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Building Permit #603-14 - 64 STANTON WAY 2/21/2014
TOWN OF FORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: -�l Date Received Date Issued: IMPORTANT Applicant must complete all items on this page rt,x +� p „Ium; st �+ 5}�RtL�VAI �^�� x' r�,Y"7e'Jti � ,.rog3 f �° s¢'t` ?`T"r . r 5,:_. „very � ' y+�i.s- rT ro-`i k r" :' �a`”-n 1ki' ...a s Y^a* �`C: ° `i.r• c�.,�p".i9..*"� "r�`e,1 - °r '}t,..� ¢+��i''�t'8�+xac + Mh^-�, .+ .:�`-' � a,�. �'`R s''�+�,.'' '.•- r a,,1 t2 -'�t -�"-F... �' '�:� �a` 'f.o c'`=t s 3r"%'F��i pF�/b`k} 'y .r.t RROPERF'Y � '2 * �$a �Fa.s c F Smart t - ' fly :Bay a $MAi AI' �, Ki '�.R Cl`t L .+-2sit fe p.t z' 1'd a4 P`L F 1" Z Fa �. s E C b n -`�b F.ltd : $ s•aiT yeS a �n O�iv f5v. E TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ew Buildingne family Addition ❑Two or more family 0 Industrial Alteration No. of units: ❑ Commercial ' ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se tic `❑Well s !3loodplam 1Netlands ' p Watershed Distract — 4Mij eT. DESCRIPTION OF WORK TO BE PERFORMED: fav�� r`�✓ was.-� ,�,� ' _�;`�;S r c,J Identification Please TyIf 744 r.P�ri^nt Clearly) OWNER: Name: `'tZ J A& C:'s.{LZJ e+, Phone: W�),'L Address:_/-6-'.4'• S'9C /L ,110m -Jr /v `-,S A, ` , .r CO(ITRACTOR Name * � � s Phonef 415 -7 ...0 ler t t? t r :i s �' -:a- f ♦ "�'" �'..1 y-T sYw�F � ,vr 1 `sF �nxt tiori0 . Stpervisor'sConstrucLio�nse ,Exp 3Date ' y s t �. t G S. '?,. t 1 F ,>. `+fi+ }'` `` n �E ss F 4 r t,,�' f+x z f .�,z' y.} 1 €y{✓ } r ,M _' s ,, _ z > � _: - ^' � *�h s k ,.� M s .. b r✓.> +' T _.� ' S-_.tat x f'`r r r Home Improverraent License �k r _ Ex ' date t ARCHITECT/ENGINEER h%NSV dZI-T� Phone: . 9576-9 Address: SY& ���c�'��'�w� �rt��. c���"o3 ��s�i ✓ Reg. No. 301 (� � FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.12 j Total Project Cost: $ ar °� FEE: $ ; 5 �' E _. Check No.:= -;: _. 9 7 G 7 NOTE: Persons contracting with unregistered ontractors do not have access t®the guaranty fund A Signature of Agent/Qwner ignature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ .-TY—PE-OF--SEW-ERA-GE-DISPOSAL- Public TYPE_OF--SEWERAGE-DISP..OSALPublic Sewer Tanning/Massage/BodyArt ❑ .Swimming Pools ❑ Well ❑ Tobacco.Sales E] Food Packaging/Sales 0 Private(septic tank, etc... :Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM q.I .DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENTT' ❑ COMMENTS flOfi frOVI A�1. -CONSERVATION Reviewed on Signature r-L-1 COMMENTS HEALTH Reviewed on Signature COMMENTS- l zr ELI cz� Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: :Comments z -2o- /� Dater & Sewer Connection/si natu & Drivewa Permit DPW Toiv 2 Engineer: Signature: Located 384 Osgood Street SIRE DEPARTMENT - Temp Du ster on site yes no --Located'at 124 Mair,Street -Fire ®epartme►it signature/date=` COMMENTS Dimension a , Number of Stories: �� Total square feet of floor area, based on Exterior dimensions. .Total land area, sq. ft.: 1Y 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-$1o00.fine r NOTES and DATA— For department use ® Notified for pickup - Date --Doc.Building Permit Revised 2010 4 1 f Building Department The fo,iowing is=a fist of the r64uired.forms to be filled out for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits i ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan o 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) a Mass check Energy Compliance Report (If Applicable) o 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 o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract . o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-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 Doe: Doc.Buiiding permit Revised 2012 . ^ r'Pi'a...+j.'Y'i.�:.'k`j ix{♦ .,tf+�. ^, �.�:LL ah::stw�:: w:awr�"-•.i:; ^- Location No. e?