HomeMy WebLinkAboutBuilding Permit #1327-2016 - 41 FERNCROFT CIRCLE 7/22/2016 NORTH
BUILDING PERMIT o�tt�E° 6q"o
TOWN OF NORTH ANN VER
AAJ Q,44�PPLICATION FOR PLAN EXAMINATION
A.
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Permit No#: �� Date Received lq "TED "
RA�A.47ED
gSSgcHus��
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION yl Pe rrwrWW CIrGle ltl. AnWoyer MA 0/9`
/, / PrintJ.
PROPERTY OWNER M/�4,qe/ �,�aG1an b/ A ,&
Print 100 Year Str c re yes no
MAP (�� PARCEL: A) ZONING DISTRICT: Historic Dis rict yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building K One family
%Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
..\c� 2o` �2-,l 2 S
101,AAVW111
Identification- Please Type or Print Clearly
OWNER: Name: LAAAi'I 4k�sa, d -tw 1 Phone: gz&-- 3L4---51Sd-
Address:4\ ,,,c�+��-G►c ,
Contractor Name: T� , cu 1A�)� Phone:
Email: G,,-,_,\
Address: ~zD "Ve_sL,,y,_ )2J,y fi , y1.�c, �LSZI
Supervisor's Construction License: (53'421'1 Exp. Date: 3)z_4)/k
Home Improvement License: Im7jq-y(, Exp. Date: 9-),oloo
ARCHITECT/ENGINEER -- Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ /I ZI 451-w FEE: $ Z,�
I
Check No.: 1'r Receipt No.:
NOTE: Persons contracting ith unregistered n c rs do not have access o the guaranty fund
Location "1 /No. Date
I %�,� -c,� f(� Date jn/1
' I f
• - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $1 " �
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
Building`Inspector �'
Plans Submitted ❑ Plans Waived ❑ L Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ Swi nmuig Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Za Lel Signature_&G4kk"�'
COMMENTS WUV&�- � '"
k e �w k
COW n
CONSERVATION Reviewed on a t Si nature ,.
COMMENTS cJ`� �",� ( �\ � ,� 0 o
HEALTH Reviewed on Signature
COMMENTS 1�Lk /)'I 'G,w ( C �r=7 e e),,J (o 1411 l�
Zoning Board of Appeals:Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/s
Driveway Permit _
DPW Town Engineer: Signature:
_ Located 384 Osgood Street
FIREiDEPARaTMENbT
Tempjpumprster.gnsite ,yes
Located�af 124 ._ - no,*
Main St bet.
F re,Depart hent s�gnature/date
COMMENTS
Plans Submitted ❑ Plans `d1(aived O a Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ 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
PLANNING & DEVELOPMENT Reviewed OQzVok Signature_&G
4k
COMMENTSWuv klApd�Cy) nynk E �50' I/ ftca-
�G�
CONSERVATION Reviewed on a Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS 4p " /Yl
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
w
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature& Date Driveway Permit
1 DPW Town Engineer: Signature:
Located 384 Osgood Street
IR
FEdDEPAR�TENITM .TernptDumpst-r onsite ,yes noa _ s_
'FiretDeP,4(�tiYientsignature/dafe _
COMMENTS
i
Dimension
Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. groo
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
o2oz / LI-7 A< , c.C' /!9 iC
czt/Z5 e-9i '4 ef", �Z'4'e-e-j CZ y9V-1
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
I
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
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
;r 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
Enter construction cost for fee cal - North Andover Fee Cakulation
Construction Cost
$ 121 ,457.00 m
$ - $ 1,457.48
Plumbing Fee $ 182.19
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 182.19
Total fees collected $ 1,921.86
41 Ferncroft Circle
1327-2016 on 6/22/2016
Addition
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0
No. �� — AIL T
o h ver, Mass, a cV.o �
COC
NICHE WICK
SRATED Jkf '(5
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD t_ , Septic System
THIS CERTIFIES THAT ...Rktlkk ...4 �� a�`.:/ l.S�a s ''.r ................. Foundation
BUILDING INSPECTOR
�-has permission to erect .......................... buildings on AA..... ..rrN............. ............................................
