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HomeMy WebLinkAboutBuilding Permit #491-14 - 30 STANTON WAY 12/11/2013L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ew Building Xone family 0 Addition El Two or more family 0 Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Others: ❑ Repair, replacement 0 Assessory Bldg ❑ Demolition 0 Other 0 Utsc:Kir i 1UN OF WORK TO BE PERFORMED: Identification Please Type��r.Print Clearly) OWNER: Name :'% "iL�� Phone: &_9 G ARCHITECT/ENGINEER Phone: Com!• �.3/��� Address:'l�L'�c�'eL�rt��� c=,�i3'��1� so%i� Reg. No._0% (c FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $_. j6OZ a62 o -0 FEE: $ 7 J 0 VI Check No.:._ %/ -. ` Receipt No.: 5 NOTE: Persons contracting with unregistered ontractors do not have access to the guaranty fiend Signature of Agent/_ wnerwig nature of contractor Plans Submitted L. Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ The foltowing is -a list of the retluired.forms to be filled out for the appropriate -permit to .be obtained. R.00firig, 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 o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products MOTE: 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 MOTE: 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 VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cans if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apr), al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subwted with the building application Doo: Doc.Buiiding Permit Revised 2012 Plans Submitted ❑ PlansWaived-11 Certified Plot Plan ❑ 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' ❑ � o� >T 3 COMMENTS �)C � l/I eo/ _CONSERVATION Reviewed on Si nature LXL�7 COMMENTS_ -00 HEALTH S�1 HEALTH Reviewed on—) � � `! ��j Signature Zdning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comme Water & Sewer Connection/sianature & Date a DPW Tow;2 Engineer: Signature: v -- FIRE DEPARTI!/IENT - Temp Dumpster on site .yes_ tLocated-at 124 Mair, Street- -Fire treet -Fire Departme►-it signature/date COMMENTS /2-/p–,�3 Located 384 Osgood Street . no Dimension Number of Stories:/Z-ATotal square feet of floor area, based on Exterior dimensions. Total land area; sq. ft.: nk�, v 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 21 A -F and G min.$100-$1000 fine ICU 1 is anel UA I A — (i -or ciepartment use U Notified for pickup - Date Doc.Building Permit Revised 2010 �a La7 Location No. v Date Check # V 7-311 27170 TOWN OF NORTH ANDOVERI Certificate of Occupancy Building/Frame Permit Fee ;Y3:P:0— Foundation Permit Fee $/ y Other Permit Fee $ TOTAL $� aC)•I)D /Building Inspector North Andover Health Department (ommunity Development Division November 4, 2014 New Homeowner r30 Stanton Way 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 8 -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 9 rooms in total (not including bathrooms; laundry rooms etc). According to our file, your home is currently at eight (8) rooms; therefore only one (1) additional room could be finished for use. 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 8 -rooms, the expansion of the septic system and the compliance with the code will be done by the new homeowner. No building permits, to finish additional rooms, will be supported unless compliance is achieved. 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 30 Stanton Way November 4, 2014 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. 