— e / Date . - TOWN OF NORTH ANDOVER _a Certificate of Occupancy $ /OD— Building/Frame Permit Fee Yrad— Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# 27512 l Building Inspector c Of HOi oTry 1y r s -♦ s rr SSMCNU`'E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 603-14 on 2/21/2014 Date: October 9, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 64 Stanton Way— Lot 4 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: Cranfield Inv. LLC c/o Green & Company PO Box 1297 North Hampton,MA 03862 Building Inspect Fee: PrePaid $100.00 Receipt: 27312 Check : 87659 r1 NORTH - c . ve- 0 - , � Z - ,� o h , ver, Mass, 6� -9 �y COCNI(NlWKK �1. A0/tATEO 00:0, �CO S V BOARD OF HEALTH Food/Kitchen ,0 PERMIT T LD 11 Septic System.,,'./ THIS CERTIFIES THAT ��FG � ?�ar? ,,,,,, BUILDING INSPECTOR �1`y ......................................... ................................ ................'.Y............ -.j L 7 Foundat has permission to erect .......................... buildings on . �7i' G� D �/ ..x�.... .f......? ..'..... ... ............................ 3, // gh to be occupied as .........................,x�....... ...:....1.:..... .......................................................................... Chimney.__=�L provided that the person accepting this permit shall in e4ry respect conform to the terms of the applicationFin on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and D Construction of Buildings in the Town of North Andover. 1 Lu,MP Rough IN INSPICTO / 1 �� VIOLATION of the Zoning or Building Regulations Voids this Permit. Fi ars /D( ? t�� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO S RTSRou� � fervice / .c_-�.................... f�...... ...... .... ma ®� -7— BUILDING INSPECTOR 44 GAS INSPEC R Occupancy Permit Required to Occupy Building Roughf �JTi Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. B er Street No. SEE REVERSE SIDE Smoke Det. PyAix F NoerN ( 6 yid y°:' °• '° O L '- APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION CQ <ocwic w1cw '- �.qss CHU`-+ BUILDING PERMIT#-(::203 — /7 A ADDRESS/LOCATION OF PROPERTY: /"^i9� jz j G�i9 s Map Parcel 14 Lot Number. !� SUBDIVISION:_ L "bS DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Pe,rmit Issued to: N0, &Z G',e, ewc,_,ZL j "MA Address:_ 1d, 04r, IVO eJW IAPW13/'') AJ j1, 0-04 ;1-- ROUTING �a TOWN ENGINEER, SITE PLA —,R,VE-WAY REVIEW X CONSERVATION ONPLANNING DPW-WATER METER SEWER CONNECTION � ��} DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW ,D W1 SIGNATURt File:iApplication for OC form revised Jan 2007/2011 • i a ♦ Registry ID: 189686787 • �� ������� � Rating Number: GDS-NG-MA-SR-5974 ' Certified Energy Rater: Tom Pfau Rating Date: October 3,2014 64 Stanton Way Lot 16-4 Rating Ordered For: D tg North Andover,MA 01845 �. Estimated Annual Energy Cost GDS Associates, Inc. **w Confirmed Engineers and Consultants 5 Stars Plus Use MMBtu Cost Percent Confirmed Heating 60.5 $542 36% Uniform Energy Rating System Energy Efficient Cooling 1.9 $55 4% Hot Water 14.0 $102 7% 1 Star UStar Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus [4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 24.0 $654 43% 500-401 1 400-301 1 300-251 250-201 200-151 150-101 100-91 90-86 85-71 70 or Less photovoltaics -0.0 $-0 -0% HERS Index: 50 Service Charges $161 11% General Information Total 100.4 $1513 100% Conditioned Area: 2702 sq.ft. - HouseType: Single-family detached Conditioned Volume: 21573 cubic ft. Foundation: Unconditioned basement Bedrooms: 4 This home meets or exceeds the minimum Mechanical-Systems Features criteria for all of the following: - - - -- - - -- -------- 2009 International Energy Conservation Code Heating: Fuel-fired air distribution,Natural gas,95.OAFUE. Cooling: Air conditioner,Electric,14.0 SEER. Water Heating: Instant water heater,Natural gas,0.95 EF,0.0 Gal. Duct Leakage to Outside: 88.00 CFM25. Ventilation System: Exhaust Only:65 cfm,25.