Rough
to be occupied as . , .... ...... !!'. ! �'!�..... ..... Chimney
provided that the person accepting this permit shall in every respect conform to the erms 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST TION Rough
Service
ass
. .. . .. . ..... . . ........ ...... ..........
Fina
BUILDI INSPECTOR
GAS INSPECTOR
Occupancy 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 DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
r
FRANCIS A. HEBB CONSTRUCTION CO., INC.
DESIGN/BUILD CONTRACTOR
CONSTRUCTION MANAGEMENT AND CONSULTING
Residential,Commercial Building& Renovations
Construction Supervisory License#033217
Home Improvement License#107916
CONTRACT TO BUILD
70 Lake Shore Road, Boxford, MA 01921-1115
Shop (978) 352-6123
Fax(978) 352-5068
Cell (978)423-6637
RESIDENTIAL CONTRACTING AGREEMENT
Designated Registrant's Name: FRANCIS A.HEBB
Registration Number: 107916
This agreement is made on June 14, 2016 (date) between FRANCIS 1 EBB of 70 LAKE
SHORE ROAD, BOXFORD, MA 01921`(978) 352-6123 hereinafter called "Contractor" and
Alison Hayward and Michael Wadanoli (Owner) of 41 Ferncroft Circle North Andover MA
01845 hereinafter called "Owner".
I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such
work consists of the following:
Build 20' x 20' 2-story addition with full basement and bulkhead. 2x6 frame construction,vinyl
siding. First floor family room,2nd floor master bedroom and walk-in closet. Hardwood floor on
first floor, carpet on 2nd floor and tile in bathroom. Install bath fixtures supplied by owner.
Renovate existing bedroom to new master bathroom. New forced hot air furnace and a/c. New
on-demand gas hot water heater. New electrical subpanel in new basement.
New vinyl windows with exterior vinyl siding and asphalt shingle roof to match existing porch
roofing.
Electrical—Basement- 1 — 100amp subpanel in basement; 2 lights in basement
First Floor — 8 electrical outlets; 1 cable outlet; 1 ceiling light; 1 exterior door light; 1 exterior
outlet; wire gas fireplace; 6 4"recessed lights and l dimmer switch
Second Floor — 7 electrical outlets; 1 ceiling light; 1 closet light w/switch; 1 cable outlet; 5 4"
recessed lights in bedroom and 2 4"recessed lights and 1 switch in closet
Bathroom— 1 vanity location w/switch; 1 GFI outlet; 16"shower light w/wall switch; 1 Panasonic
light fan unit w/wall timer
Price does not include smoke detectors or transfer switch for generator.
Price does not include any plumbing fixtures or parts for installation and painting.
Price does not include gas fireplace or installation of fireplace.
Price does not include permits, labor to obtain permits, and required Town inspections. These
costs will be added to the next payment.
II. PRICE
Contractor agrees to do all work described in Section 1 for the total price $121,457.00.
III. PAYMENT
Payment will be made as follows:
$17,800.00 due upon demo siding, dig foundation hole and pour foundation and install
bulkhead,
$18,400.00 due upon completion of deck frame; 1 st floor walls, 2nd floor deck, and foundation
backfilled,
$11,400.00 due upon completion of framing on 2nd floor walls, ceiling and roof,
$11,700.00 due upon completion of roofing,windows installed and siding,
$1.8,225.00 due upon completion of rough plumbing and electrical,
$14,065.00 due upon completion of insulation,plaster,
$15,520.00 due upon completion of interior finish, trim, tile floor, finish plumbing and
electrical,
$12,200.00 due upon completion of finish floor, hardwood and carpet,
and the remaining $2,147.00 upon completion verification of the work by Owner and
Contractor as having been satisfactorily completed, which verification shall take place promptly
after completion.
Notice: No agreement for home improvement contracting work shall require a down payment
(advance deposits) of more than one-third of the total contract price or the total amount of all
deposit or payments which the contractor must make, in advance,to order and/or otherwise obtain
delivery of special order materials and equipment, whichever amount isegr .ater.
