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HomeMy WebLinkAboutBuilding Permit #568-14 - 26 STANTON WAY 1/29/2014 f i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: X00 �/ Date Received Date Issued: Z2��y IMPORTANT:Applicant most complete all items on this page t� PPARGEL �® G s c ® c sA o r � . ' TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ew Building ><One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: j ❑ Demolition ❑ Other WI �'.+d r�� - a� . -e.. u .fie ticCWe)Irr ;tipF.a ti Foo plan.� e la ds FTS r 1 Vate s:ed District Ys. , +s,r ,'� ,`# "f .JaSal 1`at_Y-K�u r �� a Tx r . F. ��.$� ,% iu,, `�.'�, _ DESCRIPTION/OF WORK TO BE PERFORMED: ��t �2�r.z�► �z, Identification Please Type r.Print Clearly) OWNER: Name: —'�A -Z VI A& V �,�'L Phone: (,w-;- Add ress ;--Address P' 'iC 4-197 /I ,,11Ww ��� 111 a3��vt- *r S > � 6 k. .z r s j ,CRA TOF; f a�{e � h kw x� N r . �, r E�JSO nCons, yc logwmeerSeg i _�.t + `.n:_ , orrte Im rovement>Licensey4ktti D ARCHITECT/ENGINEER Phone:_60s- V3/ 95 5-9 Address: .5 eQ -6-INZiJC4^N 0Reg. No. 36 j FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 60 Total Project Cost: $ '� 7 � FEE: $ �k Check No.: Receipt p No.: 9/ ,q6 I NOTE: Persons contracting with unregistered ontractors do not have access to the guaranty fund Signature of Agent/Owner u ....-moi �atre:of contractor . g _ - Plans Submitted Plans Waived 0 Certified Plot Plan .� Stamped Plans i Building Department The following is=a list of the required-forms to be filled out for the appropriatepermit to.be obtained. Roofhig, Siding, Interior Rehabilitation Permits ❑ ' Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or G.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire-Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses L3 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) o 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) o Building Permit Application o Certified Proposed Plot Plan o 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) ❑ Copy of Contract o Mass check Energy Compliance Report Li 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.tted with the building application Doc: Doc.Bui!ding permit Revised 2012 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TW.E.OF SEWERAGEDISP-OSAL' Public Sewer ❑ Tanning/Massage/Body-Art ❑. Swimming Pools ❑ Well . Tobacco.Sales E Food Packaging/Sales ❑ Private(septic tank,etc- Flo Permanent Dumpster on Site ❑ THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U.FORM _.. DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENT ❑ 0 - COMMENTS :CONSERVATION Reviewed on Signature � COMMENTS—a, LctL 01 HEALTH Reviewed on `� ( Signature COMMENT S 69 wk� 1 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Commen Water & Sewer Connection/s, nat a& Dat Drivewa Permit DPW Tow! Engineer: Signature: SIRE D`EP�4F3TM;r=NT - Tern Du oc to 384 Osgood Street p pater on site yes no Located-at 124 Mair, Street Fire Departure?d signature/date ------------ COMMENTS • i Dimension Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. Total land area; sq. ft.: 'f".'F ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL-Chapter-166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— For department use I� v I I I I i I I I 1 .u. Y ® Notified for pickup - Date f i I Doc.Building Permit Revised 2010 LocationG No. � / Lf Date Xle/x o - TOWN OF NORTH ANDOVER e � y- Certificate of Occupancy $, -��' Building/Frame Permit Fee G7 Foundation Permit Fee $ 4d Other Permit Fee $ a, TOTAL $� �/`•Od Check# e?7-7 J 27263 Building inspector t k North Andover Health Department Community Development Division November 4, 2014 New Homeowner , 26 Stanton Way J North Andover, MA 01845 Re: Your new home and your 4-bedroom septic system Dear Resident, Congratulations on your move to North Andover and on your new home. The North Andover Health Department has overseen the design approvals and installation of the septic system on your property and believes that it is important that you understand the details of the system that services your home. Enclosed is information on how to care for your septic system and notification of restrictions in case you intend on finishing additional spaces, which are currently designated as "unfinished space", in your home. The