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. Sincer , /san Sawy , RE %RS Public Health Di ector Encl. "Caring for your Septic System: A Reference Guide for Homeowners" 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 Stanton Woods in.Historic.North Andaver North Andover's Newest Subdivision A Green and Company. Development Prices, starting at $649,9QI0_i Call today to reserve your new home 9-78-225-0406 E .N CU: Me R E A L E S T A, T E development - commercial - residenW - brokerage Fine Custom Homes ,@ 9 Beautiful 1+ acre Homesites 9 Private Cul -De -Sac & Top Quality Construction a Attention to Detail • Professional Landscaping • Close toshopping & major routes • Great Schools SlIGNATURE PROPERTIES —� t xt l 4 1•,` r W10""m,ma OF NORTH AINDOATE R f •'\\t 't. A"1�-«11, � •,'. R, � ..'h ..fie kr6 }gipIW#A�, j ',.3p �: ,� #viA• t a S M • r � �'y Dt „•. y •'��� .•� ' t �;�:e .'� � - `�'' dti•• v v - � .,.# � t>a`.!. f y� � w r ♦. a i A•wY � ,�,, yn1 raj A6- '7 J; ;2,qjJ4,-z�4 hjllllliv Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 360,000.00 m $ - $ 4,320.00 Plumbing Fee $ 540.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 540.00 Total fees collected $ 5,500.00 30 Stanton Way Lot 7 491-14 on 12/11/2013 Single Family Home m m m m y m y m CD 0 z cD o Cr 0 C ,a co � o 00 C� C Cr CD o CD . �o CM . CD U) CD 0 'a �G 0 U) CD rt CD U) U) I 0 z CD 0 CD z m O n n a ,x v Z t E: m m X 0 70 cn z CD r z cn r a z h [D N O cc O co CD to O U) 2. CD o - w c 0_MU O _ N M W r+ c� CL 0 CD 0M. CD -� rn vi0 =n - CD O O •-F C. 0 m N W n O N p c CD CD -% a Q O N 7 O O ,ny (Q Q. O N O N O r+ n r► O' C CD D CD 'O 0 O O ` o.4to �5 Z CD 0 C _ : CD NCD CL cn O oto: 0 o=r =rCD D CDN o -h >•* : :� a `D 0 ID O O CL O =rowy Ln 3 0 C o r° W lD z 0 07 C (D m m Z T :• N :0T 0 C 3 > Z A =• DJ N N Z m ;D 0 C 3 m m D CA n 0 T O) w 0 C S M c C W N m Q T O! n 7" 3 7 m�*. 70 0 OC1C S T 0 3 0 0 C D H m O V1 fD ^ Ln N fD 3 T 0 d �* ^ N :3 W > 0 m m m D 2 0 c Art form Architecture, Inc. 580 Greenland Rd, Portsmouth, NH 03801 603-431-9559 December 9, 2013 To whom it may concern, RE: Plans for 16-7 Stanton Way, North Andover, MA Please be advised that the plans dated December 9 for 16-7 Stanton Way were prepared under my direction, as indicated by my wet stamp on the plans. 1 Please feel free to call me with any questions. Sincerely, --_.., Art Form Architecture, Inc. OE µORT :�H k. �S7 ACHUS CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 491-14 on 12/11/2013 Date: May 22, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 30 Stanton Way 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 11 Layfayette Road North Hampton, NH 03862 Building Inspector Fee: Prepaid $100.00 on 12/11/2013 Receipt: 27170 Check :87319 U) m m m H m m 0 z C O Cr 2 C O 0v C C c CCD O 0 C• CD CD �- O OWE O N F O N CD rt CD CD U) 0 z CD O CD 0 z m cn 0 cn C'1 cn the v C) t E• CM 0. "A O m Cl) Z 0 cn D z h CD N co O W co CD cm 0 U) 0 Q. N N CD 0 " C _ 5. O 'p CO) CL 0 CD 0 0 3 = 0 � m o = =� cDT. O O = O N W N N p �D CD 2 Q. 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APPLICANT SIGNATURE Permit Issued to: x Address:_ ROWING TING TOWN ENGINEER, SITE PL — DRIVE -WAY REVIEW �11111q CONSERVATION kAl", PLANNING DPW -WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW A SIGNATURE File: Application for OC form revised Jan 2007/2011 CA m m m y m /ww V/ mm v C � CD n Z N (D �o cam. cin -a 0 o 0 CD < o r Cr =r CD CD O ou CD v CD CC C i � v O 0 Z CD 0 n P-IIL fmILCD O CD c� n Z m cn 0 C'7 v z n O m -v m z 0 m O D z h CD 0 5' O W Q CC X CD0 0. 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'46; 'r7914r�.