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Building Permit #1311-2016 - 40 HILLSIDE ROAD 6/16/2016
i NoRTy BUILDING PERMIT 0����ED ,6'9.yO Al NOF NORTH HNDOVER O A APPLICATION FOR PLAN EXAMINATION 7 _ Permit No#: 13 ®6 Date Received �s A°RAr¢D^Pay`�y gSSACHU5 Date Issued:006 I(OZ-9-16 IMPORTANT: Applicant must complete all items on this page LOCATION a Print PROPERTY OWNER jA/y2/ 4'Q aAd_ .dsiae= UTA4 46..E i Print. 100 Year Structure' yes no iMAP # PARCEL: ZONING DISTRICT: Historic District yes no g Machine Shop,Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Ce6ne family / ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic' t�1Nell, ❑'Floodplain -4 s O'Wetlantls ❑ WatershedD[stnct'= , _❑__'Water/Sewe_r�_ .: �' _— —� -- - -_ _- DESCRIPTION OF WORK TO BE PERFORMED: Mew Co . moIJ - ,7,,Ale zs a,Ml(,Y /-;& Identification- Please Type or Print Clearly OWNER: Name: ,&J 0,J P4/fr W1?U40r Phone: Address: #t& S3- t4mrvvem, MA 181 .Contractor Name: 3>z/� Phone: Email:_ a� _ ANQ6 ., _ laa /� : � v c — Address: 14/' y;S4e7c ) wiz, Supervisor'sFO struction License. � -'i7333�8 Exp Date � 6 ['Home Improvement License Exp.,. Date; ARCHITECT/ENGINEER Jce &rVsi Phone: 603 Address: Ctryslal1A�m � V Reg. No. FEE SCHEDULE:BULDING PERMIT:$112.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �7 ?-l.r -�� FEE: $ Check No.: 2, (_ Receipt No.: ?Z®��✓ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and - - J Plans Submitted Plans Waivedi❑ .,_.. Certified Plot Plan ❑ Stamped Plans LW TYPE OF SEWERAGE DISPOSA Public SewerSwimming Pools ❑ Tamung/MassageBody Art ❑ _ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On �l Z�lb Signature_) O LJ�� COMMENTS - GI'1�I)Y1 CONSERVATION Reviewed on �e l3 / Si nature _ /11 t rzz COMMENTS �S i i HEALTH Reviewed on Siqnature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I.Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature& Date l DrivewaV Permit r, -- DPW'Town Engineer: Signature: ,�� � — 1 0 ""'---ted 384 Osgood Street FIRE DEPARTiVIENT T me p'®umOt Fzl �� o ated at 124 Main Street + t�si .� �� � � �� e artmen gnatur�e/date J� y�,Si„ -..�e4 a's,.- 6•°`�++. '•x 4 x1 y "" � d<,....r„i .-� i4w.r+h �+ aT #`-°"syn :c r * 1 A,a'q'*x K 'r"h-� .• s.�ih Y',�, C g`a x y . F' { C®MMEN�TS� ,,� .;.,•,+. � � :a� F• 'c ��t ,� '� f s °�y�b��"�tx��,z� - a C 3.,+� "y � � 4 - +�-...+,.....�«s�w_...,:�„-.,.mac..-..,.;+,-..��...--..ti-...�.....G...�-.,.�...t- w•'..-.:.wU a� � r Dimension Number of Stories: / Z— Total square feet of floor area,.based on Exterior dimensions. . (0s," Total land area, sq. ft.: f/ , 45f- ELECTRICAL: 5ELECTRICAL: Movement of meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i I II i f r- ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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/Cross Section/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 OTE: 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 l'wo Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Construction Company, Inc. M Winslow Drive,Alkinson,New Hampshire 03811 Tel:603.362.4175 Fax:603.362.8717 briars@boyleconstruction-NH.com Location F fG /1 No. IV —Z-016 � Date C&' ,16 Zole5 . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ -� Building/Frame Permit Fee $ i Foundation Permit Fee $ Other Permit Fee $ TOTAL $ j f1 Check# 7 ��" Building Inspector / 30515 i 8/14/2017 4' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number: 1311-2016 Date: August 14, 2017 CO Permit Number: 27369 THIS CERTIFIES THAT THE BUILDING LOCATED ON: 40 HILLSIDE ROAD MAY BE OCCUPIED AS New single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: NORMAN AND JANET WALLACE u din Spector This is an e-permit.To learn more, scan this barcode or visit northandoverma.viewpointcloud.com/#/records/27369 1/1 (.. � NORT1y vv o0 0 Andover o h t ver, Mass, ®� coc"ic N...'k 1 U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT � 4#�... .... .�`.� .. L _ BUILDING INSPECTOR has permission to erect .......................... buildings on .... .Q �. Rough to be occupied .. ................................... e p .,�i7ri' '.......wT� ..... .. �.�►.... .......... Chimney j rvv :v provided that the person accepting this permit shall in every respect con orm to the terms of the application Fina G r / /d'�� on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSP C OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rougf.5�� Final /:7 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL I ECTOR UNLESS CONST l0�' Rough 0 - Service . ... .. .. ........... .. ..... Fina BUILDING SPE _¢�2--t ,.� GAS INSP R Occupancy Permit Required to Occupy Building Rough 45 It) Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det, V91/ 7 NORTH rt oven of �? _ r ndover o e h ver, Mass, COCHIC" WSCH 1' �s.9s R�rEo r.P ,�q5 U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ez THIS CERTIFIES THATP BUILDING INSPECTOR , .. ... .... . -. '. .. .. ......... _ gx- has permission to erect .. ... Fout�o � p .... ..... .... ...... buildings on ... r�.... �r ... U... � � Rough to be occupied as . ., ..�wT.dllora .... .............................................. Chimney rl "`° y`scYv �%�"` provided that the person accepting this permit shall in eve respect conform to the terms of the application p p 9 p every p pp Fina (�- on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSP C OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final s, /7 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INqKECTOR UNLESS CONST IOI` Rough ��21� Service ... .. .... .. ........... ..... ..... d-s BUILDING SPE OR oma 1'�" ,t GAS INSP yR Occuancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det? V9 ZONING DISTRICT: RESIDENCE 3 PAUL E. &JOANNE M. SHAUN M. & DEBRA A. REFERENCES: DEMN CALLAGY MAP 98C LOT 49 MAP 98C LOT 51 JOHN D. &COLLEEN E. DEED - BK. 14492 PG. 139 BILLINGS MAP 98C LOT 62 PLAN — PL 17375 S03'08'12"E S 05'46'22" E _ 86.75' 112.00' y W +�6 GENERAL TRUST STORE MAP 98C LOT 11 \ N y S It d, d 42'05" 5.5' —j— ............ 