house plans that were submitted prior to construction of your home show multiple unfinished areas, but this system can only serve a 4-bedroom home (maximum 9-room). A home with this sized system, which as defined by the MA Department of Protection regulations 310 CMR 15.000, will have a maximum of a 9 rooms in total (not including bathrooms; laundry rooms etc). Therefore, according to our file, your home is currently at its maximum capacity in room number. This assumes you did not finish more than the plans originally identified. If you have gone over the approved number, a violation to MA DEP code may already exist. The multiple unfinished areas in your home are allowed by state code and are not counted until finished. The inclusion of this amount of square footage, as unfinished space,was discussed with your builder. The Green Co. chose to inform homeowners upon purchase,that if you plan on finishing any of the areas for living space, above the 9-rooms,the expansion of the septic system and the compliance o pliance with the code will be done by the new homeowner. No building permits, to finish additional rooms, will be supported unless compliance is achieved. If at any time you do plan to inhabit any of these multiple unfinished areas, please contact our office and we will be happy to discuss the options with you. Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 26 Stanton Way November 4, 2014 As the homeowner, we want you to be fully informed on how disposal systems work. The document provided will help you care for your system. You can also access numerous guides to assist you on the MA DEP website, http://www.mass.gov/eea/agencies/massdep/that will help you maintain your system in good working order, so it will protect you and the environment for many years to come. Finally, it is important to note that this septic system is not designed for use with a garbage grinder. Installation of a garbage grinder will cause damage to your septic system and will void any guarantees for its proper service by the septic installer from the date you install the grinder. We hope you are enjoying your new home in North Andover. The Health Department staff members are here to answer your questions on septic systems or any other Public Health related subject. Feel free to contact us. /Sincely, e , S/RS Heal rector Encl. "Caring for your Septic System: A Reference Guide for Homeowners" I i i Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 + Oi NORTH Hti O O A ♦ S51CIH156 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 268-14 on 1/29/2014 Date: August 21, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 26 Stanton Way—Lot 8 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: Cranfield Inv. LLC C/O Green and Company P.O. Box 1297 North Hampton,NH 03862 Building Inspe tor, Fee: PrePaid $100.00 Receipt: 27263 Check : 87541 r r 1 - - NORTH - E IF i. -c ve" . a No. 6t— 14 h , ver, Mass, , o K6 a COC"1C"2WICM A V � B ARIA OF HPERMIT T LD T t Foen Sep ticSystem ' THIS CERTIFIES THAT ... �� S..f'1. �//.. � ' ��:d �:"... s ., 't I I ILD NG NSPECTb r' -ro . ..,' _ at uhaspermisslon to erect ..... buildingson . . 6 .��s�rfG.� Rough G gh to be occupied as .......... �� 5:�. � > .......................................... Chimney .�:::: ..........:.:.7.�:...�. ..... .... provided that the person accepting this permit shall in every respect conforto the terms of the application nal �� '/A 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 INSPECT911 � \ VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough gz5�� `7�1I'�1 J Final s PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TARTSoU Zy— ........ ......... ...-....................... BUILDING INSPECTOR GASINSPECT9 Occupancy Permit Required to Occupy Building Rough "5k.' Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ` lw� Smoke Det ``���_►► 71 SEE REVERSE SIDE ,�,H , � NGRTy 0* SLED q.l. . 6 0 o� p APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION BUILDING PERMIT # 9SS<ICHU`-+�� ADDRESS/LOCATION OF PROPERTY: v�wv �%^A��� f�✓I Map �Parcel Lot Number SUBDIVISION: ' , DATE REQUESTED FILED/READY FOR INSPECTION:- CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT S ATURE Permit Issued to: eAL�;j dor►, �.