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Building Permit #811-14 - 605 OSGOOD STREET 5/9/2015
BUILDING PERMIT TOWN OF NORTH ANDOVER ° MIN APPLICATION FOR PLAN EXAMINATION- *ey� Permit NO: Date Received '�A_°4 .�:,. ;.. f If 7e °RATIO PPP`�1- Date Issued: J/ F/ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building VOne family &(Addition ❑ Two or more family ❑ Industrial dAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Identification Please Type or Print Clearly) OWNER: Name: 11n^ ��i�,i�Pn �Ce�\4. Phone: T48 - co5-24,2 Address: �0� �iSarnrx�ree� t�lnc�V. �rcln�ec. ��1A ai��i5 4: ARCHITECT/ENGINEER T'\'ACA '\'APhone: &k-4 - 5L1Z Address: a Reg. No. tt kn5r_,2 FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 3 00n. 00 FEE: $ qQ00` Q Check No.: Receipt No.: 6n 4 NOTE: Persons acting with unregistered contractors do not have access to the guaranty fund TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received M Date Issued: .TYPE OF IMPROVEMENT. ete a s is age IMPORTANT. App hcant must compitemon _ - - Non -.Residential ❑ New Building w ❑ Addition LOCATIONI �P ❑ Industrial ❑ Alteration _ intim a ii ❑ Commercial ❑ Repair, replacement _ a �� !PROPERTY QWNER- - -- — ❑ Others: 1Y Print - P -f1.00 Year=OId�Structure p es anon Y: ❑'Septic ❑'Well w - .T F r _ MAP NO: _ iPARCEL .Y._ . 70NING'DISTRICT Historio'District yes= ino, ❑. VVatershed ®istnct� t. `. q.1/Vater /S'ewer _:s tM achne,Shop Village - - .TYPE OF IMPROVEMENT. PROPOSED USE Residential Non -.Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑'Septic ❑'Well w - ❑�Flocdplarn { ©Wetlands ❑. VVatershed ®istnct� t. `. q.1/Vater /S'ewer _:s - - -_- — - - DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ArlrirP_qGw Phone: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund e Plans Submitted LJ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ - Plans Submitted:[] PlansWaived-0: Certified Plot Plan ❑ Stamped Plans- TYPE-OF lans -TYPE QF SEWERAGED3SP.OSAL THE- FOLLOWING SECTIONS FOR OFFICE USE ONLY Public Sewer ❑Swimming Tanning/Massage/Body Art Pools ❑ Well ❑ Tobacco.Sales Food Packaging/Sales ❑ Private: (septic tank, etc:_ . Permanent D mpster on Site ❑ 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 Tow Engineer: Signature: Locatea 5b4 usgooa Jireet FIRE DEP'ARWL`N`f .:- Terrip Dumpster on site .yes no Located at 124Mair, -Street Fire'®epatme►it.:signatiare/date",: COMMENTS THE- FOLLOWING SECTIONS FOR OFFICE USE ONLY _ INTERDEPARTMENTAL SIGN OFF - U FORM _ DATE REJECTED DATE APPROVED r. PLANNING & DEVELOPMENT' F] Al COMMENTS /qz/ CONSERVATION Reviewed on Si nature 1 COMMENTS �O W� az�..O� c� I C Off` �QcO cvb�K HEALTH Reviewed on Signature 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 Tow Engineer: Signature: Locatea 5b4 usgooa Jireet FIRE DEP'ARWL`N`f .:- Terrip Dumpster on site .yes no Located at 124Mair, -Street Fire'®epatme►it.:signatiare/date",: COMMENTS -DiiTd"ensioil` Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land area, sq. ft. ELECTRICAL: -Movement of Meter. location,`ciast:-or service drop requires approval of Electrical Inspector Yes No DANGERZONE LITERATURE: Yes No MGL.Chapter 166. Section 21 A, --F and G min. $100=$1000fine i NOTES and DATA — (For department use D Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department .-The fohlowing is`a list of the required.forms to be filled out'for.the appropriate permit to be obtained. Roofing; Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or G. S. L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work El.. Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application u Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) L3 Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: 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 u Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 api),�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location OS— _ Q ✓ No.—� f Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL twnaing inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 3%000.00 m $ - $ 4,200.00 Plumbing Fee $ 525.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 525.00 Total fees collected $ 5,350.00 605 Osgood Street 811-14 on 5/9/2014 New construction of 1 story addition Conservatory and Mudroom Renovate 2nd floor bathroom 1/Y � u � tR H two ✓�R�,200-�1 P PIR �✓r,� �Cu✓�Ih.� IU IIS} b -y) C.e,e,J — O J QV 2 LL D co C= v t y O LL cu T N O0 a)_ Ln 0 ta Z z Z_ J m C O Y1 mv 7 LL m 7 OC c U LL 0 W 0. il H Z Z m J a toa O LL' LL O d to Z Q U_ = W W 7 OC vZ i Ln C LL OC � U a Z a Ln 7 _ C H Z W F- °G CL W oW W0c a. 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CL Ca o _ Cc V J �CL O 4) Z 4) V N c c U) is if Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5.170 c Boston, M"' ;,'sachusetts 02116. j Home Improve mc � Contractor Registration Registration:. 103871 r, Type: Supplement Card r # 1 Expiration: 7/10/2014 LANDMARK: SERVICES, INC r DENNIS I WLOR ...... 326 WASO NGTON ST ANNEX Stll`'jE_2:0 W W'ELLE, F � ilIL'LS, MA 02481 --- - I -- ti Update Address and return card. Mark reason for change. SCA 1 0 2OM-05n ElAddress 11 Renewal ❑ Employment Lost Card �.e l�porrunz� upeccl� o���,cre�aclzuaeCtf ffice of Consumer Affairs & Business Regulation Licen a or registration valid for mdividul use only OME IMPROVEMENT, CONTRACTOR befor the expiration date.. If found return to: Offic'of Consumer Affairs and Business Regulation Registration ;0337 Type ` 10 Park Plaza - Suite 5170 Expirdlj& 7/a X20 4 Supplement;anBoston, MA 02116 LANDMARK SERN_C DENNIS I-AWLOR 326 WASHINGTON STANNESUI g � WLLESEY HILLS, MA 02481 Undersecretary Not valid without signature Massachusetts - Department olf Pubiic Safety Board of Building Regulations and Standards Construction Supensor License: CS -068858 DENNIS R:LAWL#R ` LL 238 MITCHELL G DRIVE TEWKSBiJRY MA ,01 6.,4 cJ J�Jc� 3� t'k Expiration 01/06/2015 Commissioner NOTICE