IV. COMMENCEMENT AND COMPLETION OF WORK
Contractor will not begin the work or order the materials before the third day following the signing
of this Agreement, unless specified here in writing. Contractor will begin the work on June 15,
2016 and completion is scheduled for October 28, 2016. The Owner hereby acknowledges and
agrees that the scheduling dates are approximate and that such delays that are not avoidable by the
Contractor shall not be considered as violations of this Agreement.
V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
The Contractor may not require payments to be made in advance of the times specified in Section
III (Payment) above for the reason that he deems himself or the payments to be insecure. If,
however,he deems himself to be insecure,he may require,as a prerequisite to continuing the work
described herein, that the balance of the payments under this contract that are in the control of the
Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor
and the Owner for withdrawal.
VI. INSURANCE
Contractor will be responsible to Owner or any third party for any property damage or bodily
injury caused by himself,his employees or his subcontracts in the performance of,or as a result of,
the work under this Agreement. Contractor agrees to carry insurance to cover such damage or
injury.
VII. SUBCONTRACTING
Contractor agrees that, notwithstanding any agreement for materials and/or labor between
Contractor and a third party, Contractor is responsible to Owner for completion of all work
described in a timely and workmanlike manner.
' 9 `
VIII. CONSTRUCTION RELATED PERMITS
The following construction related permits will be necessary in order to complete the scope of
work included in this Agreement: Building, Plumbing,Electrical and HVAC (Price does not
include permits, labor to obtain pen-nits and required inspections).
The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and
obtain all construction related permits. The Contractor shall not be deemed responsible for delays
in the work described in this Agreement caused by regulatory, permit granting or inspectional
agencies, authorities or individuals.
Notice: If the homeowner obtains his own construction related permits for the work described
under this agreement, the homeowner is hereby advised that in the event of a dispute,judgment
and nonpayment of the contractor,the homeowner will not be entitled to make a claim to or collect
from the guaranty fund established by Chapter 142A, M.G.L.
IX. MODIFICATION
This Agreement, including the provisions related to price (Section 11) and payment schedule
(Section IIl) cannot be changed except by a written statement signed by both Contractor and
Owner.
X. CONSTRUCTION CHANGE ORDER
Construction change orders will consist of any change to the original scope of work, such as
hidden conditions and changes requested by Owner. These conditions may require adjustment in
the overall price and time frame to complete the necessary work related to this Agreement. In
such case the Contractor shall inform the Owner of such conditions forthwith and when necessary
a written amendment to this Agreement will be negotiated and executed by the Contractor and
Owner.
XI. WARRANTIES
The Contractor warrants that the work furnished hereunder shall be free from defects in materials
and workmanship for a period of one year following completion and shall comply with the
requirements of this Agreement. In the event any defect in workmanship or materials, or damage
caused by the Contractor, his subcontractors, employees or agents, is discovered within one year
after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith
remedy, repair, correct,replace, or cause to be remedied,repaired or replace such damage or such
defect in materials or workmanship. The foregoing warranties shall survive any inspection
performed in connection with the agreed upon work.
All warranties for equipment supplied by the Contractor under this Agreement shall be those given
by the manufacturers of such equipment,which shall be and are hereby passed through directly to
the Owner. Under such manufacturers'warranties,the Owner may be required to register or snail
in a warranty card or other evidence of workmanship and use of such equipment in order to
activate such warranties. The Owner's failure to mail in or register such documentation, which
failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to
warranty such equipment.
This warranty gives the Owner specific legal rights, and Owner may also have other rights which
vary from state to state.
XII. COMPLETENESS OF AGREEMENT FOR EXECUTION
The Owner is hereby advised that he should not sign this Agreement unless and until all blank
sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and
related or referenced documents that are incorporated herein are attached hereto.
XIII. COPY OF AGREEMENT TO BE GIVEN TO OWNER
It must be executed in duplicate,and an original signed copy hereof given to the Owner at the time
of execution. No work under this Agreement shall begin prior to the signing of the Agreement
and transmittal to the Owner of a copy thereof.
