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Building Permit #225-2012 - 270 GREAT POND ROAD 9/16/2011
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION L Permit NO: Date Received Date Issued: nnORTANT:Applicant must complete all items on this page LOCATION V edA�t �4-4 (U Print PROPERTY OWNER C® AJ,, 6 Alt Unit# P int MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building One family ❑Addition 11Two or more family 11 Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ©;Septic. �rWell' �- D,Floodplain, �}Wetlands` { , � ��WatersliedDistrict, - Water/Sewer•' i s l - DESCRIPTION OF WORK TO BE PERFORMED: ClsMa (Identification Please/Type or Print Clearly) OWNER: Name: Phone: Address: y l ��i°s,G� CONTRACTOR Name: kno kf ( (1)V X4 /"�'� Phone: Address: ' ��Ei/�/►t� (6 L4 'Supervisor's Construction License: C � j f�� Exp. Date: � � / Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Wt � 44 Phone: ? — 7 33q Address: /D S*K¢twir Jogs j eU /M � Reg. No. FEE SCHEDULE;BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925 00 PER S.F. Total Project Cost: $ 7FEE: Check No.: Receipt NOS' Persons on ct' g wit registered contractors Flo not have access to th ar ty fund tue �Sdnat r 0 e _ O e �. Sgnaof_contacto - Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application ❑ 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 ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the 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 Doe: Doe.Building Permit Revised 2008mi 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 I DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ® Notified for pickup - Date Doc:.Buffding Permit Revised 2011 June/mi --� - _ - I� Plans Submitted Plans Waived ❑ Certified Plot Plan W" Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ 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 Reviewed on Signature COMMENTS HEALTH Reviewed on Sicinature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comment- *Water i � ater & Sewer ConneGtion/Signature&Date Driveway Permit t 11\ - DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Location � 70 /�G No. �Z Date NORTIy TOWN OF NORTH ANDOVER 3?O'�t. o , • Q O R 9 f i • Certificate of Occupancy $ /O G sd>�M�sEt�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # 24590 ✓ Building Inspector Town of No Andover . No. North Andover, Mass., 9 e�! P/7-d//Z_U BOARD OF HEALTH Food/Kitchen PEKMIT TO BUILD Septic System iBUILDING INSPECTOR THIS CERTIFIES THAT..........cC ...: ......... 1/4a�IL�� <^...c. ..:,.o...�...l...................................................,-................................ Fou n ion bldinson ... .has permission to erect........................................ .. ................................................................................. u Q to be occupied as..................."..s<G ?55::✓,,:. � ....a:��'1.. .. ..............` .. / ��:1 ....�L"....`........ ....................... ...... hi ney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 'F�12al 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 til.,/_ = t �, ,; _ _ � ELECTRICAL INSPECTOR - Rough ,. .................................. Service BUILDING INSPECTOR Final '/ GAS INSPECTOR Rough . Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. �� -»- Ot HORTM 1 O p ooh SSACHUS� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 225-2012 on 9/16/2011 Date: August 20, 2012 THIS CERTIFIES THAT Ted and Nancy Leland THE BUILDING LOCATED ON 270 Great Pond Road 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: Ted and Nancy Leland 270 Great Pond Road North Andover,MA 01845 Buillding In ector Fee: PrePaid Receipt: 24590 Check :2116 NORTy OF ,�LE0 ' '9.V 3� ,,LIE tib*6 OL ~" APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION T•o BUILDING PERMIT # �SSACHU`��� _ ADDRESS/LOCATION OF PROPERTY: Map Parcel Lot Number_ (,6 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 SIGNATtRE Permit Issued to: d. Address: ROUTING t. TOWN ENGINEER, SITE PLA –DRIVE-WAY REVIEW;9 � -- CONSERVATION PLANNING DPW-WATER METER j j W o/9 SEWER CONNECTION Fr —,,nil g/9) I Z DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW ` (LIA SIGNATURE File:Application for OC form revised Jan 2007/2011 F NORT11 '9 O g6t �rO 6 0� /o APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ORA7[O SPP`q y 9SSACHLISE�,( BUILDING PERMIT # — ADDRESS/LOCATION OF PROPERTY: 9 )6 J )d Ad Map Parcel 32Lot Number_ SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: k FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED 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 SIGNATtRE Permit Issued to: 1 .FX. / Address:. % ROUTING TOWN ENGINEER, SITE PLA —DRIVE-WAY REVIEW-- s� CONSERVATION PLANNING K2 8�g DPW-WATER METER J i�/ �/ �/Z SEWER CONNECTION ®' v DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 ,270 612. DRA/N��\ EAS. 116'9. LOT2A EXIST.FND. ELEV.=151-7' m h 31' OF/yq ICHAEL ��c ' 321.8' ) ERGI y .