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Building Permit #655-2017 - 66 LONGWOOD AVENUE 12/20/2016
BUILDING PERMIT �,40RTI.� 7,id(AM-10 VTOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: 0/ 7 Date Received TYPE OF IMPROVEMENT PROPOSED USE _Residential Non- Residential New Building I(One family D Addition El Two or more family family El Industrial 11 Alteration No. of units: Commercial 11 Others: El Repair, replacement 0 Assessory Bldg 0 Demolition 0 Other tib, er DESCRIPTION OF WC)RK Tr) RP DPOrrimnan. 14 Identification - Please Ty e or P i t Clearly J,_�e_' ,ejpn OWNER: Name:_L Itucl-a) n yyi r_ Phonei4r,-19--,,:5e)17- 9V ^ ARCHITECUENGINEE Phone c; P7 o? Address: A6'1 Reg. No. FEE SCHEDULE; BULDING PERMIT.- $12.00 PER $1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00PER S.F. --,notal Project COSI: $----106, ao eq --FEE: $ 4-2-1 o 4-1 DO 4;� c) Check No.:_�_S� Receipt No.,. NOTE: Persons contracting With unregistered contractors do not have- access to- theguarantyfund Signature of Ah ------- - ---- 0, en Signature of.coratractor Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ' ❑ Photo Copy of H. I. C. And C. S. L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products 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 ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract tr act ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 40TE: All dumpster permits require sign offfrom Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE -OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swiinining 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 4 U FORM 1 PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on C MENTS nature h L5L `J5 v�2.. /HEALTH Reviewed on Siqnature COMMENTS )C Zoningw_Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planni"rig Board Decision: Comments Conservation Decision: Comments I Water &Sewer Connnection/si nature &Date rivewav Permit I DPW Town Engineer: Signature Lo aced 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located:at 124, Main Street € ;; Fire Department signature/date COMMENT ��f /� -Nmension Number of Stories: o Total square feet of floor area, based on Exterior dimensions Total land area, sq. ft.: g4:3 ELECTRICAL: Movement. of Meter location, mast or service drop--I.req'u* ires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine A Doc.Building Permit Revised 2014 0 =r (D 0 W 1� a] U) 'a CD a R --A 0 0 5 m CO: m 0 C. 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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 Raters employer is: A. The seller of this home or their agent B. The mortgagor for some portion of the financial payments on this home X C.' An employee, contractor or consultant of the electric and/or natural gas utility serving this home 4. D The Rater or Raters employer is a supplier or installer of products, which may include: HVAC Systems Thermal Insulation Systems Air sealing of envelope or duct systems Windows or window shading systems Energy efficient appliances Construction (builder, developer, construction contractor, etc.) Other (specify below): Installed in this home by: of: Rater Employer Rater Employer Rater Rater Employer Employer Rater Employer Rater Rater Employer Employer Rater Employer Rater Employer OR is in the business of: Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer 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://resnet.us/standards/RESNET_Mortgage_Industry_National_HERS_Standards.pdf. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Steve Roy Rater's Printed Name Raters Signature 0366186 Certification # July 14, 2017 Date REM/Rate - Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. RESNET Form 0300-2 N 7� p0 9 m 0 O o. 3 °(D m CA rn 3 3 0 CD W r) m o 3 iE N 50 Z Al c m N m w (DD n `C n: CL v i "• N 3 � < O o 7 IA o` m ua 3 ID l< O D o S rt N 0 O 7 m a <� <w N 3 va Q Q m r�r 00 O DJ 7K Ol m Z Ln � N w uo n vn o O W 0 5. c a n m m n O 0 e o_ O r v M m n m H Q rr a O D m m 0 m o via do n O �O o OCD CD 1�'r O O C 1 H n m 3 n -n n o 3 3 =H N 'n v 0 3 v c c n w C a cr a m a q -n W 14 0 uo T 3 o 3 tA M wV n o � V . ■ su 0 c CD n [D = y m nr m J M d 0 -7 3 n n n n 3 ro un cD Ln CD w C 1%1 N fR1 (1 rr w � 3 .< .� �a ;F Z X tA o a O � o O O O 3 X 3 n 3 y `C O m m m a w c m m o CL w 0 n O 0Ln Un N N -4 CD r•r W N s 3 Ln O N V O v00 cv (D n 3 D 7 w m a � su � l7 mrv°o w rr CD 0 �* N m 3 0 to O m m m N rr a `D a w w van 3 (D X O Ln C C e�'F IV w H O r3.r 1 K 1 � O M y 0. d N oo Ln saa -< 10 w K m ^ > >. 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LA m d v c c z 0 C) z z su lw UQ c c O UQ UQ VN N -n 9, 91 0 � C C y rn rn rr M 1 E w (D O (DD o o a . n 7 0 W a 0 O-1 a o n K 00 c y K 3 O 2 rn N CL X N m n (D 7 2 O (D n O 3 N H O W r+ r'h 1 -{ to m r s n s (^D < D w U00 tl3n S A ' ir -0 C su ^ N v3 H m N VI coN CJ1 V O w N O a� V w C, C o`^ `^ `^ n <^ o tR ? O 10 -+ W V rrr V m J n �O�pp �O�OOo �6�O�pp� �d�pp� L�n O p to � Off. O� O O� O� OR � f"r M w+ W rr (D a a m cD I ern n O N rt z rn O r 0 C 0 o 0 0 m n a m o m 0 v m 3 m a a m a q uo CD3 UG CD (p M wV V o_ o � V . ■ ,414 O m OD a A uo 0) a � d J � 3 Un z o. c 3 m (D CD3 P m m N d e m o 2012 IECC Certificate 66 Longwood Avenue, North Andover, MA 01845 Building Envelope Insulation Ceiling R-40.0 Above Grade Walls R-21.0 Foundation Walls R-0.0 Exposed Floor R-30.0 Slab None Infiltration Htg: 713 Clg: 713 CFM50 Duct R-8.0 Total Duct Leakage 60.00 CFM @ 25 Pascals Window Data U -Factor SHGC Window 0.250 0.270 Fechan: cal Equipment HEAT: Fuel -fired air distribution, Natural gas, 96.1 AFUE. COOL: Air conditioner, Electric, 13.0 SEER. DHW: Instant water heater, Natural gas, 0.97 EF, 0.0 Gal. Builder or Design Professional Signature REM/Rate - Residential Energy Analysis and Rating Software 05.3 l^^� CL �D 3. 