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Building Permit #741-2011 - 91 WOODSTOCK STREET 5/1/2018
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 2®l Date Received Lb Date Issued: IMPORTANT:Applicant must complete all items onthis page LOCATION - I I UJ6JA S;�a, Print PROPERTY OWNER U- A-IC. Print MAP N0: S� PARCEL:002 ZONING DISTRICT:_ Historic District yes Machine Shop Village yes CmoD TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑,S,eRtic Well' D Floodpl'ain� q Wetlands 0' Waferslie411)istrrct ❑'Water/Sewer° � .. ._ _ �+ DESCRIPTION OF WORK TO BE PERFORMED: �r S't'yy Ca s.r. i G n '? v (Identification Please Type or Print Clearly) OWNER: Name: Cs �c—' I--a�� ( Phone: Address: OI l _J&odS7oc- K -�T CONTRACTOR Name: 4CM3Lg- Phone: 07� Address: Supervisor's Construction License: G Exp. Date: Home Improvement License: 'S���'/ Exp. Date: Z ARCHITECT/ENGINEER Phone: Address: � n� A,mo— Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. v� Total Project Cost: $ off _)� - FEE: $ Check No.: Receipt No.: NOTE: Persons contracting th u gistered ntractors do not have access tot e g saran f d Signature of Ageht/Owne S6.gnature of}cont'ractor;- __i Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art ❑ Swimming Pools 0 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED LANNING & DEVELOPMENT ❑ ❑ CO MENTS 1 CONSERVATION Reviewed on i 3 ( Signature i COMMENTS EALTH Reviewed on Signature CO MENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire.Department signature/date COMMENTS Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: requires ELECTRICAL: Movement of Meter location, mast or service drop re q approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use NtW A4d I I I i ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi I _ _ Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application Li Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign offrom Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 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) o Building Permit Application L3 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 MOTE: All dumpster permits require sign off from Fire Depaltment 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: Doc.Building Permit Revised 2008n-Li Location 9, No. 7 4 / .?D// Date ,90 NTOWN OF NORTH ANDOVER 0.� .ao .a'11,C ., �°. R s ♦ y Certificate of Occupancy $ J�cwust�l� Building/Frame Permit Fee $ �'� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # MU 24 , 5 �{ '/Building Inspector F ORTH 0VVn Of over No. '- J -LAKE O dower, Mass.,tL_ �COCMICKEWICK A- ADRATEDC7 `S BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System l BUILDING INSPECTOR d'S /� THIS CERTIFIES THAT........C-./l 1-e' < Foundation has permission to erect..............:......................... buildings on ..���.. 4..oc�, '' ©e. .. .7 ............................ Rough to be occupied as.... . . . . . . .�..r.:2 .a.,Ml......��.��.... Chimney p �' . , /�..�u ............................................................................ provided that the person accepting this permit shall in eviry respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR Rough .......... ......... ........... .... ....... Service '�/ LDING INSPECTOR Final Occupancy Permit Required 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 Building Inspector. Burner Street No. SEE REVERSE SIDE J1 Smoke Det. i fSTONE BOUND WITH DRILL ' rjK HOLE FND W000510 5 s 9� 0 6$ ter'• . 10 O R u' 101' � 0a ONE BOUND WITH DRILL `r HOLE FND. 37' EXISTING DECK TO BE REMOVED PIPE PROPOSED �• U, DECK PROPOSED ul ADDITION r' LOT 15 15,300 Sf 60.171 DRILL HOLE PIPE N82747'427E PLAN OF LAND A 7LAN77C ENGINEER/NG & 1N SURVEY CONSUL TANM INC N. ANDD VER, MA 97 TENNEY STREET — SUIT£ 5 — GEORGETOWN, MA 0183,3 DA TE- MA Y 3, 2011 SCALE 1" = 30 FT. JOB NO. A1104-04 THIS IS AN INSTRUMENT PLOT PLAN ON THE BASIS OF MY KNOWLEDGE, `p�jH or Mqy SHOWING THE LOCATIONS OF EXISTING INFORMATION AND BELIEF, I CERTIFY fir'JOHN B.c AND PROPOSED STRUCTURES FOR THAT THE INDICATED STRUCTURES PAUL IN H OBTAINING A BUILDING PERMIT. 