM ACORD 25(2009/01) FAX: 978.8S8.0901 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR0" RCFLO-2 OP ID:TL CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UATE HOLDER. THIS 0711712013 PON THE CERTIFIC CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), 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 Phone:978-658-3805 CONTACT Wilmington Insurance Agencyy NAME: Five Middlesex Avenue Unit 14 Fax:978-657-5724 PHONE Ex : FAx P.0.BOK 1010 E•MAII MC No: Wilmington,MA 01887-0580 ADORES$: John F.Doherty INSURER(S) AFFORDING COVERAGE NAC it INSURED R.C. Flodin INSURERA:Peerless Insurance Co 24198 The Bionic Plumber INSURER 9:Libe Mutual 12 Bay Street Unit 102 INSURER C: Wilmington,MA 01887 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD[§U$ TR TYPE OF INSURANCE POLICY NUMBER MNVDDDfyFF MNrMDfYY P GENERAL UABIL17Y LIMITS EACH OCCURRENCE $ 1,000,00 A X CCMMERCIALGENERA_LIABILfTY 400944174809107/2012 09/07/2013 PREIAOT Eaoccurrer^e $ 10,00 CLAMS-MADE D^l OCCUR MED EXP(Any one person) $ 1,DO PERSONAL d ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLIC PRO- LOC PRODUCTS-COMP/OP AGG S 1,000,00 AUTOMOBILE LIABILITY _TT_ $ COAt81NED SINGLE LIMIT ANYAUTO Eaaxiden, S ALL OWNED ((((������ SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY I INJURY(Per accident) gHIRED AUTONON-OWNED AUTOS PROPERTY DANMGE S Per=ccicenl UMBRELLA LIAR S OCCUR EXCESS LIAR CLAIMS•MADE EACH OCCURRENCE S • $ DED RETENTIONS AGGP,EGATE VIORKERS COMPENSATION S B IAND EMPLOYERS'LWBILITY X VJC STATU- X OTI+ ANY PROPRIETORIP.ARTNERfEXECUTIvE YIN �WC5311IS387622012 10/03/2012 10/03/2013 CfFICERrMEMBER EXCLUDED? ❑ N f A E.L.EACH ACCIDENT 3 1,000,00 (Mandatory in NH) :Ifyes.describe under E.LDISEASE-EAEMPLOYE $ 11000,00 D_SCRIPTIDN OF OPERATIONS telow E.L.DISEASE•POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more spec*Is required) Job Location Town of Andover CERTIFICATE HOLDER CANCELLATION MASS--2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MASS KEY DEVELOPMENT CORP ACCORDANCE WITH THE POLICY PROVISIONS. Robert Scarano 1147 MAIN ST AUTHORIZED REPRESENTATIVE TEWKSBURY, MA 01876 ACORD 25(2010/05) The ACORD name and logo are registered marks82010 of ACORD ACORD CORPORATION. All rights reserved. L•d t'zL9 L99 9L6 oul AOU96V Sul uo16u1Lul!M d£L:LO£LLL In(' i i � Bedroom 1: 11X12,Fust Floor pn O • Bedroom 2: 8X10,First Floor - I ' Bedroom 3: 10X11.Second Floor Z -4 a Bedroom 4: 8X10,Second Floor M0 N F Living Room: 11X15,First Floor � + .� — e a 7 N Family Room: 11X11.First Floor R co O f1 Kitchen: 15X20,First Floor X < tD C y a Laundry Room: Basement O Cr N CD,'JaD g Interior FeaturesCO < 4a O 7 O� Full Baths: 1 N C C CD 7 Square Feet: 1.405 n D C Appliances: Range,Refrigerator i Q7 Flooring: Wood.Vinyl.Wall to Wall Carpet Total Rooms: 7 } . ` IIIJJJ Interior Features: Cable Available r—►� I� Structure Information mss/ .... Garage: 1 _r r N W N 00 o Garage Description: Under w o 0 a n o 3 n 3 v Parking Spaces: 2 ?! !^. Parking Description: Off-Street.Paved Driveway C' A rn P - lh 1 ,Basement: Full.Walk OutConcrete Floor n B Cooling Type: None N � N f iv Electric: Circuit Breakers n p Energy Features: Insulated Windows,Storm Doors o x x x o 0 r n rNp 7 Foundation: Fieldstone.Granite o o r D Heating Delivery: Hot Water Baseboard.Gas 0 c a _ a c or o N Mot Water: Natural Gas,Tank o m o P N n z m n' 1 Roof: Asphalt/Fiberglass Shingles m O t 3 G v 0 9 O Style: Bungalow o 3 J D D p Year Built: 1936 `�v •D d ' 71 1 \: � 7 D O b 00 A oo _ (level within buildin of unit being inspected) Floor# �� C --�— Property I .B t D B /D Rola . 1 A (Street Sidel Start Here A(Street Side) Start Here --A Page 6 of 10 </assembly-category> </compone nt-checkiist> - <other-checklist> - <section title="Air Leakage"> <item>7oints (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.</item> <item>Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs/showers, and in openings between window/door jambs and framing.</item> <item>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.</item> <item>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.</item> <item>Wood-burning fireplaces have gasketed doors and outdoor combustion air.</item> <item>Automatic or gravity dampers are installed on all outdoor air intakes and exhausts.