- GREA T POND RD. sl SIONP� FOLINDA TION L OCA TION TO EHORIRIZONTAL SIETTBBAYCK STRUCTURE SHOWN O SNE LOCAL APPUCABLEZON/NG BY-LAWS IN EFFECT WHEN CONSTRUCTED. PLA (THIS CER77FICATION DOES NOTCONSIDERANYOTHER RESTRICTIONS SUCHAS COVENANTS,WETLANOSEASEMENTS ORDERS OFCONDfflONS.ETC.)THIS DRAWING SHALL NOT SE USED BY THECLIENTFORANY PURPOSE OTHER 7MANTHAT CLIENT. NANCY LELAND OUTLINED ABOVE.EXCEPT KITH THE WRITTEN PERMISSION OF CHR1SflAMSEN 8 SERGI INC.FURTHERMORE THIS DRAWWG IS THIS CERT7FKATIONISMADEANDLIMITED TO774EABOVECLIENT THE COPYRIGHTED PROPERTY OFCHRISTIANSENASERGI INC . AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN B LOCATIONNORTH ANDOVER,MA. SERGI TAKES NO RESPONSIe11 ITYFOR THE uNAUTHORZED USE OF THIS DRAWING OR ANY INFOR-MATION CONTAINED HEREON. DATE-9126110 SCALE.-1"=100' PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRIS TIANSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 f DWG.NO.:10012.001.011 AORTH 0 T '" of over 0 o dover, Mass., QL K ^, COCM,C".w,CK ORATED P'P�,��� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... �LL ��C 4......N......... .....0�.................. ............................................................................ Foundation has permission to erect..................................I..... buildings on ..a.....a...�r..�r-�-f�.V.. .....l.. ............................... Rough • d /ion Chimn y to be occupied as...................C4. sfr.�-�'- ... l�! ............ (..N. F.................. ...... eprovided that the person accepting this permit shall in every respect confo to the terms opplication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alterand Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy Building . GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. CCC imC\/CQCC CIn= Smoke Det. eir REScheck Software Version 4.4.1 Compliance Certificate Energy Code: 20091ECC Location: North Andover,Massachusetts Construction Type: Single Family Glazing Area Percentage: 17% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. 254 Great Pond Road Leland Residence William Balkus Associates Architects Main House 254 Great Pond Road 10 South Main Street North Andover,MA 01845 North Andover,MA 01845 Topsfield,MA 01983 978-887-3351 Compliance:4.3%Better Than Code Maximum UA:529 Your UA:506 The%Better or worse Than Cade index reflects taw dose to compliance the(rouse is based on code bade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code tame. ��• -ck.Y � .fa.";e,�++g�;�• _ �_�,.-s. =� s^�"�:c'r��.u-:�-, "...,s3,"k..r"` ,?e''cs .s..,. Ceiling 1:Flat Ceiling or Scissor Truss 1178 38.0 0.0 35 Ceiling 2:Flat Ceiling or Scissor Truss 964 38.0 0.0 29 Wall 1:Wood Frame,16"o.c. 12 20.0 0.0 1 Wall 2:Wood Frame,16"o.c. 61 20.0 0.0 2 Door:Interior.Solid 21 0.350 7 Wall 3:Wood Frame,16"o.c. 33 20.0 0.0 2 Wall 4:Wood Frame,16"o.c. 61 20.0 0.0 2 Door.Entry3:Solid 21 0.280 6 Wall 5:Wood Frame,16"o.c. 39 20.0 0.0 2 Wall 6:Wood Frame,16"o.c. 46 20.0 0.0 3 Wall 7:Wood Frame,16"o.c. 33 20.0 0.0 2 Wall 8:Wood Frame,16"o.c. 115 20.0 0.0 6 Door.Service:Solid 21 0.220 5 Wall 9:Wood Frame,16"o.c. 217 20.0 0.0 13 Wall 10:Wood Frame,16"o.c. 78 20.0 0.0 4 Window:ADH21050:Vinyl Frame,Double Pane with Low-E 14 0.310 4 Wall 11:Wood Frame,16"o.c. 416 20.0 0.0 18 Window:AFF5045:Vinyl Frame,Double Pane with Low-E 22 0.250 6 Window:AFF5045:Vinyl Frame,Double Pane with Low-E 22 0.250 6 Window:AFF5045:Vinyl Frame,Double Pane with Low-E 22 0.250 6 Custom Door.Solid 21 0.500 10 French Door:Glass 21 0.280 6 Wall 12:Wood Frame,16"o.c. 70 20.0 0.0 4 Window:APW1454:Vinyl Frame,Double Pane with Low-E 7 0.290 2 Wall 13:Wood Frame,16"o.c. 46 20.0 0.0 2 Window.APW3654:Vinyl Frame,Double Pane with Low-E 20 0.290 6 Wall 14:Wood Frame,16"o.c. 46 20.0 0.0 2 Window:APW3854:Vinyl Frame,Double Pane with Low-E 20 0.290 6 Wall 15:Wood Frame,16"o.c. 46 20.0 0.0 2 Window:APW3854:Vinyl Frame,Double Pane with Low-E 20 0.290 6 Wali 16:Wood Frame,16"o.c. 70 20.0 0.0 2 Project Title: Report date:07/06/11 Q Window:APW6854:Vinyl Frame,Double Pane with Low-E 36 0.290 10 Wall 17:Wood Frame,16"o.c. 8 20.0 0.0 0 Wall 18:Wood Frame,16"o.c. 239 20.0 0.0 12 Window:ADH21050:Vinyl Frame,Double Pane with Low-E 14 0.310 4 Window:ADH21050:Vinyl Frame,Double Pane with Low-E 14 0.310 4 Wall 19:Wood Frame,16"o.c. 478 20.0 0.0 19 Window:ADH21050-2:Vinyl Frame,Double Pane with Low-E 28 0.310 9 Window:ADH21050-2:Vinyl Frame,Double Pane with Low-E 28 0.310 9 French Doors:Glass 34 0.320 11 French Doors:Glass 34 0.320 11 French Doors:Glass 34 0.320 11 Wall 20:Wood Frame,16"o.c. 208 20.0 0.0 11 Window:ADH21050:Vinyl Frame,Double Pane with Low-E 14 0.310 4 Window:ADH21050:Vinyl Frame,Double Pane with Low-E 14 0.310 4 Wall 21:Wood Frame,16"o.c. 380 20.0 0.0 22 Wall 22:Wood Frame,16"o.c. 166 20.0 0.0 8 Window:ADH21040:Vinyl Frame,Double Pane with Low-E 11 0.310 4 Window:ADH21040:Vinyl Frame,Double Pane with Low-E 11 0.310 4 Wall 23:Wood Frame,16"o.c. 380 20.0 0.0 15 Window:ADH21040-2:Vinyl Frame,Double Pane with Low-E 23 0.310 7 Window:ADH21040-2:Vinyl Frame,Double Pane with Low-E 23 0.310 7 Window:ACW2638-2:Vinyl Frame,Double Pane with Low-E 18 0.300 5 French Doors:Glass 