TO EMPLOYEES NOTICE r TO 0 t EMPLOYEES b Sys The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017 617-727-4900 - http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: STAR INSURANCE COMPANY NAME OF INSURANCE COMPANY P.O. BOX 49167 SARASOTA, FL 34230-6167 ADDRESS OF INSURANCE COMPANY WC 0719383 02/08/2014 to 02/08/2015 POLICY NUMBER EFFECTIVE DATES TPA INSURANCE AGENCY, INC. ANDOVER MA 01810 10 NEW ENGLAND BUS CTR, # 303 978-691-2470 NAME OF INSURANCE AGENT ADDRESS PHONE # LANDMARK SERVICES INC 326 WASHINGTON STREET WELLESLEY HILLS MA 02481-0000 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the FirsReport of Injury must be given to the injured employee. The employee may select his ocher own physician. The reasonable cost of the services provided by the treating physicianwill be paid by the insurer, if the treatment is necessary and reasonably connected to thework related injury. In cases requiring hospital attention, employees are hereby notified thatthe insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER CERTIFICATE OF LIABILITY INSURANCE DATE F02110n0(MM/DD/YYYY) 14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Karl Crowell Insurance, Inc. 36 Cordage Park Circle Suite 224 Plymouth MA 02360 COM ACT Karl Crowell Insurance Inc. PHONE .(508) 747-7744 FAX . (508) 747-1736 EMAIL kariperowell@verizon.net PRODUCER CUSTOMER in #. INSURERS AFFORDING COVERAGE NAIC # INSURED Landmark Services Inc 326 Washington Street Annex Building Suite 20 Wellesley Hills, MA 02481 INSURER A: Arbella Protection Insurance Co. INSURER B: Star Insurance Company INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF Yy POLICY EXP D LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED irrpnrp)$ 50,000. A X COMMERCIAL GENERAL LIABILITY 8500037216. 06!03/13 06/03/14 CLAIMS -MADE a OCCUR MED EXP An one person) $ 5000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X I POLICY PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO 36162400000 01/11/14 01/11/15 COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ 500,000 X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ 500,000 PROPERTY DAMAGE (Per accident) $ 500,000 $ X NON -OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 A EXCESS LIAB CLAIMS -MADE 4637216 06/03/2013 06/03/2014 DEDUCTIBLE $ $ RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A WC0719383 02/08/14 02/08/15 X I WCSTATU- OTH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 0 'Ti�7ilL LANDMARK SERVICES CONSTRUCTION CONTRACT Project: Builder: Renovations at: 605 Osgood Street North Andover; MA 01845 The following people are authorized to make design decisions which affect the cost of the work: 1. Kathleen Keith 2. Douglas Keith 3. (Please fill in line(s) above at time of signing Agreement) I. SCOPE OF WORK General Contractor to: ■ Apply for and obtain building permit ■ Provide supervision throughout the project ■ Coordinate and schedule subcontractors ■ Provide temporary bathroom facilities ■ Meet with Owners and designer as needed to plan and execute the work General Conditions: ■ Provide Project Management Services throughout the project ■ Provide ongoing project administration and project cost -accounting services in the form of detailed invoices, budget v. actual reporting, and a complete accounting of all costs associated with the project. Site work & Preparation: ■ Excavate and pour a new foundation for the addition ■ Install new slab under the sun room ■ Backfill and rough grade Demolition: ■ Remove and dispose of the existing sun room, mudroom and two second floor bathrooms Utilities: ■ Move existing electrical meter Concrete: ■ See site work 1 'l A=LL LANDMARK SERVICES Structural Steel: ■ NIC Framing: ■ Framing per plans dated 5/6/2014 Electrical: ■ Wiring per plans dated 5/6/2014 Plumbing: ■ Plumbing per plans dated 5/6/2014 HVAC: ■ HVAC per plans dated 5/6/2014 Roofing: ■ Install new asphalt roofing to match the existing house Masonry: ■ Install a new stone veneer on the new foundation Doors & Windows: ■ Per door and window schedule dated 5/7/2014 Insulation: ■ Icyneen insulation in new walls and roofs Exterior Siding & Trim: ■ Install new siding and trim according to the. elevations on the plans Board & Plaster: .■ Blue board and skim coat plaster on all new walls and ceilings - Finish Carpentry: ■ Per elevations Tile & Glass: ■ Buy allowance Pai tiny: ■ Paint all new interior and exterior trim. Paint new walls and ceilings Floors: ■ Match new hardwood flooring to the existing kitchen floor Cabinetry: ■ By Allowance Appliances: ■ NIC Allowances: ■ Tile and Stone Landscaping/Site finishing: ■ By home owner 2 LANDMARK SERVICES H. Documents Incorporated and Made Part of this Contract: Drawings from Frank Shirley Architects dated 5/6/2014 Good Faith Estimate form Landmark Services dated 5/7/2014 III. Total Estimated Contract Price: $350,000 ■ This project will be performed on a Cost-Plus/Open-Book format. All charges will be billed at actual cost plus a Builder Fee to cover General/Administrative/Profit (G/A/P). All Changes/Additions in scope will be billed on a Cost -Plus basis at the following rates: o Project Manager: $85./hr o Lead Carpenter/Project Supervisor: $70./hr o Staff Carpenter. $65./hr o Laborer: $50./hr o Total Cost is the sum of Labor, Subs & Materials plus 15% ■ All change order and additions shall be in writing and signed by both owner and builder. Email approval of additional work is binding as long as the projected cost and impact on schedule are clearly defined in the message. ■ All charges will be documented and staff hours tracked through weekly timecards. Our time - management system is completely integrated with our Payroll Service, so projects can be audited for accuracy at any time. Copies of all invoices and receipts for purchases during the project will be provided to the Client at the end of the project, prior to requesting final