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Building Shell Features Ceiling Flat: R-44.4 Slab: None Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: R-37.0 Window Type: U-Value:0.300,SHGC:0.260 Above Grade Walls: R-21.0 Infiltration Rate: Htg:1290 Clg:1290 CFM50 Foundation Walls: R-0.0 Method: Blower door test Lights and Appliance.Features - Lighting: g -�i— gas GDS Associates,Inc. �^OR�`�6F�~oG Percent Interior Li htin 100.00 Ran a/Oven Fuel: Natural as Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Electric 1155 Elm St,Suite 702 Refrigerator(kWh/yr): 550.00 Clothes Dryer EF: 3.01 Manchester,NH 03101 :cr Dishwasher Energy Factor: 0.00 Ceiling Fan(cfm/Watt): 0.00 1-800-437-4495 S� 1Va 98098 Rz The Home Energy Rating Standard Disclosure for this home is available from the rating provider. 1-866-611-3791 q ¢6 REM/Rate-Residential Energy Analysis and Rating Software v14.5.1 �RAro,rwt+O� This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation,Boulder,Colorado. r - p0 R'rh0 0 - W, f ti w.ry No. O _ ILL 1 h , ver, Mass, i �y COC NIC Hf WKw ,1' A04ATED I.P¢�,�5 S V BOARD OF HEALTH Food/KitchenPERMIT . T LD 1� ' Septic System �y� THIS CERTIFIES THAT .......................................... C` BUILDING INSPECTOR ............................... ................Y..` . ... ,L_? Girf O�� �O 7 �r6o da has permission to erect ........ buildings on . .�.,�...,�f.. ?� i�Y. gh to be occupied as ..................... Chimney. !' �� fi ..... .. .. ....... ..... ...... ... .. ..... ............................... provided that the person accepting this permits hall in eterms of the application on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and D Construction of Buildings in the Town of North Andover. LUM ING INSPJECVA Rough S�/�/� VIOLATION of the Zoning or Building Regulations Voids this Permit. Fi a S� [0r7 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STA RTSRoug 'Y 2emce / .................... . ...e"--,.................... BUILDING INSPECTOR C5>®,k- ""� -7 GAS INSPECTPR Occupancy Permit Required to Occupy Building Rough' Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved -by the Building Inspector. B er Street No. SEE REVERSE SIDE Smoke Det. ' I 16-3 STANTON WAY = EXISTING FND. ev EL.=96.0' N 1 113.9' . 1 EASEMENT iv ) I M 1 I � , LOT 16.4 33.3' 1-------- 16-5 --- � m W BUFFER 239.7' of tp MICHAEL �yN J. U SERGI No.331 i I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN FOUNDATION AS-BU1LT (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHERRUCTED. RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE USED CLIENT: GREEN & COMPANY BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES LOCATION: NORTH ANDOVER,MA. NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. DATE:6/25/14 SCALE: 1"=100' PROFESSIONAL ENGINEERS & LAND SURVEYORS CHR/ST/ANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL.978-373-0310 FAX.978-372-3960 DWG.NO.: 12007.001.012 �SF'S'f1.'ED.l64s • North Andover Health Department (ommunity Development Division November 4, 2014 New Homeowner "64 Stanton Way North Andover, MA 01845 Re: Your new home and your 3- bedroom septic system Dear Resident, Congratulations on your move to North Andover and on your new home. The North Andover Health Department has overseen the design approvals and installation of the septic system on your property and believes that it is important that you understand the details of the system that services your home. Enclosed is information on how to care for your septic system and notification of restrictions in case you intend on finishing additional spaces, which are currently designated as "unfinished space", in your home. The house plans that were submitted prior to construction of your home show multiple unfinished areas, but this system can only serve a 3-bedroom home (maximum 8-room). A home with this sized system, which as defined by the MA Department of Protection regulations 310 CMR 15.000,will have a maximum of a 8 rooms in total (not including bathrooms; laundry rooms etc). According to our file, your home is currently at seven (7)rooms; therefore only one (1) additional room could be finished for use. This assumes you did not finish more than the plans originally identified. If you have gone over the approved number, a violation to MA DEP code may already exist. The multiple unfinished areas in your home are allowed by state code and are not counted until finished. The inclusion of this amount of square footage, as unfinished space, was discussed with your builder. The Green Co. chose to inform homeowners upon purchase, that if you plan on finishing any of the areas for living space, above the 8-rooms,the expansion of the septic system and the compliance with the code will be done by the new homeowner. No building permits, to finish additional rooms, will be supported unless compliance is achieved. Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 . 64 Stanton Way November 4, 2014 If at any time you do plan to inhabit any of these multiple unfinished areas,please contact our office and we will be happy to discuss the options with you. As the homeowner, we want you to be fully informed on how disposal systems work. The document provided will help you care for your system. You can also access numerous guides to assist you on the MA DEP website, http://www.mass.gov/eea/agencies/massdep//that will help you maintain your system in good working order, so it will protect you and the environment for many years to come. Finally, it is important to note that this septic system is not designed for use with a garbage grinder. Installation of a garbage grinder will cause damage to your septic system and will void any guarantees for its proper service by the septic installer from the date you install the grinder. We hope you are enjoying your new home in North Andover. The Health Department staff members are here to answer your questions on septic systems or any other Public Health related subject. Feel free to contact us. Sincer , an Sawyer, Public Health Dire for Encl. "Caring for your Septic System: A Reference Guide for Homeowners" Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 OCJI "Sawyer, Susan From: Sawyer, Susan Sent: Friday, February 21, 2014 10:47 AM To: 'mgreen@greenandcompany.com' ., Cc: Brown, Gerald VO Subject: RE: Stanton Woods , - - - - Hello Michael, I wanted to let you know that I signed the building permit application for 64 Stanton Way a few minutes ago and I believe they left with their building permit in hand. However, having reviewed the plan for the Harbor Rose I determined that I needed to place a caveat on that approval. It is a similar problem that we discussed last October.This is a 3- bedroom design;which the State allows an 8 room home. I believe I am being fair in calling this a 9-room as it was presented to me. Had the Dining room been a bit larger, it could be possibly even be a 10-room. But that being said, I am r1) t prior to getting the septic system disposal works permit, one of the following happen. T e wall is removed from the back section; making 2 rooms into 1(family room and study) r 2) A deed restriction be proposed to be granted to the BOH as we previously had spoken about(link below) Going forward, we do have quite a few more lots to build.You may want to submit the floor plans ahead of time;so that we can address the room number vs.the system capacity before a building permit is needed. I believe that will help things move so much smoother. Thank Susan This is a sample deed restriction.You are not obligated to use this form, but I before altering, I would seek legal counsel. http://www.topsfield-ma.gov/documents/health/documents/TitleVBedroomCountDeedRestriction.pdf Let me know what you prefer. I will make a note for the file that either changed floor plans will be submitted or a deed restriction.We only need them before you want to install the system; so there is no rush. Below is just some interesting information I found online. http://massrealestatenews.com/massachusetts-bedroom-misrepresentation-with-septic-systems/ http://massrealestatenews.com/massachusetts-title-5-bedroom-count-deed-restriction/ Feel free to call with any questions. Thank you Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 1 N*4 IP-MIO Tj ------------ 7"1 k ti VAA-Ar 4 -4 4 1- 4% A F.0 4A Ib it r-a IF ja ......... am ------------ Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 3603000.00 m $ - $ 4,320.00 Plumbing Fee $ 540.