3 3 Vf O m 0 N O 3 m J• r` • p N ?� -m Z n --j rn Z rn 00 D p r � rn rn rn rn n rn 0-0 /- N NO rn < < v' DO i Z O N z n rn O rn rn n DJ -q D nS (D m c C7 o < G1 N W O rr 9L CD IV H (D d (D 0. Na Z N O K O. -n O �� (D (1 LD. D U° °' w r 0 v+j T N 3 (D ': Q ° v+ in w c n a z� X� X z X N p < O O 0 wp 6� cw, 90 D p 3 �. 2 z^ n o v o 0 Cl w < (D O fl (D ' C3 z c < ( (D o M S �D c �3 c w o 0 0 Q 0 w S (D ' (D H (D a oma 0 ID �0 f 0 d r0 n a 3 o a 3 o w s*m a ^� �; (D ag Cr w j (D O C 3 3 yr (D 0. ID m� n � C aw rD w p. CD sm S c a (D O. w o D ,t (A o w Q (D S Ar 0 0. n 1w 3Im .: ouo w v w � CL + n �N (D ", O y� T 2 0 to un H y w n x n x r o O CL K v a a (D� w °o w 0 �' X w n v LA N 1+ a r�•r ! Q un uC N N rnr w n(D 3 3 m c x g g m o= C. -N (DD �' N < cc o O90 o %� �• =rS r' 3n ) n w a0 o 3" o o n 3 3 ^u fl V N O (D O N tf0 @ �F • p 7 S N N C. -, (D O. Ln 4.nN N (D o m a w rn to w v °v; v n m D v Gxi n cA r)3w� H C, o A . N w Z N O (D 1n Ar w -_ w m c (1 H = m n a c n 10 V rn 0 7 N m 10 91 v smY = a O m N S y c m (D S l^^� CL �D 3. 3 3 Vf O m 0 N O 3 m J• r` • p N ?� -m Z n --j rn Z rn 00 D p r � rn rn rn rn n rn 0-0 /- N NO rn < < v' DO i Z O N z n rn O rn rn r K31 1 f M-1ME Property 66 Longwood Avenue North Andover, MA 01845 Weather: Lawrence AP, MA Longwood Ave #66 Roy—North Andover_Longwood Ave #6 6_ Fi n a t_7-13-17_C_p rin t_N L. b t g Whole House Infiltration Duct Leakage Ventilation Organization Constructive Code Consultants 508-556-0898 Steve Roy Builder Belford Construction Inc Natural ACH ACH @ 50 Pascals CFM @ 25 Pascals CFM @ 50 Pascals Eff. Leakage Area (sq.in) Specific Leakage Area ELA/100 sf shell (sq.in) Leakage to Outside Units CFM @ 25 Pascals CFM25 / CFMfan CFM25 / CFA CFM per Std 152 CFM per Std 152 / CFA CFM @ 50 Pascals Eff. Leakage Area (sq.in) Thermal Efficiency Total Duct Leakage Units Total Duct Leakage Mechanical Sensible Recovery Eff. (%) Total Recovery Eff. (%) Rate (cfm) Hours/Day Fan Watts Cooling Ventilation HERS Confirmed 2017-07-13 RaterID:0366186 Blower Door Test Heating Cooling 0.11 0.08 1.76 1.76 454 454 713 713 39.1 39.1 0.00009 0.00009 0.60 0.60 1st 2nd 60 41 0.0729 0.0498 0.0339 0.0370 N/A N/A N/A N/A 94 64 5.17 3.53 N/A N/A CFM25/CFA CFM25/CFA 0.0339 0.0370 Exhaust Only ASHRAE ASHRAE 0.0 62.2-2010 62.2-2013 0.0 98 59 89 22.0 24.0 24.0 15.0 Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the 'whole -building' requirement under that version of the standard. Both values incorporate any appropriate 'infiltration credit'. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using -a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate - Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. 0 1985-2016 Noresco, Boulder, Colorado. Enter construction cost for fee cal - North Andover Fee Cakulaflon Construction Cost $ 300,000.00 m $ 3,600.00 Plumbing Fee $ 450.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 450.00 Total fees collected $ 4,600.00 66 Longwood Avenue 655-2017 on 12/20/2016 single family home N � Z CD O Cr CL -• n co O 0 00 C C� a CD O W W CD CL o CQ. CD CDD 0 O n n o="o 0) z < M F CL _O, m n CD 0 n v CL n 3 m o _� =-5 N N O N ,O•„ CD TI O O Q 0 F" W 0 U) 0 CDO cD 2 �. a) R D �• v 0 c, —i c� CL v ^` N C O :O CDCD CCD CD 3O � N S O 0 N 0 N � CD Iz cr 0 0 4 =r_ rt D CD S Q' 0 :� O O. O O CL — N CD �Z VD a) v :! 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Dl 3 C G N m 0 N n T CL Q. \ T.rD . h W v = D x 'l Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ -TypF OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On t Signature COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Reviewed on IC Sianature Sianature Zoningj; Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Plannifig Board Decision: Comments !`.�noon.�fil,n flononn r`nmmcntc P1 -)imension Number of Stories: o Total square feet of floor area, based on Exterior dimensions.`6 Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No ®ANGER ZONE LITERATURE: fres No MGL Chapter 166 Section 21A—F and G min.$10041000 fine Doc.Building Pennit Revised 2014 a Property 66 Longwood Avenue North Andover, MA 01845 Weather: North Andover, MA 66 Longwood Avenue North Andover PRE 12-6-2016 NW.blg Whole House Infiltration Duct Leakage Ventilation Organization Constructive Code Consultants 508-556-0898 Steve Roy Builder Belford Construction Inc Natural ACH ACH @ 50 Pascals CFM @ 25 Pascals CFM @ 50 Pascals Eff. Leakage Area (sq.in) Specific Leakage Area ELA/100 sf shell (sq.in) Leakage to Outside Units CFM @ 25 Pascals CFM25 / CFMfan CFM25 / CFA CFM per Std 152 CFM per Std 152 / CFA CFM @ 50 Pascals Eff. Leakage Area (sq.in) Thermal Efficiency Total Duct Leakage Units Total Duct Leakage Mechanical Sensible Recovery Eff. (%) Total Recovery Eff. (%) Rate (cfm) Hours/Day Fan Watts Cooling Ventilation HERS Projected Rating 12/6/2016 Rater ID:0366186 Blower Door Test Heating Cooling 0.22 0.18 3.00 3.00 773 773 1214 1214 66.6 66.6 0.00016 0.00016 1.03 1.03 Basement Attic 43 69 0.0717 0.0447 0.0390 0.0388 N/A N/A N/A N/A 108 67 5.94 3.70 N/A N/A CFM25/CFA CFM25/CFA 0.0396 0.0397 Exhaust Only ASHRAE 0.0 62.2-2010 0.0 46 59 24.0 24.0 15.0 Natural Ventilation ASHRAE 62.2 - Ventilation Requirements ® CONSTRUCTIVE CObE CONSULTANTS The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the 'whole -building requirement under that version of the standard. Both values incorporate any appropriate 'infiltration credit'. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. N � = Y V1 V c 0 O V N O. v— w� O (Q L > y � A L Q N o > c O, Y d i0 m O. W E O N JJ CU N vv� a a T ba 0 LU N w Q o w N y^ H v L a0+ O O � V c w > o OOn N N N C > W O 6 Z c O L.� ns C L Y c N L ` a+ A'( L _. 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W E O N JJ CU N vv� a a T ba 0 LU N w Q o w N y^ H v L a0+ O O � V c w > o OOn N N N C > W O 6 Z c O L.� ns C L Y c N 2012 IECC Certificate 66 Longwood Avenue, North Andover, MA 01845 Building Envelope Insulation Ceiling- — _ R-44.4 Above Above Grade Walls R-21.0 Foundation Walls R-0.0 Exposed Floor R-30.0 Slab None Infiltration Htg: 3.00 Clg: 3.00 ACH50 Duct R-8.0 Total Duct Leakage 70.00 CFM @ 25 Pascals -Window Data � U-Factor SHGC Window 0.300 0.300 L)Mechanical Equipment HEAT: Fuel-fired air distribution, Propane, 95.0 AFUE. COOL: Air conditioner, Electric, 13.0 SEER. DHW: Instant water heater, Propane, 0.82 EF, 0.0 Gal. 1 Builder or Design Professional Signature REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 rug to x � o C v Q o > 0 0 on a N c a CL .'oo z _c y R L7 a) � u Ln U \ c \ a` L M r ; a O O to to x � o C v Q o > 0 0 on a N c a CL .'oo z • L7 Ln U O c L M r ; a O O to O w- O _ -r- -w ++ to to to O o .o N 'o to ON O tT L c fVi R o t/} V! (D ' t=ip a E `u O M a, .o O o, O o in ca M n .p N O ^ C o :E o V o N > w � o:3 "^ v a� v u � 3 a, o td a1 30 > C O M o C R V_O o �^ >n LO a) CL a, M O v E - 41 w p= c to w w M 0 V 0 R _ z a) u .a y y 000 ai L a L E W C tM 0 00 o W Q O V 6 u N O on .� +O-+ o E O in C v rn Ln u a� o 3\> L �p v tp L L o to to V U L 3 LLJ V � O o v, ro y R `v = V = J d to F- I- = u M �C to • L7 M O to O _ c o (D t=ip E O M a, v O M +� L C o o V o > w o:3 "^ v a� v u o a, o td 30 � _ o C o M >n a) G1 O v z w p= m w w M rl W tM 0 W W R O in C M Q _ Q o m L o a o >> LLJ V o v, ro y i` `v o a a, c L 3 al a c o tri a, tri o, ti w 'O �; 3 0 o > �` p E O R O C a C o o to Y X w w c N o m 0 0 0 0 v to R o u' a a c 3 u c of a C o o Ln Ri ;, ; v a M�i E i 41 go V aJ o w L L L to O V w 3 0 GJ t�i1 m U /�A ate, L ate, L � •+ v L Q N W L w w c O O } to O O O O Go n N U! R R 4J z- M N . n N a, N rN r N Q O u0f O O O N N M li li .-- W= H w Z& K O, n M C LL C (a al N N 6tNl E ' R V On •N.• A U anOn L L t?n R D: N a o o O v o e> >. 0 an a a 3 3 Y s 41 t \ \ s -0 L f lu v> o N 0 0 a) p to t E l� c o U v o � of J s Y E c h ai =_= c V �°r" Qi • L O m L O O L a t6 w R i, ii. LO X O ;+ c �_ a,,' Z F- dl V t7 R Q °" o v u m v on J2 Qj to 3 > O ief v o C v a-lec' E °� o C L " > O a A o s tEE 0 mon W Gni N o c 0- a 0- m _i O R O U a CO n O on U vq,� .o Z L N > E N O R L w 3 a, a, 0 m to O C On > Y C R m EC L O O 0 N 5, u E T C v Lo w c v N N O _O W 4T u ep tcLtf p v3: 3 ro tn C c R N on R y m c w on Ix ov c c W E 0 O O tL E~ L w c AA L H IESNET Home Energy Rating ON Standard Disclosure P.�!7 GONS7RUCYIVE CODE CONSUL`ANTS For home located at: 66 Longwood Avenue City: North Andover State: MA 1. nX The Rater or Raters employer is receiving a fee for providing the rating on this home. 2. ❑ In addition to the rating, the Rater or Raters 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 Raters employer is: A. The seller of this home or their agent B. The mortgagor for some portion of the financial 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 Raters employer is a supplier or installer of products, which may include: HVAC Systems Thermal Insulation Systems Air seating of envelope or duct systems Windows or window shading systems Energy efficient appliances Construction (builder, developer, construction contractor, etc.) Other (specify below): Installed in this home by: Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer OR is in the business of: Rater Employer Rater Employer Rater Employer Rater Employer Rater Employer 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://resnet.us/standards/RESNET Mortgage_Industry_National_HERS_Standards.pdf. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Steve Roy Raters Printed Name 0366186 Certification # December 06, 2016 Raters Signature Date RESNET Form 0300-2 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco, Boulder, Colorado. 12/6*16 ' ' Preliminary 2012 Code Report for 66 Longwood Avenue, North Andover From: C3 Info <info@c3code.net> To: markfrae <markfrae@aol.com> Cc: Steve Roy <steve@c3code.net> Subject: Preliminary 2012 Code Report for 66 Longwood Avenue, North Andover Date: Tue, Dec 6, 2016 1:53 pm Attachments: 66 Longwood Avenue North Andover PRE.pdf (53K) Congratulations. Your project will meet the 2012 IECC requirements as planned. The key assumptions are; Fuel Propane Heating 95% AFUE Furnace Cooling 13 SEER AC Water Heater Tankless Wall Insulation R21 Fiberglass Ceiling Insulation R49 Blown Cellulose Windows .30 U -value &.30 SHCG Ventilation 2 speed continuous bath fan Please let us know if these assumptions are not accurate so we can adjust your energy model. Please note the following requirements; • All top, bottom plates & double studs must be sealed with caulk or an equivalent method • All rim & band joists must be insulated AND have an air barrier over them. Spray foam meets both requirements • A mandatory Thermal Bypass Inspection must be performed after insulation but before drywall. Please ca11508-556-0898 about 7 days prior to schedule. It is recommended that you print and leave a copy of this report with your building permit. Thank you for choosing Constructive Code Consultants as your HERS Rater. We look forward to working with you. Constructive Code Consultants www.c3code.net (508)556-0898 https:Hmail.aol.com/webrnaii-std/en-us/PrintMessage 1/1 14 V U P S 14 0 0 Bearings and Reactions t Allowable