HomeMy WebLinkAboutBuilding Permit #742-13 - 29 NORMAN ROAD 5/7/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 7W-1-5
Issued: �/-7/li
Date Received
I IMPORTANT: Annlicant must complete all items on this imine I
LOCATION -ci R -&-AD
Print
PROPERTY OWNER % tt2g S Le -g,
Print 100 Year Old Structure yes o
MAP NO: OTS PARCEL OD IT -ZONING DISTRICT: Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Exp.
Date: 6 13
Residential
Non- Residential
❑ New Building
`One family
Date:
`LAddition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
ater/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
A AA l S -V -1 iZ-ab A 10'
Identification Please Type or Print Clearly)
OWNER: Name: Phone: 121 1h 7-0) 3
Address: ?_9. V--t,-x0
CONTRACTOR Name: �C �-. �.. (�� r �1� -,_ Phone: S-, 1p 6 1 •5 3 3 5
Address:_ V6�v�es fi S fi'ti.�-- Itvc.� h. \u.r 1��� , C—)
Supervisor's Construction Licenser
053 U RO\.
Exp.
Date: 6 13
Home Improvement License: t
o � Vi -tom
Exp.
Date:
ARCHITECT/ENGINEER tee ,.,Phone:
Address: '--o6 t-! Ia..... u ----Reg. No
FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 63 , 3 u D FEE: $ 'I d 0 .0 U
Check No.: &J�� EF Receipt No.: fro
NOTE: Persons contracting with unregistered contractors do not have access to theguaranty fund
Signature:of.Agent/OwnerL9--Signature,of contractor
Plans Submitted Plans Waived ❑ Certified Plot Plan' Stamped Plans
Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art ❑
❑
Swimming Pools14
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
COMMENTS / ��i] �, �,, dl�� ,V� c �-J'
61
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW 'I'owa Engineer: signature:
Located 384 Osgood treet
_ FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 MainStreet
Fire Department-signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$10041000 fine
NOTES and DATA — (For department use
El Notified for pickup - Date
Doc.Building Permit Revised 2010
r
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)
a 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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Doc.Building Permit Revised 2012
Location 4, y ��
No. 7�Ko — A-7 Date 41-211
;
Check #-&6-9-P
3
TOWN OF NORTH ANDOVER 1w
Certificate of Occupancy $
Building/Frame Permit Fee $ 76
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
26365 Building -2
Inspector p ctor
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 63,300.00
m
$ -
$
759.60
Plumbing Fee
$
94.95
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
94.95
Total fees collected
$
1,049.50
29 Norman Road
742-13 on 5/7/13
Addition of 14x14 Room and a 10x14 Deck
per plans
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Ikevin Murphy
Building Contractor
Proposal
To: Greg & Ashley Shea
29 Norman Road
North Andover, Ma 01845
From: Kevin Murphy
CC:
Date: 5/7/2013
Jot: Addition / Deck
Date of plans: 4/13
Architect Steve Foster
Location: Same
Section 1- Work Schedule
• 98 Forest Street
• North Andover, MA 01845
PH: 978-688-5335
• FAX: 978-688-7207
All Hone improvement Contractors and Subcontractors
engaged in tame improvement contracting, unless
specifically exempt from registration by Provisions of Chapter
142A of the general laws, exist be registered with the
CAmmortvvealth of Massachusetts. Inquiries about
registration and Status should be made to the Director, Home
Improvement Contract Registration, One Ashburton Place,
Roan 1301, Boston, MA 02108.(6`17)-727 8598
Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in
writing contractor will begin work on or about 5/10/13.
Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 8/15/13. The owner hereby acknowledges
and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as
violations of this agreement.
Section 11- Warranty
The Contractor warrants that the work famished hereunder shall be free from defects in materials and workmanship for a period of 1 year
following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or
damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job,
including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair correct, replace, or cause to be remedied, repaired, or
replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in
connection with the agreed-upon work.
Section 111- Scope of Work
Page 1 of 5
Kevin Murphy
Bu lding Contractor
98 Forest Street
North Andover, MA 01845
PH: 9784688-5335
FAX 97868&7207
General
Page 2 of 5
Proposal is based on adding a 14'x14' sunroom, and 10'x14' deck as shown on owner's plans. Building permit
to be obtained by contractor. No allowance has been made to obtain any variances, if required by the town.