</item> </section> - <section title="Air Sealing and Insulation"> - <item> 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 50 pascals OR 2) the following items have been satisfied: - <subitem-list> <subitem bullet="(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.</subitem> <subitem bullet="(b)">Ceiling/attic: Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.</subitem> <subitem bullet="(c)">Above-grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.</subitem> <subitem bullet="(d)">Floors: Air barrier is installed at any exposed edge of insulation.</subitem> <subitem bullet="(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.</subitem> <subitem bullet="(f)">Corners, headers, narrow framing cavities, and rim joists are insulated.</subitem> <subitem bullet="(g)">Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall.</subitem> </subitem-list> </item> file://C:\Documents and Settings\bob\Local Settings\Temporary Internet Fi1es\0LK9\RES... 6/28/2013 Page 5 of 10 </assembly-category> - <assembly-category name="Above-Grade Walls"> - <assembly> <count>1</count> <type>Wall</type> <description>Wood Frame, 24in. o.c.</description> <ruvals /> <comment-with-line /> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> </assembly-category> - <assembly-category name="Basement Walls"> - <assembly> <count>1</count> <type>Basement</type> <description>Solid Concrete or Masonry</description> <ruvals /> <comment-with-line /> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> - <assembly> <count>2</count> <type>Basement</type> <description>Wood Frame</description> <ruvals /> <comment-with-line /> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> </assembly-category> - <assembly-category name="Windows"> - <assembly> <count>1</count> <type>Window</type> <description>Vinyl Frame, 2 Pane w/ Low-E</description> <ruvals>, U-factor: 0.300</ruvals> <window-cont>For windows without labeled U-factors, describe features:</window-cont> <glazing-checklist /> <comment-with-line /> </assembly> </assembly-category> - <assembly-category name="Doors"> - <assembly> <count>1</count> <type>Door</type> <description>Solid</description> <ruvals>, U-factor: 0.250</ruvals> <comment-with-line /> </assembly> file://CADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Page 4 of 10 constructions. Metal-frame wall or mass (concrete, masonry, log) wall equivalent R-values can be found in the Help User's Guide.</wall- footnote> <floor-footnote>The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces, basements or garages). Floors over outside air must meet the ceiling requirements.</floor-footnote> <basement-footnote>Walls of conditioned basements below uninsulated floors must be insulated from the top of the basement wall to a depth of 10 feet below ground level or to the level of the basement floor, whichever is less. The entire opaque portion of any individual basement wall with an average depth less than 50% below grade must meet the same R-value requirement as above- grade walls. Basement doors must meet the door-U-factor requirement.</basement-footnote> <slab-footnote>Add an additional R-2 for heated slabs. The insulation must extend 1) down from the top of the slab, or 2) down from the top of the slab to the bottom of the slab and then horizontally underneath the slab, or 3) down from the top of the slab to the bottom of the slab and then horizontally away from the slab, with pavement or at least 10 inches of soil covering the horizontal insulation.</slab-footnote> <crawl-footnote>The crawl space wall R-value requirements are for walls of unventilated crawl spaces. The crawl space wall insulations must extend from the top of the wall (including the sill plate) to at least 12 inches below the outside finished grade. If the distance from the outside finished grade to the top of the footing is less than 12 inches, the insulation must extend a total vertical plus horizontal distance of 24 inches from the outside finished grade.</crawl-footnote> <door-footnote>Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-factor table in the Help User's Guide. If a door contains glass and an aggregate U-factor rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-factor to determine compliance for the door. One door may be excluded from this requirement (i.e., may hav a U-factor greater than 0.35).