� zj /Uil .a ROUTING TOWN ENGINEER, SITE PLAN- DRIVE -WAY REVIEW �11111q CONSERVATION ok��\` PLANNING K] GvP14-�y DPW -WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW C SIGNATURE File: Application for OC form revised Jan 2007/2011 m m m m y m y m 00-06 ° 2 _ a, =� 0. vs o co n cD n 177 O z GON —1 y �_ p O N ,�,l- CD •77 C rt o• 0 3 M 0 m `< CDn C° in o N �. >D cC x �• O �. O > O rt co y Q C1 a n ,o -% = E , 0 W S CD CD Z "V M O In N vi - Cl) CDSL "N; CL _ p O O CD>c� N 0 m o `� �+• 6 Z y Q c = w► O �CD �0�-I� 0 <C�� O CD m N CD C in Cr 0 0 y �� . < v� � Nr y ` 0 CD 0 � 0 con 0 ou Z� O CDcn N (p m O� A; N m Z CD v 0 °, O G)t DM CD X czn. �� O �° < m � 0 CD C- : = rt —I p : as o CL O li a O p N V7 W 3 -, C m T .Z7 O d c `' tom\ w y C� t T_ ;o 7 O m c _ n W T N T � O� m O o, c _ CD W A c� ED - z`'' � ,� fI r)In'l"40 0 M K "qm ow-., IA IO - M '' _ APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION "SSgCHLUIS y BUILDING PERMIT # / ADDRESS/LOCATION OF PROPERTY:_ 3 Map � / Parcel f G Lot Number A- 7 SUBDIVISION: 6�1—'9t►iatj &Joo$ DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: 6.1 x A4v aa,?,� 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 SIGNATURE Permit Issued to: ��; ..,C 't.�� CSA/C/( Address: 1�� iei / J�or�19r��iTr�r "4j// 2� KOUTLNG TOWN ENGINEER, SITE PL — DRIVE -WAY REVIEW 91111q CONSERVATION`��,� PLANNING DPW -WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW w SIGNA File: Application for OC form revised Jan 2007/2011 0/('+ Fn N � I ©5- m u o tD 000 3 o_ , w I Ao N N M I ;O f N � CA I I � T j 41 O.4- C 7 S X i m � °: I C A to f c n O i o I O G (5 A I N r w _0 r 2 0 2 c z o 3 v Si 00 +a' O S m o W 3 vi S Cj s °'. a m O `d N N O' � fQ CD 3 0 7 � N _K •� (D O y `�° m a -n v 0 3 <- 'D a O1 O � CL O� —3 V D O O O N E- •'► x t0 = A io O C 3 k (D N 3 n' .0.. �, Q O C T N O q — O a 0 w W ^ VJ ,0.. _ N C G _ v _CD 3 7 (D fD � (A 'W — EA fAEA 0)— (n n 0 (c _3 (D O1 01 (D 7 Ci' OC fll O_ O O- (D (D `� O (D O O W (D (D CL O c 7 O 3 a — N N O N 0 O< d (D < D Tca m N 0021 '�f 1 tb o C D -; A A 00 O W 0 0 0 0 0 0 0 M d N N S S = �. 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C r► CD 0 -n a) a o m m D v v 00 K) Z N v p o A j D v A O Q1 t ti AiR LEAKAGE REPORT Date: May 08, 2014 Building Name: Lot 16-7 Stanton Woods Owner's Name: (603) 656 - 0336 Property: 30 Stanton Way Address: North Andover, MA Builder's Name: Green and Company Weather Site: North Andover, MA File Name: FINAL - Lot 16-7 Stanton Woods.blg Whole House Infiltration Duct Leakage Ventilation Rating No.: GDS -NG -MA -SR -5466 Rating Org.: GDSAssociates, Inc Phone No.: (603) 656 - 0336 Rater's Name: Drew Trafton Rater's No.: 0386496 Rating Type: Confirmed Rating Date: May 8, 2014 Leakage to Outside Units Blower door test CFM @ 25 Pascals: Heating Cooling NaturalACH: 0.28 0.24 ACH @ 50 Pascals: 3.87 3.87 CFM @ 25 Pascals: 887 887 CFM @ 50 Pascals: 1392 1392 Eft'. Leakage Area: [sq.in] 76.4 76.4 Specific Leakage Area: 0.00020 0.00020 ELA/100 sf shell: [sq.in] 1.18 1.18 Leakage to Outside Units Ducts CFM @ 25 Pascals: 115 CFM25 / CFMfan: 0.0483 CFM25 / CFA: 0.0426 CFM per Std 152: N/A CFM per Std 152 / CFA: N/A CFM @ 50 Pascals: 180 Eff. Leakage Area: [sq.in] 9.91 Thermal Efficiency: N/A Total Duct Leakage Units CFM251CFA Total Duct Leakage: 0.0429 Mechanical: Exhaust Only Sensible Recovery Eff. (%): 0.0 Total Recovery Eff. (%): 0.0 Rate (cfm): 65 Hours/Day: 24.0 Fan Watts: 25.0 Cooling Ventilation: Natural Ventilation ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 - 2010 Ventilation and Acceptable IndoorAir Quality in Low -Rise Residential Buildings, a minimum of 65 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 129 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REWRate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. M 0 40 3 3 w O O � m o' 3 n CD Vr G w CD 0 CX Nd(7 oho my a �tw woQ. QCD of lb S. o 0 � Q» S v nA � d d N O lr �n 01 o NO n O ff F A z O 3 (D v CD 0 n m cCD 00 o� (Op 3 0 C Q � 30 cr ao Ch �M V (D �o w 0 M IM O S O N a ,o A �'OO 00 lu7 v1 N (D 1 C- asa 0`Dr 7� Q U2 �CDCD a cn. NC 7 : 3 ON CL a sCCD CD w a� Co. 