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HomeMy WebLinkAboutBuilding Permit #199-2016 - 5 GREAT LAKE LANE 8/17/2015 I I �` c` -y NORTFI ' ( -} BUILDING PERMIT O�tgIED ,6'qq•� TOWN OF NORTH ANDOVER �� h ''- ,_•,.•a APPLICATION FOR PLAN EXAMINATION a �ll� a Received � Permit No#: Dat �q °q�r¢D / SSACHUS� Date Issued: �� '� IMPORTANT: Applicant must complete all items on this page LOCATION C�t e4*. ib� PROPERTY OWNER 1 KZ L LG Print Print 100 Year Structure yes no MAP PARCEL:s-3/Sy ZONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential K New Building 00ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory,Bldg ❑ Others: j ❑ Demolition11Other ❑ Septic ElWell _ ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: LLQ. Phone:"19X2-q-610Z Address: 2,01 a Nk o ) Contractor Name: Phone: - SZ- 402 Email: Address: i Supervisor's Construction License: 6 cf Exp. Date: Home Improvement License: Exp. Date: 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: $ SZb - (See Acks) FEE: $ S-?76 too-q1o= (9070. Check No.: �� I Z- Receipt No.: NOTE:' Persons contracting with unregistered c tractors do not have access to the guaranty fu Location No. ;.9`.2 U/4. Date 0(:>//, 7 • - TOWN OF NORTH ANDOVER • � TLED I��' . • � � _ Certificate of Occupancy $ Building/Frame Permit Fee $. 770 Foundation Permit Fee $ t Other Permit Fee $ TOTAL . 07"J� Check# u&ng Inspector 2 � 2G9 J Plans(Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer PV Tanning/MassageBody 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 On i n tui _ � COMMENTS V CONSERVATION Reviewed or �' b Signature -V,4V COMMENTS v HEALTH wed on Si nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: P RIF DP/�R�M h�fT `Tern PDA ®urnpster,ostek sly n _ �`� i ` _ _ 3 4 Osgood n e , o Street 1 Located at �2Main�EStreet� FireDepartment�is�ignature%date _< �•C,�®M�MEN,ITS i �y Plans Submitted I Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ r` TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ r� 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 On �S Signature —02�A--� COMMENTS My mit 1 J CONSERVATION Reviewed on / /- Si nature COMMENTS HEALTH Reviewed on �i ?' `� Si nature, , . )LP COMMENTS Zoning Board of Appeals:Variance, Petition No: N/A Zoning Decision/receipt submitted yes Planning(Board Decision: t }( Comments Conservation Decision: Ik { l Comments Water&Sewer Connectiontsignature& Dater Driveway Permit DPW Town Engineer: Signature, - Located 384 Osgood Street ff , FIREDEPARTME:NT -Temp ®umpster tr site yes n "Located`at 124Main:Street -'- � T � £ � x i Fire,Departmerif signatyreldate COMMENTS Dimension Number of Stories: 2. Total square feet of floor area, based on Exterior dimensions. 32Sb 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) Fojs�A SF 32q s 2 Ll L F& F ei2S' I2S Fee-. (Z' OD). F ❑ Notified for pickup Call Email E ' Date Time Contact Name Doc.Building Pennit Revised 2014 T _ r Building Department artment The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I ! 