Capacity CS Beam 201E4,0.5 bnBeamEl N.5.19.1 66 LONGWOOD AVE. Min 12-8-16 zvtat r2tlanassas NORTH ANDOVER Required 2:39pm 1 0' 0.000" Wali Steel 3.500" 1.500" I of 1. Member Data 3.500" 1.500" 3882# Description: Member Type: Beam Application: Floor Total Load D+L BEAM 1 Top Lateral Bracing: Continuous 0.6781" U280 Live Dead Bottom Lateral Bracing: Continuous LL Deflection 0.4262" Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Total Load L Live Load: 30 PLF Deflection Criteria: U360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF 13' 6.750" Filename: BEAM 1.KYB Other Loads Type Trib. Other mead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PLF) Top 0' 0.00" 14' 0.00" 420 140 Live _Span carried: 28' 0.00" simple span 14 V U P S 14 0 0 Bearings and Reactions Actual Allowable Capacity Location Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wali Steel 3.500" 1.500" 3882# - 2 14' 0.000" Wall Steel 3.500" 1.500" 3882# —,Maximum Load Case Reactions 280/6 0' Total Load D+L - Used for applying point loads (or line loads) to carrying members 0.5809" 0.6781" U280 Live Dead Total Load D+L LL Deflection 0.4262" 1 2848# 1034# U381 7' Total Load L 2 2848# 1034# Design spans 13' 6.750" Product: 2,0 Rigidl-am LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 120" oc NOTE: Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Control: LL Deflection DOLS: Live=100% Snow -1150% R004=125% Wind=160% Design assumes a repetitive member use increase in bending stress: 4 % All product names are trademarks of their respective owners Copydght (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. —Passing isdefined as when the member, goor)oist, beam or girdet shown on this drawing meets applicable design criteria for loads, Loading Conditions, and Spans listed on this street. The desian mug be reviewed by a Qualified dedaner or design professional as required for approval. This deslan assumes Product Installation accordina to the manufacturers specifications. Actual Allowable Capacity Location Loading Positive Moment 131634 218454 600/6 7 Total Load D+L Shear 34294 96424 35% 0.23' Total Load D+L Max. Reaction 3882.# 137814 280/6 0' Total Load D+L TL Deflection 0.5809" 0.6781" U280 T Total Load D+L LL Deflection 0.4262" 0.4521" U381 7' Total Load L Control: LL Deflection DOLS: Live=100% Snow -1150% R004=125% Wind=160% Design assumes a repetitive member use increase in bending stress: 4 % All product names are trademarks of their respective owners Copydght (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. —Passing isdefined as when the member, goor)oist, beam or girdet shown on this drawing meets applicable design criteria for loads, Loading Conditions, and Spans listed on this street. The desian mug be reviewed by a Qualified dedaner or design professional as required for approval. This deslan assumes Product Installation accordina to the manufacturers specifications. cs wain 2016.4.0.5 66 LONGWOOD AVE. 12-8-16 m kmBeamF abW.':3.19.1 NORTH ANDOVER 2:47 Materials DatabasaU j48 p ,.r„ loft Member Data Description: Member Type: Beam Application: Floor BEAM 2 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: 0360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 8.3 PLF Filename: BEAM 2XYB Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PLF) Top 0' 0.00" 910.001, 420 140 Live Span carried: 28' 0.00" simple span Bearings and Reactions Product: 2,0 RigidLam LVL 1-3/4 x 9-1/2 2 ply Connect members with 2 rows of 16d common nails at 12.0" oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. towable Stress PASSES DESIGN CHECKS Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall Steel 3.500" 1.500" 2433# -- 2 9' 0.000" Wall Steel 3.500" 1.500" 2433# Maximum Load Case Reactions Total Load D+L Max. Reaction 24334 Used for applying point loads (or line loads) to carrying members 26p/p 0' Total Load D+L Live Dead 0.1374" 0.4281" U747 1 1798# 6356 Total Load D+L LL Deflection 0.1016" 2 1798# 635# U999+ 4.5' Total Load L Design spans a' 6.750" Product: 2,0 RigidLam LVL 1-3/4 x 9-1/2 2 ply Connect members with 2 rows of 16d common nails at 12.0" oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. towable Stress PASSES DESIGN CHECKS Control: Positive Moment DOLs: Live --10D% Snow -115% Roof=1250/ Wind=160%o 11tl. 54' All product names are trademadcs of their respective owners Copyright (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. '*Pacing is defined as when the member, floor Joist, beam or girdet shown on this drawing meets applicable design criteria for Loads, Loading Cond@ions, and Spans listed on this sheet. The deslan must be reviewed by a qualified degoner or design professional as required for approval. This design assumes oroduct Installation accordinq to the manufacturers specifications Actual Allowable Capacity Location Loading Positive Moment 52084 140034 37p/p 4.5' Total Load D+L Shear 19834 64284 30% 0.23' Total Load D+L Max. Reaction 24334 91884 26p/p 0' Total Load D+L TL Deflection 0.1374" 0.4281" U747 4.5' Total Load D+L LL Deflection 0.1016" 0.2854" U999+ 4.5' Total Load L Control: Positive Moment DOLs: Live --10D% Snow -115% Roof=1250/ Wind=160%o 11tl. 54' All product names are trademadcs of their respective owners Copyright (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. '*Pacing is defined as when the member, floor Joist, beam or girdet shown on this drawing meets applicable design criteria for Loads, Loading Cond@ions, and Spans listed on this sheet. The deslan must be reviewed by a qualified degoner or design professional as required for approval. This design assumes oroduct Installation accordinq to the manufacturers specifications cs seam 2016.4.0.5 66 LONGWOOD AVE. 12-8-16 ImBeMaterials NORTH ANDOVER 2:49pm Materials Damhas�l j48 ,V- 1of1. Member Data Description: Member Type: Beam Application: Floor BEAM 3 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: U360 live, U240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF Filename: BEAM 3.KYB Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PLF) Top 0' 0.00" 14' 0.00" 420 140 Live Span carried: 28' 0.W' simple span Product: 2,0 Rigidl-am LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS Connect member; with 2 rows of 16d common nails at 12.0" oc NOTE: Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Stress Actual Allowable Capacity S 12 14 0 0 21845.