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
(OwneA Signature)
Date Signed /y /%Z�
c2ol6
---w-4" 41L
(Contractor's Signature)
Date Signed (a�t4jw
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Lit fay Y E, MEMBER REPORT Level,20VOW PASSED
Y
L 1 piece(s)91/2"T31@ 230 @ 12"OC
Otrora�Lertg�2#1'
a
All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.
Design Results Actual 0 Locadon Allowed Resuft LDF Load:Combination(Pattern) System:Floor
Member Reaction(lbs) 416 @ 4 1/2" 1485(3.50") Passed(28%) 1.00 1.0 D+1.0 L(All Spans) Member Type:Joist
Shear(lbs) 401 @ 5 1/2" 1330 Passed(30%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential
Moment(Ft-lbs) 1945 @ 10' 3330 Passed(58%) 1.00 1.0 D+ 1.0 L(All Spans) Building Code:IBC 2009
Llve Load Defl.(in) 0.409 @ 10' 0.481 Passed(L/565) 1.0 D+1.0 L(All Spans) Design Methodology:ASD
Total Load Defl.(in) 0.573 @ 10' 0.962 Passed(1./403) - 1.0 D 4.1.0 L(All Spans)
TJ-Pro'"Rating 36 30 Passed
Deflection criteria:LL(L/480)and TL(L/240).
Bracing(Lu):All compression edges(top and bottom)must be braced at 4'8 1/8"o/c unless detailed otherwise.Proper attachment and positioning of lateral
bracing is required to achieve member stability.
A structural analysis of the deck has not been performed.
Deflection analysis is based on composite action with a single layer of 23/32"Panel(24"Span Rating)that is glued and nailed down,
Additional considerations for the T}-Pro'"Rating include:1/2"Gypsum ceiling,1x4 Flat strapping.
Bearing Length Loads toSuppaia(Ihs)
Supports Total Available Required Dead Floor Total Accessories
Live
1-Stud wall-SPF 5.50" 4.25" 1.75" 120 300 420 1114"Rim Board
2-Stud wail-SPF 5.50" 4.25" 1.75" 120 300 420 1114"Rim Board
•Rim Board is assumed to carry all loads applied directly above it,bypassing the member bang designed.
Dead Floor Live
Loads Location(Side) Sparing (0.90) (1.00) Comments
1-Uniform(PSF) 0 to 20' 12" 12.0 30.0 Residential-living
Areas
Weyerhaeuser Notes l(WESik'Y 1011Arn'E.
Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values. 11
Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details.
(www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to
circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to
assure that this calculation Is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable
forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested
in accordance with applicable ASTM standards. For current code evaluation reports refer to http://www.woodbywy.com/services/s CodeReports.aspx.
The product application,input design loads,dimensions and support Information have been provided by Forte Software Operator
Forte Software operator Job Notes _ 6/16,2016 3:1020 FSM
Forte v5.1.Design Engine.V6.5.1.1
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Materials Database 1527
Member Data
Description: Member Type: Beam Application: Floor
Top Lateral Bracing: Continuous
Bottom Lateral Bracing: Continuous
Standard Load: Moisture Condition: Dry Building Code: IBC/IRC
Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL
Dead Load: 10 PLF Deck Connection: Nailed Member Weight. 24.5 PLF
Filename: Beams
Other Loads
Type Trib. Other Dead
(Description) Side Begin End Width Start End Start End Category
Additional Uniform(PSF) Top 0' 0.00" 20' 0.00" 10' 0.00" 30 10 Live
O 2000
2000
Bearings and Reactions
Inp Min Gravity Gravity
Location Type Material Len6th Required Reaction Uplift
1 0' 0.000" Wall SPF Plate(425psi) 5.900" 1.533" 4562# -
2 20' 0.000" Wall SPF Plate(425psi) 5.'500" 1.533" 4562# --
Maximum Load Case Reactions
Used for applying point loads jot line loads)to carrying members
Live Dead
1 3269# 1293#
2 3269# 1293#
Design spans
19' 2750"
Product: 2.0 RigidLam LVL 1-3/4 x 14 4 ply PASSES DESIGN CHECKS
Connect members with 2 rows of 1/2"diameter bolEbottom
-4.0"oc
Design assumes continuous lateral bracing along op chord.