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) 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 yl=s�` `'•rOOL M 0 •r 4 �SSACNOSft CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 199-2016 on August 17, 2015 Date: May 10, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 5 Great Lake Lane MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: TKZ,LLC 5 Great Lake Lane North Andover,MA 01845 Buil ing Inspector Fee: PrePaid$100.00 Receipt: 20209 Check : 1612 i NORTIi Town of O ;� AC, h ver, Mass T ��6 O 1-1114,COC 14ICNl ��A�R�TED ►'P�,`'�5 s V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System w /A THIS CERTIFIES THAT ................ BUILDING INSPECTOR ..... .. .... .... ............................................................... Foundation has permission to erect .......................... buildings on �� 1� L���- . ............................................................................. Rough to be occupied as ........�,. .. ��.�...... ... V^1�. .. ................................................... Chimney provided that the person accept) this p shall in ery respect conform to the terms of the application ar rf�' 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. PL BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 55 v 1-6 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPE TOR UNLESS CONSTRUCTION STARTS Rough Service ............ ... ........ ................................. Fi �_OV i .3-to,.t(p ... . .. . .. . . .. .. 6iC�ilVG INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 1/0 -6 �V// No Lathing or Dry Wall To Be Done x FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �A1 Street No.,'Z Smoke Det."r �iOR7lH " O��tLED +6 3.� ybt'- 4, tib OL OTOAPPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION 0— T DRA COCMICw�wlCw`1• T �9S Ow- ,r �5 BUILDING PERMIT SACHUS ADDRESS/LOCATION OF P OPERTY: S G hp./ Map Rc, . Parcel �/�—Lot Number. SUBDIVISION: TI..,e- G I e. DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARL($20.00)WILL CHARGED IF THE•STRUCTURE DOES NOT MEET ALL APPLICABLE CODE APPLICANT SIGNATURE Permit Issued to: I K Z LLC Address: i �S�' SUI 2D 1V cs� � l�c Q I $4S ROUTING TOWN ENGINEER, , SITEPLAN–DRIVE- A REVIEW V1� CONSERVATION NJ s-/6 -/6 PLANNING ✓[] 5 J t o 261 �cr ked cn(, � DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPWJ41 �� G,.► �. � �1/� [a SIGNATURE File:Application for OC form revised Jan 2007/2011 . i GRYN LSSA USEt, CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 199-2016 on August 17, 2015 Date: May 10, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 5 Great Lake Lane MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: TKZ,LLC 5 Great Lake Lane North Andover,MA 01845 Building Inspector Fee: PrePaid$100.00 Receipt: 20209 Check : 1612 ot RTH Town of EAndover •1'• T y No. - - - 4 -- - * -A At h ver, Mass 210 �} O ANE A- coc Nlc Hl wlcw V� 7d p�R�TEO ST U BOARD OF HEALTH Food/Kitchen -PERMIT T LD Septic System w /A THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect buildings on 5 w� L_iklaLht4e. ,,, Foundation .......................... ............................................ .................... �` 1 Rough to be occupied as .........w�1.1. .. ..... ... .V. 1�. .. ................................................... Chimney provided that the person accept) this p shall in elry respect conform to the terms of the application at ,7 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. L BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough i Final S D f6 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service ............... ...... ........... .... ................ NS.............. �6iC6MG INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough f Display in a Conspicuous Place on the Premises - Do Not Remove Final //0 No Lathing or Dry Wall To Be Done xFIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner eeee Street No.-Zr Smoke Det." 1 • i NOR'1'1{ 0�.T LEDIa qti sa O� VO APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION ORA OOCMICXtWKX`y` QRS RTEo "�.�5 BUILDING PERMIT # SACHUSE ADDRESS/LOCATION OF P OPERTY: Map Parcel �/S Lot Number SUBDIVISION: Tk-,e- G 1 Je-., DATE REQUESTED.FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00)WILL CHARGED IF THE-STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: T K Z LLC Address:A lASi ROUTING TOWN ENGINEER, . SITE PLAN—DRIVE- A REVIEW CONSERVATIONS_ PLANNING [✓( 5 J b ?.01(0 Orr�e cn(, � DPW-WATER NIETER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW 1 1z � � SIGNATURE File:Application for OC form revised Jan 2007/2011 � NORry O �TLED r6�N APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION rap BUMI)ING PERMIT# 1qq Z 016 9SSACHUS�� ADDRESS/LOCATION OF P IOPERTY:_ Map jc, . Parcel ���sy Lot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: 3/?_ ,(0 3/Z 3 I b CLOSING DATE ON PROPERTY: FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLAaS ($20.00)WILL CHARGED IF THE-STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: TK Z L L C Address: L i �S�' Suite, 20 c-r`fk _AJmRjc M ROUTING TOWN ENGINEER, , SITE 1 LAN—DDRIVE- A. REVIEW CONSERVATIONS PLANNING E 511612b 16 &6 DPW-WATER NIETER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 , i STREET TREE(TYP.) _ LIMIT OF 100' �- BUFFER ZONE HEADWALL (TYP.) INV 12"=187.04 LIMIT OF 50' GRASSED NO-BUILD ZONE DRAINAGE (TYP.) SWALE PAVED DRIVEWAY REgT LAKE lq INV 12HEADWALL 87 FE#1 \; N� INV 12"=184.84 0 DRAINAGE ` \ FIELDSTONE EASEMENT 's':� \ \ \� RETAINING WALL(TYP.) (TYP.) a1 \ \\ 1 \ \ CONCRETE u HEADWALL UNDERGROUND 1 INV 12"=186.82 UTILITY SERVICES J I LAMP ,POST ' STORMCEPTOR LANDSCAPED y iia �i � �o -- RIM=184.79 AREA(TYP.) CRUSHED STONE 3 PORCH A3 i AREA(TYP.) N1 � EXISTING Nl ECK AREA HOUSE 4 TOP FND. 1 = 11 (TYP.) \ 50' �yo� =192.7' x_.-01 rt� UNDERGROUND B4 52, PROPANE TANK 3't HIGH \ ;\188-- i:. 1 i ���/ D1H FIELDSTONE WALLS N1 t' 1g ' FE#2 1 4^PVC... , i INV 12"=177.44 ROOF / 1 85 1 IORgIN'S ' 91'01136 RIP-RAP LEVEL .154178 3 °�.r �� �i N1 � SPREADER 4 SILT SOCK& LIMIT OF WORK B61 - 95t_ tis LOT 4 SHALLOW LIMIT OF 25' INFILTRATION as NO-DISTURB ZONE AREA 25 (TYP.) —/a5 B15 CONSERVATION B1 LOT 5 SIGTMO ST 814 •' B13 BS EDGE OF BORDERING ' -A, VEGETATED WETLAND e11 B12 3't WIDE (TYP.) B9 FIELDSTONE WALL &LIMIT OF WORK B10 SUBSURFACE \ STORMWATER DETENTION/ INFILTRATION AREA N/F TOWN OF NORTH ANDOVER MAP 96 LOT 5 AS-BUILT PLAN 40' 0 40' 80' AS-BUILT PLAN SCALE: 1"=40' FOR 5 GREAT LAKE LANE (LOT 5 THE GLADE) IN NORTH ANDOVER, MASS. PREPARED FOR TKZ, LLC 78 GREAT POND ROAD NORTH ANDOVER,MA 01845 DATE: MAY 10,2016 csolPROFESSIONAL ENGINEERS&LAND SURVEYORS CHRIS TIANSEN& SERGI, INC. 160 SUMMER ST. HAVERHILL,MA 01830 WWW..CSI-ENGR.COM TEL.978-373-0310 FAX.978-372-3960 COPYRIGHT 2016 DWG.NO.13114015 it Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 497,500.00 m $ - $ 5,970.00 Plumbing Fee $ 746.