2 119,159 S.F. + 2.736 Acres .0• .v 0&' r 7 TOP FOUNDATION / •y y`Gy/ NZ3• ELEV.-280.6' / t� � 5 ,(� •Y3?•pCe�i '111 5L0• NO-BUILD LI,NE 'j' \�O• I _ �' 'y '4 - ERIC &KAREN LLER MAP 98C MI LOT 104 AS-BUILT FOUNDATION IN NORTH ANDOVER, MA O F \ PROPERTY OF -y 6 • NORMAN S. & JANET A. WALLACE o ,"y6rod DOING KWON SHIN O 0 10 30 60 90 120 tis90 �yb°/ MAP 98C LOT 14 SCALE: 1" = 30' JULY 27, 2016 SCALE: FEET \; DONOHOE SURVEY, INC. METERS 363 BOSTON ST. TOPSFIELD, MA 0 10 20 30 (978) 887-6161 PROJ. 3046 a - i Massachusetts `.Department of Public Sa#ety Board of B�uild�ra ;Regulat�onsrnd� #a'ndari i . . _ c,ohaa•iaa.,i7ieYi �fflTia:a•v7,iF` ,."• � . License: CS-033328 P fff -tit 41.4 ". BRIAN J BOYLE;? 24 Winslow Dnve� Atkinson NH 03811 i Expiration Commissioner06/30/2017 II 1 APPLICATION FOR WATER SERVICE CONNECTION . e P , '41,�= � North Andover; M-j Iass V `�- �..,I:120 11.1 I ' 961, 1z A ` IWUon b the undersi ned �s hereb made to'connect with the town water main rn ,-/ �` ' PP Y. gwwQ% Y"Wjnh -7:11111 ,% MAT: Street, i sub�ecf to the rules and regulations of the Division of}PI.ublic Works t w Amoco t i a�,Sw s�. art .� aY" '+it 4 17 t ��e< ?t t The pr11 emises are known as No` =t 5 r `1' Street % , k t t 1. ,} § } a r i vE &,F �., Or SUbdIVI510n:IOt n0 z r k *t fit /] i r�� A �� t � �� 5 r a' ° •s x RIM ,r , n t '4 t r x `y:� G ! i Oawner Address ` rahnm"Wo 1" . 13oz E.� s`3 k kv t5 s.1H baa rt F�f N t 1 a key S WIS-41";11t Y +y1 t' d,. -r §, ifi : 7 r\r'v'S to - f` ti Contractor h5 r rti w rY x ? wr 4 c Address + �nf y ; a nc t x�S .gs4 1 1 - 1 '111.1.11 so ]>,t S �'' S \'7�'1 'psi'' 4 L l S . S - �b;;aa 'tt 6 Y y r § t4't C _} ..t iL 4. i ;`. �, •v"„ p; ,1} ,�ru'� ,rt � �} an3 : R t i1 '§ 5 } .' 4 i z" rt t r ' c g ,, 2r * .t } eC'r t c t a s ,. ! tit^ ! Y t cv i t, 3v j t tt t'x I 11�A a dnt'S SlgnatU �.,^, , 5 8 iC�" 11� fi. L k of t u ;1� i 1}� ~' z� it 1 -.. q 1n§ #'fit `'z ti n a '"t tee. t t t- �... Y ! t:.5 5 § > i i y ¢ �. xt ', L_r ti tt 'r t 1 5 it'b ,� 4 t 1 531 i 1 �` .,§�$'� .� 4 r �. tt p .�. a t. t t x' Sr x i � t rTR 3 , \ t�- A 1 m � { �+it,� .S•t Y "G i. b } o t t , " ! 5 : t 1 t 11 ti is �' fi 11 ,i i y. fi v`'r'` iAr r + + t� �✓ bye J ' t yur4 \ �r . z tz aC P L a s 1 z r,•r¢,;,Ys S '+. u �:5 s Fv 751 '' "a/7" �L t 5 :§ � , j �Y 5 off`t. i r ,r a,� Lit' !r� "`7.� y § r -, syat r L 1'" I1, - }. 5 a i L i t 5R c 4}h'{�7t'C" 1 S _ 7 I 11 S l ; ^} �i) 7 ti '� k 2 1 t xki kt `r .. x, s f� ,c t t 3 �y y I nui ,5 y _ t cL!'y3a F ,� tt a i !§ :,t. !,`� *,,tp v +� 3 4 tt. `.' 1� s" ,:, v t, t >c...:. {.t'. its .for t t C�.. 1 5 S ._.. } ti >>q s xx� ahs ''N v i` a v i\+':.x,. k Y 4 �E 5 Mkt ,�i t '�'� vF t �'� t v k xE 0rt4 ' ` � ` '<_ PERMIT TO CONN—mmEC WITH WATER�INAIN ei s j e� +'r2 i.:� F �� } ` T' '� jY'3Zjj 1 ,v fit\ <yt�\4 �kk A %w ,:r }k 3t! t a. Sl �' .:it ,a �+•x iP`av?r J S'rJ_ vy y L t„�.s t ¢,'. :� s G� s �i' 5 h The Boardof+Rublic Works,hereby�grants permission to bZ V + lrtC t\,�, h "?•. a } '� �11moi. n w j ,a ,�"n� An %1 t �.} u � (vb :r � ,F 4 e ,. ;s , to make a connection3with the water mam at w `� 7`�/ V z Street ' k 1+w h S,#.o.`<t ps i dF 1 b. 't i� l� `P t ph, i t r MU lect to the rules and regulations of the Division of Public Works r<, t E i v'. n >s.'`..'t a y,.r 4 4� s k t �h`4y :c_snv`c 15 h r ,tt +vs t `S �M1?'. � Ems" .N,..r r�yr`5\ \.,:H�kt `� `?: ''<� ++t +Ctrt,�. -s;:j p a r: s r ' r t3 l,yJ y.%`�.ty r`tA 73`^ z 4� '.jyt� 1 �J ,tE' n y'yt� r >c >,. rt 1'S 5 se v ±� 1.. ata�1��3€��,S,w. - > ..3 rt a k, >1„}t 2 t s +. A"s� +4T { r j< v Ry r i.�c ! Jt .:F>< W a S r - ti"1'.� s,rr b ' vt +s 4' Board Of pUbIIC Work$ �ti'f[' Jug€tkt,y L>< r"'�r- .�,kr�, =*F;'>t}S� a't !{ i ` S S ` s t .;t .moi t '�rt�?pLt ktr` t inr't i� `� \t- �! ,} t tt6 t l 1: n�sx � k � �r yl 1y x;'''1� 'Cau i3t ;Y�.S ,� "� t t: F �/ �j�yy y i.`F tF ..t\SE t rt rr'- F4 \ - f bt 5 :{ t ,5cr'e pU�,t� c '4 \. ,' p`� kv�, sh yih ,1 L xy b a 4§ 4 '�,\ St 1 L 5 y�. 4 `- y� y Y t Y 'r M1 4 1 Y S. 1 t Inspected by a v�ri;r wy ` rt tit tt'f -u ''�" i n Y a�} r,;. v , :�5 'r ,< \ ,f.t: 5 =r '� 1 ,11 4'�1 6 t 1 fY l i Y i t �° Date y 34 ti " t `See back for rulestand regulations' iy`' tV t ,t t .� INTAS , MEN y tart t i t + f 1'l� iom 4� 1 f `5, t 1 fir'l l � � t C>r� 9r e c, r � 2 ` APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. '�✓U/� ! U �� Application by the undersigned is hereby made to connect with the town sewer main in WFI � ��C Street, subject to the rules and regulations of the Division of Public Works. l rL C� The premises are known as No. 4Street or subdivision lot no. G�6 Owner Address Contractor Address licant's.Si at PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to v to make a connection with the sewer main at Aa/ Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works By Inspected by Date See back for rules and regulations TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845-2909 BRUCE D.THMODEAU,DIRECTOR,P.E. Timothy J, Willett NORT q Telephone(978) 685-0950 ons Manager O erati p }} Fax(978)688-9573 ��SSncHus���y AUTOMATIC LAWN IRRIGATION SYSTEM)[PERMIT DATE C1-e RECEIPT NO. l` Z HOMEOWNER PHONE f LOCATION �l INSTALLER PHONE Note: The Installer shall verify that there is sufficient water pressure for the new irrigation system prior to the start of any work. General Requirements— 1. Bypass Meter Set-up- A plumber shall setup a horizontal space for the bypass meter. The bypass meter shall be located before the house meter. Deduct meters are not allowed except fox those homes with water booster pumps. Ball valves should be installed on both sides of the