34 0.320 11 French Doors:Glass 34 0.290 10 Wail 24:Wood Frame,16"o.c. 166 20.0 0.0 8 Window:ADH21040:Vinyl Frame,Double Pane with Low-E 11 0.310 4 Window:ADH21040:Vinyl Frame,Double Pane with Low-E 11 0.310 4 Floor 1:Atl-Wood Joist/Truss,Over Unconditioned Space 2142 30.0 0.0 71 Compliance Statement: The proposed building design described hen:is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Signature Date Si Name Tide9 Project Notes: Main House Project Title: Report date: 07/06/11 - 0-1 MA REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Ceiling area over First floor ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:Ceiling area over Second floor Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Mstr.Bedroom front wall ❑Wall 2:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor W.I.C.left wall ❑ Wall 3:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor W.I.C.front wall ❑ Wail 4:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Entry left wall ❑ Wall 5:Wood Frame,16"o.a,R-20.0 cavity insulation Comments:First floor Closet left wall ❑ Wall 6:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Chet front wall ❑ Wall 7:Wood Frame,16"o.a,R-20.0 cavity insulation Comments:First floor Closet right wall ❑ Wail 8:Wood Frame,16"o.m,R-20.0 cavity insulation Comments:First floor Entry front wall ❑ Wall 9:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Pwdr.&Mud Rm.left wall ❑ Wall 10:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Mud Rm,front wall ❑Wall 11:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Mud Rm.,Hall&Kitchen right wall ❑ Wall 12:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:<JFirst floor Study front wall ❑Wall 13:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:<lFirst floor Study right-front wall ❑Wall 14:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:<lFirst floor Study right wall ❑Wall 15:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:<lFirst floor Study right-rear wall ❑Wall 16:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:<lFirst floor Study rear wall ❑ Wall 17:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor IGtchen right wall ❑ Wali 18:Wood Frame,16"o.c.,R-20.0 cavity insulation Project Title: Report date: 07/06/11 ------ -- .. _. P.n 'A nfA Comments:First floor Kitchen&Family Rm.right wall ❑Wall 19:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:First floor Family Rm.&Mstr.Bedroom rear wall ❑ Wall 20:Wood Frame,l6"o.c.,R-20.0 cavity insulation Comments:First floor Mstr.Bedroom left wall ❑ Wall 21:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:Second floor Bedroom,Hall&Sitting Rm.front wall ❑ Wall 22:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:Second floor Sitting Rm.right wall ❑ Wall 23:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:Second floor Sitting Rm.,Bath&Bedroom rear wall ❑ Wall 24:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments:Second floor Bedroom left wall Windows: ❑Window:ADH21050:Vinyl Frame,Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung Mud Rm.front wall ❑ Window:AFF5045:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.250 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.arched top Hall left wall III ❑ Window:AFF5045:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.250 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.arched top Hall left wall ❑Window:AFF5045:Vinyl Frame,Double Pane with Low-E,1.1-factor.0.250 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.arched top Hall left wall ❑Window:APW1454:Vinyl Frame,Double Pane with Low-E,U-1actor.0.290 For windows without labeled 1.1-factors,describe features: Wanes Frame Type Thermal Break? Yes No Comments:First fir.picture window Study front wall ❑ Window.APW3854:Vinyl Frame,Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: Wanes Frame Type Thermal Break? Yes No Comments:First fir.picture window Study right wall ❑ Window:APW3854:Vinyl Frame,Double Pane with Low-E,U-factor:0.290 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.picture window Study right wall ❑ Window.APW3854:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.290 For windows without labeled U-factors,describe features: Wanes Frame Type Thermal Break? Yes No Comments:First fir.picture window Study right wall ❑ Window:APW6854:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Project Title: Report date:07/06/11 -- - D.