Design assumes continuous lateral bracing along chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 21931.'# 602634 36% 10' Total Load D+L
Shear 4009.# 18947.# 21% 0.4' Total Load D+L
Max.Reaction 45621 16362.# 270/6 0' Total Load D+L
TL Deflection 0.4560" 0.9615" U506 10' Total Load D+L
LL Deflection 0.3267' 0.6410" U706 10' Total Load L
Control: LL Deflection
DOLS: Live--100% Snow=1151% Roof=125% Wind=1600/.
Design assumes a repetitive member use increase in bending tress: 4%
All product names are trademarks of their respeclive owners
Copyright(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED.
^Pass ng is defined as when the mem bee floor iois6 beam or girder shown on this drawing meets eppl icable desgn criteria for Loads.Loading Conditions,and Spans li sted on this sheet.The
dasgn must be reviewed by a Qualified designer ordesgn prolessonal as required for approval.This desgn assumes product installalion eccordirg to the manufacturers soacirications.
REScheck Software Version 4.5.0
od
Compliance Certificate
Project
Energy Code: 2009 IECC
Location: North Andover, Massachusetts
Construction Type: Single-family
Project Type: Addition
Climate Zone: 5 (6322 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
41 Ferncroft Circle Michael Wadanoli Alison Haywood Francis Hebb
North Andover, MA 01845 41 Ferncroft Circle FA Hebb Const, Co., Inc.
North Andover, MA 01845 70 Lake Shore Rd
978-314-5154 Boxford, MA 01921
978-423-6637
FrancisHebb@gmail.com
Compliance: 9.4%Better Than Code Maximum UA: 138 Your UA. 125
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Glazing
Assembly or Cavity Cont. or Door UA
Ceiling 1: Flat Ceiling or Scissor Truss 400 38.0 0.0 0.030 12
Wall 1: Wood Frame, 16"o.c. 1,005 21.0 0.0 0.057 46
Window 1:Vinyl Frame:Double Pane with Low-E 157 0.300 47
Door 1:Glass 33 0.300 10
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 400 38.0 0.0 0.026 10
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 2009 IECC requirements in
REScheck Version 4.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 1 of 8
REScheck Software Version 4.5.0
Inspection Checklist
Energy Code: 2009 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
& Req.ID
103.2 Construction drawings and ❑Complies
[PR1]1 documentation demonstrate []Does Not
energy code compliance for the ❑Not Observable
building envelope.
❑Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation demonstrate []Does Not
[PR3]1 energy code compliance for
lighting and mechanical systems. []Not Observable
Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the commercial
code.
403.6 Heating and cooling equipment is Heating: Heating: ❑Complies
[PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
w on loads per ACCA Manual J or Cooling: Cooling:
other approved methods. Btu/hr Btu/hr []Not Observable
[]Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 2 of 8
It
2009 IECC Foundation Inspection Complies? Comments/Assumptions
303.2.1 A protective covering is installed to ❑Complies
[FO11]2 protect exposed exterior insulation ❑Does Not
and extends a minimum of 6 in. below
❑
grade. Not Observable
❑Not Applicable
403.8 Snow-and ice-melting system controls ❑Complies
[FO12]2 installed. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 3 of 8
Section plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies
402.3.1, average). []Does Not table for values.
402.3.3,
402.5 []Not Observable
[FR2]1 ❑Not Applicable
303.1.3 U-factors of fenestration products ❑Complies
[FR4]1 are determined in accordance ❑Does Not
with the NFRC test procedure or
taken from the default table. []Not Observable
❑Not Applicable
402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies
[FR8]1 space have a maximum []Does Not
y fenestration U-factor of 0.50 in
Climate Zones 4-8. New glazing []Not Observable
separating the sunroom from []Not Applicable
conditioned space must meet
code requirements.