meter. II. Rain Sensor— - A Rain Sensor shall be installed on all new irrigation systems. M. BacUow Preventor— The proper backflow preventor shall be installed. IV. Sprinkler Head Location— All sprinkler heads and piping must be installed entirely on the homeowner's property. Spriulder heads will not be allowed in the Town's Right-of-Way gO.W.),which is typically ten to fourteen feet back from the edge of roadway pavement. V. Bypass Meter Installation and Town Inspection After all work has been completed,call the DPW for bypass meter installation. The meter installer will use this Permit to inspect for proper meter set-up,rain sensor,backflow preventor,and sprinlder head location. This Permit must be present at the location for the bypass meter when the Town's meter installer arrives at the property. For Town Use Only: Bypass Meter Rain Sensor Backflow Preventor Sprinlder Heads Date Initials I I ------------------------------------------------ ----------VLLL--------------------------------------"----------- ----'------------- The Commonwealth lth of Massachusetts Department of Fire Services Office of the Mate Fire Marshal P.0.Box 1025 State Road,Stow,MA 01775 PERMIT Date: Permit No (City of Town) (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L. Chapter 10as provided in section 5 2 7 CMR 34 This Permit is granted to: Start Date Full name of person,Firm or Corporation Permission to locate dumpster for construction/renovation/demolition of structure Comments: dumpster be 25 ' from structure or covered with tarp or plywood Restrictions: at end of workday at (�Giive location by street and no.,or describe ins ch maper as to provied adequate identification of location} Fee Paid S This Permit will re exp i —_� /L �? (Signature of off cal granting permit) ff�cai granting permit Title TWIq PPPbiiIT full IRT R1= r_MIAPir l Ir111_CI V Pr)CTi=n I IPnM TI-11; PR1=1UifQFQ ' 7 N FD Date kAPIAIAI ....... �NORT►�4 TOWN OF NORTH ANDOVER p RECEIPT s CMU This certifies that...: �Y ...... ..t.G ........... f� �, has pard....... .�............:.....a.0...................................................................... for............ �',� a/� r� ✓ .............. Received by..........&04 ........ ........ Department WHITE: Applicant CANARY:Departrnent PINK:Treasurer Name W1 kj,�Lo Vj Location 4,0 Check# _ Date Note: of NORTH, TOWN OF NORTH ANDOVER a n Sewer Mitigation Fee $ Sewer Connection Fee $ .� r CHUSWater Connection Fee $ Meter Fee $ Other $ 41 RECEIPT NO. TOTAL $ � 241 Div.Public Works WHITE: Applicant CANARY: Department PINK: Treasurer GOLD: File Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 635,218.00 m $ - $ 7,622.62 Plumbing Fee $ 952.83 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 952.83 Total fees collected $ 9,628.27 40 Hillside Drive 1311-2016 on 6/16/2016 New single family home NORTfy TO-uwtv n oft ! Anciover O N®. IL i , h , ver, Mass, ®� COMIC HK I l WIC" y1• �qs R�TEO pPa��S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .. ..... ..., BUILDING INSPECTOR Foundation has permission to erect buildings on ... .......................... ....#t".. ... ......... 11�� Rough to be occupied as mt . Chimney� provided that the person accepting this permit shall in every respect cofrto he terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ION Rough Service ... .... ...... Final BUILDING SPE OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on�pthe 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. Smoke Det. BUILDING CONTRACT This Agreement made thisday of oi7e , "Z014.Ltby and between Boyle Construction Company, Inc. of 24 Winslow Drive,Atkinson, NH, Rockingham County(hereinafter called"Contractor")and Norman&Janet Wallace, 103 High Street,Andover, MA 01810, (hereinafter called"Purchaser") WITNESSETH: In consideration of the mutual covenants set forth herein the parties undertake and agree as follows, to wit; RECITALS AND-PURPOSES: Contractor intends to build and sell a custom home on Lot 9/10 Hillside Road, North Andover, MA and Purchaser intends to purchase said house. 2. BASIC AGREEMENT: Purchaser agrees to purchase and Contractor agrees to build and sell to Purchaser the aforementioned house for a selling price of$635,218.00. Payments will be made in accordance with Addendum C as aq_reed upon by Contractor and Purchaser. A deposit of i wenty-five-thousand dollars($25,000.00) is hereby acknowledged with the balance of the payments to be made in accordance with Addendum C. Payments are due upon presentation of invoice. It is further agreed that Purchaser will not move into the home until the construction of the home is complete and the Town of North Andover has issued an(Occupancy Permit. 3. DESCRIPTION OF THE PREMISES: Said.residential dwellin r.shall be constructed pursuant to the plans shown on (Addendum B) The said home is to be built of good and substantial materials in accordance with the drafts, plans, explanation and specifications(Addendum A) It is agreed between the parties that Addenda A and B shall be signed and executed by all parties to the Agreement. 4. TIME OF PERFORMANCE: The said home is to be completed approximately twelve(12) months after the commencementofconstruction: In order-to maintaintheconstruction schedule, Purchaser agrees to make selections i.e. siding color, paint colors, plumbing fixtures, etc within three(3)days of notification form Contractor. Time is of the essence. 