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(Q O cn o n o 5 tU v Z O CD rn* m 0 0 0 0 0 �•5 m n 3• 69 O N N J Heating �\ N w m v N 0Z V O w O V a V 3. o cn N o =raNi Cn Cooling CD CL oo Z fD D a K) G7 30 O Water Heating � m A D N< N rn 7 c DLights &App m A 0) a Photovoltaics CD Service Charge 00 �O 0 N aJ Total CO * D D m °y' m v Znca O o LU N m C n v Cb o Ov 3 0 CO N rn tU 7 y. (Q O 5 tU rn* m N � =r m �•5 m n fq Q 69 O CD N J W N N w CD w N CO W 6 W V w x u:) o� N O O Z CD °(n m _= v 0— 0m 0 C ON X CD o O O O O O O O O -' N w A 0 OO O O O O CL r � K N ; 0 (D m ° m c cQ J J N .4, CA OD O N t 0 0 0 0 0 0 0 m -"+. 9 Heating CL Cooling ��, > c V S17 Water Heating N �o 7 m Lights & App a n 0 Photovoltaics (n C 3 _ J v Total o o' <o � x 0 E rn rn X m"n z0 Aw YI �z do z (;) rn mOpj _ TI i n �rn z M rn 0) X F v m N m Znca o 42 o a FAM mw f cl) 0 CD �mwv m �•5 m n O CD Cn CO N N O O) m A V O Z CD °(n m _= v 0— 0m 0 C ON X CD o O O O O O O O O -' N w A 0 OO O O O O CL r � K N ; 0 (D m ° m c cQ J J N .4, CA OD O N t 0 0 0 0 0 0 0 m -"+. 9 Heating CL Cooling ��, > c V S17 Water Heating N �o 7 m Lights & App a n 0 Photovoltaics (n C 3 _ J v Total o o' <o � x 0 E rn rn X m"n z0 Aw YI �z do z (;) rn mOpj _ TI i n �rn z M rn 0) X F z B \ Cf) m �® ƒ 7 k 20 E « x . / l m 2 m ° ] } ; m ca N c ..... `\0k� a=�Q� . . . M mozmm � \ lbaa» %»k2 \§m\ �m * ka�0ID 9 \ ( � (p to § S 2 nvi—Q \ � \\§m §/E0 !—B;a< Jm 0 � .� C), W �� 0)IE/ en =°°=z �=;��mc Z-rj =-&Ekoc:9 Vin„ .E7�! S(\ §rno /T 3 42 0. %\g/ k%° jo �E\jfx° )72\.P. (0 C) q ktQ to {\\�:® 4z& ?6-0 ))\/ . .. > /&% � 2)� \� co . + .....<. RESNET HOME ENERGY RATING Standard Disclosure For home located at: 30 Stanton Way City: North Andover State: MA 1. X❑ The Rater or the Rater's employer is receiving a fee for providing the rating on this home. 2. E] In addition to the rating, the Rater or Rater's employer has also provided the following consulting services for this home: EA. Mechanical system design B. Moisture control or indoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself ❑ D. Training for sales or construction personnel 171 E. Other (specify below) 3. X❑ The Rater or Rater's employer is: ❑ A. The seller of this home or their agent ❑ B. The mortgagor for some portion of the financed payments on this home X❑ C. An employee, contractor or consultant of the electric and/or natural gas utility serving this home 4. [] The Rater or Rater's employer is a supplier or installer of products, which may include: HVAC systems Thermal insulation systems Air sealing of envelope or duct systems Windows or window shading systems Energy efficient appliances Construction (builder, developer, construction contractor, etc.) Other (specify below): Installed in this home by: Rater Employer Rater Employer Rater Employer Rater 1-1 Employer ❑ Rater F-1 Employer ❑ Rater ❑ Employer 1-1 Rater 1-1 Employer OR Is in the business of: ❑ Rater ❑ Employer ❑ Rater ❑ Employer 1-1 Rater ❑ Employer Rater Employer Rater Employer Rater Employer ❑ Rater ❑ Employer