payment. Landmark Services will submit an invoice for initial deposit at the start of the project. The deposit will be used to pay actual project expenses, and subsequent invoices will be based on actual cost to date plus a progress payment to cover the upcoming phase of work (and fund the Project Account). Project funds will be maintained in a separate account at the owners request. The value of the Project Account must be kept above $10,000. (ten thousand dollars) until the end of the project when a holdback of 2.5% of the total project cost will be held by the client until completion of the agreed -to punch list. IV. Deposit: $100,00 Prior to the commencement of any work, Owner is to make full and complete payment of the deposit with the Builder. ■ (By state law, initial deposit not to exceed 1/3 of the contract price or the cost of special order items, whichever is greater) � r Ll '1`i r t LANDMARK SERVICES V. Payment Schedule: Payments after initial Deposit to be based on actual charges as reflected in a detailed Invoice provided by Landmark Services. Invoices, Budget Updates and supporting documentation will be provided ongoing throughout the project. Payments are due seven (7) business days after Builder presents and invoice to. Owner. Final payment will be due at the completion of punchlist. NO FINAL PAYMENT CAN BE DEMANDED UNTIL THE CONTRACT IS COMPLETED TO THE SATISFACTION OF THE PARTIES THERETO. For purposes of this Agreement, the Work shall be deemed complete upon (i) the taking of final inspection and (ii) the completion of all mutually agreed upon punch list items, if any, identified by the parties and (iii) issuance of Certificate of Occupancy. If payments are late, Owner will be notified, either orally or in writing of the late payment and be accorded seven days to bring the payments current. Late payments will accrue an interest charge of 1.5% per month. VI. Permits: Builder shall obtain all permits, licenses and approvals necessary for the completion of the Work. It shall be the obligation of the Builder to obtain permits as the owner's agent. The cost of permits is the responsibility of the owner and is included in this contract price. Owners who secure their own construction -related permits or deal with unregistered Builders shall be excluded from access to the Guaranty Fund provided by the State of Massachusetts. The following construction -related permits are required: 1. Building Permit 2. Plumbing Permit 3. Electrical Permit 4. Other: n/a VII. Terms and Conditions This Construction Contract is entered into on 5/7/2014 between Owner and the Builder, whereby Builder agrees to provide certain services, goods and materials for use in the Project. Estimated Time of Performance: Work Scheduled to Begin: 5/26/14 Expected Date of Substantial Completion: 926/2014/ The Completion Date may be extended as provided in Modifications in Contract, below. The Builder agrees to (i) vigorously pursue the issuance of the Building Permit, and (ii) work diligently and continuously to complete the work by the Completion Date. The Builder shall not be responsible for any consequential, incidental and contingent damages. El ;. A=A LANDMARK SERVICES. "Substantial Completion" shall, for the purposes of this Contract, occur when (a) the Builder has obtained finish plumbing, electrical and framing inspections, and (b) the Premises have been substantially completed in accordance with all plans and specifications attached hereto and in full compliance with all applicable state, federal and municipal rules and regulations, and (c) the Premises are ready for complete physical occupancy by the Owner with only minor items remaining to be completed, such remaining items not to materially interfere with the Owner's full use and enjoyment of the Premises. At the time of Substantial Completion, the Builder and the Owner will, in good faith, prepare and initial a so-called "punch -list" identifying the minor items of construction which have not yet been completed. The Builder will work diligently to complete the punch -list items promptly following Substantial Completion. The Owner also understands that completion may result in some inconvenience (e.g., access to the home will need to be scheduled and certain rooms or features may not be useable while they are being worked on). The owner shall pay the balance of the retained funds to the Builder upon completion by the Builder of all items of unfinished work previously agreed upon by the parties at the time the project was substantially completed and when the work is done to the mutual satisfaction of the parties. Should the Builder and the owner be unable to obtain and install a particular item within thirty (30) days following substantial completion of the project, then the owner shall either select a substitute item that is readily available to the Builder, or else the owner shall inform the Builder that he/she does not wish to select a substitute item and will await delivery of the original item. If the owner chooses to wait for the original item, then the project will be deemed complete in all other respects and the balance of the retained funds shall be paid to the Builder less a sum equal to the cost associated with installing the item. The owner shall notify the Builder when the original item is delivered and the Builder shall install it within thirty (30) days. Upon installation of the item, the owner shall remit to the Builder the balance of the retained funds. The Builder warrants that title to all Work, materials and equipment will pass to the Owner upon the receipt of payment by the Builder, free and clear of all liens, claims, security interests or encumbrances (collectively referred to as liens). Section 1. Services, Goods and Materials: Builder will provide the services, labor and materials for use in the Project as set forth in "Scope of Work", which is