5. PURCHASER'S INSPECTION: Contractor agrees to make the property available at all reasonable times during construction and prior to closing to the Purchaser for the purpose of conducting a building inspection. Any defect in workmanship or material shall be known to Contractor upon verbal notification and to be followed by notification within five(5) days. Contractor further agrees to promptly correct any defect in workmanship or prior to closing. t 6. AFFIDAVIT: The Contractor agrees to execute at the time of completion an affidavit verifying the nonexistence of mechanics and materialmen's liens and rights, tenant rights and security interest in the property herein described 7. WARRANTY: Contractor warrants that the building structure shall be reasonably free of defects for one year from the date of closing. For additional warranty coverage refer to Addendum D 8. CONTRACT DOCUMENT: The contract documents which contain the complete contract between Contractor and Purchaser are attached hereto and made a part hereof and consists of the following; a. This Agreement, pages 1, 2 and 3 inclusive b. Addenda Nos A to inclusive; description of materials; scale plan-%", payment schedule, limited warranty, allowance schedule c. Any modifications including change order duly delivered after execution of this Agreement. However, modifications or change orders shall be mutually agreed by both the Contractor and Purchaser. the difference in price resulting from the change will be provided by the Contractor to the Purchaser prior to the implementation. The price difference will be agreed to by both Contractor and Purchaser in writing. 9. MISCELLANEOUS: 9:01 This Agreement shall be binding upon the parties hereto only and shall not be assigned. 9:02 This Agreement contains the sole undertakings and agreements of the parties with respect to the subject hereof. 9:03 In each and every respect the provisions of this Agreement shall be construed in a fashion consistent with the purposes of this Agreement as stated in Article 1. 9:04 This Agreement shall be governed by the laws of the State of Massachusetts. 9:05 Each and every warranty and representation by or of the Contractor contained in this Agreement shall survive delivery of the de 9:06 It is understood that overage on allowances for the following items will be paid for by the Purchaser. Plumbing and cabinetry overage will be paid at time of installation. Lighting fixtures, carpets and appliance overages will be paid directly to vendor. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands to the written instrument and another of like tenor, day day and year first written above. C RACT R t BOYLE CONSTRUCTION Brian J. Boyle, President Duly authorized "'aj 6 f l PUR HASER ADDENDUM B- CONSTRUCTION SPECIFICATIONS CUSTOMER: Norman&Janet Wallace PROPERTY.• Lot 9/10 Hillside Road,Andover,MA EXCAVATION. As per location as shown on plan of land drawn by Donohoe Survey,Inc. The contract price shall include all excavation, preparation,footings and foundations and all costs relating to installation of the construction of home as per state and local codes. FOUNDATION: Footings: Concrete mix,3000 psi, 12"depth, 24"width Foundation Walls: Concret mix-3000 psi, 10"thickness Support Columns: 31/2 lally columns-concrete filled Girder: Triple 2"x 12" Sills: 2"x 6"pressure treated applied over sill seal Waterproofing: One coat of asphalt-Tuff`N Dry Footing/Foundation Drains: 4"-PVC perimeter drain-interior&exterior Additional Information: All of the above work to meet requirements of applicable building codes Size: Irregular- 102'x 40' CHIMNEY. Fireplace: Gas fireplace-family room/stone wall EXTERIOR WALLS. Wood Frame: 2"x 6"- 16"on center construction Sheathing: ''/z"Advantech plywood-zip panel system Siding: Hardi-Plank Exterior Painting: Entry doors Exterior Trim: Versatex-P.V.0-custom millwork FLOOR FRAMING: Joists: 2"x 12"or "I" joists specified per plan Cellar/Garage Floor: Concrete 1-2-4 mix-4000 psi-4"thick Fill Under Slab: 3/4"stone- 12"deep Subfloor: 3/4"tongue and groove Advantech plywood-glued and nailed Underlayment: 3/8"plywood-bathroom,laundry mudroom Attic Floor 3/4"tongue and groove Advantech plywood-glued and nailed PARTITION FRAMING: Interior Walls: 2"x 4"- 16"on center construction-spruce .Plumbing Walls: 2"x 6"- 16"on center construction-spruce I � CEILING. Wood Frame: 2"x 10"specified per plan- 16"on center Drywall: %2"except for%"fire code where required Finish: Textured ROOFING. Framer Wood-2"x 12"- 16"on center construction-spruce Sheathing: '/z"Advantech plywood-zip panel system Underlay: 6' ice belt Flashing: 8"galvanized drip edge Shingles: Architectural 30 year INTERIOR WALLS. Drywall: '/2"except for% fire code where required Finish: Two(2)coats of flat paint-a maximum of four(4)different colors- colors to be selected by Buyer INTERIOR DOORS AND TRIM: Doors: Solid core masonite; I %"thickness Trim: Door and Windows; 3 '/2"casing Base Molding: 8"speed base Finish: Painted- two(2)coats-semi-gloss finish Inside Closets: Wood shelf&pole Special Trim: Crown molding/panels in dining room/beadboard/wood ceiling in sunroom Privacy Locks: Bathrooms and bedrooms WINDOWS: Type/Make: Insulated Low E glass,vinyl removable sash,grills between glass,flat casing and screens-Paradigm-Tan Size and Number: per plan with Interior tan/Exterior white ENTRANCES AND EXTERIOR: Main Entrance: Fiberglass door-Energy Star Rated Garage Entrance: 10'0"x 8'0"paneled per plan insulated-metal doors carriage doors Basement Entrance: Direct access from garage Hardware: Schlage or equivalent. All exterior entries to have deadbolts Rear Entrance 12 lite off kitchen and sunroom Garage: 38'x 28'with 9 lite side door CABINETRY.