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HomeMy WebLinkAboutBuilding Permit #347 - 312 BLUE RIDGE ROAD 10/31/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION of ';��T" Permit NO: Date Received c O sK.ww:� �• # Date Issued: "�� 'yes++..o'•''�cg S�CMUSE IMPORTANT: Applicant must complete all items on this page LOCATION 3 /a SLue- l�;Zq e Print PROPERTY OWNER ONI v�- Gre4cheN 10A12;rreo u, Print MAPNO.: PARCEL: /$0 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑One family FAddition ❑Two or more family ❑ Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition Moving(relocation) ❑Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED Remodel ex �fia� SvN roo�� .9 �✓ Gpnl�ru�f a, / >� BLcl0(,;6`0,r -& cSu.y rOO14 A#4choa /a/Aa/ Identification Please Type or Print Clearly) OWNER: Name: / ,Dm f- r'e+cheri PA i' e Phone: 9 7S- L//70 Address:_3/,Z 'R/ue. - ►,i.A e_ eoA d NQ .4w d�.���; tit�4 CONTRACTOR Name: XC JQ►r#q 1:s Co,v 71,,,3ct,`w Phone: 1 7A- q4� p- y8 00 Address: Alex,4;v dp- InI A� l�,u�' i-ty,� A4 A Supervisor's Construction License: GS ©S l J,;?3 Exp. Date: -7 0 7 Home Improvement License: /1/5-433 Exp. Date: -1/6J0 �7 _ ARCHITECT/ENGINEER Name: Phone: .Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•512.00 PER.51000.00 OF THE TOTAL ESTIMATED COST, BASED ON 5125.00 PER S F. Total Project Cost :$ .35.000,o. FEE:$ L,/),o Check No.: Receipt No.:m Location )dde No. 3 Date f MaRTM TOWN OF NORTH ANDOVER 41 Certificate of Occupancy $ MuS,<� Building/Frame Permit Fee $ —� Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # 3J �4 197 v Building Inspector TYPE OF SEWERAGE DISPOSAL Swimming Pools 11Public Sewer Tanning/Massage/Body Art i Tobacco Sales Well ❑ Food Packaging/Sales Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with un 'stered contractors do not have access to the guarantyfund Signature of Agent/O�w/ r Signature of contractor �•-' Plans Submitted Plans Waived ❑ Certified Plot Plan Q� St mped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATIO kin� I COMMENTS 0 DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS r z FIRE DEPARTMENT - Temp Dumpster on site yes no I, Fire Department signature/date G� /',2 —a,1 J-C;�44 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 Building Setback ( Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use I OT U4 rl woa, c4orn Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Creaied AIC Jan]006 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be i obtained. Roofing, Siding, Interior Rehabilitation Permits ,4"'Building Application Permit A lication ;ajworkers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract �loor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application 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) 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 o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report 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:INSPU TIONAL SERVICES DEPARTMEN'r:HPFORN105 I Page 4 of 4 F �pRT1y Town of tAndover 0 No. oO= L A K E = dover, Mass.,_ co KE WICK 7 ORATED C2 '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System egos, 19 �O BUILDING INSPECTOR THIS CERTIFIES THAT . "!�.................... '.I.... /...1. ....C.A...�...•........................... rA .... ........................................ Foundation has permission to erect........................................ buildings on f 1�..........4e/!K.....l �....ox Rough to be occupied ......67.A.09.N .... �./!�... 1� �.. �.....�. ....�.�.. ��� C imn y h' e provided that the person accepting this permit shall lb every respect conform to the terms of the app cation on file in Final 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 q4z&� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS OI TS Rough .. ....... . +-.. ulw7 .................... Service L G INSPECTOR Final Occupancy Permit Required to Occupy 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. SEE REVERSE SIDE Smoke Det. DATE(MMIDO M -CORD. CERTIFICATE OF LIABILITY,INSURANCE 9MCIN02. 16130/06 PRODUCER : THIS CERTIFICATE.I5 ISSUED AS A,MATTER OF INFORMATION ONLY AND CONFERS'NO RIGHTS UPON THE CERTIFICATE ohn J Wa1eh ins Agency, Inc HOLDER.THIS CERTIFICATE DOTS NOT AMEND,EXTEND OR J P.Q..f ox:• :4q7.: ALTER THE COVERAGE AFFORDED R fTHE POLICIES BELOW. r •:,,::;:.:: ..I ,;.. Z' !''