—A of R Comments.First fir,P icture window Study rear wall ❑Window:ADH21050:Vinyl Frame,Double Pane with Low-E,Ufactor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung Family Rm.right wall ❑Window:ADH21050:Vinyl Frame,Double Pane with Low-E,U-tactor.0.310 For windows without labeled U-favors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung Family Rm.right wall ❑Window:ADH21050-2 Vinyl Frame,Double Pane with Low-E.U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung mullion Family Rm.rear wall ❑Window:ADH21050-2:Vinyl Frame,Double Pane with Low-E,U factor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung mullion mstr.Bedroom rear wail ❑ Window:ADH21050:Vinyl Frame,Double Pane with Low-E,U-factor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung Mstr.Bedroom left wall ❑Window:ADH21050:Vinyl Frame,Double Pane with Low-E,U-factor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:First fir.dbl.hung Mstr.Bedroom left wall ❑ Window:ADH21040:Vinyl Frame,Double Pane with Low-E,U-factor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung Sitting Rm.right wall ❑Window:ADH21040:Vinyl Frame,Double Pane with Low-E,Ufactor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung Sitting Rm.right wall ❑Window:ADH21040-2:Vinyl Frame,Double Pane with Low-E,U-factor.0.310 For windows without labeled 13-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung mullion Sitting Rm.rear wall ❑ Window:ADH21040-2:Vinyl Frame,Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung mullion Bedroom rear wall ❑ Window:ACW2638-2:Vinyl Frame,Double Pane with Low-E,U-factor:0.300 For windows without labeled U-facOors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.casement Bath rear wall ❑Window:ADH21040:Vinyl Frame,Double Pane with Low-E,Ufactor.0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung Bedroom left wall ❑ Window:ADH21040:Vinyl Frame,Double Pane with low-E,U-factor.0.310 Project Title: Report date:07/06/11 _. Pang 5 of 8 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Second fir.dbl.hung Bedroom left wall Doors: ❑ Door.Interior.Solid,U-factor.0.350 Comments:Door to basement ❑ Door.Entry3:Solid,U-factor.0.280 Comments:Front Entry-Solid-Entry ❑ Door.Service:Solid,U-factor.0.220 Comments:Door in from Garage ❑ Custom Door.Solid,U-factor.0.500 Comments:Custom door-Mud Rm. This door is exempt from the 13-factor requirement. ❑ French Door:Glass,U-factor.0.280 Comments:First Floor-French Door-Kitchen ❑ French Doors:.Glass,U-factor.0.320 Comments:First Floor-French doors-Family Rm. ❑ French Doors:Glass,1.1-factor 0.320 Comments:First Floor-French doors(Fixed)-Family Rm. ❑ French Doors:Glass,U-factor.0.320 Comments:First Floor-French doors-Mstr.Bedroom ❑ French Doors:Glass,U-factor.0.320 Comments:Second Floor-French doors-Sitting Rm. ❑ French Doors:Glass,U-factor.0.290 Comments:Second Floor-French doors-Bedroom Floors: ❑ Floor 1:All-Wood JoistlTruss,Over Unconditioned Space,R-30.0 cavity insulation Comments:Floor area over Basement Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior wails 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 wail or ceiling covering. Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or C] � n9 damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough4n blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier.Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade wails: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. Project Title: _.._...s...... r�......w-�_._,._s._�.,_�.....,... _.a..<�._...-,.,.r.w..___<m-�....�..._=Report date:07/06/11 --- - - P—P R nf R (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: L] Materials and equipment are installed in accordance with the manufacturer's installation instructions. Q Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. L] Materials and equipment are identified so that compliance can be determined. D Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. El insulation R-values and gla2ing U-factors are dearly marked on the building pians or spedfications. Duct Insulation: Lj Supply duds 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: 0 Building framing cavities are not used as supply duds. All joints and seams of air duds,air handlers,filter boxes,and building cavities used as return duds 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 dud construction.Metal dud connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal duds 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 dud 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 duds operating at less than 2 in.w.g.(500 Pa). Dud tightness test has been performed and meets one of the following test criteria: (1)Postconstrudion leakage to outdoors test:Less than or equal to 248.5 dm(8 cfm per 100 ft2 of conditioned floor area). (2)Postaonstruction total leakage test(including air handler enclosure):Less than or equal to 372.7 d1m(12 cim per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 186.4 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough4n total leakage test without air handler installed:lass than or equal to 124.2 crm(4 d'm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: C1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. 0 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. Heating and Cooling Piping Insulation: E] 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 onloff heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. 