attached hereto and made part of this Contract. Section 2. Payment: Owner shall timely pay Builder in accordance with the payment terms set forth in Section III, IV and Section V. Owner will be subject to penalties and interest as provided for in this Contract, as well being liable for Builder's attorneys' fees and costs incurred in seeking recovery of any unpaid monies due under this Contract. Owner further understands and acknowledges that hidden or unknown conditions may result in an increase in the prices set forth in Section III. Builder upon discovering a hidden or unknown condition shall notify Owner of said condition and the parties shall enter a change order to rectify the condition. Failure by Owner to agree to . a change order to rectify a hidden or unknown condition may result in substandard work and Builder will be relieved of any and all obligations, including warranty obligations, under this Contract related to the uncorrected, hidden or unknown condition. A hidden or unknown condition must differ materially from those indicated in the contract documents or from those conditions ordinarily found to exist. 5 LANDMARK SERVICES Section 3. Change Orders: Any labor, services or materials required for use in the Project and not covered under this Contract and the good faith estimate shall be set forth in a written change order, executed by both parties, with the change in price and number of days for performance specified before work on any such change order shall commence and will be incorporated and made part of this Contract. Payment for such alteration or modification shall be made with the next scheduled contract payment and the Completion Date shall be extended by the number of days agreed upon for performance. Any increase in the scope of work set forth in these contract documents which is required by plan checkers or field inspectors with city or county building/planning departments will be treated as additional work to this agreement for which the Builder will issue a change order. Where necessary, clearly worded email approval from the client of a change in work -scope will be binding and treated as a signed document as long as the cost impact of the additional work and the time required to complete the work are clearly set out by the builder in the message. Section 4. Delays: The Owner understands and agrees that the Builder will use all reasonable means to complete the Project in a timely manner; however, Builder is not responsible for delays in the completion: of the Project caused by unforeseen or hidden conditions, building inspectors, zoning, historical commissions or similar governmental bodies, architectural changes or approvals, changes in drawings or specifications, weather, labor shortages, availability of trades and suppliers, or availability of equipment, materials or goods. Builder agrees to keep owner informed of any delays that may interfere with the substantial completion date set out above. Saturday and Sunday are not considered work days. Section 5. Warranty: Builder guarantees and warrants that all labor performed and materials used are of industry standards. All labor has or will be performed in a good and workmanlike manner, and all materials used are or will be free of material defects. The Builder shall remove, replace and/or repair at its own expense any faulty, defective or improper work or materials discovered within two (2) years from the date of the completion of the Project. In order for this warranty to be effective, Owner shall notify Builder in writing at the address set forth above of the defective work or materials within two (2) years of the performance of the work or installation of materials and permit the Builder regular and reasonable access to the Project to correct the defective workmanship. Owner shall allow any Builder, employee, or independent contractor of Landmark Services' choosing the right to remedy any such problem that may arise from workmanship or defects. All warranties for equipment supplied by the Builder 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(s). Under such manufacturers' warranties, the Owner(s) may be required to register or mail in a warranty card to give other evidence of ownership and use of such equipment in order to activate such warranties. The Owner(s)'s failure to mail in or register such documentation which failure voids the manufacturer's warranty, shall not create any responsibility for the Builder to warranty such equipment. The warranty gives the Owner(s) specific legal rights and the Owner(s) may also have other rights that vary from state to state. Under Massachusetts law sales of goods carry an implied warranty of merchantability and fitness for a particular purpose. All material is guaranteed to be as specified. All work shall be completed in a workmanlike manner according to standard practices. This Limited Warranty is given by the Builder to the Owner of the premises, and extends to Owner only, and is not transferable to and shall not be enforceable by any transferee or successor of Owner (including, without limitation, a purchaser or tenant of the premises). C1 "L�t LANDMARK SERVICES Owner agrees that any removal, adjustments or tampering with any work or product contained in this Contract, will be considered a breach of Contract, and any warranty provided will become null and void. Builder is not an architect, engineer, or designer. Builder is not being hired to perform any of these services. To the extent. that Builder makes any suggestions in. these areas, Owneracknowledges and agrees that Builder's suggestions are merely options that Owner may want to review with the appropriate design professional for consideration. Builder's suggestions are not a substitute for professional engineering, architectural, or design services, and are not to be relied on as such by Owner. Builder is not responsible