25 ARE LOCATED AS SHOWN, AND THAT THE SETBACK DISTANCES SHOWN `9NdF Ey THE SETBACK DISTANCES HEREON WERE THOSE RECORD �AT SHOWN ARE NOT TO BE USED BY THE THE SITE. CLIENT TO ESTABLISH LINES FOR FENCES, SHRUBS, LANDSCAPING, ETC... i �1 1�-loll 41 ® 3' FULL GLAss D WINDOW SCHEDULE No Model Type R,0, 141-�11 ® NEW PAIR 3'/6'8 A 284ro D14 21-10 1/8" x 41-8 7/811 NEW FAMILY ROOM POCKET DOORS - 1 SOLID E3 A31 Awning 3'-0 112" X 2'-0 5/811 4f 71 � NEW CONSTRUCTION EXISTING STRUCTURE 151 221 FIRST FLOOR PLAN 1/411=V-0 DRAWN E3Y. MAY 3, 2011 MARTHA MACINNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE. MARSHALL RESIDENCE BRADFORD, MA, 01835 91 WOOD6TOCK ROAD �` (978)374-8719 NORTH ANDOVER, MA, RAILING POST CONNECTION PER SIMPSON STRONG TIE DECK FRAMING CONNECTION GUIDE - DLJLI • 2X10 LEDGER FASTEN LEDGER WITH (2) SIMPSON SPS 1/4 X 4-1/2 LACE BOLTS g Ifo" O.C. RIGHT SIDE ELEVATION � � fiREAR ELEVATION � 1/411=I'-O 1/4"=1'-O — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —� DRAWN 131 : MAY 3, 2011 MARTHA MACINNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE. MARSHALL RESIDENCE BRADFORD, MA, 01835 ' C978�374-8719 91 UJOODSTOCK ROAD 2 NORTH ANDOVER MA, 4 V I I I -Ell _ L I- T - - - - - - - - - - - f NEW CONSTRUCTION EXISTING STRUCTURE LEFT SIDE ELEVATION ri L - - - - - - - - - - - - - - - - - - 1/4"=1'-O DRAWN E3Y: MAY 3, 2011 MARTHA MACINNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE. MARSHALL fRE61DENCE E3RAD1=OzD, MA, 01835 91 UJOODSTOCK ROAD 3 (978)374-8719 NORTP ANDOVER, MA. 1 (3)2x8 �, 2x8 ® 16" 01 10" CONC. FILLED (p' SONOTUBE FND. FOR DECK, 4' BELOW GRADE, TYP 14'-roii 2x10 g 16° oc — — — — — — — — — — — — — — — — — I LI i FLOOR FRAMING I I 10" coNG.FOUNDATION t10"X20" CONC. FOOTINGS RAT SLAB CRAWL SPACE - PROVIDE SCREENED VENTS TO ALLOW FOR ADEQUATE VENTILATION a I I � I f - - - - - - - - - - - - - - - - - 2X10 RAFTERS 7'-3" 2x12 RI DGE 15' NEW CONSTRUCTION FOUNDATION PLAN ROOF FRAMING 1/4 =1'-O DRAWN BY: MAY 3, 2011 MARTHA MACINN16 FIROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT ,AVE. MARSHALL RE61DENCE BRADPORD, MA, 01835 91 WOODSTOCK ROAD (978)374-8719 NORTH ANDOVER, MA. CONT, RIDGE VENT FIBERGLASS SI ANCsLES 1/2" pct, PLYWD. SHEATHING 2X10 RAFTERS R=38 FIBERGLASS BATT INSUL. USE SIMPSON I-{2,5A CONNECT CORNER 5TUDS HURRICANE CLIPS AT (5)16d NAILS CEILING JOIST NAIL ALL PANELS WITH SdTOGETHER WITH 16d m 12" OC END OF EACH RATER -8 6" OC AT PANEL TO RAFTER TYP. AT TOP PLATE EDGES AND 12 OC AT OR 2 ROWS 24° OC 2X8 BLOCKING INTERMEDIATE FRAMING BETWEEN RAFTERS CONNECT WITH (3) Sd TOE NAILS TO PLATE CONT, (3)2X12 RIM JOIST ' METAL DRIP EDGE I I I CONT, SOFFIT VENT (3) Sd TOE NAIL-/ I I I I I 1 I I SIDING TO MATCH EXISTING (2)2X6 1/2 EXT. PLYWD, I I OPENING OPENING OPENING I I SHEATHING 1 1 1 I R=30 FIBERGLASS BATT INSUL HOUSEWRAP EQUAL 3/4" T 4 G PLYWD, SUBFLOOR TO "TYVEK" 16d 5" 2X10 FLOOR JOISTS 0 16" OC 2X6 STUD WALL (3) Sd TOE NAIL I I I I I I I I I 1 I I I I I I 1 111- A PLATE TO RIM R=21 FIBERGLASS 1 I I I I I I I I BATT INSULATION 7" MIN, CRAWL SPACE - PROVIDE SCREENED VENTS TO 10" CONC. FOUNDATION ALLOW FOR ADEQUATE VENTILATION i RAT SLAB 10"X20" CONC. FOOTING Co" CRUSHED STONE W/ REAR R ELEVATION POLY VAPOR BARRIER I I�r�r-tl� I 1/2" DIA, A307 ANCHOR 4' II BOLT WITH ,229X3"X 3" r1 1/4 1 -O Li PLATE WASHER TYPICAL WALL SECTION 104"=1'-o D1zAWN BY: APRIL 14, 2011 MARTHA MACINNIS PROPOSED ADDITIONS 4 RENOVATIONS 55 REGENT AVE. MARSHALL RESIDENCE 5RADPORD, NA, 01535 91 WOODSTOCK ROAD t (g75)374-8719 NORT" ANDOVER, MA. r- The Commonwealth of Massachusetts c ;F Department oflndustrialAccidents Office of Investigations ' 600 Washington Street ` i3e1? ;f_� Boston,MA 02111 "'�•� ;�" www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print'Legibly Name (Business/Organization/Individual): �_r ��J1/�� C� ►�S 1(��/ T� �'�c� Address: City/State/Zip: / o�c iAh'b(ne 4- Cfs- Are you 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. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. in'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 me in any capacity. workers'comp.insurance. 9,)fftBuilding addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] ofcers have exercised their I0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs - insurance required.] employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors acid their workers'comp.policy information. X am an employer that is providing workers'compensation insurance for my employees. Below!s the policy and job site information. Insurance Company Name: S col Policy#or Self-ins.Lie.#: y� C-� `J �{' 2_� Expiration Date: q 5 Job Site Address: W oz)d 5 7p C1, City/State/ZiPA J t(L &tivq�_ Attach a copy of the workerscompensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 fonn of a STOP WORK ORDER and a fine of up to$250.00 a day a,gafpst the violator.4advised that a copy of this statement may be forwarded to the Office of Investigations of the A or insurance c e age verification. I do hereby cert! un er the painspenal 'es of perjury that t/ze information provided above . true nd correct Si ature: Date: �� �� Phone#: _ Official cr a only. Do not write in this area,to be 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 I Contact Person: Phone#: 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 hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more Of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an 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 of the 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 be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local 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 applicant who has not produced acceptable evidence of compliance with the insurance coverage required." 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-contractors)name(s),address(es)and phone number(s)along with their certificate(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,aY q olio is required. Be advised vised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation 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 Industrial Accidents. 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 line. 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 fill in the pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple,-permit/license applications in-any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen-nits or licenses. A new affidavit must be filledout each year. Where a home owner or citizen is obtaining a license or pen-nit 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 Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth,of Massachusetts Departrnmt of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia f� airs ds►cess PR VENIENT CONTRACTOR 7YPe Ufiticc TOM a HOME 1►V► _15880 Individual Registrat7lon:.3t2012 Expiration AR •R ALLE.tJ C4i�157�iJC gFtTHi1R ALLEN 1_ ggg EAVERLY RD• Undersecretary NORT 71 ADAMS AVENUE NORTH ANDOVER 71 ADAMS AVENUE NORTH ANDOVER 81 ADAMS AVENUE NORTH ANDOVER 4 GLEASON STREET APT 411 METHUEN 88 ADAMS AVENUE NORTH ANDOVER 80 ADAMS AVENUE NORTH ANDOVER 74 ADAMS AVENUE NORTH ANDOVER 62 ADAMS AVENUE NORTH ANDOVER 52 ADAMS AVENUE NORTH ANDOVER 38 ADAMS AVENUE NORTH ANDOVER 59 ADAMS AVENUE NORTH ANDOVER 2 ADRIAN STREET NORTH ANDOVER 8 ADRIAN STREET NORTH ANDOVER 25 ADRIAN STREET NORTH ANDOVER CITY HALL LAWRENCE 236 SWAINS POND RD MELROSE 492 SUTTON STREET NORTH ANDOVER 