I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network (RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8 of the standard and are posted at http://www.natresnet.org/accred/Standards.pdf. This home may have been verified under the provisions of Chapter Six, Section 603, Technical Requirements for Sampling" of the Standard. Drew Trafton Rater's Printed Name Rater's Signature 0386496 Certification # May 08, 2014 Date RESNET Form 0300-2 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 ffiashington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiordindividual): Address: '�.se)c 0 City/State/Zip: GA U4 -.k Phone #: 3 %41,K S Are you an employer? Check the appropriate bo�x- Ui elI i 1. 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- listed on the attached sheet. ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] employees.. [No workers' comp. insurance required.] Type of project (required): 6. Pew construction 7. F1 Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other `Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. r:Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that 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 ray employees. Below is the pollcy and job site information. % _ Insurance Company Name:.�Cf� /� L/et"¢,yreV, / ; Ct;' Policy # or Self -ins. Lii�c. #:e _l -4 ea V95 — Expiration Date: S44//_/q, Job Site Address _`�l �/4,�'-i 41m '� �l �/ur'tv � i iJ ' �'�'r� City/State/Zip: c' •�'��/ ��°�''�'�® �� ���`��p Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 cert?oynder the pains an dpqflailes ofperjury that the information provided above is true and correct. M 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. EIectrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone GREEN -2 OP ID: MH '4� ®tt CERTIFICATE OF LIABILITY INSURANCE DATE 2013Y) 10!2112013 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 207-725-2797 Bilode Insurance Agency, Inc Fax: 207-725-6001 92 Pleasant Street Brunswick, ME 04011 Ann Tourtelotte CONTACT NAME: Melissa Holt P"CNE arc N.J: 207-725-6001 Arc No Ext :207-725-2797 ADDRESS: mholt@bilodeauinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # CPA0284851 INSURERA:Acadla Insurance Company 31325 05/04/2014 INSURED Green & Company, Inc.: Prime Properties Inc; Green & Co INSURER B: MED EXP (Any one person) $ 5,000 Real Estate & Development Inc; INSURER C: Cranfield Investments 11 Lafayette Road, PO BOX 1297 North Hampton, NH 03862 INSURER D: INSURER E INSURER F: $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDLIMI INSR POLICY NUMBER POLICY EFF MMIDDIIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR CPA0284851 0510412013 05/04/2014 EACH OCCURRENCE 1,000,000 _$ PREMISES Ea occurDren cel 250,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO - CT LOC PRODUCTS- COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDX SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CAA 0284853 05/04/2013 05/04/2014 COEe aBINED1SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ Per accident $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUA5122663-10 09126/2013 05/04/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION $ $ A WORKERS COMPENSATIONWCSTATU- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA CA024854 05/04/2013 05104/2014 OTH- X P.Y IMIT E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 E.L. DISEASE- POLICY LIMIT $ 500,000 TI DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Stranton Woods off Bradford St., North Andover Tax Map 61 Lot 16 & 34 Tax Map 34 Lot 31 Michael Green SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Superi icor License: CS-045719 MICHAEL GREEN` PO BOX 1297 11 LAFAYETTEZD- North Hampton NII 0386ZI',') Expiration Commissioner 08/10/2015 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,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 d Tilt of NORTa Town of North Andover ` <t`tO '�• 1'O '-'I PCT -2 V11: 42 ;... Office of the Planning Dep ° r.