402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies
[FR9]1 space have a maximum skylight ❑Does Not
1W U-factor of 0.75 in Climate Zones
❑Not Observable
4-8
[]Not Applicable
402.4.4 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting []Does Not
19 AAMA/WDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC []Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate:52.0 cfm
leakage at 75 Pa. []Not Observable
❑Not Applicable
403.2.1 Supply ducts in attics are R- R- ❑Complies
[FR12]1 insulated to >_R-8.All other ducts R- R- ❑Does Not
in unconditioned spaces or
outside the building envelope are ❑Not Observable
insulated to >_R-6. ❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies
[FR13]1 air handlers,filter boxes,and ❑Does Not
building cavities used as return
ducts are sealed. ❑Not Observable
❑Not Applicable
403.2.3 Building cavities are not used for ❑Complies
[FR15]3 supply ducts. ❑Does Not
10 ❑Not Observable
_ ❑Not Applicable
403.3 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to >_R-
3 ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R- R- ❑Complies
[FR18]2 pipes are insulated to R-2. []Does Not
V ❑Not Observable
_ ❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 4 of 8
i
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 5 of 8
Section Plans Verified Field Verified
# Insulation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
303.1 All installed insulation is labeled ❑Complies
[IN13]2 or the installed R-values ❑Does Not
provided.
❑Not Observable
❑Not Applicable
402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.5, ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.6
[IN1]1 ❑ Steel F-1 Steel ❑Not Observable
❑Not Applicable
W,
303.2, Floor insulation installed per ❑Complies
402.2.6 manufacturer's instructions,and ❑Does Not
[IN2]1 in substantial contact with the
u underside of the subfloor. []Not Observable
❑Not Applicable
402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies
402.2.4, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.5 wall insulation on the wall
[IN3]1 exterior,the exterior insulation ❑ Mass mass []Not Observable
requirement applies. ❑ Steel ❑ Steel ❑Not Applicable
303.2 Wall insulation is installed per ❑Complies
[IN4]1 manufacturer's instructions. ❑Does Not
U' []Not Observable
❑Not Applicable
402.2.11 Sunroom wall insulation has a R- R- ❑Complies
[INS]' minimum R-value of R-13. New ❑Does Not
4 walls separating the sunroom
from conditioned space must ❑Not Observable
meet code requirements. ❑Not Applicable
303.2 Sunroom wall insulation installed ❑Complies
[IN9]1 per manufacturer's Instructions. ❑Does Not
❑Not Observable
❑Not Applicable
402.2.11 Sunroom ceiling minimum R- R- ❑Complies
[IN10]1 insulation R-value of R-19 in ❑Does Not
At Climate Zones 1-4,and R-24 in
Climate Zones 5-8. ❑Not Observable
❑Not Applicable
303.2 Sunroom ceiling insulation is ❑Complies
[IN11]1 installed per manufacturer's ❑Does Not
instructions.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 6 of 8
1
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1, Ceiling insulation R-value.Where R- R- ❑Complies See the Envelope Assemblies
402.2.1, > R-30 is required, R-30 can be ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.2 used if insulation is notE] Steel ❑ Steel
[Fill' compressed at eaves. R-30 may []Not Observable
be used for 500 ftz or 20% ❑Not Applicable
(whichever is less)where
sufficient space is not available.
303.1.1.1, Ceiling insulation installed per ❑Complies
303.2 manufacturer's instructions. ❑Does Not
[F12]1 Blown insulation marked every
300 ftz. ❑Not Observable
❑Not Applicable
402.2.3 Attic access hatch and door R- R- ❑Complies
[F13]1 insulation >_R-value of the ❑Does Not
1 adjacent assembly.
❑Not Observable
❑Not Applicable
402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[FI17]1 of<7 ACH at 50 Pa.This
requirement may instead be met ❑Not Observable
via visual inspection, in which ❑Not Applicable
case verification may need to
occur during Insulation
Inspection.
402.4.3 Wood-burning fireplaces have ❑Complies
(F18]2 gasketed doors and outdoor ❑Does Not
w, combustion air.