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 540.00 Total fees collected $ 5,500.00 64 Stanton Way 603-14 on 2/21/14 Single Family Home r • NORTH c ve" 'o No. _ h ." ver, Mass, �i COCAtA, ICK I' 0RArEo 0�`•�,�5 IJ PERMIT T BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT �"� '���/ 'v ° .........................................>�...� �° Tl �� BUILDING INSPECTOR has permission to erect.......................... buildings on .69sz��to .A) ¢ � 7� Foundation . ............ .. . .... ............................ to be occupied as �``� � jG�d-rr" / Rough ......................... ....... .. ............... ................................................. provided that the person accepting this permit shall in ev ry respect conform to the terms of the application Chimney on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final 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 CONSTRUCTIO S RTS Rough p Service .... .p„Z,rs. .... BUILDING INSPECTOR Final °Occupancy Permit Reauired to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the BuildingInspector. Burner p Street No. SEE REVERSE SIDE Smoke Det. let— J& x 30 kol �j 10 . � ^�T 490 Aft form Architecture, Inc. db. Artform Home Mans Office: 95 Lafayette Rd, Hampton.Falls,NH 03844 Corp: 580 Greenland Rd,Portsmouth,NH. 03801. (603)431-9559 phone (603)570-2468 fax February 20, 2014 To whom it may concern RE: Plans for 16-4 Stanton Woods, North Andover, MA, plans dated February 19, 2014 Please be advised that the above referenced tans were re ared under m direction as indicated b m wet stamp o p P P Y Y Y p n the plans. Please feel free to call me with any questions. Sincere' �a OGS ll 5 No. 30167 t r W y Welton, RA o MASSNCHUSr3TS' President, Art Form Architecture, Inc. I l The Commonwealth of Massachusetts - Department of lndustrial Accidents 57 Office of Investigations 600 Washington Street Boston,.1t2A 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): o Address: /��L3�� � 1 'e ge 0 City/State/Zip: t -7!4, ej G� � Phone#: Areyo an employer?Check the appropriate box- Type of project(required): 1. I am a employer with 4. I am a general contractor and I 6. R<ew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E]Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]f employees..[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. -Homeowners who submit this affidavit indicating they ire doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. _ Insurance Company Name:.�1-w-�619 Policy#or Self-ins.Lic.#: Lel Expiration Date:_s//Y k q. Job Site Address:_ Ti�3N� .^� Ci /State/Zi IYad Attach a copy of the workers'comp ensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA-for insurance coverage verification. Ido hereby certto, andp al es ofperjury that Elie informationprovided above is true antl carrecf. Si ature: .- Date: Phone#• 6 Offccial use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: GREEN-2 OP ID: MH CERTIFICATE OF LIABILITY INSURANCE 7012112013 E(MM YY, 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 ONTAPhone:207-725-2797 NAME:CT Melissa Holt Bilode s Insurance Agency,Inc arc N E :207-725-2797 FAX No): 207-725-6001 92 Pleasant Street Fax:207-725-6001 Brunswick,ME 04011 E-MAIL Ann Tourtelotte ss:mholt@bilodeauinsurance.com INSURER(S)AFFORDING COVERAGE NAIC I INSURERA:Acadla Insurance Company 31325 INSURED Green&Company,Inc.: Prime INSURER 8: Properties Inc;Green&Co Real Estate&Development Inc; INSURER C: Cranfield Investments INSURER D: 11 Lafayette Road, PO Box 1297 North Hampton, NH 03862 