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Home My WebLink AboutBuilding Permit #831-12 - 20 MAYFLOWER DRIVE 5/21/2012TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential (—New BuildinqD One famil)E--) Addition —Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic W611 Floodplain Wetlands, Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 4 L (2011.-� 4fu C- 00" CP t=, A- 3 8ev ?-G)V�K Z it;, 610 F 140 (A if - L te.,J4 4446�,en Identification Please Type or Print Clearly) OWNER: Name: ka!� 1-."wte, -,rc . Phone: c0c6-(o83-8i(63 Add ress: -b P -.-V a, .0 o ve te Wt PJ1- CONTRACTOR Name- Re Cc 6-,0,q 0 P h o n e -w G'029 -,S -�8 - 9, (a 0 Address: Lact Vitt L 4 -kowly-.: �wo w ,AD (/e e Supervisor's Construction License- L -7530.'L Ex'p. Date: .Home Improvement Ulderise: Ev. Date: ARCH ITECUENG IN EER-0-ku 4L -V*It� &AJerc45 Phone: 781 /(P6-7 Address: Y84t'n S�k'00�, A& Reg. No. FEE SCHEDULE: BULDING PERMIT. $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 3 rD 11-g _FEE: $ el JO/ --.z -- /1) S;), ? Check No.: k-� 0 Receipt No.:. oqZ-319 .11 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Sig-naiu''rie- of'A--g-en t-/OwnE. L ignature of contract 7 —AMW&41,ee-,r-- or-� 114 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Zu:b :1i c S �e 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 COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comm Conservation Decision: Corn 41:� Water & Sewer Connection/Sianature & Date =�w FA ",jr? WITV LTA id Q I I I I I = - '��AK' �A DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Tem'p Pumpster on site yes no tLocated at 124 Main Street +ire De paftment,signature/date COMMENTS Dimension Number of Stories: c�- Total square feet of floor area, based on Exterior dimensions. -980( Total land area, sq. ft.: eem 0 0 ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21 A —F and G min.$100-$1 000 fine NOTE5 and DATA - (For department use LJ Notified for pickup - Date Doc.Building Permit Revised 2008 No 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 u Building Permit Application L3 Workers Comp Affidavit • Photo Copy Of H.I.C. And/Or C.S.L. Licenses • Copy of Contract • Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks u Building Permit Application Li Certified Surveyed Plot Plan • Workers Comp Affidavit • Photo Copy of H.I.C. And C.S.L. Licenses • Copy Of Contract • Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) • Mass check Energy Compliance Report (If Applicable) • Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of 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 w"'Two Sets of Building Plans (One To Be Returned) to Include Sprinkle I r Plan And Hydraulic Calculations (if Applicable) Copy of Contract "- as.s check Energy Compliance Report a -.S �+Ie- e Engineering Affidavits for Engineered products NOTE: All d.umpster 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location -,�20 11"le /)/-"/ "'K No. fz/— / ��" Date Check # 60?� 25319 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL M, Building Inspector la josit 540�� o / 20 Mayflower Drive North Andover, MA 01845 5 Stars Plus ConfirTned Uniform Energy Rating System EnergyEfficient I Star 5 Stars 15 Stars Plus 500-401 40D-301 1 300-251 HERS Index: 61 General Information Conditioned Area: 2475 sq. ft. HouseType: Single-family detached Conditioned Volume: 20576 cubic ft. Foundation: Unconditioned basement Bedrooms: 3 Mechanical Systems Features Heating: Fuel -fired air distribution, Propane, 95.8AFUE. Cooling: Air conditioner, Electric, 14.0 SEER. Water Heating: Conventional, Propane, 0.67 EF, 50.0 Gal. Duct Leakage to Outside: 144.00 CFM. Ventilation System: Exhaust Only: 55 cfm, 6.0 watts. Programmable Thermostat: Heating: Yes Cooling: Yes Building Shell Features Ceiling Flat: R-46 Slab: None Sealed Attic: NA Exposed Floor: R-30, R-27 Vaulted Ceiling: NA Window Type: U:0.30, SHGC:0.29 Above Grade Walls: R-24, R-21 Infiltration Rate: Htg: 1352 Clg: 1352 CFM50 Foundation Walls: R-0.0 Method: Blowerdoortest Lights and Appliance Features Percent Interior Lighting: 100.00 Range/Oven Fuel: Propane Percent Garage Lighting: 100.00 Clothes Dryer Fuel: Electric Refrigerator (kWh/yr): 691.00 Clothes Dryer EF: 3.01 Dishwasher Energy Factor. 