� y Address:©- '90)0 /.Zg 7 /fy4`�. �7��s~/d,0=`�: �� /J//- 4 ROUTING TOWN ENGINEER, SITE PLA —DRIVE-WY REVIEW ©V CONSERVATION �Qrl PLANNING DPW-WATER METER C 14 SEWER CONNECTION S L� � � ) DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW'_A� /'Iql, SIGNATURE File:Application for OC form revised Jan 2007/2011 Registry ID: 747854529 Rating Number: GDS-NG-MA-SR-5832 Certified Energy Rater: Drew Trafton Rain Owe Rating Date: August 19,2014 26 Stanton Way Ordered For: Rating North Andover,MA01845 Estimated Annual Energy Cost WW*WW Confirmed 5 Stars Plus Use MMBtu Cost Percent Confirmed Heating 60.6 $543 31% Uniform Energy Rating System Energy Efficient Cooling 3.8 $110 6%o 1 Star 1 Star Plus 2 Stars 2 Stars Plus Hot Water 18.9 $153 9/o 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 25.6 $780 44% 500-401 400-301 1 300-251 250-201 200-151 150 101 100-91 90-86 85-71 70 or Less photovoltaics -0.0 $-0 -0% HERS Index: 57 Service Charges $190 11% General Information Total 108.8 $1776 100% Conditioned Area: 2900 sq.ft. HouseType: Single-family detached Conditioned Volume: 29060 cubic ft. Foundation: Unconditioned basement ' — - Bedrooms: 4 This home meets or exceeds the minimum MechanicalSystems features T criteria for all of the following: Heating: Fuel-fired air distribution,Natural gas,95.0AFUE. Cooling: Air conditioner,Electric,14.0 SEER. Water Heating: Instant water heater,Natural gas,0.82 EF,0.0 Gal. Duct Leakage to Outside: 138.00 CFM25. Ventilation System: Exhaust Only:80 cfm,23.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Building Shell Features - Ceiling Flat: R-44.4 Slab: None Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: NA Window Type: U-Value:0.330,SHGC:0.450 Above Grade Walls: R-21.0 Infiltration Rate: Htg: 1127 Clg:1127 CFM50 Foundation Walls: R-0.0 Method: Blower door test Lights and Appliance Features Percent Interior Lighting: 90.00 Range/Oven Fuel: Electric GDS Associates,Inc Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Electric 1155 Elm Street Suite 702 Refrigerator(kWh/yr): 600.00 Clothes Dryer EF: 3.01 Manchester,NH 03101 Dishwasher Energy Factor: 0.00 Ceiling Fan(cfm/Watt): 0.00 (603)656-0336 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation,Boulder,Colorado. STANIPON WGDODS - Gv! T F NORTH ANDOVER s •L t � a 1'. _HT - p�ai tri �� ,� ••.�'�fJ %Yp, +t �' x \ • ,t�� +� y •8 lir** 5 .rye `aY ! a fy l i „f _ �T t �• �,i t0. - s • x f « ! m •k^ �L:t _} 1' �'iw � fit+�• � , 'n � � 1� ` � ,�°`� ♦:w:$ ��� # �tit q t��t� i '.��. Y � 2'1.rte. �'# • �ra� ,x-�_ r t+< � moo.♦' .������`. - �+4 N,�,Il� 4 c ^�t r . x StAnton Woods in Hist6nc North Andover North Andovers .Newest Subdivision Green and C&npany Devetopment qui Is es s s 4xs r } . . _ Fine Cu-tom HOM.1 . Prices, starting at � Beautiful It ,acre Hvmesites $649,9001 p ivtate Cul- 0-Sar , T I Op quali -6fistrnetivn r Call t�� s ' a Attention 'to Detail today to � �� , 978-225-0406 * Profess ahal Landstap�ing Close to sv ?fi7 major rtes Groat Schools n rie"O EEN&CUS r+lavalmma nt - e-m—nmarrini S t M A.T U ! ` r Enter construction cost for fee cal - North Andover Fee Calcination Construction Cost $ 456X5.00 m $ - $ 5,476.50 Plumbing Fee $ 684.56 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 684.56 Total fees collected $ 6,945.63 26 Stanton Way 568-14 on 1/29.2014 Single Family Home r 1 - NORTH - : _ . .. .c . . ve" ' 0 No. 6kt- 14 -4* Y ih ver, Mass, y T O LAKE 'QC 41 CA.",WIC,[ 1' oRATE0 0r 5 V PERMIT T BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT ...��r1t.�.,�;�„�r/f�/V D....,v �: :.. �4 C .. .......................................... BUILDING INSPECTOR has permission to erect.......................... buildings on ? Sf �(�, Foundation to be occupied as , � Rough ........... � srr..:.................. .............. ....... ” " Chimney provided that the person accepting this permit shall in every respect confor 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 Final 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 CONSTRUCTI TARTS Rough Service .BUILDING INSPECTOR, Final 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. f SEE REVERSE SIDE Smoke Det. lox* S 150 , v? r 0 N LOT 8 EXISTING 'v? LOT 7 FND. EL.