</door-footnote> </checkl ist-footnotes> - <assembly-category name="Ceilings"> - <assembly> <cou nt>1</count> <type>Ceiling</type> <description>Flat or Scissor Truss</description> <ruvals>, R-34.0 cavity insulation</ruvals> <comment-with-line /> </assembly> - <assembly> <count>2</count> <type>Ceiling</type> <description>Flat or Scissor Truss</description> <ruvals>, R-38.0 cavity insulation</ruvals> <comment-with-line /> </assembly> file://CADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Page 3 of 10 <description>Solid</description> <area>60</area> <cavity /> <continuous /> <u-value>0.250</u-value> <proposed-ua>15</proposed-ua> <required-ua>21.0</required-ua> </assembly> </compliance-section> - <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-Web and to comply with the mandatory requirements listed in the RES <i>check</i> Inspection Checklist. </compliance-statement> <signature-block /> </compliance-report> <energy-code>IECC2009</energy-code> - <compliance-checklist> <checklist-title>Inspection Checklist</checklist-title> <datafile /> <software-application>Generated by REScheck-Web Software</software- application> - <building-info-section> <project-title>MK Realty Trust 165 Mass Ave.</project-title> <location>Essex County, Massachusetts</location> <climate-zone>5</climate-zone> <hdd>6499</hdd> <construction-type>Single Family</construction-type> <project-type>Alteration</project-type> <energy-code>2009 IECC</energy-code> <window-wall-ratio>0.13</window-wall-ratio> </building-info-section> <report-date>06/28/13</report-date> <project-title>MK Realty Trust 165 Mass Ave.</project-title> - <component-checklist> - <checklist-footnotes> <glazing-footnote>Up to 10/a of the total allowed glazing area may be excluded from the U-value requirement. For example, 3 ft2 of decorative glass may be excluded from a building design with 300 ft2 of glazing area.</glazing-footnote> <cell ing-footnote>The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the plate lines of exterior walls, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used).</ceiling-footnote> <wall-footnote>Wall requirements apply to wood-frame wall file://CADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Generated by REScheck-Web Software Compliance Certificate Project Title: MK Realty Trust 165 Mass Ave. Energy Code: 2009 IECC Location: Essex County,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6499 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: i Compliance:Passes Compliance:12.2%Better Than Code Maximum UA:115 Your UA:101 The%Better or Worse Than Code index reflects how Gose 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. Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter LI-Factor Ceiling:Flat or Scissor Truss 884 34.0 0.0 28 Ceiling:Flat or Scissor Truss 144 38.0 0.0 4 Wall:Wood Frame,24in.D.C. — __ — __ --- Exemption:Framing cavity not exposed. Basement:Solid Concrete or Masonry Exemption:Framing cavity not exposed. Basement:Wood Frame __ Exemption:Framing cavity not exposed. Window:Vinyl Frame,2 Pane w/Low-E 180 0.300 54 Door:Solid 60 0.250 15 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-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Bob Scarano MK Realty Trust Project Title: MK Realty Trust 165 Mass Ave. Report date: 06/28/13 Data filename: Page 1 of 4 1 0 Generated by REScheck-Web Software N/' Inspection Checklist Energy Code: 2009 IECC Location: Essex County,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6499 Climate Zone: 5 Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-34.0 cavity insulation Comments: ❑ Ceiling:Flat or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,241n.o.c. Exemption:Framing cavity not exposed. Comments: Basement Walls: ❑ Basement:Solid Concrete or Masonry Exemption:Framing cavity not exposed. Comments: ❑ Basement:Wood Frame Exemption:Framing cavity not exposed. Comments: Windows: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door:Solid,U-factor:0.250 Comments: Air Leakage: (j 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/door jambs 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. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Project Title: MK Realty Trust 165 Mass Ave. Report date:06/28/13 Data filename: Page 2 of 4 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 50 pascals 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. (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (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 U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. 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,glazing LI-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: L] 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: Lj 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 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: (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 handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: F1 Where the primary heating system is a forced air-fumace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. LI Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Ll 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: L] Circulating service hot water pipes are insulated to R-2. LI Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Project Title: MK Realty Trust 165 Mass Ave. Report date: 06/28/13 Data filename: Page 3 of 4 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. Lj Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. 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: Cj 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 watt 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 falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). 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) Project Title: MK Realty Trust 165 Mass Ave. Report date:06/28/13 Data filename: Page 4 of 4 2009 IECC Energy Efficiency Certificate Insulation . Ceiling/Roof 34.00 Wall 0.00 Floor/Foundation 0.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Door 0.25 NA H eat . &Cooling Heating System: Cooling System: Water Heater: Name: Date: Comments: Page 1 of 10 - <rescheck-reports> <energy-code>IECC2009</energy-code> - <compliance-report> - <title-section> <generating-software>Generated by REScheck-Web Software</generating- software> <document-title>Compliance Certificate</document-title> <datafile /> </title-section> - <building-info-section> <project-title>MK Realty Trust 165 Mass Ave.</project-title> <location>Essex County, Massachusetts</location> <climate-zone>5</climate-zone> <hdd>6499</hdd> •construction-type>Single Family</construction-type> •project-type>Alteration</project-type> <energy-code>2009 IECC</energy-code> <window-wall-ratio>0.13</window-wall-ratio> </building-info-section> - <project-info-section> <report-date>06/28/13</report-date> - <project> <projectTitle>MK Realty Trust 165 Mass Ave.</projectTitle> </project> <owner/> <developer/> <projectNotes>Bob Scarano MK Realty Trust</projectNotes> </project-info-section> - <compliance-section> <complianceResuIt>Passes</com pl ia nceResu It> <maxUA>115</maxUA> <ca lcu lated UA>101</ca lcu lated UA> <percentDifference>12.2% Better Than Code</percentDifference> - <assembly> <label>Ceiling</label> <description>Flat or Scissor Truss</description> <area>884</area> <cavity>34.0</cavity> <continuous>0.0</continuous> <u-value /> <proposed-ua>28</proposed-ua> <required-ua>27.0</required-ua> </assembly> - <assembly> <label>Ceiling</label> <description>Flat or Scissor Truss</description> <area>144</area> <cavity>38.0</cavity> <continuous>0.0</continuous> <u-value /> <proposed-ua>4</proposed-ua> <required-ua>4.0</required-ua> fileWCADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Page 2 of 10 </assembly> - <assembly> <label>Wall</label> <description>Wood Frame, 24in. o.c.</description> <area>---</area> <cavity>---</cavity> <continuous>---</continuous> <u-value>---</u-value> <proposed-ua>---</proposed-ua> <required-ua>---</required-ua> <exemptionApplies>true</exemptionApplies> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> - <assembly> <label>Basement</label> <description>Solid Concrete or Mason ry</description> <area>---</area> <cavity>---</cavity> <continuous>---</continuous> <u-value>---</u-value> <proposed-ua>---</proposed-ua> <required-ua>---</required-ua> <exemptionApplies>true</exem ptionApplies> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> - <assembly> <label>Basement</label> <description>Wood Frame</description> <area>---</area> <cavity>---</cavity> <continuous>---</continuous> <u-value>---</u-value> <proposed-ua>---</proposed-ua> <required-ua>---</required-ua> <exemptionApplies>true</exemptionApplies> <exemptionDescription>Framing cavity not exposed.