Excavating
Excavation required to install a full basement for new addition, will be provided. All additional fill will be removed
from site. Backfilling and rough grading will be provided. No allowance has been made for the removal of ledge,
relocation of underground utilities, landscaping, or lawn repairs.
Foundation
Poured concrete foundation will be provided for full basement area under sunroom. Footing will be 10"x20",
walls will be 10" thick, grade to be determined in field. An opening will be provided through existing fieldstone
foundation, to gain access to new basement area. Opening will be approximately 42" wide. Poured concrete
floor will be provided over crushed stone base.
Building
All frame, roof, and siding materials will be supplied / installed to match existing / meet code. Floor joists will be
2x10, exterior walls will be 2x6, roof rafters wil be 2x12. Ice & water sheild will be installed at all roof edges. Roof
shingles will be supplied and installed to match existing. Exterior walls will be wrapped with Tyvek or equivalent.
Composite siding will be suppllied and installed to match existing as available. Harvey all vinyl windows, and
Velux skylights, will be provided as shown on plans. Deck will have pressure treated frame, composite decking
and rails.
Heating/Air Conditioning
New gas fireplace will be used as heat for new room.
No allowance has been made for any air conditioning.
Electrical
Electrical work required to wire addition to code will be provided. Six recessed lights have been included.
Phone / cable / computer lines will be roughed in by electrician, to be connected by service provider at owner's
expense. Surface mounted fixtures ( ceiling fan etc) to be supplied by owner, installed by contractor. General
layout to be approved by owner, prior to rough.
Plumbing
No allowance has been made for any plumbing work.
Insulation
All added areas will be insulated to meet code. R-30 in basement ceiling, R-21 in exterior walls ,R-38 in first floor
ceilings.
Kevin Murphy
Building Contractor
98 Forest Street
North Andover, MA 01845
PH: 978£8&.5335
FAX, 978-688-7207
Page 3 of 5
All added areas will be blueboarded and skimcoat plastered. Walls will be smooth, ceilings to match exisitng.
Interior Trim/Doors
Interior trim will be supplied / installed to match existing.
Painting
Interior and exterior painting will be provided. One coat of primer, and two coats of finish will be applied to all
surfaces.
Flooring
Hardwood flooring will be supplied / installed and finished with three coats of oil based urethane , to match
existing.
Other Allowances
An allowance of $3000 has been included to supply / install zero clearance gas fireplace and surround.
Waste Removal
All demolition / construction debris will be disposed of by contractor.
Asbestos siding, on one side of existing house, and will be stripped and disposed of.
Kevin Murphy
Building Contractor
98 Forest Street
North Andover, MA 01845
PH: 978588-5335
FAX: 978-68&7207
Section IV - Price Schedule
Total
Page 5 of 5
We hereby propose to furnish material and labor - complete
in Accordance with above specifications for the sum of ..................................... $63,300
Payment to be made as follows:
PercentagelItem
Description
Amount
1
Foundation poured
$12,000
2
Roof complete
$15,000
3
Siding / windows installed
$10,000
4
Plastedng complete
$10,000
5
Paint / floors complete
$10,000
6
Job 100% complete
$6300
6
$93,300.00
"Notice: No agreertient for Home improvertient contracting work sta require a dam payrtent (advance deposit) of more tot one-third of the total cor rad price of the total amount of all deposits or
payments which the mor must make, in advance, to order adlor otherwise obtain delivery of special order matelots and eghipment, whichever is greater
Contractor. Kevin Murphy
98 Forest Street
No. Andover, MA 01845
Registration No: 101874
Section V — Acceptance
Acceptance of Proposal — I have read this document and accept the prices, specifications, and conditions stated. I
understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified.
Payment will be made as outlined above.
You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this
transaction cancellation must be done in writing
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Signature Date l 5
Signature,
Date
CERTIFICATE OF
LIABILITY INSURANCE
M�D,YYYY)
12/4/20/4/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON MTHE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. ENCS CERTIFICATE OF INSURANCE DOES NOT CONSTiTiIiE A CONTRACT BETWEEN THE ISSENNC, INSUREDS), AUTHORED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT_ If the certificate holder is an ADDITIONAL INSURED, the pdicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, min policies may require an endorsement Astatement on this certificate does not corder rights to the
certificate holder in fieu of such endorsement(s).