- -a' .•3''. •'_'�"•:N�' Le •;nI e(.+►71`.-•.�',:, l :'j.1y'a:''"�:i� ..i,'� phone7. 'Z!�5-,33..4,0.,..., ?x.78 745-957. .. INSURERS AFFORDING,, OYERAOEI co aa'' Ass. Risk. �. •r„ IMSA . ..1..,",9_,.f.� .. ,.:'i.., .... .i�3", .. _. . .. .... .-... ' �e. ..,, �i7.•��.r,�l:•-'. i.`:.�...;•r ,nri;:,:;Af.:j.,::. � o..:, ffig INSURl32 C• 4..Xlexaa8"Or- iQay. South.Stpl.toa.:ffiA. 01982. COVERAGES 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 W HICH.THIS CERTIFICATE MAY BE ISSUEDOR MAY PERTAIN,THr.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIF.S.AGGREGATE LIMRS SROWN MAY HAVE.BEEN REDUCED BY PAID CLAIMS.' LTR NSR TyrrOFINSURANCE POLICYNumom I M E DATE EXPIRATION UMRS GENPrRAL LWBWTY.,. EACH G CCU y,. ppMMEROVa GENERAL LiABIl" ' RRBASES OCc mice : 'S ..`CLMMSMADE �OCCUR :MED DIA,( ' PtIlPyIFQA1% f i.PERSON�LJ!','ADYINJURY.. GENEPAL'AGREGAYL': .: •�:.. _ E:c rpROOUC - CEN1'A6GREGA7E LtMITAPPI IFS PER W:..•.. TS, !a1'! c 'pper�p. LOC POLICY' ., JECT NGLE ,AUTOM09ILE LIAIMLTTY -• }ANY AUTO • •(;pM81NED 91 IHAR .; f'• _- - '?t.t OWNED AUTOS tN.R)RY 'S c +goDnx • iS EDULED,AUTOS i VRED AUTOS t : S s BODILY ce� Q iNON•OWNEbA11TOS '•: •: : t�}iY - 'PRGPERTY`OAMV�GE.•', S 777 'OA HW LWmjTY r>: + ;AUTO GNU¢-7EA AI�IOENY f• ANYAUTO. FJIAGC 3 - Ati' S. E7c IM 111BILfTY`'i ; :PCH OCCt OCCUR �C10'ful$�6E - - •RETENTION.' vl}ORIQ FR.oDMI°EiNiATIDn ANP::,.' .I; a:7O tV EYPLOYEAS LIABILITY 0.8/19/06 .0.3/19/07 E.L,EACH A�IDCN[. S.10 Q0.0.0' ' PRIG (rtPAtrtrlERtExECur� _�; xO16FAsie-�: -• .;10 :000 .;: rEliWICLUDED?• t`ois =vouOYlaiwi: (L.SOffOflO . ' - SPECIAL PRovISroNS oe�ow - .OTHER' OFTW N OF OPERATIONS r LGCATIONS I VEHICLES I'EXCLUSIONS ADDED SY ENDORSEMENT t SPECIAL PROVISIONS TION . . .. .. IEICATE'HOLDER CANCELLA . CERT ,. SHOULD ANY OF THE ABOVE OESCRIB,EQPOUCIES BE G4NCELLF•0 BEFORC THE E7ta1t1A[ DATE THEREOF,THE ISSUING INSUAM WILL ENDEAVOR TO MAIL 10 OAYX VAUT.TEN roWn of North .Andover NOT,"TQ.THE CE VRCATE HOLDRR NAMED TO THE LEFT,BUT FAILURE,TO DO SO SHALL -building DapaitmAnt INPOSENOosuGAnOfNORUAmLmoFANYaNDUPON.TKEIN5U1UJt IT,3MiEN>S _. 120 ffiaiii.'S:treet R6pq sY,7.I• !Ili\':yi'J.�%Ek'.!•�2Z" '' North' KA 01845 p�yIORIgOREP NEAT CORPORATION 1988 :.ACh0R02$• .. . .. ted= !: ;9'..r .>;•: Jn r rn•ni nnn7 no •Iin /CCGCbrOlG:xeJ 7IgNdunw uCIMA mir .NOTES6. 1. PHOTO REPRODUCTION OF THE SEAL AND NOW OR FORMERLY �;; SIGNATURE BELOW IS INDICA TI VE OF O MICHAEL R. AND UNAUTHORIZED REPRODUCTION AND USE MARGARET J. SLATER OF THIS PLAN. THE ENFORCEMENT AUTHORITY SHALL NOT ACCEPT A PHOTO REPRODUCTION 196-65 FOR ANY PURPOSE. LIQ 2. THIS PLAN IS NOT TO BE USED FOR THE All RECONSTRUCTION OF BOUNDARY LINES OR OJT FOR TI TLE INSURANCE PURPOSES LOT 137 J. THIS PLAN DOES NOT REPRESENT A CONFIRMATION OF BOUNDARY LINES NOR A DETERMINATION OF Q v y RECORD AREA = TITLE BUT IS SOLELY INTENDED TO DEPICT THE OFFSET DIMENSIONS OF THE PROPOSED ADDITION O� Q TO THE BOUNDARY LINES AS DEPICTED ON LAND . 5 7, 0 02-± S. F. COURT CASE No. 36903 X. O N3 4. THE SUBJECT PROPERTY IS DEPICTED AS LOT 180 ON CITY OF NORTH ANDOVER ASSESSORS MAP 65. w NOW OR FORMERLY II MATTHEW P. AND I DECLARE TO THE B F MY PROFESSIONAL KNOWLEDGE, DENISE L. CANALS INFORMATION AN THE NORTH ANDOVER BUILDING s INSPECTOR TH ADDITION IS LOCATED AS DEPICTED, BA LAND T CASE No. 36903 X. q I NO Z4 v �m R MER% A DA TE a `r10NAL LANA S� BIT. CONC. DRIVEWAY OT VALID WITHOUT AN T I S ORIGINAL SIGNATURE IN RED REFFRENCM 2 1/2 STORY PROPOSED 139.0 — CERTIFICATE No. 11481 WOOD FRAME 4' SUNROOM — LAND COURT CASE No. 36903 X * PLOT PLAN OF LAND #J12 $8 — LAND COURT CASE No. 36903 S * 12 00. — LAND COURT CASE No. 36903 U * LOCA TED NORTH ANDOIVER, MA 30' A * DOCUMENTS ON RECORD AT THE NORTH o, BULKHEAD ESSEX REGISTRY OF DEEDS. (ESSEX COUN TY) oo PREPARED FOR o INNO VA T/VE PROPERTIES RECORD OWNER: 12�'�� THOMAS L. AND GRETCHEN A. PAPINEAU SCALE. 1"-- 40' DATE. OCTOBER 23, 2006 312 BLUE RIDGE ROAD 20 0 20 40 80 NORTH ANDOVER, MASSACHUSETTS \ NOW OR FORMERLY MARK K. AND BARBARA M. NOYES ooti MERIDIAN �Zy A S S O C I A T E S, I N C. O 152 CONANT STREET 69 MILK STREET, SUITE 902 BEVERLY, MASSACHUSETTS 01916 lNtrrij ROUGH, MASSACHUSETTS 01581 TELEPHONE: (978) 299-0447 TELEPHONE: (508) 871-7050 REV. 10-24-06 WWW.MERIDIANABSOC.COM ADD DIMENSIONS DWG No. 4841PPP BK. 421, PG. 42 Copyrigbt 0 by Meridian Associates,Inc. All rights reserved. 