❑Not Observable
❑Not Applicable
403.2.2 Post construction duct tightness cfm cfm ❑Complies
[F14]1 test result of:58 cfm to outdoors, ❑Does Not
or<_12 cfm across systems.Or, ❑Not Observable
rough-in test result of:56 cfm
across systems or<_4 cfm ❑Not Applicable
without air handler. Rough-in test
verification may need to occur
during Framing Inspection.
403.1.1 Programmable thermostats ❑Complies
[F19 12 installed on forced air furnaces. ❑Does Not
[]Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI10]2 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[Fll1]z systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable
403.9.1 Readily accessible switch on ❑Complies
[FI12]3 heaters for swimming pools. ❑Does Not
❑Not Observable
❑Not Applicable
403.9.2 Timer switches on pool heaters _ s ❑Complies
[FI19]3 and pumps are present. ❑Does Not
❑Not Observable
❑Not Applicable
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 7 of 8
t
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.iD
403.9.3 Heated swimming pools have a ❑Compli'es
[FI20]3 cover.Covers on pools heated []Does Not
over 90°F are insulated to R-12.
❑Not Observable
[]Not Applicable
404.1 50%of lamps in permanent ❑Complies
[F1611 fixtures are high efficacy lamps. ❑Does Not
❑Not Observable
ONot Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 []Does Not
1-t ❑Not Observable
_ ❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
(FI18]3 mechanical and water heating ❑Does Not
equipment have been provided.
[]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 1 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 06/09/16
Data filename: Untitled.rck Page 8 of 8
2009 c Energy
Efficiency Certificate
Wall 21.00
Floor 38.00
Ceiling / Roof 38.00
Ductwork(unconditioned spaces):
INIOM MEN=
Window 0.30
Door
0.30
3
111,pli III
Heating System:
Cooling System:
Water Heater:
mll
Name: Date:
Comments
The Commonwealth ofMassgchusetts
Department of.Industrial.Aecidents
" -- I Congress Street,Suite 100
Boston,MA 02114-2017
www mass gov/dia
Workers,Compensation Insurance Affidavit:Builders/Contractors/Electriclans/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Aoulicant Information Please Print Legibly
Name(Business/Ora uization/Iro.dividual): F�Awuu 4)g�j CWla-)
.Aftess: 'zed �„�, 5 ke . VIA
City/State/Zxp: Phone i#: q 4 2s-(aha 3`7
Are you an employer?Check tie appropriate box: Type of project(I@gwired)'
L[A I am.a.employer with • AL-employees(fall and/or part-time).* 7. ❑N w constrtlotion
2,❑lam a sole proprietor or partnership and have no employees working for me in 8. Remo deliilg
any capacity.[No workers'comp.insurance required.]
In I am a homeowner doing all work myself(No workers'comp..insur mce requ red.]t
4. ❑Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 F1 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11-❑Electrical repairs or additions
proprietors with no employees. '
1�❑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 snb-contractors Have employees and have workers'comp,insurance.:
6. we are a corporag and i officers have exercised their right of'exemptton per MGL c. 1`1•❑Other
❑ 4n. .4 off
em..
§1(4),and baja nq�ugloyees.[No workers'comp.insurance requixed]
*My applicant that checks box#1 must a1s6 01 out the section below showing their workers'compensation policy information.
t Homeowners who submit Vs a fpdavit indicating they are doing all work and thenhire outside contractors must sit'bmlt anew affidavit indicating such.
tConfractors lbat check this boxmust aged an additional sheet showing the name of the sub-contractors and state whether or not those entities have .
employees. If the sub-conlrac m ave employees,�liey must provide their workers'comp.po4py number.
T airz an employer Mat is pieviding worriers'compensation insurance for my employees.'Below Is the policy and'yob site
information.
Insurance Company Name: , T Vv% Wuk
Policy#or S elf-ins,Lic.#: Awc-400 -'Z4rQ(ATq`i •-Zu t3'N- Expiration Date: 'L)Zr[W
Job Site Address: 41 r--6,C. CA►c�k- _ City/State/Zip:
Attach a copy of the workers'e'ompeipsation 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.