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSRADUL 0 ICY EF POLICY P LTR TYPE OF INSURANCE INS POLICY NUMBER MM1DDfYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPA0284851 05/04/2013 05/04/2014 PREMISES Ea occurrence $ 250,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY jR� LOC $ AUTOMOBILE LIABILITYO(EaMBINEDiSINGLE LIMIT $ 1,000,000 A ANY AUTO CAA 0284853 05/04/2013 05/04/2014 BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB OCCUR. EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUA5122663-10 09/26/2013 05104/2014 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY X Y IT E A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN CA024854 05/04/2013 05/04/2014 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? F—] N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Stranton Woods off Bradford St. , North Andover Tax Map 61 Lot 16 & 34 Tax Map 34 Lot 31 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Michael Green THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction SuPennisor License. CS-045719 MICHAEL P G]Zk>N PO Box 1297 µ 11 LAFAYETTE D y North Hampton NIjj 03862 Expiration Commissioner 08/10/2015 s i T(` q "°RT)f Town of North Andover � CT -2 AV 11: 42 ,. Office of the Planning Depark4 Community Development and Services Divisioin 0;•�:,;,;�•�� � 1600 Osgood Street l " SsICMUsa North Andover, Massachusetts 01845 Definitive Subdivision Decision—Insubstantial Change Date of Decision: September 30, 2013 Michael Green Cranfield Investments LLC c/o Green and Co. P.O. Box 1297 North Hampton,NH 03862 Premises Affected: 1679 Osgood St., North Andover, MA 01845, Map 61, Parcels 16 and 34, and Map 31 Lot 4 within the R-2 and CDD3 zoning districts. INSUBSTANTIAL FINDING On September 20, 2011, the Planning Board approved a Subdivision Plan so as to construct a nine-lot subdivision, including the construction of a roadway with a cul-de-sac, a private right- of-way with a hammerhead turn-around, a private shared driveway,the installation of stormwater management infrastructure, the installation of underground utilities, the installation of separate septic systems and separate water supplies and substantial grading in the R-2 and the Corridor Development District 3 Zoning Districts. Condition "6" under "PRIOR TO ISSUANCE OF A BUILDING PERMIT", the decision states that "All lots shall have a Saracusa Way address." Michael Green of Cranfield Investments LLC, the current owner of the property, has requested and received a street name change from the North Andover Police Department, dated September 26, 2013. a street nwae to the addre5s fol all lots in this subdivision shall be"Stanton Way". JorbAteh7alf of the hAndover Planning Board Judith Tymon,AICP , w NORTH ,Aid®OVER - POLICE 77 f ---Community Partnership--- September artnership---September 26,2013 Mr. Michael Green Cranfield Investments LLC C/O Green and Company P.O. Box 1297 North Hampton, N.H.03862 Dear Mr.Green; This letter will confirm your request to change the proposed street name of"Saracusa Way"to "Stanton Way" in a new subdivision being built off the lower end of Bradford Street. The name has been reviewed by public safety and the Department of Public Works; and does not present•a problem. The use of this street name is acceptable. A copy of this letter has been forwarded to the Fire.Chief,Town Planner and Department of Public Works Operations Manager. Ficha ectfully, c, rd C. Boettc er, RPL Director,Administrative Services Division E-9-1-1 Coordinator Cc: Andrew Melnikas—Fire Chief Timothy Willett—DPW Operations Manager Judith M.Tymon—Town Planner 1475 Osgood Street, North Andover, Massachusetts 01845 Telephone: 978-683-3168 Fax: 978-.681-1172 w Registry ID: Rating Number: � Certified Energy Rater: Drew Trafton RRating Date: December 12,2013 64 Stanton Way Lot 16-4 Rating Ordered For: 9 North Andover,MA Estimated Annual Energy Cost Projected Rating 5 Stars Plus Use MMBtu Cost Percent Projected