for the cost of correcting errors and omissions by Owner's design professionals and separate Builders Exclusions from Warranty: The Builder does not assume responsibility for any of the following, all of which are excluded from the coverage of this Limited Warranty, but which Builder may remedy at their discretion: a. Appliances, fixtures and equipment which are "consumer products" as defined by the Magnuson -Moss Act, other than the Builder's own workmanship and.materials. b. Hidden defects in items or materials which are not apparent at the time of incorporation into the improvement and which could not be reasonably detected by careful inspection. Such defects are the responsibility of the manufacturer, or other person or firm which supplied the item or material. c. Defective design or materials supplied by the Owner or installed under the Owner's direction; or defects in or caused by anything not built or installed in the improvement pursuant to the Owner's contract with the Builder, provided that Builder shall be responsible for defective installation. d. Normal wear and tear and deterioration. e. Discoloration of materials due to exposure to sun and weather conditions. f. Changes, alterations or additions by parties other than the Builder. g. Landscaping, including sodding, seeding, shrubs, trees and plantings. However, Builder shall pass on all warranties from suppliers. h. Accidental loss or damage including, but not limited to: fire, explosion, smoke, water escape, changes not reasonably foreseeable in the level of underground water tables, glass breakage, windstorm, hail, or lightning, extremes of earthquake (exclusive of soil movement for causes other than flood or earthquake(s); except when such loss or damage is caused by the act or omission of Builder, its subcontractors, or persons for whose actions the Builder is responsible. i. Loss or damage due to the Owner's failure to keep and maintain the improvement in good repair and condition after a certificate of occupancy issues and the home is turned over to the Owner. j. Loss or damage which occurs after the improvements have been used for any other purposes except as a residence. k. Insect damage. 1. Ice dams unless Builder could, in the exercise of reasonable diligence, have guarded against or prevented such damage. in. Minor defects, including chips, scratches, and mars in tile, flooring, mirrors, carpeting, marble, glass and plumbing fixtures which are not recognized and brought to the Builder's attention during the one hundred twenty (120) day break-in period. n. This Warranty is the only warranty, expressed or implied by the Builder unless required by state law or otherwise provided herein. 7 LANDMARK SERVICES Section 6. Termination: Owner may terminate this Contract upon seven (7) days written notice with or ' without cause. If Owner terminates the Contract, s/he is responsible of the payment for all costs and the value (including mark-ups) of all labor, materials, supplies, rental equipment, subcontractors and goods accrued and documented as of the date of termination accompanied by paid receipts, plus Builder's anticipated gross profit (which includes an overhead allocation). If the Project Account has a positive balance with the Builder, Builder agrees to refund all unused monies within thirty (30) days of written. termination. Owner may terminate this Contract for cause if the Builder: ■ Persistently or repeatedly refuses or fails to supply enough properly skilled workers or proper materials; ■ Fails to make payment to subcontractors for materials or labor in accordance with the respective agreements between the Builder and the subcontractors; ■ Persistently disregards laws, ordinances, or rules, regulations or orders of a public authority having jurisdiction; or ■ Is otherwise guilty of substantial breach of a provision of the contract documents. When any of the above reasons exist, the Owner, after consultation with the Architect, may without prejudice to any other rights or remedies of the Owner and after giving the Builder and the Builder's surety, if any, seven days' written notice, terminate employment of the Builder and may: 1. Take possession of the site and all materials thereon excepting those owned by the Builder; 2. Finish the work by whatever reasonable method the Owner may deem expedient. Builder may terminate this contract with or without cause upon seven (7) days written notice to client. Builder may also terminate this contract if Owner fails to make timely payments in accordance with Section III and Section V, following seven days written notice to the Owner. Upon termination of the Contract by Builder, Owner is responsible for the payment for all documented costs and the value (including mark-ups) of all labor, materials, supplies, rental equipment, overhead, subcontractors and goods accrued as of the date of termination. The Builder also reserves the right, as a result of slow payment or non-payment, and as a prerequisite to continuing working on the Project, that the balance of funds in the possession of the Owner due under this Contract shall be placed in a joint escrow account requiring the signature of the Builder and Owner for withdrawal. If the Builder is required to proceed with any action against the Owner for the breach of any provision of this Agreement and the Builder prevails through a final, unappealed determination of the arbiter of the dispute, then the Owner agrees to pay all of Builder's reasonable attorney's fees, together with interest and costs. If the Owner is required to proceed with any action against the Builder for the breach of any provision of this Agreement and the Owner prevails through a final, unappealed determination of the arbiter of the dispute, then the Builder agrees to pay all of Owner's reasonable attorney's fees, together with interest and costs. Section 7a. Limitations on