PRODUCER
M P ROBERTS INS AGCY INC
1060 Osgood Street
North Andover, MA 01845
(MM/DD/YYYY)
CUNIAGI
MAW-
PHONE MD 978 683-8073 FAX No): (978) 683-3147
„DDREm sandi@mprobertsinsurance. com
INSURER(S) AFFOFIDIING COVERAGE NAICa
INSURER A: PROVIDENCE MUTUAL
INSURED 1MVIN MURPHY BUILDING & REMODELING
98 FOREST STREET
NORTH ANDOVER, MA 01845
INSURER B: MERCHANTS INSURANCE
INSURER c: GUARD INSURANCE
INSURER D:
INSURER E:
INSURER F:
L:VVtKALitS (;ERTTFICATENUMBER REVISION NUMRFR-
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 VVtTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES QESCRIBEI) HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L
TYPE OF INSURANCERM
VJyD
POLICY NUMBER
(MM/DD/YYYY)
(MMOD/YYYY)
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL. LIABILITY
CLAIMS -MADE j OCCUR
BOPI068945
1/22/12
1/22/13
EACH OCCURRENCE $ 1,000,000
PREMISES (Ea. ommrica) $ 500,000
MED EXP (AM onepumn) $ 15,000
PERSONAL &AmINJURY 5 1,00-0,000
GENERAL AGMEGATE E 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICYF] i9a PRD LOC
PRODUCTS - cowlop Am x 2,000,000
$
B
AUTOMOBILE LIABILITY
ANYAUTO
ALIOYYNED SCHEDULED
AUTOS AUTOS
$
NON -OWNED
HIRED AUTOS AUTOS
MCA7013608
1/23/12
1/23/13
COWANEL)
„ y 1,000,000
BODILY LNil1RY (Per person) $
LYINJURY (Per accident) S
PROPERTY DAMAGE $
(per )
5
B
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -NIDE
CUP9145304
1/22/12
1/22/13
EACH OCCURRENCE $ 1,000,000
AGGREGATE $ 1,000,000
DED I RETENTIONS
$
(`
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
pOt}�7 ER p�yl� ❑
(Mandat-y In NH)
ifres.desabe user
DESCRIPTION OF OPERATIONS below
NIA
KEWC317800
7/01/12
7/01/13
X VUC STATl4
TORY LIMITSI I ER
EL EACH ACCIDENT $ 500,000
Ey,qSEASE-FaEMPLDYEE y 500,000
E-t-mTASSE-POLICYLIMB S 50-0 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ~ACORD 101, AdMonal Remaft Sdedtftif more spaoe is Mqur"
CtK i II -ICA 1 t tiL)LDFJR rAMrM I ATInnI
TOWN OF NORTH ANDOVER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
NORTH ANDOVER MA 01845
ACCORDANCE WiTH THE POLICY PROVISIONS.
AUTHOR®TIVE
Or
Y (&WA 0
0 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston MA 02111
kvi. www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/orgmizationflndividual):
Address: V%
City/State/Zip:ly v �-+� a-�-�'- �^�-- 1 J -1 -6 -Phone #:
Are you an employer? Check the appropriate box:
1. tt� I am a employer with —�— 4. ❑ I am a general contractor and I
employees (full and/or part-time) have hired the sub -contractors
2. ❑ I am a sole proprietor or partner- I
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required]
3. ❑ I am a homeowner doing all work
myself. [No workers' comp.
insurance required] t
fisted on the attached sheet.
These sub -contractors have
workers' comp. insurance.
5. ❑ We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, §1(4), and we have no
employees. [No workers'
comp. insurance required]
Type of project (required):
6. 9 New construction
7. -Remodeling
8. ❑ Demolition
9. Building addition
l0.❑ Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*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 are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors thaf check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees Below is the policy and job site
information. ��''
Insurance Company Name: (3 v✓t -o� i--11 I..
Policy # or Self -ins. Lic. #:
Job Site Address: Zc'l
k 0,:F -t-, c-
3 k 1 U U
Expiration Date: L 3
City/State/i
z�'
ii.. r ,. ,
�l, ,
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 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.