• Community Development and Services Division .r 1600 Osgood Street IT ' 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 streetname to be used as ,.the addres§ jgr all lots in this subdivision shall be "Stanton behalf of the orth Andover Planning Board Judith Tymon, AICP 3rn !• I © 0 C1 p 0' N CD C�D O N o 0�1 On M 7 7 tp K sy O : cF 1 � d a. boa W ;aoM G.C�O t0 C) 0 O o CCD 3 < rn A �r a�wbo N 0 O O O O n (D 1. CD n o w = 7 N CO hch Q 0 CD m CDo C C -n cD (D O N Z Z O V C ftl d O N � n (n N rn = m rn N 3 w b cl)c0, La Z 01 CnMM otn�' � C• 3 o m 0 N Z:i1 b N W D .Z7 N 00 2 0 X Z o (G S is 0 NCh Or N C1 O fn w O C) N CA Cn C D n O -4 0 'O x -no D c� v O w � � 3 is O Dpi c CD < 0 U 0) � a cn v m m IM o a N O t03 (D 0 D ( CD $ !D. Q O O 3 CD x !j < 3 > -n N CE ' 3 fA W (O n' N C S 3- O O. 0 ? CO t0 0 m a�wbo N 0 O O O O n (D 1. 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CD CL M a m m m z �. c 0 w 3 c 0 m M D 0 v M 3 N fD � i O N N O W v AIR LEAKAGE REPORT Date: December 10, 2013 Rating No.: Building Name: Lot 16-7 Stanton Woods Rating Org.: GDS Associates, Inc Owner's Name: NaturalACH: Phone No.: (603) 656 - 0336 Property: Lot 16-7 Stanton Woods Rater's Name: Drew Trafton Address: North Andover, MA Rater's No.: 0386496 Builder's Name: Green and Company 98.7 98.7 Weather Site: Newburyport, MA Rating Type: Projected Rating File Name: PRELIM -.Lot 16-7 Stanton Woods.blg Rating Date: December 12, 2013 Whole House Infiltration Duct Leakage Ventilation Leakage to Outside Units Blower door test CFM @ 25 Pascals: Heating Cooling NaturalACH: 0.36 0.30 ACH @ 50 Pascals: 5,00 5.00 CFM @ 25 Pascals: 1146 1146 CFM @ 50 Pascals: 1798 1798 Eff. Leakage Area: [sq.in] 98.7 98.7 Specific Leakage Area: 0.00025 0.00025 ELAM 00 sf shell: [sq.in] 1.52 1.52 Leakage to Outside Units Ducts CFM @ 25 Pascals: 127 CFM25 / CFMfan: 0.0533 CFM25 / CFA: 0.0597 CFM per Std 152: N/A CFM per Std 152 / CFA: N/A CFM @ 50 Pascals: 199 Eff. Leakage Area: [sq.in] 10.94 Thermal Efficiency: N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage: 0.0602 Mechanical: Exhaust Only Sensible Recovery Eff. (%): 0.0 Total Recovery Eff. (%): 0.0 Rate (cfm): 65 Hours/Day: 24.0 Fan Watts: 25.0 Cooling Ventilation: Natural Ventilation ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 - 2010 Ventilation and Acceptable IndoorAir Quality in Low -Rise Resident cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechan used if the ventilation rate is adjusted accordingly. Forexample, a 129 cfm mechanical ventilation system would need to operate the system operates to provide required average ventilation once each hour. 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. .~T Cl) z v ro v (D 0 7 T (D m o O 3 d O > O O c� O a c A0A ♦ W z 0 O a m0CL CD CL CD a Z ao v to O w T ° 7 M 0�� 0 O rn s ��► I z :0 ;D W :U O X N X W z� D �1 rn co .T1 Z 0 A* N O � Pr 2) C A � �♦ — m as (jm o0 z CL cr O =. 3 a� 003. n,a m O O to 390 v CL LA. c p -ti 6 mr Cr 0 -04r Z w= � 3 O O rn rn >o n d m c Q o � CL CLcr (=D o N O N n /�/��. ID m O w Oa M 7 w &T O O v C. (D (D z 3 •� Im i n y D= (D C N S N ao K) N v •< O ^ rn 7 W 3 .