# 60% Bearings and Reactions Total Load D+L Shear 34294 9642.# 350/6 Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall Steel 3.500" 1.500" 3882# 2 14' 0.000" Wall Steel 3.500" 1.500" 3882# Maximum Load Case Reactions Total Load L Control: LL Deflection Used for applying point loads (or line loads) to carrying members DOLS: Live=1001/6 Snow -115% Roof=125% Wind --160% Live Dead 1 2848# 1034# — _ 2 2848# 1034# Design spans 13 6.7W' Product: 2,0 Rigidl-am LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS Connect member; with 2 rows of 16d common nails at 12.0" oc NOTE: Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Stress Actual Allowable Capacity Location Loading Positive Moment 13163.# 21845.# 60% 7 Total Load D+L Shear 34294 9642.# 350/6 0.23' Total Load D+L Max. Reaction 38824 13781.# 28% 0' Total Load D+L TL Deflection 0.5809' 0.6781" U280 7' Total Load D+L LL Deflection 0.4262" 0.4521" L/381 7 Total Load L Control: LL Deflection DOLS: Live=1001/6 Snow -115% Roof=125% Wind --160% Design assumes a repetitive member use increase in bending stress: 4 % — _ All product names are trademarks of their respective owners Copyright (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. —Passing is defined as when the member, goprJoist, beam or gild% shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The desion must be reviewed by a Qualified designer or design professional as reouired for apporval. This design assumes product Installation according to the manufacturers specifications CS Beam 2016.4.0.5 tanBeamtngir04.1119.1 66 LONGWOOD AVE. Allowable 12-8-16 MaterialsClatabase 154 NORTH ANDOVER Positive Moment 2:52pm ` Gravity Gravity Location Type 1 of 1 Member Data Required Reaction Uplift 1 0' 0.000" Wall Description: Member Type: Beam Application: Floor 5738# - BEAM 4 Top Lateral Bracing: Continuous 3.500" 1.500" 5738# Bottom Lateral Bracing: Continuous 0.5781" U260 Standard Load: Moisture Condition: Dry Building Code: IBC/IRC 0.3752" Live Load: 30 PLF Deflection Criteria: U360 live, U240 total 6' Live Snow Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF 1 1214# 4047# Filename: BEAM 4.KYB Other Loads 2 1214# 4047# 1691# Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform (PSF) Top 0' 0.00" 12' 0.00" 14' 0.00" 50 15 Snow Replacement Uniform (PLF) Top 0' 0.00" 12' 0.00" 210 70 Live Span carded: 14' 0.00" simple span 12 0 0 Bearings and Reactions Actual Allowable Capacity Location Loading Positive Moment Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall Steel 3.500" 1.500" 5738# - 2 12' 0.000" Wall Steel 3.500" 1.500" 5738# Maximum Load Case Reactions 0.5781" U260 6' Total Load D+S Used for applying point loads (or line loads) to carrying members 0.3752" 0.3854" U369 6' Live Snow Dead 1 1214# 4047# 1691# 2 1214# 4047# 1691# Design spans 11' 6.750" Product: 2,0 Rigidl-am LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0" oc NOTE: Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. kilowable Stress Control: LL Deflection DOLS: L'Ive=1000% Snow -115% Roof=1251/6 Wind=160% Design assumes a repetitive member use increase in bending stress: 4 % All product names are trademarks of their respective owners Copyright (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. —Passing Is defined as when the member, floor joist, beam or girds; shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The design must be reviewed by a oualifled deelonerordesipn professional as reoulred for approval. This design assumes product Installation according to the manufacturers s3eciflcations. Actual Allowable Capacity Location Loading Positive Moment 16586.'# 25122.# 66% 6' Total Load D+S Shear 4952.# 11089.# 44% 0.23' Total Load D+S Max. Reaction 57384 137811 41% 0' Total Load D+S TL Deflection 0.5320" 0.5781" U260 6' Total Load D+S LL Deflection 0.3752" 0.3854" U369 6' Total Load S Control: LL Deflection DOLS: L'Ive=1000% Snow -115% Roof=1251/6 Wind=160% Design assumes a repetitive member use increase in bending stress: 4 % All product names are trademarks of their respective owners Copyright (C) 2016 by Simpson Strong -Tie Company Inc. ALL RIGHTS RESERVED. —Passing Is defined as when the member, floor joist, beam or girds; shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The design must be reviewed by a oualifled deelonerordesipn professional as reoulred for approval. This design assumes product Installation according to the manufacturers s3eciflcations. a Ney eazo 12-12-16 9:09am y / loft CS Beam 4.11.26.1 V kmBeamEngine4.11.26.1 '4' Materials Database 1516 Member Data Description: Member Type: Joist Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PSF Deflection Criteria: U480 live, U240 total 1.000" max. LL Dead Load: 15 PSF Deck Connection: Glued & Nailed Filename: Beam1 O 2460 t i 2460 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate (425psi) N/A 1.750" 904# -- 2 24 6.000" Wall SPF Plate (425psi) N/A 1.750" 904# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Live Dead 1 6570(493plf 246#(185p1f) 2 657# 493 24 185 Design spans 24' 7.750" Product: 14" RFPI-90 16.0" O.C. PASSES DESIGN CHECKS Minimum 1.75" bearing required at bearing # 1 Minimum 1.75" bearing required at bearing # 2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Lateral support is required at each bearing. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 5568.# 121001 46% 12.25' Total Load D+L Shear 904.# 2195.# 41% a Total Load D+L TL Deflection 0.6224" 1.2323" U475 12.25' Total Load D+L LL Deflection 0.4526" 0.6161" U653 12.25' Total Load L Control: LL Deflection DOLS: Live=100% Snow=115% Roof=1250/. Wind=160% ROBERT ALAN. o MASYS 9 No. 29174 0 Qts ;y All product names are trademarks of their respective owners CupYdght (C)2013 by Simpson Strong -Tia Company Inc.ALL RIGHTS RESERVED. —Passing IsdeOned as when the member, floorjoist, beam orglaie4 shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The design must be reviewed by a qusliflgd designer or design professional as required for approval. This design assumes product installation according to the manufacturers specifications, B91378 + s lWietip�/aa.M 040901/a. Oleg WORT sMMelmlllbre►lael _ . 1= 1 Ye. JACK SROADH6AD and ROSEMARY BROApHEAD, husband and rife., ! of North Andover. Essex C T, - �I�srrr,1.Soe�d«►pol�anelnfaltmaiae.twoac . -tHIRT1teONE '1ttOU5AN0 FIVE HUNDRED 1531.560.00! DOLLAIS LINDA'A. L£6 0! 66 7.otigvood 1lvonue. Hort _Andover, s' 1Saaefe Count;, !lsaasehusbtta h � wrth' gatttlatR rte .; F i eettaln percel of land. with the `buildings thereon, s�tttunted in North Andover, nty. blassaehusetto, knorn and numbered ea 66 Longwood Avenue. shorn : + as I of "A" •on s' plan of land entitled: !'Plan shoring and of Jack., s 0 Rosemary Broadhead. Hart Andover Ma a e P• . ,40•.. Aug. '1952. - ' Brasseur Assotiatea".teeorded in the Horth Essex Regtsrry of Deeds as Plan No. 4666o and more paetteularly bounded and deaerlbed as tollowst 1 i NORTHEASTERLY : byy land itaw or formerly of Mary A. Hennessy. ' 10 2 feet, as shorn on said plan. i SOUTHEASTERLY. by land now or formerly of Alvah H. and .Ruth C., lteover. 115:0 feet. more or less. as shorn on said plant " " feet its shown an said lani and' . �:. SOt1THNEBYERLY: by Lai B .107.41 . p . NORTHM85TERLY by Longwood Avenue, 117.0 feet. as shorn an said plana , Cantatntng It.= ""n feet of land, more or less. atending to aatd pun. Wag a M of the pr�ntses convsyad to us b deed of Nora E. Casey doted March 24. 1945 recorded la said Registry] Wok 671. page 393. ` f:` J;l�iM.:at1W dssd a • asd sal • 116.....,1111. » dy of _ w a,•c+7iltts W.. «19+18-• # - _ -We eit . Mary h ` Essatl. d Jana 19, 19 79 i ` Sbse�oaoasl�rappensiAsaiawams! ,.TIIL'If 100ADHBAD and 80Bmmy BROADBPJ1p the l�ra..adlale H1air froeodw btfoteas _ toiadms+ltl%sd r, show - .. �toe>r3ls2 •iilfls,19�19y4'gB 121Slpll '.�r.teraaMsl .. ' • Ijij • •*•. -.z . - --.- .. 4 1300K EXHMIT A 9 6 6 f This is to certify that* PAGE � 1. I,:the undersigned, am QmwW�10.1111IiL..4f.' being the ! same corporation which executed and delivered to 1 Administrator of Veterans' Affairs, a deed dated �_ei4142D1. day of ........ 302E' Edward V. Reed »..» » :.... :.� who executed said deed on behalf of said corporation, as Yio,t`------ President thereof was at the time he executed the ears the duly elected, qualified and acting ...._...Q> af?r._ President of said eosporatf;on, having;beea so elected at a meetilA of 1 oz I the board of directors of said corporation held on �e �_...33Lth..__-day of......,Ayxi3:..._..».........__..._..::, 18._.__... 3. Said officer who executed said deed was duly authorized to execute it on behalf of said corporation by virtue of. s resolution of directors} duly adopted on the ... 111A.— day of .._lilSY.---•-- ----- 19...62. 4. I have custody of, have examined said records and know the above to be true. I r0�1ifF�. . ^' � tDldltl�t4ns131.i � - ..... .. .» .._.. ' 1. arty, 01erk 1704 i ,,r y..00w�gR4oUoMoe note ue nol o.*t oe feh -.—I .nd Ao Nm a b. Essex,se. Recorded Aug. 31, 1962 at 55m past 9A.M. #962 t . , !� THE COMMONWEALTH OF MAeeACMUSCrM .....NORTH ANDOVER .............._.._:..._...-_—.-- j BOARD OF APPEALS 5 _.................. Ai?8!?A_ 25x.._...-•------....19 NOTICE OF VARIANCE Conditional or Idmited Varhume or Speeid Permit t (Gen" Lem Chapaer 40A. Seadoa 18 we awded) !! 1 Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted o� a P'""i Addrea9R8X4R� - . » I• . s City or Tom ..... ...Nb4.YgF..,P-ge------------------------- --,_......... ..................... .... .............. i ............ ..!4od Avenue_ ......, , - j»_..»_...._.....».... .......... »........ .........._..._............. »..»...»..». by the Town of__....... .Board, of Appeals affecting the North_►ado'veVr...........» ......_... rights of the owner with respect to the use of premises am 66.Lnnawood Avw=,,.....................» _»??o;th�Andctge� »» »::»:... »....»....» 84eM city .t Ti j ! the record title standing in the name of 'Jacoadheet ua .......e..... ...........:........»..».... ....... -...... _..... I 1 whose address ie . L!42a»s»84h Andom'r�, Masehne�tte- - ».»_ by a deed duly recorded in the_ .................... - ... ...:.... ... County Registry of Deeds in Book ........... Page ................ ....................................... Registry District of the Land Court ----------- --------------Hook ... ..... ...... Page. ....... -••••. i I The decision of said Board is on file with the papers in Decision or Case No. ......... ............ ( in the office of the Town Cleric .... _... N44-And4 RJ�.