0 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. Project Title: Report date:07/06/11 o---7.s 2 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: O 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: C] Snow-and ioa-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;bPe and efficiency of space-condfitionmg 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) �I Project Title: Report datDe: 0710611 a 2009 MCC Energy Efficiency Certificate ate Ginza Ceiling/Roof 38.00 Wall 20.00 Floor!Foundation 30.00 Ductwork(unconditioned spaces): o.. Y . ] Window 0.29 0.17 Door 0.32 0.13 ftWMI@6 @W . Heating System: Cooling System: Water Heater: Name: Date: Comments: it f Kevin Cunniff Se 1Y ellLl .1La1! JLLQltililllldell s RlLllco 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 1 of 8 Ted and Nancy Leland 254 Great Pond Road North Andover, MA 01845 Kevin Cunniff,Seven Star Builders Inc. agrees to build your house according to the plan dated July 20, 2011 by William Balkus Associates,with all material and labor unless otherwise specified as follows: Site Work: • Grade driveway and install stone at two driveway entrances. • Remove and dispose of two stumps. • Strip loam and stock pile. • Provide de-watering bag, pump rental and aggregate as underlayment for dewatering. • Excavate foundation and truck excess fill from site. • Provide%washed/crushed stone for perimeter drain, including pipe and filter fabric. • Back fill and compact. • Supply and install 4 roof infiltrators as per plan. • Excavate for Sono tubes as per plan. • Excavate for 4 new underground services. • Strip base from tennis court and stock pile. • Remove excess material from the site, approximately 300 yards. Foundation and Slab: • Pour 12" +24"footing as show on the plan with key-way and rebar as required. • Pour 12" + 18"concrete walls on top of footing using 3,000 PSI concrete and rebar as show on plan. • Place 6"of%crushed/washed stone inside foundation and compact. • Pour 3,500 PSI Micro Fiber Mesh concrete over 6 Mill Poly Vapor Barrier,with expansion joints for cellar floor. • Install 2 sump pump wells with covers and install 2,% hp sump pump and plumb into the infiltrators. Sump pump circuit to be part of the switch panel for the generator(see electric). • Install 12" Sono tubes with Big Foot Footings as shown on the plan using 3,000 PSI concrete. Kevin Cunniff Seven en Stat! Bul1 deirs Rnco 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 2 of 8 • Damp proof the foundation below grade and install 2" Styrofoam insulation around the exterior of the foundation. Framing and Roofing: • Double 2x6 PT sill over sill seal and bolted. • 117/8 AJS manufactured floor joist on the first and second floor according to framing plan and sheathed with%T&G Advantex using sub floor adhesive and ring nails. • Frame walls using 2x6 studs 16" OC, install headers, sized according to openings and double jack, sheathed walls with %" CDX Fir Plywood, single bottom plate and double top plate. • Cover exterior walls with Tyvec House wrap and tape seams. • All windows will be taped using Vicor or equal. • Roof and ceiling frame will be 2x10 and 2x12, according to plan and sheathed with 5/8 CDX Fir Plywood. • Roofing will be 8"Aluminum drip edge, cover bottom 6'of roof as well as valley's and flash points with Grace Ice and Water Shield. • Cover the remaining roof with 151b Felt Paper. • Roof using GAF/CertainTeed 30 Year Architectural Roof Shingles. • Install ridge vent and cap. • Flat roofs will be rubber. Siding: • Install Manville Hardi Plank Fiber Cement Siding primed, color, install by blind nailing and flashing behind the seams. • Install PVC trim Azac or equal, install using Cortex Screw method and plug to match. • Paint siding and trim 2 coats Benjamin Moore exterior house paint. • Soffits,fascias and rakes will be PVC according to plan using PVC trim board. • Install 5"Aluminum Gutters using bar hangers and 2x3 down spouts. i i Windows and Doors: • Windows as per plan Anderson Wood Right Series, white vinyl clad exterior,wood interior,pre-finished white with Low E Argon gas filled removable interior grills with white hardware and no screens. See window schedule A2. • Exterior doors will be Thermo Tru Fiberglass Smooth Star,with thermo pane glass. • Exterior patio doors are Anderson French Wood doors with sliding screens. r Kevin Cunniff Seven en Stas B W1llldei s Rn1Le 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 3 of 8 Insulation and Plaster: • Insulate floors with Fiberglass R-30 • Insulate walls with Fiberglass R-21. • Insulate ceilings with Fiberglass R-38 and vent. • Cover walls and ceiling in the living space with /: Blue board, 5/8 Type X on garage wall. • Apply Unical Skim Coat Plaster over Blue board. • Plastered walls have smooth finish on all ceilings,walls and closets. • Garage wall will have skip trowel finish. • Two car garage will not be plastered except for one wall connecting to the Breezeway. • One car garage will be plastered to meet Fire Code. Masonry: • Install stone veneer as per plan, homeowner to supply stone, mason allowance$25.00 per sq. ft. labor. Garage Doors: • Doors will be insulated metal doors to match drawing, (style etc to be discussed prior to ordering). • Install Lift Master% hp belt drive