1 ALCOTT WAY NORTH ANDOVER 25 WOODLEA ROAD NORTH ANDOVER 3 ALCOTT WAY NORTH ANDOVER 4 ALCOTT WAY NORTH ANDOVER 5 ALCOTT WAY NORTH ANDOVER 3 SPARHAWK DRIVE LONDONDERRY 7 ALCOTT WAY NORTH ANDOVER 8 ALCOTT WAY NORTH ANDOVER 9 ALCOTT WAY NORTH ANDOVER 10 ALCOTT WAY NORTH ANDOVER 11 ALCOTT WAY NORTH ANDOVER 12 ALCOTT WAY NORTH ANDOVER 13 ALCOTT WAY#13 NORTH ANDOVER 14 ALCOTT WAY NORTH ANDOVER 15 ALCOTT WAY NORTH ANDOVER 16 ALCOTT WAY NORTH ANDOVER 17 ALCOTT WAY NORTH ANDOVER 18 ALCOTT WAY NORTH ANDOVER 19 ALCOTT WAY NORTH ANDOVER 20 ALCOTT WAY NORTH ANDOVER Ma huse is I3o ie j, r°ovement:Sample Contract This iage sado protect all basic requirements of the state's dome imprtivemeuit'Contractor Law(MGL chapter 142A),but does not'include language to protect homeowners. Seek legal advice if necessary. Aning standard lvlassacbusetts consumer guide to home improvement"before agree,* tart ny work on your re ic�ence�You Mayements obtain air first obtain y b copy o tile Office of Consumer Affairs and Business Regulation's Consumerinformation Hotline at 617-973-8767 or]-Mayo tain a . PY in 11a e P Y g to Homeowner Information - Contractor Information ame ---------------- oraany ame ' StreelAddr s o not use aPost OfficeBox address S 7y`�J� l ly� Contractor/Salesper&ou/awnerName City/Town Sate Zip Code _ smess Add fres11s(must include a street address) ' ,aytiiae Phone �Q(^� t Eveains Phone AtyP1 own Sa e 'Z � � 1 r /� ZipCode Mailing Address(lt different from above) l� I— v 'i usinxss•Phone 6FtN edm-AEmployerID ar5.5.Number 0 Lam mqu nes tka most hoose im- Home t..e PmvcmateommmorahaveI j1tDV=�CamnctarRaC,Numbar Hxjdrad date The Contractor agrees to do tive'following work for the Homeo net: talon number en em e r camp e e sped { t �JV / 'ran',an 00 m n s o e e on l�� �i T tQ i�• � ere s Required. ermlts-The )11 win bui11 l 11 ti11 ingpermits are and required Proposed Start and Completion Schedule The follows till be secure by thcto e contrar as the homeowner's agent, be adhered to unless circumstances beyond the contractors control arise ng schedule will (Owners who secure their own permits will be exclilded from the Guarant3i Fund provisions-of 1 G 1 MGL chapter 142A.)' Date wbell contractor will begin contracted work, Date when can work will be aubsantially completed. Total Contract Price'and Payment Schedule ' The contractor agrees•to perform the work,Mr dish the material and labor specified above for the total sum of 2D (*) Payments will be trade almording to the following schedule: • upon signing'contract(not to exceed 111 of the'toal contract rice or ' P the cost of'special order iteins,whichever is greater) $ ---I— hY �/'�/�� orupon comple'—'af -rz G V $ v by /(/C� ..or upon completion of A, \ �w upon completion of the contiack (Law forbids demanding full pay mentuntil contract is completed to both party's satisfaction) The following ioaterisl/equipment must be special $ —- i ordered before the contracted wart begins in order $ t or to meet the completion schedule.(**) to be paid for ; NOTES:(*)Including all finance charges(**)Law requires that any deposit or dovvn_ a not exceed the greater of(a)one of the totpl contract price or P yment required by the contractor before work begins may which must be special oi'dered.'in a\dvaaco to meet the completion sche the cost of say special equipment or custom made materia! EX3T1 warrenh�-IS 9n eYnrac heir nr i.i a t. ' SubcCurl bntractor,s The>;antractar agrees to be solely responsible for oriapJetion of the work described regardless of the actions of any third I .L No Yes all terms of the warren must bo altar ed o the contract pahy(subcontractor udIized by the contractor. The contractor further tgreep to be solely'responsible for al[payments to all subcontractors for Ben sand labor underthis s cement ContractAcceptance-Upon signing,this