Remedies: Builder's liability in contract, tort or otherwise arising out of or in connection with this Contract or services, materials or goods provided by Builder for use in the Project shall not exceed the monies paid under this Contract. IN NO EVENT SHALL BUILDER BE LIABLE FOR SPECIAL, INCIDENTAL, PUNITIVE, TORT OR CONSEQUENTIAL DAMAGES ARISING 1%A_� LAi� D- MARK SERVICES OUT OF OR IN CONNECTION WITH ITS PERFORMANCE UNDER THIS CONTRACT, EVEN IF THE BUILDER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Section 7b. Indemnification: To the fullest extent permitted by law, the Builder shall indemnify and hold harmless the Owner, Architect, Architect's consultants and agents and employees of any of them from and against claims, damages, losses and expenses, including but not limited to attorney's fees, arising out of or resulting from performance of the Work, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease of death, or to injury to or destruction of tangible property (other than the Work itself) including loss of use resulting therefrom, but anyone directly or indirectly employed by them or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss or expense is caused in part by a party indemnified hereunder. Section 8. Severability: In the event a provision or clause of this Contract shall be held unenforceable, it shall be deemed severable from the remaining provisions or clauses and shall in no way affect the validity or enforceability of the remainder of this Contract. Section 9. Integrated Contract: Owner acknowledges that s/he has read this Contract, understands it and agrees to be bound by its terns and conditions. Owner further agrees that these terms and conditions are the complete and exclusive statement of the Contract between Builder and Owner that supersede any proposal, or prior agreement, oral or written, and any other communications between Builder and Owner relating to the subject matter of this Contract. Section 10. Disputes: Any disputes arising under this Contract shall be brought in any court of competent jurisdiction in the Commonwealth of Massachusetts. Massachusetts law shall govern all disputes between the parties. Section 11. Registration of Builder and Subcontractors: All Builders and subcontractors must be . registered by the Administrator of the Board of Building Regulations and that any inquires about a Builder or subcontractor relating to a registration should be directed to the Administrator: Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, Massachusetts 02108. Builder to maintain general liability and worker's comp insurance. Builder shall obtain insurance certificates from all subcontractors prior to their work on site. Section 11a. Contractors and Subcontractors: The Builder shall be solely responsible for the work described in this Agreement. He/she shall have complete control over construction methods, techniques and procedures and shall supervise such work with his best skill and attention. The Builder shall pay for all labor, equipment, materials and services required to complete the work as described in this Agreement, as well as building permits and other governmental fees, licenses and inspections necessary for the proper completion of the work. All Subcontractors shall be licensed and will coordinate their work directly with the Builder. The Builder agrees that, notwithstanding any agreement for materials and/or labor between Builder and a third party, the Builder is responsible to the Owner(s) for completion of all work described in a timely and workmanlike manner. 7 LANDMARK SERVICES Owner and Builder agree that for the full two (2) year period that the Warranty is in effect, the owner will not hire or pay any of Builder's selected subcontractors without the express written consent of the Builder. Section 11b. Access to the Premises: The Owner hereby agrees that the Builder and the Builder's representatives shall have the right to reasonable access the Dwelling in the performance of this Contract from the date of this Contract up to and including the date for the time of completion. In addition, the Owner and their representatives, understands and agrees that vendors and subcontractors involved in the construction of the Project are accountable to the Builder, and as such, any and all requests for changes, additions, deletions, etc. must be made through the Builder. Section 12. Liens: The Builder, subcontractors and suppliers have certain statutory rights to place liens on the Project property for non-payment by Owner. Section 13. Execution of Contract: This Contract must be executed in duplicate, and an original, signed copy of this Contract is to be provided to the Owner at the time of its execution: Section 14. 3 -Day Right to Cancel: OWNER MAY CANCEL THIS CONTRACT WITHIN 3 -DAYS OF SIGNING IT WITHOUT PENALTY OR LIABILITIES INCURRED BY OWNER, EXCEPT OWNER WILL BE RESPONSIBLE FOR PAYMENT OF ANY MATERIALS, EQUIPMENT OR GOODS PURCHASED FOR USE IN THE PROJECT, AS WELL AS ANY WORK OR LABOR EXPENDED ON THE PROJECT. Such cancellation must be in writing to the Builder and the Builder must receive said notice within the 3 -day period. Section 15. LEAD PAI%N`T RENOVATION, REPAIR AND PAINTING PROGRAM LAW I, �� ��� acknowledge that I have received a copy of the pamphlet, Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before the work began. I certify that there are / ren (circle one) children under 6 or pregnant women living in the household as defined by the Lead -Base aint Renovation, Repair and Painting Program Law. The children, and/or pregnant women in the household have been tested for lead. Y No (a The children, and/or pregnant women in the household have tested positive for high lead levels Yes No. The house has been tested for lead paint. Yes No 4/ If the house has been tested, there ' one) lead paint currently present in the home. If there is no lead paint, I acknowledge that the Builder is not required to use lead -safe practices. 