operators with exterior key pads. • Install transom windows over garage doors,transom will be Harvey windows. HVAC: • Weil McLain direct vent high efficiency gas fired boiler 3 zone. • Hydro Forced hot water air system with 2 air handlers, one for the first floor and one for the second floor. • 40 Gallon Super Store hot water maker feed from the boiler. • Lennox 15 Seer one zone AC for the main house. • Electric Radiant in the Master Bedroom bath floor under the tile. Plumbing: • Install Gas piping(Black Iron),to all gas appliances including 2 fire places. • Plumb waste and vent lines to the bathrooms, laundry and kitchen as on plan. • Heat lines from the boiler to the air handlers. i Kevin Cunniff Seven Stair Bufldei s Rnco 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 4 of 8 • Domestic hot and cold water. • 40 Gallon Super Store hot water makers. • Fixtures as follows: Kitchen: Kohler Undertone double sinks K-3177-NA Stainless Steel. Kitchen: Kohler Forte K-10433-BN Pull Out faucet. Downstairs Bath: Kohler Cimarron K3489 Comfort Height Elongate Bowl Biscuit toilet. Downstairs Bath: Creme MarFil%" Marble top with K-2349 Under mount sink Biscuit. Downstairs Bath: Kohler K-10215-4-BN Brushed Nickel Faucet. Master Bath: Kohler DTV digital shower control, Rain Head shower,standard shower head and handheld shower in Forte Trim K-10286 and Custom Frameless 3/8" glass shower wall. Master Bath: Kohler Bagrielle K-3608 Comfort Height Elongated Bowl toilet in Biscuit, with Creme MarFel% Marble Top. Master Bath: Kohler Kolston K-2382 under mount sink in Biscuit. Master Bath: Kohler Forte K-10215-BN Brushed Nickel Faucet. 2ND Floor Bath: Kohler Cimarron K-3489 Comfort Height Elongated Bowl toilet in Biscuit. 2nd Floor Bath: Kohler Free Will tub and shower Module K-12103-C in Biscuit. 2nd Floor Bath: Install client supplied sink and faucet in existing furniture vanity. Garage Plumbing: • Run waste line and water lines to 2 car garage for future bathroom. • Run water line to Koi Pond with shut off in the basement. • Install 3 exterior frost free hose bibs. Electric: • Wire House and Garages according to Massachusetts Electric Code, including door bells, cable and phone. • 75' or 4"Conduit from pole to location at secondary entrance to meter pedestal. • 1-4" Galvanized conduit siphon at utility pole. • 1- 320 AMP 2 position meter pedestal. • 2-200 AMP Main breakers in meter pedestal. • 100' or 2" PVC Conduit from meter pedestal to house. • 1-200 AMP Main breaker 42 circuit panel in basement of house. • 150'of 2" PVC Conduit from meter pedestal to barn. • Install wiring to existing 200 AMP panel in barn. • All necessary grounding and bonding at meter pedestal house and barn. I Kevin Cunniff Seven StairBllrllllllLl ei s �nc. 211 seven star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 5 of 8 • 12K Kohler Natural Gas Fired backup Generator with transfer switch. • Install vent fans in all bathrooms with exterior vent. • Install wiring for dryer and vent. • Homeowner's electrician and Kevin will walk through to discuss location and electrical fixtures and switches. Interior Trim, Kitchen Cabinets and Vanities: • Skirt board and rises to be Winson One primed pine. • Railing Coffman#8720 Oak attached with brass hand rail brackets. • Basement i stairs will be plywood treads and risers painted. • Interior doors JELD-WEN, Masonite Bristol raised panel solid core molded primed 3/8 with dull brass hinges,Schlage Plymouth polished brass passage set, double rabbited primed jambs. • 1x5 flat casing primed pine on windows and doors,windows will have stools. • 7 % B-400 primed speed base. • Coffered ceiling in Family Room as per plan. • Custom built-ins of Birch Plywood with an allowance of$6,000.00. Flooring: • 2nd Floor Bedrooms; Carpeted Shaw Passageway II with Y2 "upgraded pad. • Install homeowner supplied reclaimed traditional Heart Pine Floor 3"—6" random width and finish with 3 coats of Waterlox in the following rooms: Living Room, Kitchen Alcove, Master Bedroom and Closet, Powder Room and Downstairs Closet, Laundry, 2nd Floor Bath and Upstairs Foyer. • Install homeowner supplied Tile in Entry Hallway and Mud Room. • Stair treads will also be Heart Pine supplied by Homeowner. Exterior Paint: • Prime and paint all new PVC trim with 2 coats Benjamin Moore/California Latex Paint. • Paint all Hardi Plank siding 2 coats Benjamin Moore/California Latex Paint. • Paint all Thermo Tru Exterior Doors with 2 coats finish Benjamin Moore/California Latex Paint. • 3 Color allowance exterior house. i I i Kevin Cunniff Seven en Stair Blti flde11 s BALD 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 6 of 8 Interior Paint: • Prep and prime all new areas. • Trim 2 coats Benjamin Moore/California Satin Latex Paint. • Wall 2 coats Benjamin Moore/California Egg Shell Latex Paint. • Ceilings paint all, Ceiling White. • Coffered Ceiling; 2 coats Semi Glass Benjamin Moore/California. • Colors Allowed; 2 colors trim, 3 wall colors and 1 ceiling color. Kitchen,Vanities and Built-ins: • Supply