documentbecomes a binding contract under law . Unless otherwise noted within thi contract shall not imply that any lien or other secmiiy interesthas been placed on the residence, Review the following cautions and notices c or. fully before si s document,the ' going this contract. •• Don't be pressured into signing the contract,Take limp to read and fully understand it. Ask questions if something is unclear. " Makepure,the frac r h li Ho e m rave ant Co ctor R.e subcontractors to be registered with the Director ofHome Improvement Goniractor Registration You may inquire about contractor iia The law requires most home improvement contractors and registration by;wridug to the Director at One Ashburton Place Raom 1301 Bosto MA 02108 orb calling inquire 1800-223-0933. i • Does the contractor have insurance? Y g 727-3200 or • Check to see that your contractor is properly insured, Know your lights and responsibilities. Read the Important Infornlatiola on the reverse side of this form end get a copy of the Guide to the Home•Improvement Contractor Law. Consumer You may cancel this agreement if it has been signed ata place o}Cier•than lite conuactat's.normal place of business,provided contractor in writing at his/her main office or branch o$tce by ordinary mail'posted,b tele third business day fol]owing,the signing of this agreement. See the athtclieri notice of ranee.)atron form for an explanati of tl u notify the . Y b'm sen or delivery,not!a an midnight of the DO NOT SIGN THIS CONTRACT IF T]EiERE lis right. Two identical copies of the•contractmust be completed and signed, ono capysbauld go to jncowaec BLANK L9 sm he athcr copy should be f �A Y the contrdcmC lJV i Homeow el S Si' azure ntr tor' Sisnature - ( f 't Date � � . Contractor Arbitration The Dome Improvement Contractor Law provides homeowners witlr'thd right to initiate an arbitration action(as an . alternative to-court action)'if they have a dis utki a con _ th tractor. p . The same right ht is not automaticall g y a$'orde�to a' contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court upless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as'is afforded to the h6meovmn r by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree iii•advance that in'the event the contractor has a dispute concerning this,contract,the contractor may submit the dispute to a private arbitration ficin which has been apprpved.by tlie Secretary.6f the-Executive Office.of Consumer Affairs and nusiness Regulation and the consumer shall.be required to submit to such arbitration-at provided In Maisachusetts General Laws,chapter 142A. H•ome.owner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties.to alternative dispute resolution initiated by the contractor. The bomeown6r may initiate alternative dispute resolution even where this saction is not separately signed by the parties. '"' Homeowner's Rights -A homeowner's rights under the Home Improvement Contractor Law(M(jL chapter 142A) and other consumer protection laws'(i.e.MGL chapter 93A).may not be waived is any way,.even by agreement: However',homeowpers may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law, -Homeowners who secure their own building permits are automatically excluded from all Guirantyliund provisions of 'thd Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled'to other specific 1pgal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provid4by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a partic lar purpose; An enumeration of other matters-on which the homeowner and contractor lawfully agree may be adde�to the term's of the contract as long its they do not restrict a homeowner's basic consumer rights. If you have questions'about Your cansum&r/homeowner rights,contact the Consumer linfarxnation Hotline(listed below). Execution of Contract The contract