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 746.25 Total fees collected $ 7,562.50 5 Great Lake Lane 199-2016 on 8/17/2015 SFH Registry ID: Rating Number: Certified Energy Rater: Tom Barnes Joe 5 Great Lake Lane Rating Date: August 19,2015 - Rating Ordered For: orth n over, A01845 Estimated Annual Energy Cost Associates, Inc. W*-w-x+ Based on Plans vers and Consultants Use MMBtu Cost Percent 5 Stars Plus Heating 92.8 $988 37% Projected Rating: Based on Plans, Field Confirmation Required Cooling 3.6 $156 6% orm Energy Rating System Energy Efficient Hot Water 20.6 $184 7% tarFrO-3!0�1�] 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 29.9 $1196 45% 401 300-251 250-201 200-151 150-101 100-91 90-86 85-71 70 or Less Photovoltaics -0.0 $-6 -0% S Index: 58 Service Charges $120 5% eral information Total 146.8 $2644 100% Conditioned Area: 3651 sq.ft. HouseType: Single-family detached -- Conditioned Volume: 30819 cubic ft. Foundation: Unconditioned basement - - ------ --- __-__.. Bedrooms: 4 This home meets or exceeds the minimum -_ criteria for all of the following: hanical Systems Features 9: 2009 International Energy Conservation Code Heating: Fuel-fired air distribution, Propane,92.OAFUE. 2012 International Energy Conservation Code Heating: Fuel-fired air distribution,Propane,92.0AFUE. Cooling: Air conditioner, Electric, 13.0 SEER. ►uct Leakage to Outside: 143.00 CFM25. Ventilation System: Exhaust Only:74 cfm,25.0 watts. ,grammable Thermostat: Heating:Yes Cooling:Yes ing Shell Features - 1 Ceiling Flat: R-49.0 Slab: None Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: R-49.0 Window Type: U-Value:0.300,SHGC: 0.300 Above Grade Walls: R-21.0 Infiltration Rate: Htg:3.00 Clg:3.00ACH50 Foundation Walls: R-0.0 Method: Blower door test ks and Appliance Features Percent Interior Lighting: 100.00 Range/Oven Fuel: PropaneMcatc��E1� GQS ASSOCIATES c'`'am o` Percent Garage Lighting: 100.00 Clothes Dryer Fuel: Electric 1155 Elm Street,Suite 702 Refrigerator(kWh/yr): 600.00 Clothes Dryer EF: 3.01 Manchester, NH 03101 Dishwasher Energy Factor: 0.46 Ceiling Fan (cfm/Watt): 0.00 603-656-0336 - wa. sa asa The Home Energy Rating Standard Disclosure for this home is available from the rating provider, 866-611-3791 AS o`er 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. HERS PERFORMANCE ENERGY RATING CERTIFICATE MgRTGgGe T Projected Rating: Based on Plans - Field Confirmation Required. HERS ' Index More Energy ' 150 � No, 898-098 Z� 140 �S GDS Associates, Inc. Existing 130 �ccRea,TAT1o°'� Engineers and Consultants Homes 1 120 Estimated Annual Energy Cost 110 Estimated Annual Energy Consumption Standard 100 $1yr New Home 90 MMBtu/yr 3000 2644.3 80 150 146.8 2000 70 This Home 100 92 8 988.4 1196.1 60 58 1000 50 50 29.9 155.9 183.8120.1 20.6 0 40 3.611 c c c CL a 0 `�° 30 a CX c a, a 'm `o ¢ `D ` �° Lzz Q CU co 20 co °o co ots o ~ = w o o = U 2 w o 10 c o Zero Energy a Home Less Energy Address: 5 Great Lake Lane Annual Estimates*: North Andover, MA01845 Electric(kWh): 9605 GDS ASSOCIATES Propane(GalIons): 1249 1155 Elm Street,Suite 702 0?*' X40 House Type Single-family detached CO2 emissions(Tons): 12 Certified Rater: Tom Barnes Cond.Area: 3651 sq.ft. Annual Savings**: $2432 Rater ID: 4583495 Rating No.: t No. -b98-Os8 ¢ Registry ID: �` Issue Date: August 19,2015 Based on standard operating condition, Rating Date: August 19,2015 Certification Verified **Based on a HERS 130 Index Home caep,TA-0 RENURate-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. 