— ................................................... Signed this.z5 Aay of-..._....-�U8 * ......................1962. 1 Board of Ap 1 i xe� ... ..Chairman ap. Bo d et Avow Essex,se. Recorded Aug. 31, 1962 at 13M past 10A.M., #963 f . Ir'2 'o ,q 0) 3�3 i. ZE LONGWOOD I Sol. PLAN Swovv%N(; LAND Or - JACK f POSEMARY BQOAr)BEAD M0QT) ANoovEI2,, MASS. ScAa-e 4o Aura. 1962 sn'kissmust Assoc$ 9-Gd/&."it rvSr-14kvERt4iLi..MASS. t4oq-r " Am oovaR bomwo Or APPEALS Ato 04,y L:6 /op FmiT4G PR vhwo., ,CHARLES 7114�0, MARTM VAT .7 OF 14EA Na 7,6 owrg oF AFpstoyAt- LA w d I r ..} .� 7 -� tq" R.w -* it s. Y' d ;<Y'• }';h. 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The information depicted on this map Is for planning purposes only: It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION L g,« ,��. 'r aka `" r'-' ,�,,• ��.. ,� y� .� � • `tom � '0.-V�9;! / . a} fr P I • r * �1{f y FF j v rS5 r a r. r 't e` s.T y 0 MVPC Bo Interstates —1 — SR Roads i r Easements Parcels w 1" = 40 ft Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map vas produced by Merrimack Valley Planning Commission (MVPC) using data provided by the Town of North Andover. Additional data provided by the Executive Office of Environmental AffairwMassGIS. The information depicted on this map Is for planning purposes only: It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION North Andover MIMAP August 11, 2016 49 LONGWOOD AVE 060.0-0011 ILE r 1 060:C=0050 ;Q J 060:0=0023 ��b ,011 1 50,L'ONG WOOD.AVE 060.0-0012, ({[f� t y t f 66>ILONGWOOD AVE 060:C=0013 r f 060.0-0051 681LONGWOOD AVE 060:0=0053 38 CHESTNUT CT 060.0-0054 . -060.0-0014 E3 MVPC Bo Zoning Overlay Zoning 0 Adult Entertainment Distric e" ' 'BaslAl District E3 Municipal Boundary (] Machine Shop Village Ove i3 Sublive d 2 Disirict Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, — Rall Line to Watershed Protection Disk Q Butilft 6 3 DlsUkl Meters Data Sources: The data for this map was produced by Merrimack Q Historic Mill Area O Buribia s 4 District Valley Planning Commission (MVPC) using data provided by the Town of Inlerstates — I ] Ma ical Millusno 0 - "' Business District Qt ,r 4�p . f 4N North Andover. Additional data provided by the Executive Office of — SR 4pwnldhNh OveAay Dislrfcl C P armo .Commercial Dev - ? �< •ep OL Environmental AffairslMassGIS. The information depicted on this map is NLiloric Dl= 4 Corrido Development Dist 3 ` for planning purposes only. It may not be adequate for legal boundary Roads y j Osgood Smart Growth (40 1% Cordd- Development Dist a i A definition or regulatory Interpretation. THE TOWN OF NORTH ANDOVER C, Easements ik Hydrographic Features 0 Uovsbriick Dlst M MAKES NO WARRANTIES EXPRESSED IMPLIED. CONCERNING ❑ Parcels Streams hhdus I t o��- � it Irhdds • I2 Dist rict =�o • IA THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 0 f xfo 3 District i ,r • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ■ Indus 1 S Disirid '► ..<-rww• THIS INFORMATION ;t, Exempt Lands ��e��f�e.,�� FtasMe ce 1 District C� Radide 2 District SSAGNtYg® ...MRemide 3 District � 4 District 1" = 40 ft �{f�d- d 5District Yda 6 DlsUlct kka' ` - tial District _ - The Commonwealth of Hassachusetts _ Deparftnent of.rndustrialAccidents X Congress Sheet, S41te 100 d Boston, MA 02XX4 2017 q` www.mass.govldia bIM SJ1 ti� )insurance Affidavit: Builders/CG AUTHO sI2TZ �'- irr cians/Plr<m ers. W,,,kers' Compensation ontr TO BE FILED WITH THE R� bt.. � .. -PATIf 1 Narao (Business[Oigauizaiionllndividua�:� Address: S r— City/Statelzip: Ase you an employer? Cjzecktl�ia appropriate box: Phone #: 1.C7 I am a employer with employees (fuIl andlor part tune). 2.(�Iam.asoleproprietororpartuershipandbayenoemployeesWorking forrnBm Wairy capacity. [Nc)- aorke,rs' comp. insurance required.] 3.0 I am ahomeowner doing allworkmyself [Novorkers' comp. in smancerequired] r ¢.❑I am a homeowner and wM be hiring contractors to conduct all work on my properly. I will. ensurethat all contractbts eriherhave workers' compensation insurance or are sole Proprietors withno employees. 5.❑I am a general co tactor and 1 have hkedthe sub-confractors listed onthe attached sheet These sub -contractors have employees andhave workers' comp. insurance. 6.Q We are a corporation. and its, offioers have exercised their right of exemption per MGL G. 4 and ,5 have no employees. [No workers' coag. insurance required ] 7 Type of project (required): 7.'] New'donstiv'cfion 8. [] Remodeling 9. ❑ Demolition 10 ❑ Building addition ILEI Electrical repairs or additions 12,[]�pluwnbilig repairs or additions 13•.[]Roofrepairs 14-M Other 152, §1( ), _ Any applicantthat checks box#1 must also fill ontthe sectionbelow showingtheirworkers' compensationpoficy fnfolmation. T Flo —mors who submit•this,�da t indicating they are e doingboot showing the name of the soballvorkandthenhire a cont[actoros and state rsmust whethemw gr nnotfhose eniitc es�haveattcb !Contractors that check this 13 ox —1-1— Tffl P c„h-onntractors have employees, they must provide their workers' comp. policy number. am an enxployer tliatisprovidingworkers' information. Insurance Company policy # or Self -ins. L(c. #: compensation insurancefor my ernpZoyees. 