10 LANDMARK SERVICES I have seen the Builder's certification as a ce ified firm pursuant to the Lead -Based Paint Renovation, Repair and Painting Program Law. Yes No I have seen the Builder's certification as a certified renovator purs nt to the Lead -Based Paint Renovation, Repair and Painting Program Law. Yes 7 No I have been informed that the Builder will be following lead -safe practices throughout the construction. Yes No Homeowner acknowledges that windy conditions may delay completion of the containment work. Yes ✓ No I understand that the Certified Renovator must be onsite during three stages of the project: when signs are posted, when the work -area containment is being established and when the post -renovation cleaning verification (dust wipe test) is performed. Yes ✓ No Homeowner acknowledges that Builder will be performing no more than two dust wipe tests at the end of the project. If Homeowner requests third -party verification, he will arrange for that at his own expense. Homeowner also understands that this will constitute a change order that must be signed by the parties that reflects the additional expense and any change in the completion date. Yes N Section 16. Site Signage: Owner agrees to allow Builder to place one clean, professional clearly marked job -sign at or near the entry to the project site to alert the Builder's subcontractors/vendors and town/city building officials to the project location. Site Sign to be maintained in a clean and professional manner for the duration of the project and until punch list is complete. Section 17. Insurance: The Builder will furnish to the Owner the following certificates of insurance in the amounts indicated or other amounts as required by law, whichever is greater: • Workmen's Compensation Insurance - not less than $500,000 each occurrence and $500,000 aggregate for bodily injury including Personal Injury. • Property Damage - not less than $100,000. • Comprehensive Automobile Liability - not less than $250,000 each person, $500,000 each occurrence, and property damage in the amount of $100,000 each accident. The Builder agrees to pay all of its insurance deductibles, and the Owner is not responsible for any deductible for a claim under such insurance. The Builder agrees to carry commercial general liability insurance in the amount of $3 million per occurrence and $5 million in the aggregate to protect the Builder, his employees, subcontractors and the 11 e SA L► p LANDMARK SERVICES Owner(s) and Owner's invitees, contractors, agents and employees from personal injury claims for bodily injury, including death, which may arise from the performance of this Contract by the Builder and the Builder's subcontractors, agents or employees. The Builder hereby warrants that all employees and subcontractors under his supervision performing any and all work at the premises are covered by workers' compensation insurance. The Builder agrees to take reasonable precautions to insure against theft of any and all materials. Certificates of insurance for said insurance will be provided upon request from Builder. The Owner will purchase, effect and maintain property insurance for all the Work to be performed under. . this Contract. The policy of insurance shall be a Homeowner's or Builder's Risk type on a replacement cost basis, "Special Form." The policy shall be equal to the full insurable value of the Work. The coverage shall not necessarily extend to tools and equipment of the Builder, subcontractors of any tier or property owned by employees of any of them; vehicles of any kind; or drawings or specifications. However, the Owner agrees to use ordinary care in the storage of tools and equipment of the Builder, subcontractors of any tier, and job materials and supplies located on the construction site for the duration of this project. The Owner shall maintain property insurance for the project to its full insurable value. This Insurance shall include the interests of the bank, or other mortgage holder, if any, and the Owner shall insure against "all risks" of physical loss or damage. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner is advised not to sign this Contract unless all blank sections have been filled-in or marked as void, deleted, not applicable or of a similar designation, and until all exhibits and related/referenced documents incorporated herein are attached hereto. Owner N By: Date: s , 20j By: Date: _20/4 Landmar ervices, Inc. (Tax Id : 04-329932k� l By: µ Date: i , 2011 Title: 12 LANDMARK ANDMARK SERVICES EXHIBIT E DISCLAIMER OF RESPONSIBILITY FOR OWNER -SUPPLIED MATERIALS Landmark Services, Inc. accepts full responsibility and liability for all materials and labor that we supply. In order to eliminate any potential misunderstandings, please be aware of the following obligations assumed by Owner(s) when we work with owner -supplied materials: 1. Owner(s) assume(s) full responsibility and liability for ordering correctly and on time, and for receiving and inspecting all Owner(s) supplied materials. 2. In the event of missing or damaged parts, the wrong material being ordered or delivered, or any other problem concerning Owner(s) supplied materials and products, Owner(s) must assume full responsibility and liability for returning and exchanging them, as well as negotiating the terms of resolution with the seller. 3. Owner(s) assume(s) full responsibility and liability of assuring that the products meet all applicable codes and ordinances. 4. Owner(s) assume(s) full responsibility and liability of assuring that all materials, including all "rough -in" items placed inside of walls in the early stages of the job, will be present at the job site and in good working order prior to the start of the project. 