• Kitchen.Vanities Cherry/Maple Countertops: Granite,corian,soapstone Additional Information: All cabinetry work to be performed by Boyle Construction,Inc and their suppliers and subcontractors. CABINETRY ALLOWANCE: $46,000.00 -LABOR& MATERIALS lk,"J i STAIRS: Exterior Front: Masonry-stone risers,blue stone treads Main Interior: Oak treads,pine risers,oak railing Basement/Bonus Room: Plywood treads&risers Exterior Rear: Granite steps from sunroom to rear yard depending on finish grade FINISHED FLOORS. Hardwood: $10.50 per sq.ft.installed $18,100.00 Tile: $9.00 per sq.ft.installed -$ 5,700.00 Carpet: $30.00 per sq.yd.installed$ 3,600.00 FLOORING ALLOWANCE: $27,400.00 - OAK,TILE AND CARPET PLUMBING: FIXTURES: NUMBER ALLOWANCE TOTAL Kitchen Sink 1 400.00 400.00 Bathroom Sink/Laundry 5 200.00 1,000.00 Toilets 3 400.00 1,200.00 Faucets 7 200.00 1,400.00 Master Shower-5ft-the 1 500.00 ,500.00 Tub-6'-Cast Iron- 1 2,000.00 2,000.00 Laundry sink/faucet 1 700.00 700.00 Washer/Dryer Hook-up provided per plan House Drains: PVC Water Piping: PEX Sill Cock: Three(3)-front,rear and side of house-freeze proof Bath Accessories: Soap dishes,towel racks,medicine cabinets,shower doors,mirrors,etc to be supplied and installed by Buyer. Standard plumbing fixtures are Kohler to be selected with Contractor's plumber PLUMBING FIXTURE ALLOWANCE: $7,200.00 TILE WORK. Master shower,Shower door,Main bath tub-Waterproofing,Durock,Tile TILE/SHOWER/TUB: $8,000.00 WATER&SEWER: I Home will be hooked up to North Andover Water supply and sewerage system I HEATING: Type: Two(2)Forced hot air by gas with humidifier-Goodman-95%efficient Boiler/Furnace: Multi-zone,XE 90 high proficiency-programmable thermostats Hot Water: Gas hot water heater/high efficient Fuel Type: Natural gas COOLING: Multi-zone central air-Goodman unit. i, •Y ELECTRICAL WIRING: All wiring per National Electric Code and/or State and Local Code Service: Underground-200 amp-40 circuit panel Door Chimes: Two(2)front and rear Electrical Appliance: Washer/dryer,microwave,stove,dishwasher,refrigerator,wall oven Ceiling Fans: Wiring included for four(4)fixtures-(fixtures supplied by customers) Telephone Jacks: Four(4)supplied by builder-ALLOWANCE Cable TV Jacks: five(5)suppliedb builder -ALLOWANCE Y Recessed Lighting: Twelve(12)cans supplies - ALLOWANCE Garage Door Opener: Liftmaster-belt drive Whole House Generator: 20kw generator with electric panel LIGHTING ALLOWANCE: $4,000.00 APPLIANCE ALLOWANCE: $11,000.00 INSULATION.• Roof Spray foam open cell-R59 Cellar Ceiling: Fiberglass R30 Exterior Wall: Spray foam open cell-R21 WALKWAYS AND DRIVEWAYS: Front Walkway: Pavers 4' wide,design per building and customer Driveway: Gravel base 10"depth- 16'width Paved-2"thickness- 14'width garage larger ad at e g P g g LANDSCAPING. Lawn: Builder will loam,rake&seed all disturbed areas Shrub: Builder will proved 30-35 shrub plantings Lawn Irrigation: Multi-zone system CENTRAL VAC: Included,Electrolux BUILDER MAINTAINS THE RIGHT TO ALTER THESE CONSTRUCTION SPECIFICATIONS AS LONG AS THE THE CHANGE IS EQUIVALENT OR BETTER. Boyle Construction Company,Inc. It Buyer �'�� Buyer c ADDENDUM C Boyle Construction Disbursement Schedule Lot 9110 Hillside Road,North Andover. MA Deposit $ 10,000.00 Permits plans-surveys, ans- 12 000 Y 12,000j OO and backfill 25,000.00 Foundation Certified 31,500.00 First floor frame 27,500.00 Frame completed 80,000.00 Roof shingled 20,000.00 Doors &windows installed 38,000.00 Exterior trim &siding 48,000.00 Rough electric 19,000.00 Rough plumbing & heating 26,718.00 Sewer&Water 10,000.00 Insulation 26,000.00 Drywall 27,500.00 Cellar/garage slab 8,000.00 Gas fireplace/stonework 10,000.00 Interior trim 31,000.00 Hardwood floors 18,000.00 Cabinetry 40,000.00 Finish electric 12,000.00 Front stairs 6,000.00 Interior painting 18,000.00 Tile floors/carpet 8,000.00 Finish plumbing 9,000.00 Finish heating/cooling 14,000.00 Driveway &walkway 17,000.00 Landscaping/irrigation 18,000.00 Appliances & lighting 15,000.00 Whole house generator 10,000.00 $635,218.00 *Above stated amounts represent disbursement value not the value of the line item ADDENDUM D - LIMITED WARRANTY PROPERTY ADDRESS: Lot 9/10 Hillside Road, North Andover, MA DELIVERY DATE: PURCHASER: Norman&Janet Wallace WARRANTOR: Boyle Construction Company, Inc. TERMS: The terms of the various coverage's of this limited warranty begin on the date on which your home is delivered to you. The date is referred to in this Limited Warranty as the "Delivery Date." WE WARRANT THAT: DRY BASEMENT: For a period of one year the basement will be free from seepage occurring during periods of NORMAL high water table or caused by springs or defects in materials or workmanship. TIGHT ROOF: For a period of one year the roof will be free from.leaks around the chimney and under the shingles caused by defects in materials or workmanship. HEATING AND AIR CONDITIONING SYSTEM: For a period of one year the heating system will be capable of heating the home to a temperature of 70 degrees F at the thermostat when the temperature is 0 degrees F outside Additional adjustments to the heatingsystem will be made for period of one 1 year for Y P ( )Y malfunctioning controls and components. All air conditioning systems shall be warranted against defect in materials and workmanship for one (1)year. PLUMBING: For a period of one (1)year the plumbing system will be free of defects in materials or workmanship. Additionally, for a period of six(6)months dripping faucets and/or loose fixtures will be repaired. ELECTRICAL SYSTEM: For a period of one(1)year the electrical system will be free from defects in materials or workmanship. EXTERIOR DOORS: For a period of one (1)year exterior doors will be free from warping over three eighths of an inch ($/) due to defects in materials or workmanship TRENCHES: For a period of one(1)year trenches for water and sewerage will be free from cave-in due to defects in materials and workmanship / i i ASPHALT DRIVEWAYS AND WALKWAYS: For a period of one(1)year asphalt driveways and walkways will not disintegrate, heave or depress due to defects in materials or workmanship COUNTER TOPS: For a period of one(1)year countertops will not separate due to defects in materials or workmanship EXTERIOR PAINT AND/OR