92. i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 051123 Birthdate: 02/27/1957 • 9808.0 Expires:02 !271 2007 Tr.no. -- Restricted: 00 M SCOTT MCINNIS 4ALE}(ANDERMWAY A 0 /J S HAMILTON, Commissioner --- Board of Building Rcgu{11ions s:rd Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 145633 Boars!of Building Regulations and Standards Expiration: /16/2007 One A shburton Place Rm 1301 Type: DBA Burton,iM.,v 02108 McINNIS CONTRACTING ` SCOTT MCINNINS . ' 4 ALEXANDER WAY> t HAMILTON,Ma 01982 ' Administrator Nct valid•withou:ignature HOME IMPROVEMENT CONTRACT Agreement made as of this date October 18th , 2006 Between: Thomas & Gretchen Papineau ("Owner" or "Customer") of 312 Blue Ridge Rd, No. Andover, MA and McInnis Contracting ("Contractor") of 4 Alexander Way, Hamilton, MA 01982 for certain remodeling work to be performed by Contractor at property located at: 312 Blue Ridge Rd., No. Andover, MA. (the "Property") 1. REMODELING WORK. The remodeling work to be performed pursuant to this Agreement is set forth in Exhibit A which is attached to and forms a part of this Agreement and shall be referred to in this Agreement as the "Work". The Owner shall pay Contractor therefore the amounts and at the times as set forth herein. The Contractor shall have the right to use subcontractors in performance of the Work. The Parties understand and agree that the purchase of and payment terms for kitchen cabinetry, if being purchased by Owner through Contractor, are the subject of a separate agreement/purchase order. 2. TIME OF COMPLETION. The approximate completion date of the project shall be 30 days from and after the date of this Agreement set forth above. However any change orders, delays in materials to be supplied by Owner or Work to be done by Owner and/or conditions discovered at the Property after the Work commences or any other factors outside the control of Contractor might delay or otherwise affect the completion date. 3. THE CONTRACT PRICE. The Contract Price to be paid to Contractor is as set forth in the Contract Price and Responsibilities Schedule marked Exhibit A attached to and forming a part of this Agreement. The Parties agree and Owner understands and acknowledges that the.Contract Price set forth in Exhibit A is based on the aspects of the Property viewed by the Contractor prior to commencement of the Work. If conditions are encountered at the Property which are subsurface or otherwise concealed physical conditions or unknown physical conditions and if they would cause an increase in the Contractors cost of and/or time required for performance of any part of the Work, the parties will negotiate an equitable adjustment in the Contract Price, such adjustment to be reflected in a Change Order, and thereupon such increases will be added to and become part of the Contract Price. 4. RESPONSIBILITIES. Exhibit A also sets forth material and work responsibilities between Owner and Contractor. Anything that is the responsibility of the Owner to obtain or perform shall be deemed not to be part of the Work to be performed by Contractor under this Agreement. In the event existing walls and or ceilings are not level, the contractor will match existing conditions to the best of his ability. Contractor is not responsible for pre-existing conditions beyond the scope of this contract. 5. PAYMENTS. Upon signing of this Agreement Owner shall pay Contractor one-half (i.e., 50%) of the Contract Price shown on Exhibit A, with the balance of the Contract Price to be paid in full upon completion of the Work. The work shall be deemed completed upon substantial performance of the Work in a workmanlike manner and shall be sufficient grounds for Contractor to require final payment from Owner. If payment is not made when due the unpaid balance shall accrue interest at the rate of 12.00% per annum, which Owner agrees to pay as well as all costs, fees and charges (including reasonable attorneys' fees) of collection. If payment is not received by the Contractor when due, then, in addition