=139.5' 6 352 yh- f1 O F A14 SS9 O v� Z MICHAEL C' o c SERGINmi 1�$`L A 33191 y SOF SIO l �P 1/vo . S I v I I I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO j THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE BY-LAWS EFFECT WHEN FOUNDATION AS-BUILT (THIS CERTIFICOATION NING DOES NOTCONSIDERANY OTHERRUCTED. RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE USED : BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED GREEN & COMPANY ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN CLIENT 8 SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES LOCATION: NORTH ANDOVER,MA. NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. DATE:2/11/14 SCALE: 1"=100' I PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX. 978-372-3960 DWG.NO.: 12007.001.012 / � ------------------ SO _336P 3 2C ___-__ _-_---'- � � | U' " The Commonwealth ofMassachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizationdlndividual): L` j all, IF Address:. � i a sz 1 G 100 7 City/State/Zip:d �', /lir �� G,i- Phone#: �3 94, Are yob an employer?Check the appropriate box- Type of project(required): 1.�I am a employer with �j 4. i, i am a general contractor and I 6. Flew construction employees(full and/or part-time)." have lured the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and'have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. workers'comp.insurance. 9_ Q Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL l LE]Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.[]Roofrepairs insurance required.]t employees:.[No workers' q � 13.Q Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t.Homeowners who submit this affidavit indicating they Sie doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Iam an employer that isproviding workers'compensation insuranceformy employees Below is thepolicy and job site information. _ Insurance Company Name:-,4ws i� - �.�. a'.`�► C!1 L�K `y��- CEs�C Policy#or Self-ins.Lic.#:L-t�tr°� v� ��. T Expiration Date: 7 Job Site Address: Vi INs� G/0-c-ay'is >�'S'�''0 l City/State/Zip: Attach a copy of the workers'comp ensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Izereby certt nder the sins andp al es ofperjury that the information provided above is true and correct. Si ature: Date: - Phone# �� � - Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone#: -�� GREEN-2 OP ID: MH ,a► o� CERTIFICATE OF LIABILITY INSURANCE 7(MMIDDIYYYY) 12112013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone:207-725-2797 NAME: Melissa Holt Bilode Insurance Agency,Inc Fax:207-725-6001 PHONE 207-725-2797 Alc No: 207-725-6001 92 Pleasant Street A!C No Ext Brunswick,ME 04011 E'MADDRESS,Ann Tourtelotte ss:mholt bilodeauinsurance.com INSURER(S)AFFORDING COVERAGE NAIC A INSURERA:Acadla Insurance Company 31325 INSURED Green&Company, Inc.: Prime INSURER B: Properties Inc;Green&Co Real Estate&Development Inc; INSURER C: Cranfield Investments INSURER D: 11 Lafayette Road, PO Box 1297 North Hampton, NH 03862 INSURERE: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR S POLICY NUMBER MMIDDIYYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPA0284851 05/04/2013 05/04/2014AMA E RE TE PREMISES Ea occurrence $ 250,000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ A ANY AUTO CAA 0284853 05/04/2013 05/04/2014 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUA5122663-10 09/26/2013 05/04/2014 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATIONX WCSTATU- OTH- AND EMPLOYERS'LIABILITY RY LIMITS A ANY PROPRIETOR/PARTNERfEXECUTIVE YIN CA024854 05/04/2013 05/04/2014 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) RE: Stranton Woods off Bradford St. , North Andover Tax Map 61 Lot 16 & 34 Tax Map 34 Lot 31 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Michael Green THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f f ©1988-2010 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 Superl'isor License: CS-045719 `1.-e:r I. /I MICHAEL P GRE�E`N _-__ PO BOX 1297 vf� z 11 LAFAYETTE QLD North Hampton 038+ . 62 J Expiration Commissioner 08/10/2015 `X t 4 .r► ?�' µORTN Town of North Andover 4r�to •Motnt CT -2 AV (1. 