</exemptionDescription> </assembly> - <assembly> <label>Window</label> <description>Vinyl Frame, 2 Pane w/ Low-E</description> <area>180</area> <cavity /> <continuous /> <u-value>0.300</u-value> <proposed-ua>54</proposed-ua> <required-ua>63.0</required-ua> </assembly> - <assembly> <label>Door</label> file://CADocuments and Settings\bob\Local SettingsUemporary Internet Files\OLK9\RES... 6/28/2013 Generated by REScheck-Web Software Compliance Certificate Project Title: 165 Mass Ave., No. Andover Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: i Compliance:43.6%Worse Than Code Maximum UA:225 Your UA:323 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA or or D•• Perimeter U-Factor Ceiling:Flat or Scissor Truss 300 38.0 0.0 9 Ceiling:Cathedral 100 30.0 0.0 3 Ceiling:Flat or Scissor Truss 528 38.0 0.0 16 Ceiling:Other 267 0.025 7 Wall:Wood Frame,16in.D.C. 550 13.0 0.0 26 Window:Vinyl Frame,2 Pane w/Low-E 180 0.320 58 Door:Solid 54 0.200 11 Wall:Wood Frame,16in.D.C. 1320 14.4 0.0 103 Basement:Wood Frame 240 9.0 0.0 90 Wall height:8.0' Depth below grade:0.0' Insulation depth:0.0' Project Notes: 165 Massachusetts Ave.,No.Andover Project Title: 165 Mass Ave., No.Andover Report date:09/05/13 Data filename: Page 1 of 4 CGenerated by REScheck-Web Software �J( Inspection Checklist Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6322 Climate Zone: 5 Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-38.0 cavity insulation Comments: Ceiling:Cathedral,R-30.0 cavity insulation Comments: 0\1❑ eiling:Flat or Scissor Truss,R-38.0 cavity insulation omments: ❑ Ceiling:Other,U-factor:0.025 Comments: Above-Grade Walls: ❑ Wall:Wood Frame,16in.o.c.,R-13.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-14.4 cavity insulation Comments: Basement Walls: ❑ Basement:Wood Frame,8.0'ht/0.0'bg/0.0'insul,R-9.0 cavity insulation Comments: Windows: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break?_Yes_No Comments: Doors: ❑ Door:Solid,U-factor:0.200 Comments: 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/door jambs 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. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Project Title:165 Mass Ave., No.Andover Report date:09/05/13 Data filename: Page 2 of 4 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 50 pascals 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. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (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 U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Lj Materials and equipment are installed in accordance with the manufacturer's installation instructions. LI 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 1-1-factors are clearly marked on the building plans or specifications. Duct Insulation: LI 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. Ll 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 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). LI Duct tightness test has been performed and meets one of the following test criteria: (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. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: LI Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Ll Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: F-1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. LI 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: EI Circulating service hot water pipes are insulated to R-2. Project Title: 165 Mass Ave., No.Andover Report date:09/05/13 Data filename: Page 3 of 4 L1 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. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Ll 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 watt for lamp wattage>40 Other Requirements: o 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 falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: Lj 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) Project Title: 165 Mass Ave., No.Andover Report date:09/05/13 Data filename: Page 4 of 4 2009 IECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 14.40 Floor/Foundation 9.00 Ductwork(unconditioned spaces): Window 0.32 Door 0.20 NA Heating System: Cooling System: Water Heater: Name: Date: Comments: Page 7 of 10 </section> - <section title="Sunrooms"> <item>Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements.</item> </section> - <section title="Materials Identification and Installation"> <item>Materials and equipment are installed in accordance with the manufacturer's installation instructions.</item> <item>Materials and equipment are identified so that compliance can be determined.</item> <item>Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.</item> <item>Insulation R-values, glazing U-factors, and heating equipment efficiency are clearly marked on the building plans or specifications.</item> </section> - <section title="Duct Insulation"> <item>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.</item> </section> - <section title="Duct Construction and Testing"> <item>Building framing cavities are not used as supply ducts.</item> - <item> 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 181B 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. - <exception-Iist> <exception>Joint and seams covered with spray polyurethane foam.</exception> <exception>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.</exception> <exception>Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).</exception> </exception-Iist> </item> - <item> Duct tightness test has been performed and meets one of the following test criteria: - <subitem-list> file://CADocuments and Settings\bob\Local SettingsUemporary Internet Files\OLK9\RES... 6/28/2013 Page 8 of 10 <subitem bullet="(1)">Postconstruction leakage to outdoors test: Less than or equal to 8 cfm per 100 ft2 of conditioned floor area.</subitem> <subitem bullet="(2)">Postconstruction total leakage test (including air handler enclosure): Less than or equal to 12 cfm per 100 ft2.</subitem> <subitem bullet="(3)">Rough-in total leakage test with air handler installed: Less than or equal to 6 cfm per 100 ft2 of conditioned floor area.</subitem> <subitem bullet="(4)">Rough-in total leakage test without air handler installed: Less than or equal to 4 cfm per 100 ft2 of conditioned floor area.</subitem> </subitem- ' > </item> </section> - <section title="Temperature Controls"> <item>Where the primary heating system is a forced air-furnace, at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle.</item> <item>Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load.</item> </section> - <section title="Heating and Cooling Equipment Sizing"> <item>Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.</item> <item>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).</item> </section> - <section title="Circulating Service Hot Water Systems"> <item>Circulating service hot water pipes are insulated to R- 2.</item> <item>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.</item> </section> - <section title="Heating and Cooling Piping Insulation"> <item>HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.</item> </section> - <section title="Swimming Pools"> <item>Heated swimming pools have an on/off heater switch.</item> <item>Pool heaters operating on natural gas or LPG have an electronic pilot light.</item> - <item> Timer switches on pool heaters and pumps are present. - <exception-list> <exception>Where public health standards require continuous pump operation.</exception> file://CADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Page 9 of 10 <exception>Where pumps operate within solar- and/or waste- heat-recovery systems.</exception> </exception-list> </item> - <item> 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. - <exception-list> <exception>Covers are not required when 60% of the heating energy is from site-recovered energy or solar energy source.