to any other remedy available to Contractor, Contractor shall have the right to Page 1 of 2 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston MA 02111 wwwmassgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,MC 2u,,j 7 CoN-.1 f-&I r j Address: q A j ex to :�j do r W A q City/State/Zip: S. opm, 1+zm t M A o 1C7P.2 Phone#: 9 7$ q6 8 — ggoo Are you an employer?Check the appropriate box: Type of project(required): 1.E71 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -'Contractors 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 my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Si nature: 04c Date: Phone#: '� 7�' Ll(.$- Y F 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111. Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia stop or limit work or terminate the contract at its option. Stoppage, limitation or termination by Contractor under the provisions of this paragraph or other termination shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed and costs incurred prior to such termination. 6. WORK QUALITY. All work shall be completed in a workmanlike manner. 7. CHANGE ORDERS. A Change Order is any change to the Work, including any changes to the Contract Price as noted in Section 3, above. All change orders need to be agreed upon in writing, including cost, additional time considerations, approximate dates when the work will begin and be completed, and signed by both parties. Additional time needed to complete change orders shall be taken into consideration in the project completion date. 8. HAZARDOUS MATERIALS, WASTE AND ASBESTOS. Both parties agree that dealing with hazardous materials, waste or asbestos requires specialized training, processes, precautions and licenses. Therefore, unless the Work includes the specific handling, disturbance, removal or transportation of hazardous materials, waste or asbestos, upon discovery of such hazardous materials the Contractor shall notify the owner and allow the owner to contract with a properly licensed and qualified hazardous material contractor. Any such work shall be treated as a change order resulting in additional costs and time considerations. 9. ARBITRATION OF DISPUTES. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Witness our hand and seal on this day of r)(J-0 ba— , 20 Q f NT CO RACTOR. McInnis Contracting BY: Man ger (b not personally) By execution of this document, I agree to have read and fully understand all statements, terms and conditions of this document Owner: - &V6 w Owner: Deposit Received: Date: Ck#: Amount: Page 2 of 2 4 r Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:New Addition CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 10/25/06 DATE OF PLANS: 10=16=06 PROJECT INFORMATION: 312 Blue Ridge Road North Andover COMPANY INFORMATION: Innovative Properties COMPLIANCE:Passes Maximum UA=72 Your Home=67 6.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 348 30.0 0.0 11 Skylight 1: Metal Frame,Double Pane with Low-E I2 0.340 4 Wall 1: Wood Frame, 16"o.c. 352 13.0 0.0 22 Window 1:Vinyl Frame,Triple Pane with Low-E 60 0.240 14 Door 1:Glass 21 0.240 5 Floor 1:All-Wood Joist/Truss,Over Outside Air 348 30.0 0.0 11 Furnace 1:Forced Hot Air,90 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Desi diti f in the Cod The HVAC equipment selected to heat or cool the building shall be no greater th n 1 o of the e ' 1 ecified in Sections 780CMR 1310 and J4.4. Builder/Designer Date O— Z — MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 10/25/06 TITLE:New Addition Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall l:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: I Windows: [ ] 1. Window 1:Vinyl Frame,Triple Pane with Low-E,U-factor: 0.240 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: i Skylights: [ ] I 1. Skylight 1:Metal Frame,Double Pane with Low-E,U-factor: 0.340 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] 1. Door 1:Glass,U-factor: 0.240 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number I Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ( ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 41 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(Fl Un to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only)