must be executed in du ]tate and should not be signed untiba copy of all exhibits and referenced documents have been.attachM.'parties are-also advised not to sign the document until all'blank sections have been filled-in or marked as void, deleted,or not applicable. One original signed copy of the contract with attachments is to, • be givdn to the owner'and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both' arties. Contracted work may not begin mitil both parties have received a fully executed copy of the contract,-and the three day recission period has expired. Accelerated Payments A contractor may not demand'payments in advance of the dates specified on the payment schedule in cw6s where the homeowner deems him/herself to be firiancially insecure. However;in instances where a contractor deems 4im/1}erself -to be financially insecure,the contractor may require that the balance of funds not yet due be placed tri a joint escrow account as a pretequisite to continuing the contracted work.. Withdrawal of funds froth said ac'count-would requite the signatures of both parties, Additional Information If you have general 'questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or'tf you wish to obtain a free copy.,of A�Consumer Guide to the Home Improvement ContraptI Law,"contact: Consumer Information Hotline Office of ConsuYner Affairs and Business'Regulation .10 Park Plaza,Room 5170,Boston MA 02116 (617)973-8787'or 1,(8'88)2833757 Y= If you want to verify the registration bf a contractor or if you have u M ' ' q estio>us or need additional informatilon specifically about the contractor registration component Of the Home'Improvement Contractor Law,contact: Director`of Home Improvement'Contractor Registration Bureau ofBuilding Regulations and Standards One-Ashburton Place,Room•1301,Boston,MA 02108 (617)727-3200-or.1-800-223-0933. For assistance with informal mediation of disputes or to register formal complaints against a business,call: f Consumer Complaint Section Office of the Ar.ttoriaey General (617)727-8400 ANTS/OR -Better Business Bureau (508)652-4800 .(508)7�5-2548 (413)734-3114 i i REScheck Software Version 4.4.1 Compliance Certificate Project Title: Marshall Residence Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Glazing Area Percentage: 8% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 91 Woodstock Road North Andover,MA • • trade-off Compliance:4.2%Better Than Code Maximum UA:95 Your UA:91 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross • Assembly Area or R-Value R-Value or Door Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss 232 38.0 0.0 7 Wall 1:Wood Frame, 16"o.c. 988 21.0 0.0 52 Window 1:Vinyl Frame:Double Pane with Low-E 60 0.300 18 Door 1:Glass 20 0.300 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 232 30.0 0.0 8 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck I spection Checklist. _ t l Name-TitleigS nature Date Project Title: Marshall Residence Report date: 04/14/11 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood JoisUTruss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (9 Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Project Title: Marshall Residence Report date: 04/14/11 Data filename: Untitled.rck Page 2 of 4 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: F-1 Materials and equipment are installed in accordance with the manufacturer's installation instructions. 