Rating: Based on Plans, Field Confirmation Required Heating 66.8 $592 35% Cooling 2.9 $83 5% Uniform Energy Rating System Energy Efficient Hot Water 18.4 $$83 9% 1 Star 1 Star Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 27.4 $672 40% 500-401 400-301 1300-251 250-201 200-151 150-101 100-91 90-86 85-71 70 or Less Photovoltaics -0.0 $-0 -0% HERS Index: 60 Service Charges $190 11% General Information Total 115.6 $1686 100% Conditioned Area: 2702 sq.ft. HouseType: Single-family detached Conditioned Volume: 21573 cubic ft. Foundation: Unconditioned basement Bedrooms: 4 This home meets or exceeds the minimum Mechanical Systems Features criteria for all of the following: 2009 International Energy Conservation Code Heating: Fuel-fired air distribution,Natural gas,95.0AFUE. Cooling: Air conditioner,Electric,13.0 SEER. Water Heating: Instant water heater,Natural gas,0.82 EF,0.0 Gal. Duct Leakage to Outside: 127.00 CFM25. Ventilation System: Exhaust Only:65 cfm,25.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Building Shell Features Ceiling Flat: R-44.4 Slab: None Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: R-37.0 Window Type: U-Value:0.330,SHGC:0.450 Above Grade Walls: R-21.0 Infiltration Rate: Htg:5.00 Clg:5.00ACH50 Foundation Walls: R-0:0 Method: Blower door test Lights.and Appliance Features GDS Associates Inc. AApRT6gG� Percent Interior Lighting: 90.00 Range/Oven Fuel: Natural gas Engineers and Consultants Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Natural gas 1155 Elm Street �OA Refrigerator(kWh/yr): 550.00 Clothes Dryer EF: 2.67 Manchester, NH 03101ri Dishwasher Energy Factor: 0.62 Ceiling Fan(cfmNWatt): 0.00 (603)656-0336 'Vo. sa o98 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. (866)611-3791 s9 . moo`' REM/Rate-Residential Energy Analysis and Rating Software v14.4 ccRfia'T"t'O�� This information does not constitute any warranty of energy cost or savings. ©1985-2013 Architectural Energy Corporation,Boulder,Colorado. j > GDS Associates,Inc. - Engineers and cons llanl; AIR LEAKAGE REPORT Date: February 19,2014 Rating No.: Building Name: Lot 16-4 Rating Org.: GDS Associates,Inc Owner's Name: Phone No.: (603)656-0336 Property: 64 Stanton Way Lot 16-4 Rater's Name: Drew Trafton Address: North Andover,MA Rater's No.: 0386496 Builder's Name: Green and Company Weather Site: Newburyport,MA Rating Type: Projected Rating File Name: PRELIM-Lot 16-7 Stanton Woods.blg Rating Date: December 12,2013 Blower door test Whole House Infiltration Heating Cooling NaturalACH: 0.36 0.30 ACH @ 50 Pascals: 5.00 5.00 CFM @ 25 Pascals: 1146 1146 CFM @ 50 Pascals: 1798 1798 Eff.Leakage Area: [sq.in] 98.7 98.7 Specific Leakage Area: 0.00025 0.00025 ELA/100 sf shell: [sq.in] 1.52 1.52 Duct Leakage Leakage to Outside Units Ducts CFM @ 25 Pascals: 127 CFM25/CFMfan: 0.0533 CFM25/CFA: 0.0597 CFM per Std 152: N/A CFM per Std 152/CFA: N/A CFM @ 50 Pascals: 199 Eff.Leakage Area: [sq.in] 10.94 Thermal Efficiency: N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage: 0.0602 Ventilation Mechanical: Exhaust Only Sensible Recovery Eff.(%): 0.0 Total Recovery Eff.(%): 0.0 Rate(cfm): 65 Hours/Day: 24.0 Fan Watts: 25.0 Cooling Ventilation: Natural Ventilation ASHRAE 62.2-2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2-2010 Ventilation and Acceptable IndoorAir Quality in Low-Rise Residential Buildings,a minimum of 65 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively,an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example,a 129 cfm mechanical ventilation system would need to operate 12 hours per day,as long as the system operates to provide required average ventilation once each hour. REM/Rate-Residential Energy Analysis and Rating Software v14.4 This information does not constitute any warranty of energy cost or savings. ©1985-2013Architectural Energy Corporation,Boulder,Colorado. V HOME CERTIFIED TO MEET THE PROVISIONS OF THE 2009 INTERNATIONAL ENERGY CONSERVATION