8eloW is tliepolaey aradJob site ExpirationDate, City/State/Zip: Job Site Address: sho y&g the olicy number and exp iratzoaz date). Attach a copy of theWQo:kers' compensationpolzcy declaration Page ( p to 500.00 Failure to secure coverage as requited unde M(MliiesZin the form of STOP WORK ORDERIa-nd fine ofup to $250.00 a and/or one-year imprisonment; as well p ena day against the violator. A copy of this statement may be forwarded to the Offlca of Tnvestigaizons of the DTA for insurance coverage verification. X'do Iiereby ce-Fd ofperjury that the information provided move is true and correct —_. to /..? - 14 official iise only. Do notwrite in this area, to be completed by city or to11110 fficial City or Town: permit/License D-�d. Electrical Insp sgAnthoxity(circleone): ector 5.plumbingfuspeetor 1. Board of Health 2. Building Department 3. City/To•vvn Clerk 6. Other phone Contact person: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hate, express or implied, oral or written." An, employer is def ied as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enferprhe, and including the legal representatives of a deceased employer, or the receivbfor. trustee QVan individual, partnership, association or other legal entity, employing employees. •However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant ofthe dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicantwlid has notproduced-acceptable evidence of compliance with the insurance coverage xequrred." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub=contractor(s)name(s), address(es) and phonenumber(s) along with theirceitificate(s) of insurance. Limited -Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Iudustrial:Accidenis. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their -self-insurance license number on the appropriate lino. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be, sure to Olin the permit/license number which will be used as a reference number. In addition, an applicant thai must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (ifnecessary) and under "Job Site Address" the applicant shouldwrite•"a11 locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may ba provided to the applicant as proof that a valid affidavit is on file for fature permits or licenses. Anew affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i. e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617--727-4900 ext. 7406 or 1-877-MASSAFE Fax ## 617-727.7749 Revised 02-23-15 www.mass.gov/dia BELFO-1 OP ID- KM .qac "PC"'CERTIFICATE OF LIABILITY INSURANCE DATE Y1() I j TYPE OF INSURANCE 10/27/201 10/27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIF16ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW .1 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 term 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 endornemen s . PRODUCER ' Lennon Insurance Agency, Inc. 629 Main Street Post M 0180i Box 232 2 Woburnrn,, MA -033 Peter J. Lei non, CPCU IAME CT Peter J. Lennon, CPCU PHON E 781 A37-0050 FAX a N Ert : Arc No :781 933-8198 ADDRE SS: p'lennon@lennoninsurance.com INSURE S AFFORDING COVERAGE NAIC # INSURER A: Lloyds of London INSURED Belford Construction, Inc. Mark Rae INSURER B: INSURER c 130 Marbleridge Road INSURER D: North Andover, MA 01845 INSURER E: INSURER F: i I.UVCKAUr=b CtK t IMCATI- ml IMRFR• 12c%1110rnu u, usn�n. 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 I j TYPE OF INSURANCE ADDL I SUBIRPOUCr POLICY NUMBER POLICY MO EFF POLICY EXP MIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE occuR XSZ74817 10/07/2016 10/0712017 OCCURRENCE $ 1,000,00 PREMISESEa omrr�rence $ 50,00 MED EXP (Anyone person) $ EXC PERSONAL & ADV INJURY $ 1,000,00 t GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC 01-IIIER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ EXC Ded. $ 50 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ Ea m6dent BODILY INJURY (Per person) $ ANY AUTO AUT'OSN� AUTOS NON -OWNED HIR' LD AUTOS AUTOS BODILY INJURY (Per awdent) $ PROPERTY DAMAGE Per accident $ UMBRELLA LUIB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DEDI I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' U A131UTY YIN ANY PROPRIETORIPARTNER/EXECUi1VE OFFICERIMEM13ER EXCLUDED? F-1 (Mandatory in NH) If yes, des. be under criRIPTION NIA STATUTE ERm E.L. EACH ACCIDENT $ E -L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POUCY LIMIT $ DESCOF OPERATIONS below A BUILDING-COMPL VAL XSZ74817 10/07/2016 10107/2017 BUILDING 300,00 DED. 2,50 DESCRIPTION 66 Longwood OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more space is required) Ave North Andover, MA 01845 TOWNNAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street Bid 20 AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Peter J. Lennon, CPCU O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25:.(2014101) The ACORD name and logo are registered marks of ACORD of G� Fd 0 o o pip• � ,� r Rte . a r ov+ rt G z• Fu 0 0- o w G C- fes. ct W o CD ri O K CD o• .. cr a £ m G o � PV Ln 03 �, V a - rt. (D w m � c 0 o 03K � "C'o ID N 0� I o '- K Oe' � o � n coFj rt rt rg S Imo+ K G O o m ca VOL cD n Qy rh o � o L -n 11 0 CD CD G N `' CD K O v CD C rt :4 N. W O Ay rt G W a rt m W 5 K o 10 P. tD d d K oro tJ 0 ,d G 1-C O o o co G n ct G K CD I V l e U�c��vrxa��saccz���,11a6lwd" �_ Office of Consumer Affairs &Business Regulation OME IMPROVEMENT CONTRACTOR egistration• -1..06025 Type: Expiration �_4/M0jk1-Sj Corporation BELFORD CONSTRUGT-t0-N INC =]:�6, Mark Rae" V L 55 MARBLERIDGE RD_ 'rt_ } _ N. ANDOVER, MA 01845— Undersecretary f MaDepartment of ssachusetts public $a e y Board of Building "Regulations and Standards License: 'CS -014W Construction Supervisor f MARK F RAE 130 MARBLERIDGE RD�' NORTH ANDOVER MA 01846 Commissioner Expiration: 0412412018 lid P, �n CD , b 'Sy rt r- p*ii n + r ave c a o Id d O m rt � co o: f cr a o m ,-„ O Fi N b v, Q x m r CD © a " "h C • '' o . O 7 r Rv K ° S°O. Piz ca19 (D .... IN 0 rt ,p a o -0-h� m O N. 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