I do hereby certify under the pains and
c'\ <,;�- ` �0
that the information provided above is true and correct
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. Plumbing Inspector
6. Other
Contact Person: Phone #'
LOT AREA
9,483 S.F. t
40.4'
A Jp-
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W
I
Lot Frontage
:*_D
I CERTIFY THAT THE STRUCTURES SHOWN WERE LOCATED PLOT PLAN OF LAND
BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. #29 NORMAN ROAD
NORTH ANDOVER, MASS
"OF s ItlOF PREPARED BY:
q $ SULLIVAN ENGINEERING GROUP, LLC
�” 22 MOUNT VERNON ROAD
� CML � " �,
No. 41.586 . !3972 BOXFORD, MA 01921
/ONALE�Ea, (978) 352-7871
SSS/Of�AIE�G� �gy,�� �� 9
SCALE: 1"=20' DATE: 4/9/13
gg.55'
N�4. 6„W
Side Street
i
32.8'
C
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Z
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22.2'
14.0' 10.5
II II
1.0' o Prop. Prop. o
D
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`t Addition Deck ;*
rn c0
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t.
21.1'i�.
7 i
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Ex. 1 1/2 Story
/
Wood Frame
ZONING INFORMATION:
Structure
ZONING DISTRICT : R4
/
1
MIN. BLDG. SETBACKS:
FRONT : 30 FEET
/
SIDE 15 FEET
N
N
#29
REAR 30 FEET
Side Street Setback: 20 Feet
N
CCri
0
ASSESSOR INFORMATION:
�.
MAP 15 LOT 12
�
85.00'
S66'20 30
DEED REFERENCE:
11.3'
BOOK: 116 PAGE: 309
OWNER INFORMATION:
NORMAN
GREG & ASHLEY SHEA
29 NORMAN ROAD
NORTH ANDOVER, MA 01845
LOT AREA
9,483 S.F. t
40.4'
A Jp-
� 3
W
I
Lot Frontage
:*_D
I CERTIFY THAT THE STRUCTURES SHOWN WERE LOCATED PLOT PLAN OF LAND
BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. #29 NORMAN ROAD
NORTH ANDOVER, MASS
"OF s ItlOF PREPARED BY:
q $ SULLIVAN ENGINEERING GROUP, LLC
�” 22 MOUNT VERNON ROAD
� CML � " �,
No. 41.586 . !3972 BOXFORD, MA 01921
/ONALE�Ea, (978) 352-7871
SSS/Of�AIE�G� �gy,�� �� 9
SCALE: 1"=20' DATE: 4/9/13
A
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name:
Applicant Phone: _101�t __1 33 r
Compliance Path (check one):
Site Address: Z`L
t-. L,_
c.aryi i own: 1,
Use Group:
Date of Application:
Applicant Signature:
❑ Prescriptive Package (Limited to 1- or 2 -family wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.1 a:
(For items d. through i.,, fill in all values that apply from Table J52.1 b:)
a. Gross Wall Area sq.ft f. Wall R value R-
b. Glazing Areal sgJL g. Floor R -value R -
c.. Glazing % (l oo x b _ a) % h. Basement wall R-
d Glazing U -value U- i. Slab Perimeter R-
e. Ceiling R -value R=
j. Heating AFUE
❑ Component Performance: "Manual Trade -Off' (Limited to wood or metal framed buildings only)
Climate Zone (from Figure J6.22) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade -O, ff'Worksheet from Appendix J, [and HVAC Trade -Off Worksheet, if applicable]
❑ MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or Engincer Analysis
A-LTERNATNE FOR ADDITIONS ONLY:
a. Gross Wall + Ceiling Area 5-\)D sq.ft. b. Glazing Areal '1`\ sq,ft c. Glazing % (100 x b = a) t 3,-
%
ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.23.1 below -
1
2
Glazing Area may be either Rough Opening or Unit dimensions:
Based on NTFRC listing. Applies either to every unit, or to area -weighted average of all units.
R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full P. -value over the entire ceilin, area
(Le.- not compressed over e :terior walls, and including any access openings,)
❑ "STT"F'ROOM" addition (greater than 40% glazing -to -mall and ceiling gross area)
Attach "Consumer Information Form" from 780 CI\4R Appendix B.
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Official's Narire: _ Official's Signature:
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