42 Office of the Planning Depar r Community Development and Services Division �►,Ss^cH 5 j� 1600 Osgood Street North Andover, Massachusetts 01845 Definitive Subdivision Decision—Insubstantial Change Date of Decision: September 30, 2013 Michael Green Cranfield Investments LLC c/o Green and Co. P.O. Box 1297 North Hampton,NH 03862 Premises Affected: 1679 Osgood St., North Andover, MA 01845, Map 61, Parcels 16 and 34, and Map 31 Lot 4 within the R-2 and CDD3 zoning districts. INSUBSTANTIAL FINDING On September 20, 2011, the Planning Board approved a Subdivision Plan so as to construct a nine-lot subdivision, including the construction of a roadway with a cul-de-sac, a private right- of-way with a hammerhead turn-around, a private shared driveway,the installation of stormwater management infrastructure, the installation of underground utilities, the installation of separate septic systems and separate water supplies and substantial grading in the R-2 and the Corridor Development District 3 Zoning Districts. Condition "6" under "PRIOR TO ISSUANCE OF A BUILDING PERMIT", the decision states that "All lots shall have a Saracusa Way address." Michael Green of Cranfield Investments LLC, the current owner of the property, has requested and received a street name change from the North Andover Police Department, dated September 26, 2013. The streeeet�nat�neto be A§2d As the„aaddr-es§�for—ll lots in this subdivision shall be"Stanton Way behalf of the orth Andover Planning Board Judith Tymon,AICP NORTH AND®VER POLICE ---Community Partnership--- September artnership---September 26,2013 Mr. Michael Green Cranfield Investments LLC C/O Green and Company P.O. Box 1297 North Hampton, N.H.03862 Dear Mr. Green; This letter will confirm your request to change the proposed street name of"Saracusa Way"to "Stanton Way" in a new subdivision being built off the lower end of Bradford Street. The name has been reviewed by public safety and the Department of Public Works; and does not present a problem. The use of this street name is acceptable. A copy of this letter has been forwarded to the Fire Chief,Town Planner and:department of Public Works Operations Manager. Ficha ectfully, DX rd C. Boettc er, RPL Director,Administrative Services Division E-9-1-1 Coordinator Cc: Andrew Melnikas—Fire Chief Timothy Willett—DPW Operations Manager Judith M.Tymon—Town Planner 1475 Osgood Street, North Andover, Massachusetts 01845 Telephone: 978-683-3168 Fax: 978-681-1172 Registry ID: Rating Number: Certified Energy Rater: Drew Trafton Rating Date: January27,2013 Lot 16-8 Stanton Woods Rating Ordered For: North Andover,MA 01845 Projected Rating: BasedEstimated Annual Energy Cost - **ww on Plans - Field Based on plans Confirmation Required. 5 Stars Plus Use MMBtu Cost Percent q Based on plans Heating 74.8 $662 37% Uniform Energy Rating System Energy Efficient Cooling 0 $0 0% 1 Star 1 Star Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Hot Water 18.3 $148 8% Lights/Appliances 25.9 $790 44% 500-401 400-301 300-251 250-201 200-151 150-101 100-91 90-86 85-71 70 or Less Photovoltaics -0.0 $-0 -0% HERS Index: 61 Service Charges $190 11% General information Total 122.0 $1790 100% Conditioned Area: 2900 sq.ft. HouseType: Single-family detached Conditioned Volume: 29060 cubic ft. Foundation: Unconditioned basement Bedrooms: 4 This home meets or exceeds the minimum Mechanical Systems Features criteria for all of the following: Heating: Fuel-fired air distribution,Natural gas,95.0AFUE. Water Heating: Instant water heater,Natural gas,0.82 EF,0.0 Gal. Duct Leakage to Outside: 174.00 CFM. Ventilation System: Exhaust Only:80 cfm,23.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Building Shell Features Ceiling Flat: R-44 Slab: None Sealed Attic: NA Exposed Floor: R-30 Vaulted Ceiling: NA Window Type: Dbl/LoE/Arg-Vinyl Above Grade Walls: R-21,R-15 Infiltration Rate: Htg:0.35 Clg:0.35ACHnat Foundation Walls: R-0.0 Method: Blower door test Lights and Appliance Features Percent Interior Lighting: 90.00 Range/Oven Fuel: Electric GDS Associates,Inc Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Electric 1155 Elm Street Suite 702 Refrigerator(kWh/yr): 600.00 Clothes Dryer EF: 3.01 Manchester,NH 03101 Dishwasher Energy Factor: 0.00 Ceiling Fan(cfm/Watt): 0.00 (603)656-0336 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REM/Rate-Residential Energy Analysis and Rating Software v14.1 This information does not constitute any warranty of energy cost or savings. ©1985-2013 Architectural Energy Corporation,Boulder,Colorado.