0.69 Ceiling Fan (cfm/Watt): 0.00 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REMIRate - Residential Energy Analysis and Rating Software v14.2 This information does not constitute anywarranty of energycost or savings. Q 1985-2013 Architectural Energy Corporation, Boulder, Colorado. RegistryID: 314690690 RatingNumber: ABA1299-10-6 Certified Energy Rater: MichaelA.Browne Rating Date: 5-9-2013 Rating Ordered For: Key Lime, Inc- Ben Osgood Estimated Annual Energy Cost Confirmed Use MMBtu Cost Percent Heating 64.1 $2117 53% Cooling 2.8 $144 4% HotWater 18.4 $604 15% Lights/Appliances 23.3 $1150 29% Photovoltaics -0.0 $_0 _0% Service Charges $0 0% Total 108.5 $4016 100% This home meets or exceeds the minimum criteria for all of the following: 2011 MA New Homes with Energy Star -Tier 1.* HERS Rating for MAEnergy Code, 2009 IECC Performance* MA Stretch Code Performance requirements* Compliance with criteria forthis program is determined by the rater. Michael A. Browne Advanced Building Analysis, LLC 2 Woodlawn St. Amesbury, MA 01913 www.advancedbuildinganalysis.com ��t V. �- &' rertified Energy Rater Estimated Annual Energy Cost $1yr Index More Energy ISO 5000- Existing 130 Homes 1 120 - Standard .100 New Home 4015.9 4000 : 80 ---70 This Home — 3000 - 40 30 20 ?117.3 10 14 Home 0 Less Einergy 2000- 1 150.3 1000 603.9 144.3 1� 0 0 1 i i (b Address: 20 Mayflower Drive North Andover, MA 01845 HOME ENERGY RATING ENERGY RATING CERTIFICATE HERSO Index More Energy ISO '140 Existing 130 Homes 1 120 Standard .100 New Home 90 80 ---70 This Home 60 61 50 40 30 20 Zero Energy 10 14 Home 0 Less Einergy Estimated Annual Energy Consumption MmBtulyr 140 120 108.5 100 80 64.1 60 40 23.3 18.4 20 2.8 1�1 -1 0 F Annual Estimates*: Michael A. Browne Elechic(kWh): 7012 Advanced Building Analysis, LLC Propane(Gallons): 927 2 Woodlawn St. . I ... � I yp� --U emssonsk ns): Certified Rater: MichaelA. Browne Cond.Area: 2475 sq. ft Annual Savings**: $3910 Rater ID: 3992602 Rating No.: ABA1299-1G-6 Registry ID: 314690690 Issue Date: June 03, 2013 Based on standard operating condition, Rating Date: 5-9-2013 Certification Verified Based on a HERS 130 Index Home Signature: REM/Rate - Residential Energy Analysis and Rating Software v14.2 This information does not constitute any warranty of energy cost or savings. @ 1985-2013 Architectural Energy Corporation, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. RESNET HOME ENERGY RATING Standard Disclosure For home located at: 20 Mayflower Drive City: NorthAndover State: MA 1. The Rater or the Raters employer is receiving a fee for providing the rating on this home. 5/ 2. E] In additiontothe rating,the Rater or Rater's employer has also provided thefollowing consulting servicesforthis home: ElA. Mechanical system design F1B. Moisture control or indoor air quality consulting ElC. Performance testing and/or commissioning other than required for the rating itself ElD. Training for sales or construction personnel F-1 E. Other (specify below) 3. The Rater or Rater's employer is: A. The seller of this home or their agent B. The mortgagor for some portion of the financed payments on this home C. An employee, contractor or consultant of the electric and/or natural gas utility serving this home 4. The Rater or Rater's employer is a supplier or installer of products, which may include: HVAC systems Thermal insulation systems Air sealing of envelope or duct systems Windows or window shading systems Energy efficient appliances Construction (builder, developer, construction contractor, etc.) Other (specify below): Installed in this home by: 1-1 Rater 1-1 Employer F-1 Rater F-1 Employer 1-1 Rater [-� Employer Rater Employer Rater Employer Rater Employer F] Rater 1-1 Employer OR Is in the business of: Rater Employer Rater Employer F-1 Rater F1 Employer 1-1 Rater 1-1 Employer F1 Rater F-1 Employer 