4 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. RESNET HERS Index Certificate HERSOIndex Projected Rating: Based t More Energy on Plans - Field ISO Confirmation Required. 140 Existing 130 Homes 120 110 Standard 100 New Home 90 80 70 This Home GDSASSOCIATES so 58 1155 Elm Street,Suite 702 Manchester, NH 03101 k ao e 603-656-0336 30 20 10 This home has been inspected Zero dome O 'i and performance tested in accordance with Chapter 3 of REMT Less Energy the RESNET standards. www.resnet.us RESNET HOME ENERGY RATING Standard Disclosure For home located at: 5 Great Lake Lane City: North Andover State: MA 1. X❑ The Rater or the Rater's employer is receiving a fee for providing the rating on this home. 2. In addition to the rating,the Rater or Rater's employer has also provided the following consulting services for this home: A. Mechanical system design B. Moisture control or indoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself F7D. Training for sales or construction personnel E. Other(specify below) 3. X❑ The Rater or Rater's employer is: A. The seller of this home or their agent FB. The mortgagor for some portion of the financed payments on this home X❑ C. An employee,contractor or consultant of the electric and/or natural gas utility serving this home 4. The Rater or Rater's employer is a supplier or installer of products,which may include: Installed in this home by: OR Is in the business of: HVAC systems F Rater ❑ Employer FIRater ❑ Employer Thermal insulation systems ❑ Rater F Employer FIRater F-1 Employer Air sealing of envelope or duct systems Rater ❑ Employer F-1 Rater F Employer Windows or window shading systems Rater F Employer F Rater F1 Employer Energy efficient appliances Rater F Employer F-1 Rater F Employer Construction(builder,developer,construction F] Rater F Employer F1 Rater F Employer contractor,etc.) Other(specify below): Rater 1-1 Employer F-1 Rater F-1 Employer I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network(RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8.of the standard and are posted at http-.//resnet.us/standards[RESNET—Mortgage_lndustry_Natc The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Tom Barnes 4583495 Rater's Printed Name Certification# August 19,2015 Rater's Signature Date RESNET Form 0300-2 40 G Associates, DS Engmeers and Consuhtnis torr %0 AIR LEAKAGE REPORT Date: August 19,2015 Rating No.: Building Name: 5 Great Lake Lane(Lot 5) Rating Org.: GDS Associates,Inc. Owner's Name: Phone No.: (603)656-0336 Property: 5 Great Lake Lane Rater's Name: Tom Barnes Address: North Andover,MA01845 Rater's No.: 4583495 Builder's Name: TZK LLC Weather Site: North Andover,MA Rating Type: Based on Plans File Name: Preliminary Report-5 Great Lake Lane.blg Rating Date: August 19,2015 Blower door test Whole House Infiltration Heating Cooling Natural ACH: 0.22 0.18 ACH @ 50 Pascals: 3.00 3.00 CFM @ 25 Pascals: 982 982 CFM @ 50 Pascals: 1541 1541 Eff.Leakage Area: [sq.in] 84.6 84.6 Specific Leakage Area: 0.00016 0.00016 ELA/100 sfshell: (sq.in] 1.04 1.04 Duct Leakage Leakage to Outside Units Ducts Ducts CFM @ 25 Pascals: 61 82 CFM25/CFMfan: 0.0282 0.0378 CFM25/CFA: 0.0391 0.0392 CFM per Std 152: N/A N/A CFM per Std 152/CFA: N/A N/A CFM @ 50 Pascals: 96 129 Eff.Leakage Area: [sq.in] 5.25 7.06 Thermal Efficiency: N/A N/A Total Duct Leakage Units CFM261CFA CFM261CFA Total Duct Leakage: 0.0397 0.0397 Ventilation Mechanical: Exhaust Only ASHRAE Sensible Recovery Eff.