and install Kitchen Cabinets, chosen by homeowner,with an allowance of $18,000.00. • Includes: Vanity's and Knobs. • Supply and install Granite counters color chosen by homeowner,with an allowance of $6,000.00. • Built-ins to be built on site using cabinet grade plywood and paint grade material primed, or may be supplied by homeowner with an allowance of$6,000.00. Miscellaneous: • Supply and install 2 Gas Fire Places, Majestic 300 DVB 33" and Custom Mantel, Majestic 400 DVB 36", both will have blowers and remote controls. • Install homeowner supplied stone veneer as shown on plan, labor allowance of$25.00 per sq ft. • Install dog door into Thermo Tru Fiber Glass door. • Supply and install 5" Aluminum (white) Gutters and 2x3 Down Spouts. Down Spouts to terminate at pipe leading to infiltrators. • Install Handi Grab Bars in bath as shown on plan, (blocking will be installed at framing stage). • Homeowner to supply all tile, Seven Star Builders Inc. to supply labor to install tile. • Run sewer and water lines to 2 car garage for future use. • Furnish and install Timber Tech Composite Twin Finish Decking or equal on 2nd Floor deck, also install Composite Rail System Timber Tech. • Install Melamine shelf and wood pole in closets and in laundry. • Build plywood bases in laundry for equipment. • Supply and maintain portable toilet for use by workmen. { M Kevin Cunniff Sevens Stair Buff ei s Rnc. 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 7 of 8 • Contractor agrees to supply and service as needed dumpster and keep site broom clean at all times. Not Included: • Plans or Structural Engineering. • Land Surveying or Engineering. • Patios. • Driveway Paving. • Landscaping, (but loam will be spread). • Appliances. • Unsuitable ground beyond 9 feet deep or ledge. Allowances: • Kitchen Cabinets and Vanity's: $18,000.00 • Countertops Kitchen and Vanity's: $6,000.00 • Built-ins: $6,000.00. • Labor Allowance: $25.00 per sq. ft. on masonry, Stone Veneer. Homeowner to Supply: • Building Permit, Kevin will apply for the permit. • Stone for Veneer. • Tile. • Pine Flooring. • Light Fixtures except recessed. • Knobs and Draw Pulls for Kitchen and Baths. 0 Mirrors for Bath. 3 y .y r Kevin Cunniff Seve l Stas BLL fldeirs �nco 211 Seven Star Road Groveland,MA 01834 Phone (978)-373-2836 August 16, 2011 Page 8 of 8 Total Cost: $762.000.00 10% Retainer until Certificate of Occupancy Received Payment Schedule: Payment Retainer Retainer Payment Less Account Retainer Foundation In $63,000.00 6,300.00 6,300.00 56,700.00 Lumber Delivered $63,000.00 6,300.00 12,600.00 56,700.00 Roof On $63,000.00 6,300.00 18,900.00 56,700.00 Windows In $63,000.00 6,300.00 25,200.00 56,700.00 Siding Complete $63,000.00 6,300.00 31,500.00 56,700.00 Roughs S+el@��a $63,000.00 6,300.00 37,800.00 56,700.00 Insulation In $63,000.00 6,300.00 44,100.00 56,700.00 Plaster Complete $63,000.00 6,300.00 50,400.00 56,700.00 Kitchen Installed $63,000.00 6,300.00 56,700.00 56,700.00 Trim In $63,000.00 6,300.00 63,000.00 56,700.00 Painting Complete $63,000.00 6,300.00 69,300.00 56,700.00 Flooring In $63,000.00 6,300.00 75,600.00 56,700.00 On Completion $ 6,000.00+75,600.00=81,600.00 Total: $762,000.00 Kevin Cunniff GAY/E Date ! T Seven Star Builders Inc. Ted and Nancy Leland Date L F - I AMENDMENT TO SEVEN STAR BUILDERS INC. IN REFERENCE TO A CONTRACT DATED AUGUST 16, 2011 This amendment shall modify the contract as follows: 1) Prior to any payments being made regarding page 8 on the payment schedule, the owners' architect and the Town of North Andover must sign off. 2) Further, the Town of North Andover must have issued any relative permits or Certificates of Occupancy or other documentation required by the town for a legal use. In all other respects, the contract between SEVEN STAR BUILDERS INC. and TED AND NANCY LELAND is ratified and affirmed. This Amendment is incorporated herewith and made a part hereof. SEVEN STAR BUILDERS INC. By: Its: TED LELAND NANCY AND { ' �a'NDNBRt At .� t 211?SEYFit'1SII �0 n 'x Massachusetts- Depaii-mient of Public Safet} Board'of Buiidim, Regulations and Standards Construction Supervisor License License: CS 69599 KEVIN F CUNNIFF 211 SEVEN STAR RD GROVELAND, MA 01834 —y--t9;crm Expiration: 9(2912012 t'ununi�si„ncr Tr#: 4198 t Office o§o"yy1ft,irs w ego a on j HOME IMPROVEMENT C&TRACTOR Registration: _:. 38835 Type: l Expiration: 5/21/2013 lnd'nridual F.•CUNNIFF, KEVIN CUNNIFF E211 SEVEN STAR ° GROVELAND,Cdl1+.Oi834 Undersecretary 05/26/2011 10:19 9782234038 Consoles-Insurance 41861 P.002/002 J(�'` :� !ggd DAT!