CODE This home built at 64 Stanton Way Lot 16-4, North Andover, MA by Green and Company exceeds the minimum requirements for the 2009 International Energy Conservation Code December 12, 2013 Building Features Ceiling Flat: R-44.4 Duct Leakage to Outside: 127.00 CFM @ 25 Pascals Sealed Attic: NA Total Duct Leakage: 128.00 CFM @ 25 Pascals Vaulted Ceiling: R-37.0 Infiltration: Htg:5.00 Clg:5.00ACH50 Above Grade Walls: R-21.0 Window: U-Value:0.330,SHGC:0.450 Foundation Walls: R-0.0 Heating Fuel-fired air distribution,Natural gas,95.0AFUE. Exposed Floor: R-30.0 Cooling Air conditioner,Electric, 13.0 SEER. Slab: None Water Heating Instant water heater,Natural gas,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 2009 IECC requirements in compliance with Chapter 4 based on Climate Zone 5A and with all mandatory requirements. Name: Drew Trafton Signature: Organization: GDSAssociates,Inc Date: February 19,2014 The 2009 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. REM/Rate-Residential Energy Analysis and Rating Software v14.4 HOME PERFORMANCE WITH ENERGY STAR ENERGY RATING CERTIFICATE E Projected Ratina: Based on Plans - Field Confirmation Required. t HERS® Index More Energy 150 140 A Existing 130 GDS Associates, Inc. Homes Engineers and Consultants 120 Estimated Annual Energy Cost 110 Estimated Annual Energy Consumption Standard 100 $syr New Home 90 MMBtu/yr 2000 1686.1 I 140 1 80 120- 115.6 1500 II- 70 This Home 100 80 66.8 1000 591.6 671.9 1 60 \L 60 60 500 50 40! 27.4 83.4 149.6 189.7 18.4 0 - 40 20 2.9 0 30 0 Q m Cg 2 Qu U ~ 20 o m10 o F° 7T= 10 3 J a Zero Energy r v, Home 0 a Less Energy Address: 64 Stanton Way Lot 16-4 Annual Estimates*: GDS Associates Inc. North Andover,MA Electric(kWh): 7340 Engineers and Consultants �,oQT6ae� Natural gas(Therms): 905 1155 Elm Street �o�y 'hoos House Type Single-family detached CO2 emissions(Tons):10 Certified Rater: Drew Trafton Cond.Area: 2702 sq.ft. Annual Savings**: $1313 Rater ID: 0386496 Rating No.: No. sao98 g Registry ID: �. Issue Date: February 19,2014 *Based on standard operating condition. �s I o� Certification Verified **Based on a HERS 1301ndex Home Rating Date: December 12,2013 groR.DfTp-00,0 REM/Rate-Residential Energy Analysis and Rating Software v14.4 This information does not constitute any warranty of energy cost or savings. ©1985-2013 Architectural Energy Corporation,Boulder,Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. RESNET HERS Index Certificate HERSOlndex Projected Rating: Based More Energy on Plans - Field -150 140 Confirmation Required. Existing 130 Homes 120 110 Standard New Home i 100 so 80 r _ 70 This Home so GDS Associates Inc. 60 Engineers and Consultants 50 1155 Elm Street ""# � Manchester,NH 03101 a `��� 40 °� (603)656-0336 30 20 O This home has been inspected Zero Energy °°"'" and performance tested in Home accordance with Chapter 3 of ,WT -ice Less Energy the RESNET standards. www.resnet.us • P RESNET HOME ENERGY RATING Standard Disclosure For home located at: 64 Stanton Way Lot 16-4 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 D. 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 B. 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 Rater Employer Rater Employer Thermal insulation systems Rater Employer Rater Employer Air sealing of envelope or duct systems Rater Employer Rater Employer Windows or window shading systems ❑ Rater Employer ❑ Rater ❑ Employer Energy efficient appliances Rater Employer F1 Rater Employer Construction(builder,developer,construction Rater Employer ❑ Rater Employer contractor,etc.) Other(specify below): Rater Employer Rater 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://www.natresnet.org/accred/standards.pdf. This home may have been verified under the provisions of Chapter Six,Section 603,"Technical Requirements for Sampling"of the Standard. Drew Trafton 0386496 Rater's Printed Name Certification# February 19,2014 Rater's Signature Date RESNET Form 0300-2