</exception> </exception-list> </item> </section> - <section title="Lighting Requirements"> - <item> A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: - <subitem-list> <subitem bullet="(a)">Compact fluorescent</subitem> <subitem bullet="(b)">T-8 or smaller diameter linear fluorescent</subitem> <subitem bullet="(c)">40 lumens per watt for lamp wattage <= 15</subitem> <subitem bullet="(d)">50 lumens per watt for lamp wattage > 15 and <= 40</subitem> <subitem bullet="(e)">60 lumens per watt for lamp wattage > 40</subitem> </subitem-list> </item> </section> - <section title="Other Requirements"> <item>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 falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement 'c').</item> </section> - <section title="Certificate"> <item>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.</item> </section> - <note-section title="NOTE -" S TO FIELD disclaimer- (Budding Department Use Only)"> <note-line /> <note-line /> <note-line /> fileWCADocuments and Settings\bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Page 10 of 10 <note-line /> <note-line /> <note-line /> <note-line /> </note-section> </other-checklist> </compliance-checklist> <!-- end rer.crt:. --> <energy-code>IECC2009</energy-code> - <IECC2006Certificate> - <IECC2006Components> - <IECC2006Assembly> <description>Ceiling / Roof</description> <r-value>34.00</r-value> </IECC2006Assembly> - <IECC2006Assembly> <description>Wall</description> <r-value>0.00</r-value> </IECC2006Assembly> - <IECC2006Assembly> <description>Floor / Foundation</description> <r-value>0.00</r-value> </IECC2006Assembly> - <IECC2006Assembly> <description>Ductwork (unconditioned spaces):</description> <r-value> </r-value> </IECC2006Assembly> - <IECC2006GlassOrpoor> <description>Window</description> <u-value>0.30</u-value> </IECC2006GlassOrpoor> - <IECC2006GIassOrpoor> <description>Door</description> <u-value>0.25</u-value> <IECC2006shgc>NA</IECC2006shgc> </IECC2006GlassOrpoor> - <IECC2006HVAC> <description>Heating System: </description> <efficiency> </efficiency> </IECC2006HVAC> - <IECC2006HVAC> <description>Cooling System: </description> <efficiency> </efficiency> </IECC2006HVAC> - <IECC2006HWT> <description>Water Heater: </description> <efficiency> </efficiency> </IECC2006HWT> </IECC2006Components> </IECC2006Certificate> </rescheck-reports> file://CADocuments and Settin s g \bob\Local Settings\Temporary Internet Files\OLK9\RES... 6/28/2013 Kitchens By Lornbco Name 1445 MAIN STREET -AT GERMANO PARK Address TEWKSBURY, MASSACHUSETTS 01876 TEL 978-858-0700 FAX 978-858-3577 Tel. No. Date]:j13 y�j f Scale 4-................ ........... ..... ......................... ...... t--------........ ........ ...............I....... .............. ---------------...... -------. ........... ................ 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(978) 375-7905 excavate sub soil, install roma pack MAD DOG Maintenance painting, wallpapering, wall paper removal $ 5,400.00 Glen Bosch 56 Bolton St. Lowell, MA 01852 (978) 729-8384 TOTAL COST $ 24,750.00 165 MASSACHUSETTS AVE., N.ANDOVER Subcontractor Scope of Work Cost JCOR Electric rough and finish electrical work per $ 2,500.00 Jay Delaney electric application 141 Patricia Drive Tewksbury, MA 01876 (978) 888-4388 Flodin Plumbing Ralph Flodin rough and finish plumbing work per $ 3,100.00 4 Lauren Ann Lane plumbing application Billerica, MA 01862 (978)697-5574 Home Energy Inc. insulation/installation/blown cellouse per $ 2,200.00 John J. Call Mass. check energy calculation . 14 Edgehill Rd. Haverhill, MA 01830 (978) 994-2886 Guard Insurance No. 0185230301-05257 10/30/13 Robert Scarano install dry wall ceiling-second floor MAD DOG Maintenance paint, wallpaper, floor standing &stair finish Supplier Kitchen by Combco install kitchen per kitchen plan 1445 Main St. new cabinetry, appliances Tewksbury, MA 01876 paint wallpaper, floor standing &finish (978) 858-0700 (supplier) Anderson Flooring install new bathroom tile floor, wall-glass Keith Anderson enclosure, paint, wallpaper 1099 Main St. Tewksbury, MA 01876 (978)423-3203 Joe Burke install coil coverage, interior, front porch (978) 221-6914 per IEE per renovate/repair report remove 2 doors for offsite treatment Anderson Flooring install the floor kitchen with sub floor 1099 Main St. repair and installation TewksburY. MA 01876 (978)423-3203 Robert Scarano install patio pavers 12x32 in rear yard