(%): 0.0 62.2-2010 Total Recovery Eff.(%): 0.0 Rate(cfm): 74 74 Hours/Day: 24.0 24 Fan Watts: 25.0 Cooling Ventilation: Natural Ventilation Regarding ASHRAE 62.2 Ventilation Compliance The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-buildi ng'requirement under that version of the standard. Both values incorporate any appropriate 'infiltration credit. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly.For example,the runtime can be reduced to 12 hours per day using a doubled flow rate,as long as the system provides ventilation at least once every 3 hours. For more detail,refer to the appropriate standard. 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. HOME CERTIFIED TO MEET THE PROVISIONS OF THE 2012 INTERNATIONAL ENERGY CONSERVATION CODE This home built at 5 Great Lake Lane, North Andover, MA by TZK LLC exceeds the minimum requirements for the 2012 International Energy Conservation Code August 19, 2015 Building Features Ceiling Flat: R-49.0 Duct Leakage to Outside: 82.00 CFM @ 25 Pascals Sealed Attic: NA Total Duct Leakage: 83.00 CFM @ 25 Pascals Vaulted Ceiling: R-49.0 Infiltration: Htg:3.00 Clg:3.00ACH50 Above Grade Walls: R-21.0 Window: U-Value:0.300, SHGC:0.300 Foundation Walls: R-0.0 Heating Fuel-fired air distribution, Propane,92.0AFUE. Exposed Floor: R-30.0 Cooling Air conditioner, Electric, 13.0 SEER. Slab: None Water Heating Instantwater heater, Propane,0.82 EF,0.0 Gal. Duct: R-8.0 The organization below certifies that the proposed building design described herein is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in compliance with Chapter 4 based on Climate Zone 5A and with all mandatory requirements. Name: Tom Barnes Signature: Organization: GDSAssociates, Inc. Date: August 19,2015 The 2012 International Energy Conservation Code is a registered trademark of the International Code Council,Inc.("ICC'). No version of this software has been reviewed or approved by ICC or its affiliates. REMIRate-Residential Energy Analysis and Rating Software 04.6.1 3 NORTH Town of EAndover O - '" A h On ver, Mass 2-05 COC NICNIWKK S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ................ .... BUILDING INSPECTOR has permission to erect buildings on TL-A-1%..L&rj.cn Foundation Rough tobe occupied as ........ .�. .. ..... ... 11.�>41�. ....... ................................................... Chimney provided that the person accept) this p shall in eery respect conform to the 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service ............... ...... ........... . .... ................................... Final �6tCb1NG INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. 0 4 TR-Z GL.ADC, LoT S 5 Gr,,VvF 1-AKt^L.�1NC -- ffj '2B DIU C _l Fla, .ELtiV✓-r101j 5nT 5, J GREftT LAKE Lhl� E �oR�'K Aul�ovER,pn A - ---- -- TKZ I-LC, sc nor `le" c 1'0" IUVY Z4,Zots �. 1 "w 0 i t f1 No Xy 101 WA'slt-iN 3V. 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ED ...LhoalL vaj CPot.Lv-nsN2 - 11adf¢6uoear bal-tu�civ�rall P9 `� ar�'� �ry 3a1t1Vh •SB1oN � V \ � 1 ,nb.•.wo�,cn �'c1R.l.� e r � •U9eosN8r• . B1J�d'K•tyAOSi kLOd�.�I”' t1 f�I •� kb�F/3k. •z 141eC /ry1` - y`s i Z'"``^.r.