Ido hereby certify under thepains andpenalties of perjury that the information provided above is true and correct
Signature: ALL� Date: (011 UAO
Phone#• !bg-43-6,(p io 3.7
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): i
1.Board of Health 2.Building Department 3.'City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
AC RO O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
{►...+'' 06/09/2016
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 endomement(s).
PRODUCER 04298-001 i NAA'?CT Branch 92981
BKM Inc dba Cross Insurance Peabody
,12% E j ; (978)532`5945
139 Lynnfield Street Ste 210 !EANIAIL ----
Peabody,MA 01960 A DRESS:
-- - !rlBUAFFORDIN c�nU=0Aa
suRER A: A.I.M.Mutual Insurance Company X758
INSURED INSURER B: _ tf
Francis A Hebb Construction Inc —
1N8 �C -
70 Lake Shore Rd i --'-�--i`------�''----
Boxford, MA 01921-1115 LIMRELR
INSURER E^ �--------_-----
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,
IN -- _-. .�_ �INSRIWI7�L_ ..__._POLICY NUMBER- _pppp PqqL._ i
L j TYPE OF INSURANCE IMM 'jMM/D1.1__."_ .LIMITS
_i_..
GENERAL LIABILITY I 4 EACH OCCURRENCE I$
COMMERCIAL GENERAL LIABILITY ( �bRMAGETOREIIfEb 15
-I - � � LPREMI$E$�Eaoccurrence) _�
j CLAIMS-MADE [,_ !OCCUR ! MED EXP(Any one person) 1.$
I I i PERSONAL$ADV INJURY i$
GENERAL AGGREGATE $
i
EN'L AGGREGATE LIMIT APPLIES PER: ! PRODUCTS-
1 PRODUCTS-COMPIOPAGG $ - ~
1�OUCY i O- — OC
ECT
AUTOMOBILE LIABILITY I 1` __ ~ `COMBINED SINGLE l 1iu11T [$
� IlEa accident)___...___--
ANY AUTO BODILY INJURY(Per person)~`1 g
!ALL OWNEDIV" SCHEDULED
AUTOS AUTQS BODILY INJURY(Per accident) $
r - NON-OWNED
!HIRED AUTOS
AUTOS I ;PROPEff1 Y DAMAGY-
i FjPer.�ccident�._ __ !$
UMBRELLA LIAR OCCUR r
EACH OCCURRENCE '$
EXCESS LIAR i CLAIMS MADE AGGREGATE g _
I DED 7 RETENTION $ -------
--_...._..._.__..
1$
AND PLOVERS IABILI7Y ( x�TORY,Ll ITS1
P� �[Qjjl�FtTNER/ (ECUTIVE
YIN NIA A I AWC400-7006999-2016A 712812016 7128/2016 I E L•EACH ACCIDENT A }$ -- 00,000 00
A � Ic I 1 --=--
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE!$ 100s000_00
DESC-RIPTfON OPERATIONS below- _- _ !E.L.DISEASE-POLICY LIMB i$ 50O�QOa,OQ
_ ._._.... - --- --- t --- - --
1 � I
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) — —
CERTIFICATE HOLDER CANCELLATION
Town of North Andover
1600 Osgood Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
North Andover,MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD
Massachusetts Department of Public Safety.
Board of Building Regulations and Standards
License: CS-033217
Construction Supervisor I
• FRANCIS A HEBB �
70 LAKE SHORE ROAD r �!J
BOXFORD MA 01921
Expiration:
Commissioner 0312612018
� C?�.aahaa`ucaeba
vr��parn�tza�tcoP.ct./.�°�
Office of Consumer Affairs&Business Regulation
ME IMPROVEMENT CONTRACTOR Type.
egistration: 107916 Privateorp
Coration
xpiration: 81112075. j
FRANCIS HEBB CONSTRLiCT10N'
Francis Hebb
70 Lake Shore Rd c art
t'
Boxford,MA 01921 Undersecretary ��