5. Owner(s) understand(s) that missing or broken pieces or wrong materials may alter our work schedule and may result in additional time charges to Owner(s) at regular hourly rates. 6. Owner(s) assumes full responsibility and liability for all guarantees and warranties pertaining to these materials. Owner(s) shall hold the Builder harmless for any product or system malfunctions related to defective products purchased from other sources by Owner(s). 7. Owner(s) understand(s) that the above conditions do not encompass all possible circumstances that could delay work or result in additional.job costs stemming from Owner -supplied materials. UWe have read, and understand and agree to the above terms and conditions. Owner Date Ow r Landmark Services, Inc. By: 13 Date Date LANDMARK SERVICES NOTICE OF CANCELLATION You may cancel this transaction, without penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instruments executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale; or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to [name of seller], at [address of seller's place of business] not later than midnight of (date). I hereby cancel this transaction. Date: Buyer's signature: 14 I< REScheck Software Version 4.5.0 Compliance Certificate Project Keith Residence Energy Code: 2009 IECC Location: North Andover, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6322 HDD) Permit Date: 3 Permit Number: 0.300 Construction Site: 605 Osgood St North Andover, MA 01845 Owner/Agent: Douglas & Kathleen Keith 605 Osgood St North Andover, MA 01845 Designer/Contractor: Dennis Lawlor Landmark Services, Inc. 326 Washington Street Annex, Suite 20 Wellesley Hills, MA 02481 508-533-8393 Compliance: 10.4% Better Than Code Maximum UA: 154 Your UA: 138 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 Roof: Flat Ceiling or Scissor Truss 570 40.0 0.0 0.029 17 Front Elev: Wood Frame, 16" D.C. 297 20.0 0.0 0.059 11 Bath Window 1: Wood Frame:Double Pane with Low -E 3 0.300 1 Bath Window 2: Wood Frame:Double Pane with Low -E 3 0.300 1 Large Window 1: Wood Frame:Double Pane with Low -E 31 0.300 9 Large Window 2: Wood Frame:Double Pane with Low -E 31 0.300 9 Large Window 3: Wood Frame:Double Pane with Low -E 31 0.300 9 Main Entry Door: Solid 17 0.300 5 Front Basement Elev: Solid Concrete or Masonry 150 20.0 0.0 0.046 7 Wall height: 7.1' Depth below grade: 6.0' Insulation depth: 7.1' Front Crawl Elev: Solid Concrete or Masonry 91 13.0 0.0 0.076 5 Wall height: 4.1' Depth below grade: 3.0' Insulation depth: 4.1' Side Elev: Wood Frame, 16" o.c. 157 20.0 0.0 0.059 4 Large Window 4: Wood Frame:Double Pane with Low -E 31 0.300 9 Large Window 5: Wood Frame:Double Pane with Low -E 31 0.300 9 Large Window 6: Wood Frame:Double Pane with Low -E 31 0.300 9 Project Title: Keith Residence Report date: 05/06/14 ,Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 1 of 10 5-5-14.rck i a Side Basement Elev: Solid Concrete or Masonry:lnterior Insulation 150 20.0 0.0 0.057 9 Basement slab adjacent to Side Basement Elev: Slab -On -Grade: Heated 18 13.0 0.664 12 Insulation depth: 6.0' Rear Elev: Wood Frame, 16" o.c. 122 20.0 0.0 0.059 6 Rear Entry: Solid 17 0.300 5 Rear Crawl Elev: Solid Concrete or Masonry 14 13.0 0.0 0.075 1 Wall height: 4.1' Depth below grade: 3.5' Insulation depth: 4.1' 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. Dennis Name - Title Signature Date Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 2 of 10 5-5-14.rck 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. 103.2 :Construction drawings and .ro [PR111 ;documentation demonstrate l� ;energy code compliance for the a ;building envelope. 103.2, ;Construction drawings NOW'&` 403.7 ;documentation demonstrate F [PR311 ;energy code compliance for ;lighting and mechanical systems_, Systems serving multiple Q ;dwelling units must demonstrateis compliance with the commercial code. 403:6 ;Heating and cooling equipment is Heating [P132,j sized per ACCA Manual S based Btu/hr_ on loads per ACCA Manual J or T,other approved methods. gtu/hrg Additional Comments/Assumptions: 1 I High Impact (Tier 1) 2---J Medium Impact (Tier 2) 3=& Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 3 of10 5-5-14.rck 11 High Impact (Tier 1) 2 ` Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: ZAFSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 4 of 10 5-5-14.rck 11 High Impact (Tier 1) IkJ Medium Impact (Tier 2) ' 3;> Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 5 of 10 5-5-14.rck 4 11 High Impact (Tier 1) 2; Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 6 of 10 5-5-14.rck Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional Comments/Assumptions: ❑Complies ❑Does Not ❑Not Observable ❑Not Applicable 111 High Impact (Tier 1) 1z;:, Medium Impact (Tier 2) 1;,,3, Low impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 7 of10 5-5-14.rck N' Additional Comments/Assumptions: 11 High Impact (Tier 1) 2':`` Medium Impact (Tier 2) 3 Low Impact (Tier 3) k Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 8 of10 5-5-14.rck 111 High Impact (Tier 1) , Medium Impact (Tier 2) 1 3; Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 9 of 10 5-5-14.rck Additional Comments/Assumptions: 1 High Impact (Tier 1) Medium Impact (Tier 2) 3'iI Low Impact (Tier 3) Project Title: Keith Residence Report date: 05/06/14 Data filename: Z:\FSA Projects\Keith\Keith Documents\Keith Specifications & Research\Keith Rez-check Page 10 of10 5-5-14.rck C Efficiency Certificate 2009 IECC Energy Wall 20.00 Floor 20.00 Ceiling / Roof 40.00 Ductwork (unconditioned spaces): EM, Window 0.30 Door 0.30 Heating System: Cooling System:. Water Heater: Plans Submitted ❑ Plans Waived ❑ 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 DATE REJECTED PLANNING & DEVELOPMENT ❑ COMENTS CONSERVATION ■ ■ COMMENTS HEALTH COMMENTS DATE APPROVED 11 DATE REJECTED DATE APPROVED ❑ ❑ 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 Located at 384 Osgood Street