__ i LOT Ow 0 loe E � . • mss. '' Asx k ' EXOT. Fes. GREAT LAKE LN. i FOUNDATION LOCATION I � � - i�Rit.fJtld ZC+#tIG CII+LSS!v C�YCt Cl�i C9�GtAl1CC�Q CLIENT:TKZ,LLC ?+.arKcnar,lmsa m.��»a.�.�•��: �++aoGNe�-�wtru+�,e+tz�+�, n;i �:nor, aautsc�rrniJri'TATtYTNfAOi]4SCiiM e+w urc�cae��r.�riszr 1-•tofrnawr»5**"h6ltorus Dr_rc CLlQ%fffCit-W PU4W.S C-"nw4T$ATat-_iidD LOA OW.NORTH ANiMERMASS. 1tL.t6xCtnt~►ihcwartMaAar:_:awarcMZt 8 Ll7CCIIMC.1G1�4'3Rl'iM S QNMW.�TIS OCv'1Trl�ifllCD DATE!7MM5 SCALE!I'a1{(l 4w �a� i�•++ �ra r�u arn�t�txt4lraarre *o CS4FR:44"Iry FOR THS rwut4DtirADuu OFTM i i PROFESSIONAL ENGINEERS& LAND SURVEYORS SERGI. INC. 1E0 SUMMER STREET, 'HAVERHILL,MASSACH,ASEffS OjfnO Wv►W.CSIEI`MkC A# TEL S78-3734310 rAX.97&372.3980 ' OWG,NO.-1 x914,00$014 .4cREP CERTIFICATE OF LIABILITY INSURANCE 8/17/20 5) 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(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Sandi Munroe M P ROBERTS INS AGCY INC PHONE (978) 683-8073 FAX FAC No;(978) 683-3147 1060 Osgood Street EMANOExt: North Andover, MA 01845 ADDRESs:danielle@mprobertsinsurance.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:ESSEX INS CO INSURED TKZ LLC A/0 TLD LLC A/0 INSURER B:ASSOCIATED EMPLOYERS INS CO TOM ZAHORUIKO INSURER C: 78 GREAT POND ROAD INSURER D: NORTH ANDOVER, MA 01845 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYI BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE I D suBR FF POLICY P LIMITS NSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYW X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000i CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A 3DX4936 07/13/15 07/13/16 1 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 . X POLICY❑PEQ 7 LOC PRODUCTS-COMP/OP AGG $ EXCLUDED OTHER: $ '(1M11IN':"SINULL LIMIT AUTOMOBILE LIABILITY Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSAUTOS p R AM NON-OWNED $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER 0 H- AND EMPLOYERS'LIABILITY YIN STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMB(Mandatory EXCLUDED? ❑ N/A WCC5005006517-2014A 10/01/14 10/01/15 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEI:$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) I I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF NORTH ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD R Massachusetts - Department of Public Safety Board of Building Regulations and Standards Consth-uction Super1-isor License: CS-055417 Thomas D Zahoruwo 78 Great Pond Rofid ? '. North Andover Na 0>845�f' Expiration Commissioner 04/05/2016 4 TWE GL.ADC, -L_oT -5 SER tl 128' Ota7«^.E��VA�11UN %-oT 5, 5GkE.h ' LAVt G-hME NovcrtA AmDoveR,N.A __ : ne• 'j9° 10WLy Z4,Zols 11-0 Lt-0 f r 6Prr.S9- - . `� Waal-.N $6atmo+n 2 I —C2 a M � i5- _ 1 3-7 i e MIN- 4 O3tnamN 3 c -a 0 n w A:_�-int M RsreR _ BE.JA — -a-� r- � 3Ei�1+3�AA 1{ qx� I N 9 Q I - N BRt�`(.YS� ` �LdrY_ silA(Rze �'4Y5 {t Stusy - tt-v Sro ty_ro u-c c 34yijuS� 3r1.i(gx?$ S�C�N� �iL�OR %L;Jt�I '� 'o S•o Sro CT t�tsa sF�'.� 1_ U•o t 11-0 1 _ B41/y c 16 Ln 1 Y la } E 6-0 ; 6 v � ctt=.nt feha,,nY tl p r o E m In 80.1/4cbS I j I-- cu % mezOO Iin 3Ky9tc65 �iN;Nv 1 a tre-5 t5-1 _ H ro II � 5•p cn i t suras I s I _ i•9 � I 1 �-i 3�t IiXfOS� r—� �ovER l I 2- 3- ?-L. il- G� 1 r` JI 3Ki/gx2$ s"1 I I' ! i , I n r 6$r.act .rr li f 3 0 83 I ! 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