�+• n n C 0 0 �cM w N a m m c n o 9 o rF z K 3 N fOD N :01N (D O 'm w W O (n @^ ^^ lG O _• 3 57 CD fD CD('�UNi U) m 3 N3= Cl N Z 4 n ct O n 0 = n ^ iDf� — X♦) A O y N ur ,— RIC hte O m v_ c n G < DO o w m °–' H —1 a m m CD "'� CO)z (�0 s �. m T Y)o = zo sr =;; 0 0 � D ^ w m 0 3 3 C 0--i =� m T v 0 � 0 rn rn 7 5' 0 3 Ri o' a (D m CD 00 0 mm m�m o� Vl O+ N (D C N 3 at° " <y O0 - n y OQ fD N < o�d m CO o. � Nd < O 91 LO(a Q 2r N o° aim 5c3 m m� � � P fD -� 000 m0 0 CO O fD n 0 0 m CL p 0 m m n 2 m c D rt. A (0 3 c Q. fD lD m d Z v m 00'c fD (D C (<D ° .Nim OZOr(D �i N O S O CL 03 N O v N N (a O O o CL o O W fD o " N (D _'W V Cq Q CL a Ln w y F D v v (V O D 00 o v m 00'c fD N N C n pCj (b 4 O c')-3 v m 3 y < 5 (o c 3 N N (a O D) = o '�4 v RI N " N (D _'W V Cq Q ffl - 3 Ln w w v O 6 m O CD D7 o N O O O O N O_ W (Q X W O � QQ CD L -. m Z O (n m 0 m O Q 0 N. 30 m 2. CAm 2 M J 0 O OO O O O O O O 0 O O O O O a. O �p X N / 0 m m CD a i rn O tQ 00000000 N A O) dp O N A v v (V O O O v o o Q rn ° Cooling v t, 0 m C Water Heating Q Water Heating 71 > Lights & App o '�4 v o n = 5 fD 00v � o Cr y 6 m O D7 o N � y N O_ Total W m Z O (n m 0 m O Q 0 N. 30 m 2. CAm 2 M J 0 O OO O O O O O O 0 O O O O O a. O �p X N / 0 m m CD a i rn O tQ 00000000 N A O) dp O N A v v (V O O O O O ¢q O) w �� Heating rn y Cooling o 3 m C Water Heating Q Water Heating > Lights & App o '�4 � A n (p 7 Photovoltaics (D y Total Service Charge O . N y y r+ Total m Z O (n m 0 m O Q 0 N. 30 m 2. CAm 2 M J 0 O OO O O O O O O 0 O O O O O a. O �p X N / 0 m m CD a i rn O tQ 00000000 N A O) dp O N A m Heating O) w �� Q Cooling C Water Heating -a a C) Lights & App - N (D � .< A n Photovoltaics O Cn 3 y Total rn o o � W �A 41 z 0 �Zrn N r�A■ �rn `/ ;0m z �Mm tD C �1 N. Q 77 f RESNET HOME ENERGY RATING Standard Disclosure For home located at: Lot 16-7 Stanton Woods City: North Andover State: MA 1. X❑ The Rater or the Rater's employer is receiving a fee for providing the rating on this home. 2. In addition to the rating, the Rater or Raters employer has also provided the following consulting services for this home: A. Mechanical system design B. Moisture control or indoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself D. Training for sales or construction personnel E. Other (specify below) 3. X❑ The Rater or Rater's employer is: A. The seller of this home or their agent B. The mortgagor for some portion of the financed payments on this home X❑ C. An employee, contractor or consultant of the electric and/or natural gas utility serving this home 4. n The Rater or Rater's employer is a supplier or installer of products, which may include: HVAC systems Thermal insulation systems Air sealing of envelope or duct systems Windows or window shading systems Energy efficient appliances Construction (builder, developer, construction contractor, etc.) Other (specify below): Installed in this home by: F] Rater F-1 Employer Rater 1-1 Employer 11 Rater ❑ Employer Rater Employer Rater Employer F] Rater 1-1 Employer Rater 11 Employer OR Is in the business of: Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer ❑ Rater F� Employer I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network (RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8 of the standard and are posted at httpJhvww.natreShet.org/accred/Standards,pdf. This home may have been verified under the provisions of Chapter Six, Section 603, 'Technical Requirements for Sampling" of the Standard. Drew Trafton Rater's Printed Name Rater's Signature 0386496 Certification # December 10, 2013 Date RESNET Form 0300-2