1-1 Rater 1-1 Employer E Rater F-1 Employer I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network (RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8 of the standard and are posted at http://www.natresnet.org/accred/Standards.pdf. This home may have been verified under the provisions of Chapter Six, Section 603,'Technical Requirements for Sampling" of the Standard. Michael A. Browne Rater's Printed Name —r j,j R;tees Signatu're 3992602 Certification # June 03, 2013 Date RESNET Form 0300-2 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 831-12 on 5/21/2012 Date: May 14, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 20 Mayflower Drive 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: Key Lime, LLC 10 Hepatica Drive North Andover, MA 01845 '0.'& Building Inspector Fee: PrePaid Receipt: 25319 Check:6084 1% B W 0 OP91 AA ..... ..... 0 "3NNZ, yj LU 0 lu 0 MM UJ 0.1 U CD ca IN m CD Q L) CL= Cc CD --000-- 0 co X ZO 0 Cf) ca E ct u �4 r: - 0 C/) C/) cu/) ..... ..... 0 "3NNZ, yj LU 0 lu 0 MM UJ C/) z 0 C/) u Lm u 0 40. CD CD ts C13 z CL im CO) co cm CD LA E 0- 0 CD Ct CD Q .m C2 CL CM< CIO 0 cc = Cc A CD C* Z ts CD ca CO3 cm LLI LLI U) 19 ul LLI 19 uj LLI U) s CD ca m CD Q L) CL= Cc CD ca E ct CL C* CD CD = CL= "I.. ca cc E E C" A a- 0 A'S C43 CLL) CD cp 82 cm t=m cla Q 42 c2m CD cc CD C-) CD 2 cle CD M CD C'3 La E- ci W C) L3 4D e U CD ,:e C#* CL. Nil 0 0 ca CD cc 0 Z CL C/) z 0 C/) u Lm u 0 40. CD CD ts C13 z CL im CO) co cm CD LA E 0- 0 CD Ct CD Q .m C2 CL CM< CIO 0 cc = Cc A CD C* Z ts CD ca CO3 cm LLI LLI U) 19 ul LLI 19 uj LLI U) s 10 11 10, FA APPLICATION FOR CERTIFICATE OF OCCUPANCY[INSPECTION Building Permit # ADDRESS/LOCATIO N OF PROPERTY: 2�0 A, 40er Map Parcel _ Lot Number SUBDIVISION Eola oi V, L i DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY:-----��-//-,-//,�r FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. 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ENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WORKERS COMP INFORMATION PAGE Associated Employers Insurance Company 64 Third Avenue, Burlington, Massachusetts 0803 NCCI NO 40959 (800) 876-2765 0120i�l� POLICY NO, FWCC 50075�81 PRIOR NO. �80120�10-1 I EM 7be insured Key Lime Inc MA 01845 10 Hepatica Drive North Andover Mail Address: Street No. Town or City County FEIN xxxxx1218 State Zip Code NCorporatlon oJointVenture rlAssoclatlon []Other Jindividual Opartnership Other workplaces not shown above: to 09115/2012 12:01 a.m. standard time at the insured's mailing address. 2, The policy period is from 09115/20 W�6 �ft�e �poficy applies to the Workers Compensation Low of the states listed here; 3. A. Workers Compensation Insurance: Pa MA B. Employers Liability Insurance: Part Two of the policy ap plies to work in each state listed in item 3.A. The limits of our liability under Part Two . are: Bodily Injury by Accident $ __1&0.0000 each accident bodily Injury by Disease $ ----1,90-0-0-004 limit Bodily injury by Disease $ ___J.000000 each employee WC 20 03 06A C. Other States Insurance: Coverage Replaced By Endorsement. 1). This policy includes these endorsements and schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating plans, All information required below is subject to verification and change by audit. INTRA 285896 Estima Per $100 Estimated Coc led Annual N Total Annual Of I Remuneration Remuneration premium SEE E�TENSION OF INFORMATIqN PAGE Minim urnt premium $ 500.00 Total Estimated Annual Premium $ 4,426.00 As indicated interim adjustments of premium shall be made: Deposit Premium $ 1,165.00 C3 Annually C1 Semi Annually 0 Quarterly 0 Monthly MA Assessment Chg. $3,983.i9x 5.9000% $235.00 07/08/2011 This ool�icy, Including all endorsements, is hereby countersigned by Authorized Signature Dole GOV I GOV STATE I CLASS KI AUDIT OFFICE 0 FICE CHECK GROUP MA 1 5545 I 14 505 WC 00 00 01 A (7-11) jr,,clud.es c--.yrlchted mateiial of the National Council on Compensation Insurance, used Arlth it-� permission. M P Roberts Insurance Agency Inc. 1060 Osgood Street North Andover, MA 01845