(MWDOIrriY) % CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEfi WELY AMEND, W MND OR ALTER THE COVERAGE AFFORDED BY THE: POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sh AUTIWRRED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADOMONAL INSURED,the polic&s)must be endorsed. it SUBROGATION M WAM,Subject to the terms and conditions of the poilcy,certain Policies may mquiLe an endorsement- A statement on this eertlficM does no confer rights to the certificate holder in lieu of such endorse s. PRODUCER Mr.CT atllle 9a?rri Y _ Fabri is Rots he Zus+arance AgewW, IIIc. 0. (978)223-4037 F c97e)97a X030 153 Andover Street j>teLiDriyEasbrisaistwiae.cow Unit 208 00095425 Danvers DIA 03.923 et61IRER(1)AFFORDINGCOVERAGE IN _ MAIC• ump 1 A�a{itilt3p Zs1surance CO Seven star 11"Iders, Inc. Tamwence Co. 3363.9 MUM — UMC: 211 Seven Star Road -. INSURER Groveland IIIA 0111134 IMMKII F. COVERAGES CERTIFICATE NUMBER9t6eter 2011-12 REVISION NUMBER: THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ift NY INDICATED. NOTWITHSTANDING AREQUIREMENT.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 CONDITION OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID_CLAIMS. _ TYPE OF INSURANCE POLICY MDeISR E LANT+ GMERALUABILRY EACH OCCURRENCE__ $ Zi A00�00 E COMMERCIAL GENERAL LIA91UTY � ° i 1941000 A CU►IMS FAAOE OCCUR067675 {27I2010 /19/1011 MED EXP .L,,j 11 5,000 PERSONAL B AOV IMM i 410001000 GENERAL AGGREGATE i 3/000/000 GENT AGGREGATE LIMIT APPLIES PER: PrmOUDTS-COMPAP AGG 3 raga f 000 97 POLICY LOC i AUTOMOBILE LIABILITY comageo S94W LIMB : 11000.000 (Ea aeddant) _ ANY AUTO DOMY INJURY(Per Perron) i a ALL OWNED AUTOS 510996 /?6J?010 /?6/1011 BOOILY INJURY(PeraeeldOnt) S SCHEDULED AUTOS PROPERTY DAMAGE NIREDAUTOS (Per abc)"M s_ x .--- x NON•OWNED AUTOS PIP4�osic i 8♦00 X Undiftasurea motwW M sell s 100.000 UMBRELLA UAIII HOCCUR EACH OCCURRENCE . EXCESS LIAB CLA0AS.MAOE AGGIiLsGATE i DEDUCTIBLE 1 ON 5 = VM?=6 COMPENSATION we sTATu- OTH AND EMPLOYERS'LIABILITYUM ngi ANY MOPRIETOPWARTNE "MITNE Y!N El.EACH ACCKWWr i EMB OFFI:SRIMER EXCWDED? NIA (MandaNq In NH) E L DI -EA EINPI DYE S n Vas.deoerde under DESCRIPTION OF OPERATIONS Debt El.DISEASE POLICY LIMIT >< MaCfWMON OP OPEAATPW I UWATIONS/VORCUA(AQeeh ACCM lot,Ad*NW l FAMW a sche&IS.M mora apace G rewn Q Certificate 1'er warkerva aarrasnsalleTL to ise>a.d directly br the iaa>zsaaoe carrier, acs American. st bee bees requested dad will fallaw. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Dy TNI:ABOVE DESCRIBED POLICIES BE CANCILLUD BEFM THE W4RATUM OATS THEREOF, NOTICE WILL BE ORMIMP IN ACCOItOANCE WITH THE POLICY PROV94ONB. Kevin F. Cunniff Carpenter • Builder • Contractor illsaa► >:a11r1/METaIIRt G ®19811-M ACON CORPORATION. All rights reserved. Cell: 978-968-8087 211 Seven Star Road d logo aro registered marks of ACORD 978-373-2836 Groveland,MA 01834 Email: kt679956comcast.net RightFax C1-2 5/31/2011 5:34:19 AM PAUL~ ZIU0Z rax server ISSUE DATE 5f31/2@ll THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CODERS NO RIGHTS UPON TNM CBRWICATE HOLDER THIS CERTURCATE DOES NOT AFF9U"11VELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.TKIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURIMin ABTHOREMB, REPRESENTATIVE OR PRODUC134 AND THE CERTIFICATE NOIRE L IMPORTANT:If On CoUffCate holder IS an ADDITIONAL INSURED,the 13011CAI s)must be WwWrsed.If SUBROGATION 15 WAIVED,subjed to the terms and condMons of dw policy,certain polWas may require an mlorswnwL A sWome it an this certl lwW does not confer rights to the certfficale holder In Hsu of such endorsement S PRODUCER CONTACT FABRI&ROURKE INS AGCY rpm: PHONE FAIL 153 ANDOVER STREET 208 No,eat: INC.Nok DANVERS,MA 01923 E-MaL AOOREss: PRODUCER CUSTOMER ID t INSURED AFFORDING COVERAGE MAIC# SEVEN STAR BUILDERS INC UgSURER A ACE AMERICAN INSURANCE 211 SEVEN STAR RD COMPANY GROVELAND,MA 01834 U48URER B IMURER C riHSURER D IPISURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBM THIS IS TO CFRTJFY HATMM POIMM OFINSURANGE LISTED BELOW SAVE BBPN ISSUED 70 THE INSURED NAMED ABOVE FORTHEPOIICY PERIOD DIDICAMM. NOTWrrESTANDINGANYREQMEMENT,TERMORCONDMONOFANYCONTRACTOROTHEIRDOCUNER ITHREMWrTOWHICHTHOSCERTIFICATEMAYBH ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDE D BYTHE POIICc4 DESCRIBED BERM 14 SUBIBGTTO ALLTEBTERMS EXCLUSIONS AND CANDIIIONS OF SUCH POLICIES.LBnT8 SHOWN MAY HAVEBEEN REDUCED BY PAID CLAW& INSR TYPE OF INSURANCE ADDL SIi$R POLICY NUMIKER POLICY EFF POLLCV E M LBYBTS LIR visa W VD GZWERAL LIABILITY FACHOCCURREIM S DAtd'ADEIORENISD S ❑COZRdFRQALOFNHtALIIABIIITT PRF]dDEB ooaerece 0 CI.AWSMADE 0 OCCUR. i�S7@EtreSl)lagone t person PFRTONAL EADY. S O 1NR1RY I!i O GENEULAGGREGA36 S GEWL AOGMATE OMAPPLIESPFR PRODUC734OMP/OP S 0 POIUCY 0PROM= 0 LAC AcG AUTOMOBILELIABUITY OOUSUMMINOIE $ Lam' BODII.YIIi URY S D ANTAvro � 0 AtI,OWNED AUT08 BOMTVUURT $ UlwAceids-4 O =HMULEDAUMS PROPERWDAMAGE S eraeadeiJ 0 IIIItEDAU103 = 0 NON-OWNWAUIOS s 0 0 VMBRELLAUM 0OCCUR EACROCCURRENCE S 0 EXCESSLdAB OCLAUC&UADs - A00REGA7E S 0 DEDUCImIS S O Rh'7FNnmNs S WORNERS'CONFENSATION WC 3MIULDRT A AND EMPLOYERS LIABILITY WA lam YIN ANY PROPRMTOPWARTHM a*'RCBR kCUdEER Y NIA 062UB-4664P014 05/18/11 05/18/12 MEAMACCUIM 5100,000 ElalMDED? (ArANDA7nRYLLILUII DISEAM-EA 5100.000 IAYFE IrMdesaibeunderDESMUPrONOF I&LD=A3&PMJCY S540,000 OPEIA770NSbdov RIs'SG'RIPLYONOFOPERAT1ON&MOCATIOMAORCLU0ft&AC0RDL0I,AddiicmdRemsla2cbm&k irmoeespaeeisreq** OT10tCERMICATHHOLDERAFFSCnNGWOMMC030 COVERAGE Kevin F. 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