SIDING; For a period of one (1)year exterior painted surfaces and/or siding will be free from blistering, peeling,warping, looseness and fading due to defects in materials or workmanship INTERIOR WALLS: for a period of one(1)year interior walls will be free from cracks caused by structural failures and free from protruding nails or cracked seems due to defects in materials or workmanship. Settling cracks are considered normal and will be repaired ONCE at no charge up to six(6)months after the delivery date. DOORS, WINDOWS AND INTERIOR FINISH: For a period of one(1)year doors, windows and interior finish will be free from warping sticking or looseness caused by defects in materials or workmanship. Additionally for a period of one(1)year items which become inoperable will be exchanged. Doors sticking caused by settling is normal and for will be adjusted at no charge up to six(6)months after the delivery date. STRUCTURE: For a period of one(1)year the structural components of the building are warranted against defects in materials and workmanship. MANUFACTURERS' WARRANTY: It is the BUYER'S responsibility to obtain a Manufacturer's Warranty on all appliances at the time of purchase. CLAIMS PROCEDURE: If a defect appears which you think is covered by this Limited Warranty, you must in writing either through the United States Postal or e-mail describing the defect. All parties hereto will make themselves available at reasonable times&mutually cooperate so that we can schedule service calls appropriately. If delay will cause extra damage(ie, if a pipe has burst)telephone our office at 603-362-4175 or cell 603-489-8515 d cy REPAIRS: Upon receipt of your written report of a defect covered under this Limited Warranty we will repair or replace it at no charge to you within thirty(30)days, longer of weather conditions, labor problems or material shortages cause delays. Repairs of an emergency nature will be made with all possible diligence and the habitability of the home by the occupants. The work under this Limited Warranty will be done by Boyle Construction and sub-contractors of Boyle Construction. NOT TRANSFERABLE: This Limited Warranty is extended to you and only to you, the first Buyer of the home. When the original Buyer sells the home and transfers deed this Limited Warranty automatically terminates Executed as a sealed instrument this h/ day of_�Jrm , Boyle Construction Company, Inc. Buyer Buyer - aMa�L�10lL�1C �[ L G`I fG�� 1-11 NI H L Y I I U 5 780 CMR 51/IECC 2012 Compliance Agreement June 13,2016 The North Andover Building Department Building Inspector 1600 Osgood Street Building 20,Suite 2035 North Andover, MA 01845 To Whom It May Concern: Sustainable Energy Analytics has been retained to provide technical support,inspection,testing,and verification th . . services required b the Massachusetts R - q y efts esidential Code-8 edition,780 CMR 51,IRC 2009,Amendment N1101.2: IECC 2012,for the permit applicant and project listed. Sustainable Energy Analytics has the necessary Home Energy Rating System(HERS)certifications and is in good standing with Residential Energy Services Network(RESNET). Permit Applicant: Boyle Construction 24 Winslow Drive Atkinson,NH 03811 brian@boyleconstruction-nh.com Project Location: 40 Hillside Rd North Andover,MA 01845 Compliance Methodology: Traditional PRESCRIPTIVE 402.1 X PERFORMANCE 405.5 402.1.1 Prescriptive Insulation and Fenestration 402.4.1.1 Mandatory Air Barrier and Insulation Checklist,new work only(attached) 402.4.1.2 Mandatory Air Leakage,3 ACH,new work only(attached) 403.2.2 Mandatory Duct Leakage Test,4%TL(attached) 403.5.2 Mandatory Ventilation System Test,new work only(attached) 405.5 J 405.7 HERS Rating Performance Alternative,HERS<=65 and Thermal Enclosure Checklist(attached) 101.4.3 Additions and Renovations: Prescriptive requirements for new work. Fill Existing cavities exposed during construction 101.4.3.3 Cordially, Pko�L; Jeffrey Rhodin Managing Director NEW Sustainable Energy Analytics,LLC -- - BPI www.sea.us.com L'I C/�E-1 r?�- Q�{� • • [u�' � • (moo Sustainable Energy Analytics, LLC Lexington,MA,02421 4 Militia Drive,Suite 6 06/13/2016 SALE Total: $625.00 MasterCard xxxxxxx xxxx7408 Exp.Date: roc/xx Name: Boyle Construction Auth.Code: 05306Z QuickBooks Trans. No: Trans. ID: PK0044563688 Merchant No.: 5247710023391246 Thank you for your business CUSTOMER COPY Sustainable Energy Analytics, LLC SEA Invoice 4 Militia Drive, Suite 6 Lexington,MA 02421 Date Invoice# (781) 652-8282 6/13/2016 2016-396 EnergyStar@sea.us.com Bill To Project Name/Location Boyle Construction SEA03499-40 Hillside Rd North Andover 24 Winslow Drive Atkinson,NH 03811 40 Hillside Rd North Andover,MA 01845 Lead Rater S.O. No. P.O. No. Terms JHY 03499 Item Description Ordered Preva Inv... Invoiced Rate Amount VPP Mass Say... Code Compliance Support for IECC 2012 Value 1 0 0.5 1,500.00 750.00 Performance Path Misc Adjustor... . Discount for one duct test 1 125.00 -125.00 _For Credit Card Payments call 781-652-8282 Total $625.00 Make checks payable to"Sustainable Energy Analytics"or"SEA" Send Payments to: Payments/Credits $0.00 Sustainable Energy Analytics 4 Militia Drive,Suite 6 Lexington,MA,02421 Balance Due $625.00 Home Energy Rating Certiffitate Property HERS " Boyle Construction Rating Type: Projected Rating Certified Energy Rater: AO 57A Deer Run Rd Rating Date: 02/20/16 Rating Number: SEA3319P :. Boxford, MA Registry ID: Projected Rating: Based on Plans ® Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 53 Efficient Home Comparison: 47% Better Use MMBtu Cost Percent Heating 76.2 $2222 48% General Information Cooling 7.4 $108 2% Conditioned Area 5542 sq. ft. House Type Single-family detached Hot Water 13.2 $354 8% Conditioned Volume 60048 cubic ft. Foundation Conditioned basement Lights/Appliances 41.5 $1731 38% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $196 4% Mechanical Systems Features Total 138.3 $4610 100% Heating: Fuel-fired air distribution, Natural gas, 95.0 AFUE. ,IKIT Heating: Fuel-fired air distribution, Natural gas, 95.0 AFUE. Criteria Cooling: Air conditioner,Electric, 13.0 SEER. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 221.00 CFM25. 2009 Internatio Conservation Code Ventilation System Exhaust Only: 93 cfm, 20.0 watts. IECC2012 ith MA Amendments Programmable Thermostat Heat=Yes; Cool=Yes " Compliance is� by the r er. Building Shell Features C;>15 j Ceiling Flat NA Slab R-0.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor R-30.0 `,per Vaulted Ceiling R-38.0 Window Type U-Value: 0.300 SHGC: 0.290 Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 : 3.00 ACH50 Foundation Walls R-10.0 Method Blower door test Rating Team a Sustainable Energy Analytics Lights and Appliance Features 4 Militia Drive, Suite 6 Percent Interior Lighting 80.00 Range/Oven Fuel Natural gas Lexington, MA. 02421 m " a Percent Garage Lighting 0.00 Clothes Dryer Fuel 781-652-8282 Refrigerator (kWh/yr) 691 Clothes Dryer EF 3.01 Energystar@sea.us.com Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: REM/Rate- Residential Energy Analysis and Rating Software v14.6.1 ' This information does not constitute any warranty of energy cost or savings. © 1985-2015 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Equipment Property Organization HERS Boyle Construction Sustainable Energy Analytics Projected Rating 57A Deer Run Rd 781-652-8282 02/20/16 Boxford, MA AO Rating No:SEA3319P Rater ID: Weather:Boxford, MA Builder 57A Deer Run Rd Brian Boyle SEA3319P 57A Deer Run Rd Boxford.blg Heating Calculated Peak Load,(kBtu/hr) 74.5 Infiltration 14.5. Envelope 59.9: Sizing Factor (%) 100.0. Heating.E 4ui m. en t Ca acit (k.Btu/hr). ; Required 74.5 Specified 76.0 Cooling Calculated Peak Load (kBtu/hr) Sensible 20.3 Latent 6.5 SHF 0.8:. Sizing Factor($) 100:0 Cooling Equipment Capacity (kBtu/hr) Required Total 26.8 Specified Total.. 36.0 Specified SHF 0.8 Required Sensible 20.31 Specified Sensible 8.80. Required Latent 6.47 Specified Latent 7:20 1 REM/Rate- Residential Energy Analysis and Rating Software v14.6.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2015 Noresco, Boulder, Colorado. R:NR:KUT ANALY I IUB February 22,2016 Brian: Thank you for choosing us as your HERS rater, we appreciate the business and look forward to working with you on the 57A Deer Run Rd project. The projected HERS rating for this house is 53, the goal is to be 65 or lower at the end. This number is based on the drawings; certain project assumptions provided by you; and defaults we usewhen generating the projected model when specifics are not available. If you intend to make any changes to the following assumptions please call us to review the implications and maintain conformance to Building Code and or incentive programs. The assumptions used are the following, IECC 2012 and Mass Save specific requirements are highlighted: General Fuel type is Natural Gas 2009 Code insulation R values throughout the house Two HVAC systems, location basement and attic Window specs: U-Factor 0.30, SHGC 0.29 Mechanical Venula#ori93,CFflA req red 2411 'z houseWhole I3xACHt50 Pa T Duet System Toni Lealcag`e �4%y(MaX allowed IECC,y201,2j Basement Conditioned & Finished 95 AFUE Furnace 1.5 ton SEER 13 Air Conditioner Gas DHW 75 Gallon, EF 0.65 or higher Attic Conditioned, unfinished 95 AFUE Furnace 1.5 ton SEER 13 Air Conditioner Insulation in Roof Rafters from peak to plate For your review, Dlease find the following documents attached to e email. 'm Projected HERC Certificate: Include this with your permit applicat1w. Equipment Sizing Summary: Generated by our REM model, for youhile this does a C subcontractor. VW not serve as an HVAC design document, it can be useful to your HVAC contractor in pricing the work and checking their equipment load calculations. HVAC Checklist: For the HVAC contractor. Please forward this checklist to your HVAC sub. It must be returned to us by the beginning of ductwork rough-in. The IECC 2012 and Thermal Enclosure Checklists: Summaries of what is required for IECC 2012 code compliance. Panasonic Programmable Bath Fan Cut Sheet: Mechanical ventilation is a requirement for IECC 2012 and for the Mass Save program. We highly recommend using a model listed on this cut sheet. The next milestone will be the midpoint(insulation) inspection, please understand and remember that we must visit the house to inspect insulation and air sealing before wallboard is installed. As always, please feel free to contact us with any questions or concerns. Regards, SEA Team The Commonwealth of1Massachusetts f Department of IndustrialAceidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legitbly Name(Business/Organization/kdividnal): aw— 7 F3Ya?/ex Address: WAAse&() � City/State/Zip: 1 y-A% Al AIN 63&/7 Phone#: ms's- /Cr,& -)O/� Are you an employer?C6&tfte appropriate box: Type o3.project(required): 1.❑I am.a.employer with employees(full and/or part-time).* 7. ew construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 3..F]I am a homeowner doing all work myself[No workers'comp..insurance required.]t 9. El Demolition 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. ' 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.[�Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6. are a corporation and its officers have exercised their right of exemption per MGL c. 14•Q Other + Ve 152,§1(4),and Nye have no.emgloyees.[No workers'comp.insurance required.] :t: . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who subnuE this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have e?uployees. If the.sub-cool:actors fiaye employees,tliey must provide th h ,vorl ois'coirp.policy number. I- i X arra an employer that is piovidirzg workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DTA.for insurance coverage verification. X do hereby certify under the pains and penalties ofpeijury Haat the information provided above is true and correct Signa ire: Date: d!6 Phone#: 603 - _;-z- / �S Official use only. Do not write in this area to be completed b city or town official. .f.� Y P Y tY .ff City or Town: Permit/License# Issuing Authority(circle one): ; X.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instrncti®ns 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 oNhire, expres' 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 ate 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 b6 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=contractoi(s)name(s),address(es)andphone 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 yo%a'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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 0 �0 9 � � �� � o �� � �. �1 . �� ��� & JOANNE M. INDEX OF 5HEET5 DEVIN SHAUN M. & DEBRA A. JOHN D. & COLLEEN E. SB 98C LOT 49 CALLAGY BILLINGS L.C. 27868-A SHEET I OF 3 GI SITE PLAN MAP 98C LOT 51 MAP 98C LOT 62 SHEET 2 OF 5 G2 EROSION CONTROL DETAILS SHEET 5 OF 5 G3 SITE DETAILS design group, LLC avll engineering LOT I BROOK _ _ _ bafteng9 _ _ y architecture - - �- - - landscape design 8 construction GENERAL STORE TRUST 363bostenstreet muteI O TREE TO BE SAVED SHOWN GREEN(TYPJ — - - 1 MAP 98C LOT 11 topaAeld,ma01983 .. _p N_ - mIAW m .. �.. -fie}-. 995 I FIN15H GRADE SPOT ELEVATION / ' (Dj'Ut m x _ _ ZONING DISTRIGTRESIDENGE 5 ASSESSORS MAP DISC LOTS 8, 9 4 10 + o a6 AIY m Alk n kJ AIe< project title: In �, a a HILLSIDE ROAD m _o� �� %;' NORTH ANDOVER,MA STONE , W, I `\ _) }\ BO/ND \ \ SETT EVERYLOT 2 \ m /`/ ¢ j. 25' EROSION CONTROL \ ,, I'OFF 25'NO DISTURBNE(TYPJ j 'TREE LINE / A� � // prepared for. W10SII se z // (TYPE ssls /. THE WINSLOW DRIVE s z' 14 \ O _ , '' "� ' - "fir 1��aTl k `1 REALTY GROUP LLC PROP.- v \ FOUNDATION I N O ' t -, 24 WINSLOW DRIVE DRAIN ,�'J -'�' N ?,INVERT=2 lbt soa 3: a < fig+ 1 a 1 `Y• EE > R' ATKINSON NH 03811 20'-a \ \ _ � .0 .. t^, 181IMIS .�;�� ,-. SIDE . i P 0 N D / PROPOSED S.F.D 1 ""E,. f10. data SErBACK . --� 1 ¢ ,, ••y� , '. .. .,P,�>.:• description T.OF:=281.00 \\ 1 .�� } I - A`I tr{(�.. vti r o ov2ena rysl.Eo rotx RPVIEw GARAGE FLOOR 1'\_,\ _ _ I R ,t .,� 1 PAVEMENT As.GARAGE ,. `� O8• PROFWE" k `. ~, vawle coN.cow..Revlslwe PROPOSED GAS�ERVIGE t� � ` . � /per \ �\ / +� �1A TRAIL ACCESS LOT ? � ELEGTRI 119,159 S.F. t ( 162.736 Acres �n. \EROSI CONTROL j/ � ,� '• 6 1k S S v AA ,r>OFF 22 Ata - _ d o r, _ t »• P15TURD LIN (TYPJ / Sa plan 8 \- CONTIGUOUS /// E �# • ubmissiar 4'HIGH ��a T NOTICE OF INTENT Z \ \RFOI-BLOCK BUILDABLE AREA WAL 58,509 S.F.00 ¢A6 n / ERIC & KAREN MILLER r=' + a i MAP 98C LOT 104 % ' v S "? data. 01282016 .00 x Nt. a scale: 1-= —PR PO- / \ <\ A6IOb n0: 2016-03/3046 SEWE ERVIGE t `\ ` -\ FIN15H FLOOR ELEVATION-282.15 LOCATION PLAN DEP no: Z42-1675 FINISH FLOORING .>., '"2795 O' ,.�.�. \ _L•� ¢ // SCALE: I"=200'2 O Q /, s/"PLYWOOD - SOURCE:MA GIS DIGITAL RASTER GRAPHIC(DRG) \POPOSED - 9 1/4'BOJDST IS 9/4'-IIS' PROPERTY OWER: WATER 5ERVICENORMAN AND JANE TR �o WALLACE EXISTING GRADE AT ����\ \ 14.°.� \ < FjegE` / 9EE Notes . TOP OF FOUNDATION 281.0 103 HIGH STREET ,'c. z c NOTE5: ROAD=21912 W'7- SEE f \: \ •\ \�¢ / ^/r ANDOVER MA.01610 SHEET 03 FOR RESOURCE AREA IMPACT TABLE5.�j P/w\\ ,\_- �/ \ ! jf )• `;->~. � z / NOTES: CONSULTANTS- EXISTINGCONDITIONS: { li \ \ '3 _ \IjG / I. FOUNDATION DIMENSIONS SHOWN ARE TYPICAL DE51&N TEAM: t \ \ O �• CI W >. 10'HIN. I. .TOTA_L GARAGE SQUARE FOOTAGE EXISTI 561-S:F: `k \3` \ F��� �/� I - Q - ¢ / Z .j AND FOR PLANNING FOR FINAL SITE GRADING. Thad D Barry ' C1 / = ALL FOUNDATION DIMEN51ONS SHALL CONFORM TO 1 42258 /_- t CIVIL ENGINEER: PROPOSED CONDITIONS \\ - - - / - THE STATE AND LOCAL BUILDING CODE - . - -- ASB DE516N 6ROUP,LLC k w \� REQUIREMENTS. 2. TOTAL HOUSE 5OUARE FOOTAGE EXISTING-3,6"10 S.F, \ \ /O / ¢ / TbT, 363 BOSTON STREET 3. TOTAL WALKWAY SQUARE FOOTAGE EXISTING=390 S.F. ( _'\ L \ (/ 8A' 2. SEE ARCHITECTURAL DRAWINGS FOR FINAL TOPSFIELD MA 01963 4. TOTAL PAVEMENT 5OUARE FOOTAGE EXI5TING v 2,125 S.F. - w \ \\j\�\\L �O FOUNDATION DETAIL AND ELEVATIONS. 5. PRIOR TO CONSTRUCTION CONTRACTOR SHALL CONFIRM ALL \ \\ w \\ ,� 3. SEE ARCHITECTURAL ORAWIN65 FOR PERIMETER SURVEYOR: V � EXISTING UTILITIES. V-�' '' C•r\ \ \ O �/ DRAIN AND OR SUMP PUMP DETAILS DONOHOE SURVEY,INC. drawing name \ I \ ' 363 BOSTON STREET 6. THE UNDERGROUND UTILITIES SHOWN(WATER SEWER,AND 6A5) �\ \� \ \ / jam 4. MINIMUM OF 12"FOUNDATION TO FINISH GRADE- TOPSFIELD MA 01963 WERE TAKEN FROM TOWN OF NORTH ANDOVER SEWER AND SEE SHEET G2 9-16.66�b161 WATER DRAWINGS TITLED,SEWAGE WORKS IMPROVEMENTS,BY CAMP DRESSER 4 McKEE INC.,SHEET 4,DATED SEPTEMBER \s \ ,� / DONG KWON SHIN \\ MAP 98C LOT 14 °a' WETLANDS: SITE PLAN UT L CONTRACTOR SHALL CONFIRM ALL UNDERGROUND \\\ \ > � // RIMMER ENVIRONMENTAL �T UTILITIES AND INVERTS PRIOR TO CONSTRUCTION. s sl\� �/ BASEMENT FLOOR ELEVATION v 213.33 CONSULTING,LLC (LOT 2J T. BENCHMARK:GUi SPIKE IN UP A394T ELEVATION 261.70 'r /j 5'1 BOSTON ROAD VERTICAL DATUM NA.V.D.1966 \\\\' s\\/\\\\\\ lo'NIN.HIX <a - - drawing MIN. 9 8.463 92 6 NEKEURY.MA 01951 ding numbre NRGS SOILS �\ ` / ` � 4"ADS(WITH SOCK)FOUNDATION DRAIN Z INVERT AT FOUNDATION=212.22 MAP UNIT SYMBOL MAP UNIT NAME HYDROLOGIC 501E GROUP \�� w �\ 1. 'j/ �3g• Sp• INVERT AT EXIT v 2TIb2-SEE SITE PLAN TOA RIDGEEURY FINE SANDY LOAM D �\\/` �/ - LLL s/'WASHED STONE-10" .7 WHITMAN LOAM D \ 7 SCALE B/,R 51-ALE,1'.]O' 3058 PAXTON FINE SANDY LOAM G r �� TYPICAL FOUNDATION DETAIL ' =`1 "� eo ` 1` NOT TO SCALE Sheet 1 Of 3