0 Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Lj Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Ej Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Cj Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Ll Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 18.6 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 27.8 cfm(12 ctm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 13.9 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 9.3 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: F-1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: F1 Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: F1 HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: LI Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. F1 Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: i I Project Title: Marshall Residence Report date: 04/14/11 Data filename: Untitled.rck Page 3 of 4 I ~ Lj A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: ri Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) i Project Title: Marshall Residence Report date: 04/14/11 Data filename: Untitled.rck Page 4 of 4 I i 2009 IECC Energy Efficiency Certificate . i Ceiling I Roof 38.00 Wall 21.00 Floor I Foundation 30.00 Ductwork(unconditioned spaces): i Window 0.30 0.70 Door 0.30 0.70 Heating System: Cooling System: Water Heater: Name: Date: Comments: i I i I I i I a tilassachusetts- Dcpairtment of Public Safct� YBoard of Buildinty Re��ulations and Standards I Construction Supervisor License License: CS 86230 ' ARTHUR A ALLEN 369 WAVERLY RD NO ANDOVER, MA 01845 Expiration: 4117(2013 TO. 15691 ('ummi,�iuncr '� t I l F k 1 Y` � I t 4 Page# of pages Proposal 'ChvJ P>-��ri1 C CV, On 3eO -W165 5 P oposal Submitted To: / Job Name Job# 1 `�(/� C.r`e. J r g Address Job Location 9 t u1 oa Date Date of Plans 1J" Lv" Phone ` Fax If Architect �7� 2o-� We hereby submit specifications and estimates for:_ r'�. 5 4Q,,_ C, !`. S._ S �'{J�--o 'c' i 5 == .!_''� t vco'l -0" `�rj.__._._.._ ��_ __ ►� w-a �S --- ---- ____ .____ --- __. ( Q ow— C, n O) We propose hereb to furni h terial a a r — c p to in accordance with the above specifications for the sum f: ��u., $ l Dollars with payments to be made as follows:- Any ollows:Any alteration or deviation from above specifications involving extra costs will Respectfully be executed only upon written order,and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our control. Note—this pr o I may be withdrawn by us if not accepted within � days. Ckr ejjtanre of Vxv)j out The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Signature Payments will be made as outlined above. � / +o of tlnnonfonne Cinnn+ rn AC RO @ CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DOYYYY) L..� 4/15/11 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 CONTACT NAME: M.P. Roberts Insurance Agency PHONE TTAX I No): 1060 Osgood Street E-MAIL ADDRESS: North Andover, MA 01845 PRODUCER 2701 INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER A:WESTERN HERITAGE ARTHUR ALLEN CONSTRUCTION INSURER B:ASSOCIATED EMPLOYERS 369 WAVERLY ROAD INSURER C: NORTH ANDOVER, MA 01845 INSURER D: INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ---- -- - INSR ADDLSUBR POLICY EFF POLICY EXP j LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY SCP0825549 10/17/1010/17/11 DAMAGE TO RENTED REI S Ea occu enc $ 100,000 A CLAIMS-MADE [i]OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- F—] JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ i (E a accident) ANYAUTO BODILY INJURY(Per person) $ ALLOWNEDAUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) N ON-OW NE D AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ 1NORKERSCOMPENSATIONWCC500646201 9/5/10 9/5/11 WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N — B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICE PJMEMBER EXCLUDED? N/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 I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) OWNER IS NOT INCLUDED UNDER THE WORKERS COMPENSATION COVERAGE CERTIFICATE HOLDER CANCELLATION 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. BUILDING INSPECTOR QSGOOD STREET AUTHORIZED REPRESENTATIVE NORTH ANDOVER, MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD