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Building Permit #371-13 - 950 GREAT POND ROAD 11/5/2012
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: �� I P RTANT: Applic2i&ust complete all items on this page e . � f _ -�-o /� O ='PRO PT�Y�` EROWNER� Y/ -yrt0 _ 100pYeariQldStructure y . t _ Z®NIN.GADISTRICT HistoncrDistnct esu MAPN® PARG:EL l� _ y =- T Machiher Shop►Village yes �td TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential -t� New Building One family ❑Addition ❑Two or more family ❑ Industrial El Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑_Other ❑ Septics .❑rlNelli ❑`,Flootlplai, IVetlands Ll Watershed�District ❑Water/Sewers . _ .. DESCRIPTION OF WORK TO BE PERFORMED: cora, — DO J Identification► Please TypeW Print Clearly) OWNER: Name: a ��i �'� `�s �o ,"��- Phone: Address: �C/ , °�'"� Aovv P Lo CON;rFZACTbR - 4 Ad dre` --s - ss — -- -_� -- -- 7366 Su ervisor4sC,onstruction License} .I? T 'Home ImovementLlcensega - - --- Exp Date p . T � - ARCHITECT/ENGINEER �lam hone: 7?- C- Reg. No. Address: nLL ' FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � � ' FEE: $_ / Check No.: D o101J 'Receipt No.. NOTE: Persons contracting wit�eegi ,ei contractors cibino�t have access to the guaranty fund c., 5.. ..,..., gnature,;,of Agent/Owner -: .. Signatureuofcontractor, � _ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS_�2ek J . TyAdA 01k CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS "Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i 'i Conservation Decision: Comments Water & Sewer Connec$iOn/Si nature a DrivewaV Permit DPW'gown Engineer: Signature: /a - ; Located -.Y84 Os ood S reet FIRE DEPARTMENT Temp D mpster o e, yes n Located at:124 Main St�det _ Fire Department signature/dateo°Z Y . COMMENTS . s I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No ` MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use i i I i ® Notified for pickup - Date Doc.Building Permit Revised 2010 __ M1 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i I Roofing, Siding, Interior Rehabilitation Permits r ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract D Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit r ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 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) a Building Permit Application ❑ Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract a Mass check Energy P p Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all 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 2012 s 112 Location lZ No. � � Date -a 's TOWN OF NORTH ANDOVER. e � Certificate of Occupancy $ Building/Frame Permit Fee $— © CID „ s Foundation Permit Fee $��c� o� Other Permit Fee $ TOTAL $r Q OD Check# 02 25911 Building Inspector t I n I (P 1-23113 �N�l IJ � �13 f� I p`NO DTN q,y pp �sS.{CINSEI .. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 971-13 on 11/5/2012 Date: May 29, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 950 Great Pond Road MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: David & Corlis Paolino 940 Great Pond Road North Andover, MA 01845 Building Ins ector Fee: PrePaid Receipt: 25911 Check :0205 i f i NORT1{ O �ttao a'q.y OM APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION p c«arc ewww • CHUS BUILDING PERMIT # I �� SA ADDRESS/LOCATION OF PROPERTY: �U (,2 ►a'T ,� ,�� Map /() 3 Parcel 132 Lot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: Pi CLOSING DATE ON PROPERTY:_ ,� U,w11�z_ 3 Z O ( 3 FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Address: ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW CONSERVATION PLANNING f 7 DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST y . DPW = SIGNAT File:Application for OC form revised Jan 2007/2011 1 OF NORTp S 4 3r yctO APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION �9SSs►CHus���y BUILDING PERMIT TO 211— I ADDRESS/LOCATION OF PROPERTY:____ Map__Ly y 3 Parcel /3 2 Lot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION:_ Zoo n�z CLOSING DATE ON PROPERTY: ,� v w 3 Zo 3 FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Address: ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW CONSERVATION PLANNING- DPW-WATER METER 13 SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO a SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNAT File:Application for OC form revised Jan 2007/2011 r � FORTH E ve" ,* lea LAN0h ver, Mass, coc.uc«lw1c. ATEU PPP�'�S S U B BOARD OF HEALTH Fc`1 �YchersPERMIT T L D pt' Syste 1 f THIS CERTIFIES THAT ..." HAT .... �!s� ....... 1 s�� BUILDING INSPECTOR .............................................. . ........... ................ has permission to erect :: .. �,., !' 1 �1/.. o datio ?C p .. buildings .� �. �:�w. .. �s to be occupied as ..........................................r'._...f.� 41:?... 1..:?l .��.. �.'.. . F ....................... e provided that the person accepting this permit shall in every respect coAf6rm to Ime to�J, the application Fi on file in this office, and to the provisions of the Codes and By-Law 'gelatin o the;Ins Alteration and �'"" mw Construction of Buildings in the Town of North Andover. tea. '� ®� PLUMBING II?�SPECTOR T r Rough' j �! VIOLATION of the Zoning or Building Regulations Voids this Permit. r, 0 Final z-& PERMIT EXPIRES IN 6 MONTHS ELECTRICAL NSPECTOR, UNLESS CONSTRUCTIO STARTSZ x7 Ugh A is ......... Z ............................... Frna C -.41 l BUILDING INSPECTOR s ;. GAS INSPi i ; Occtcpancy Permit Required to Occupy Puildin Roughx; ` Conspicuous � lriat A l i 3 t i Display in a Conspicuous Place on the Premises - Do Not Remove No Lathing or Dry Wall To Be Done XJ. FIRE EPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. t SEE REVERSE SIDE smoke Det. Z�-43 � ::`.ti a - *.,.._, A .«..:i'r.. •., }• f-„1. .. y.'< .,.,:�-Yr � r _. ;;:�.ti.tqW. t^ r , tAORTH - _ : vv: :. . ; t EAt .c ve” No. R - - lAN! h " ver, Mass, /��`� COC NIC MIWKK �� �®�0'9ATEO P**" S U BOARD OF HEALTH . y°Foc'�Kifch6rf PERMIT. T LDI e, THIS CERTIFIES THAT .... 04aL1 ��...��.�l.l.:�:�?............... .............. .. ........... ................ BUILDING INSPECTOR ,��,, �k o datio has permission to erect . ........................ buildings orr.� ...L. .� ®n. ................. l to be occupied as ............... ...� s �° ;�:1 /.y4t.?... .�:' .<. .. ...................... y provided that the person accepting this permit shall in every respect confdrm to 61, the application � Fi on file in this office, and to the provisions of the Codes and By-Laws"gelatin �o tie in Alteration and Construction of Buildings in the Tov`iri of North Andover. 2 PLUMBINq INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. -v Finalp�tV PERMIT EXPIRES IN 6 MONTHS ELECTRICAL NSPECTOR , a UNLESS CONSTRUCTIO STARTS ice .........�. �� .�. °� ....................... Frna� ° 5 0. ,f BUILDING INSPECTOR' �j01 rZ 1� 3 GAS INSP Occf1pancy Permit Required to Occupy Building RD gni , Display in a Conspicuous Place on the Premises — Do Not Remover~aI No Lathing or Dry Wall To Be Done FIRE EPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. 'Zg McKENZIE EMMMERNRI COMPANY, INC. November 16,2012 Kasilof Enterprise,LLC 34 Sears Drive,Apt.2 Rindge,NH 03461 Attn: Matthew Olson Re: Structural Requirements for Garage Walls 950 Great Pond Road North Andover,MA Dear Matthew, This letter is a follow-up clarification to our letter dated October 15,2012. Structural Requirements for Garage Walls: Based on our analysis the garage walls do not require special shear walls(such as Simpson StrongWall)and that anchor bolts are adequate to prevent uplift of the garage structure. Please call if you have any questions. Very Truly Yours, � py 9 AL , Peter M.Reynolds,P.E. rile:ME-3526\950 Great Pond Road Structural Requirements for Garage Walls Letter 11-16-12 3 0 5 WHITNEY STREET LEOMINSTER,MASSACHUSETTS 01453 WWW.MCKENZIEINC.COM TELEPHONE NO: (978) 537-8210 FAX: (978) 840-4147 CC KE N ZI E - OMPANY, INS November 16,2012 Kasilof Enterprise,'LLC 34 Sears Drive.,'Apt.2 Rindge NH 03461 Attn: Matthew Olson Re: Structural Requirements for Garage Walls '950 Great Pond Road . . North Andover,MA Dear Matthew, This letter is a fo Ilow-up clarification to our letter dated October 15,2012: Structural.Requirements for Garage Walls: Based on our analysis the garage walls do not require special shear walls(such as Simpson StrongWall)and that anchor bolts are adequate to prevent uplift of the garage structure. Please call if you have any questions. Very Truly Yours; M. i �osYA4 Peter M.Reynolds,P.E. file:ME-3526\950 Great NO Road Structural Requirements for Garage Wails Letter 11-1.6-12 I : I '3:05 W H I T N E Y STREET j LEOMINSTER,I�4,ASSACIIUS ET-M b1453 WW W.MCKEF!ZIEINC .COM T ELEP H0NE NO: (978) 537-82:10 FAX: (9.78) 840-414.7 it Enter construction cost for fee cal - North Andover Fee Calculation Construction!Cost $ 810j,000.00 m $ - $ 9,720.00 -Plumbing Fee $ 1,215.00 Gas Fee 100 comma $ 100.0:0 Electrical Fee $ 1,215.00 Total fees collected $ 12,250.00 950 Great Pond Road 371-13 on 11/5/12 New Single Family Home i i •a. 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O� �' iho Insloll0r,owner or emdratlor mt Ll dreck all ticti Ix and d mensinns and I0a0 Counq•Rd.E Wes( 6vne 120 snoreve,w Mn,55726 661.765.n61 i I I I i 1 Uel co^Txpmniblc for any clranpex or ndluxtmor.!..rrqulred durinn actual ••' Inrcfon.1!0 c c.rnt.,llon in n,nde or Imnund rnr accv:ae . � L._���_ faz 651.)65.0077 www.RoyalDake DCFlnn.com i I _I I I 1 � r pr¢, y )X*3 Royal UaY.a Ocsipn,Inr.. r —i NORT#l . ve" ,* No. APO 1 1-30 00 '�� h ver, Mass, cocrilc Nl WIC. U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THATA , /�`�� BUILDING INSPECTOR ....�j�.�!✓.fV............... . .................... .............. ..... ........... ................ Foundation has permission to erect .......................... buildings on ��0 tJ..�°fa:l.... ':Y.L1' Q�?�' . ........ ..... .................... Rough to be occupied as ............... �' 1 � �: ./.�1."� ...�.� ��.1 ..................4 ( ��............................. Chimney u provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough .............' Service .......... .. � .................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Kermit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE 950 Great Pond Road CONTRACT This Agreement this 9t' day of October 2012 between Six Jays LP and (Dave and Corliss Paolino general partners) of 940 Great Pond Rd. North Andover, MA and builder Nathan J Olson family Trust of 1999 of 34 Sears Drive Apt 2 Rindge, NH in the amount of 808,000.00. Nathan J Olson Family Trust of 1999 agrees to construct said home in accordance with "plans cl-3511" . All utilities will be brought from street to house ie. Electric, sewer and gas. Home will be constructed to Massachusetts Building Code and Occupany will be provided to owners. All specifications are built to agreements between owners and builders. Work to be completed in a timely and professional manner. Items not covered in this contract are finished foaming and landscaping and finished drive due to weather. Yard will be mulched and drive will be bankrun gravel. Generator costs will be added to contract as details are not yet finalized. Plans and specs can be changed by mutual agreement of owner and builder. Owners. p Builder: w Sitework • Cut trees and remove • Remove and dispose of stumps • Strip and stock pile loam respread when house is complete • Excavate foundation according to site plan. • Install 3"+- stone under footing and floor of house footprint • Install perimeter drain with washed stone and filter fabric. • Backfill and compact. • Supply and install drywell • Excavate for sono tubes as per plan. • Excavate for services;electric,sewer and water. • Gravel will be brought on site for driveway Foundation and slab • Pour footing 10"x 20"as shown on the plan with keyway and rebar as required. • Pour 10"concrete wall on the top of footing using 3000 PSI Concrete. • Place clean sand to top of footing inside house and compact • Pour 3500 PSI concrete over six mill poly vapor barrier with expansion joints on the garage and cellar floor matt wire in house floor and dowel rebar in garage slab 4"thick. • Install 12"sono tubes with Big Foot Footings as shown on plan using 3000 PSI Concrete. • Waterproof foundation below grade Framing and Roofing • 2x6 PT sill over sill seal and bolted.2 plates atop sill plate • Tjl manufactured floor joist on the first and second floor according to framing plan and sheathed with 3/4 T&G Advantex using sub floor adhesive and ring nails. • Frame walls using 2x6 studs 16" OC, install headers,sized according to openings and double jack,sheathed walls with zip wall system,single bottom plate and double top plate. • All windows will be taped and silicone sealed • Roof and ceiling frame Engineereed trusses with 5/8 Advantec roof sheathing or comparable. • Roofing will have 8"aluminum drip edge,cover bottom 6" of roof as well as valley's and flash points with Grace Ice and Water Shield. • Cover the remaining roof with 151b Felt Paper. • Roof using Iko 30 year+Architectural roof shingles. • Install ridge vent and cap. r Siding • Install CertainTeed Cedar Impressions,color chosen by homeowner. • install CertainTeed 4"siding,color chosen by homeowner. • Install PVC trim Azac or equal, install using Cortex screw method and plug to match. • Soffits,fascias and rakes will be white vinyl and white aluminum • Cornerboards and rakes to be vinyl 6"trim • Install 5"Aluminum gutters using bar hangers and 2x3 down spouts. Windows and Doors • Windows as per plan Anderson white vinyl exterior,wood interior, pre-finished white with low E Aragon gas filled with white hardware and screens. • Exterior doors will be ThermoTru Fiberglass Smooth Star,or Belletetes brand with thermo pane glass • Exterior patio doors are Anderson French Wood doors with sliding screens. Insulation and Drywall • Insulate walls with Fiberglass R24+Flash and batt system • Insulate ceiling with Fiberglass R44+and vent. • Cover walls and ceiling in the living space with 1/2"drywall,5/8 type X on garage wall to house and cieling. Smooth finish on all ceilings,walls and closets. • Garage will meet Fire Code. Masonry • Install stone veneer on bottom of columns and around the front entry on garage where depicted Garage Doors • Doors will be insulated metal doors to match drawing, (style etc.to be discussed prior to ordering.) • Install Door openers with exterior key pads. HVAC/Heating • Install insulated duct for HVAC system. • Install 2 zone 2nd floor 1 zone 1st floor gas fired air handler with AC. • Install 80 gallon hot water heater superstore • Install Hydro air system • Install radiant floor heat basement slab I � Plumbing • Install gas piping,to all appliances including 3 fire places. • Plumb waste and vent lines to the bathrooms, laundry, and kitchen as on plan. • 80 gal.superstore • Elongated toilets • Under mount vanity sinks. • Domestic hot and cold water. Electric • Wire house and garages according to Massachusetts Electric Code, including door bells, cable and phone. • Underground electric service. • Install telephone and cable. • Install vent fans in all bathrooms with exterior vent. • Install wiring for dryer and vent. • Homeowner,electrician, and contractor will walk through to discuss location of electrical fixtures and switches. • Lighting per allowance(builder will provide catalog) • Install generator per specs from homeowner Interior Trim,Kitchen Cabinet and Vanities • Skirt board and risers to be Winsor One primed pine. • Oak railing attached . • Basement stairs will be oak treads and risers painted. • Interior Doors from selections provided raised panel solid core molded primed 3/8,Schlage Plymouth passage set,double rabbited primed jambs. • Windows to be cased with 3.5"Stafford casing mdf • 71/2 Speed base mdf • Coffered ceiling in Family Room, Foyer and Master Bedroom as per plan. • Cabinets are Diamond Distiction and Vibe line as well as builtins • Granite tops with sinks attached • House will have 5" +crown throughout except small closets Flooring • Install hardi backer board as tile underlayment. • Install Ceramic Tile chosen by the homeowner with an allowance of$4 per sq.ft. F as� • Tile will be installed on bathroom floors,tile shower in master bedroom, basement • Install 4-5" Hardwood flooring throughout the house and finish in place or re-finish flooring chosen by homeowner with an allowance of$6 per sq.ft. • Stairs will have oak stair treads. Rear Porch and Deck • Frame deck and porch platform using pressure treated lumber. • Deck using Kleer Composite Decking with concealed fasteners. • Deck section will have White pvc Rail System around deck and down stairs. • Covered section to be enclosed with SWS double hungs with screens 20 inch off floor to bottom ofheader • Ceiling of screened sections will be pre-finished beaded pine. • Floor will be mahogony or composite if homeowner wishes • Interior walls will be finished with wood and stained Interior Paint • Prep and prime all new areas. • Trim:'2 coats Oil based Paint Sherwin williams or Benjamin Moore paint. • Wall:2 coats Benjamin Moore/California Egg Shell Latex paint. • Ceilings: paint all,Ceiling White. • Coffered.Ceilings:2 coats Semi-Gloss Benjamin Moore/California. _ • Colors allowed: 1 colors trim, wall colors and 1 ceiling color. Kitchen,Vanities and Built-ins • Supply and install Kitchen cabinets, chosen by homeowner with an allowance • Includes:Vanities and knobs. • Supply and install Granite counters color chosen by homeowner,with an allowance • Built-ins are in allowance price • Faucets have an allowance Miscellaneous • Supply and install 3 gas fire places and mantels, both will have blowers and remote controls. • Supply and install 5"Aluminum (white)Gutters with gutter leaf guard and 2x3 Down Spouts. Down Spouts to terminate at pipe leading to drywell • Install shelfing per allowance • Supply and maintain portable toilet for use by workmen. • Install stone veneer on column bases and around front door • Contractor agrees to supply and service as needed;dumpster and keep site broom clean at all times. McKENZIE COMPANY, INC. Kasilof Enterprise, LLC October 15,2012 34 Sears Drive,Apt. 2 Rindge,NH 03461 Attn: Matthew Olson Re: Structural Beam Requirements and Lateral Bracing Analysis for Proposed New Residence 950 Great Pond Road North Andover,MA Dear Matthew, The following information is in regards to the structural beam and lateral bracing requirements for the proposed new residence located at the above mentioned address. You provided us with a set of plans for the residence and asked us to verify the structural beam sizing,and lateral(wind loading)resistance of the building. My analysis for the sizing of the structural beams was based on the information that you told us, which was that the roof trusses are to be engineered such that they clear span from exterior wall to exterior wall and such that they do not require any intermediate supports. Our analysis was based on code requirements set forth by the 81h Edition of the Massachusetts State Building Code. Structural Beams: Based on our analysis of the structural beams, several of the beams for the first and second floor framing will need to be modified. I have marked up some of the plans you provided to us with the appropriate structural requirements. I have included a total of three(3)drawings, Sheet no. 1, 3, and 5,all i dated 11-12-09 with this letter for your records. Lateral Bracing: Based on our analysis the exterior structural sheathing panels,either'/2"plywood or Zip-Wall panels, are i adequate for all lateral loading conditions. At all the locations where an opening, i.e.window,door, is less j than 4'-0"from a building corner you will need to nail the sheathing with 8d nails at 4"o.c. along the edges, and 6"o.c. in the field of the sheet. Please call if you have any questions. Very Truly Yours, OF R I Peter M.Reynolds,P.E. file:ME-3526\950 Great Pond Road Lateral Load Analysis Letter 10-15-12 3 0 5 WHITNEY STREET LEOMINSTER,MASSACHUSETTS 01453 WWW. MCKENZIEINC.COM TELEPHONE NO: (978) 537-8210 FAX: (978) 840-4147 :t 19 12 02: 22p Hill Family Insurance 6035329303 p. l KAS1L-1 OP ID: DH coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) 10/19/12 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 Phone:603-532-4131 CONTACT NAME: Hill Family Insurance Agcy Inc Fax:603-532-9303 PHONE FAx 10 Turnpike Road Arc No Ext): IAIC No): Jaffrey,NH 03452- EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Tuclor Insurance Company INSURED Kasllof Enterprises LLC INSURER B 34 Sears Drive,Apt#2 INSURERC: Rindge, NH 03461 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR Type OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR POLICY NUMBER MMIDDNYYY) (MMIDDNYYYI LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY INPP1340927 10116/12 10/16/13 DAMAGE TO RENTS PREMISES Ea occurrence $ 50,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY CoE,aBINEDISINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Peraccidenl $ i I $ UMBRELLA UAB Ho.cc:-MADE, EACH OCCURRENCE $ EXCESS LIAB i AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I OE TRH PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E� NIA 'E.L.EACH ACCIDENT $ (Mandatory in NHJ under If yes,describe unE.L.DISEASE-EA EMPLOYEE $ j DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) General Contractor I CERTIFICATE HOLDER CANCELLATION I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Brian Lathe North Andover, MA 01845 AUTHO ED REPRES TATIVE I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD REScheck Software Version 4.4.3 Compliance Certificate Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 0 deg.from North Conditioned Floor Area: 4972 ft2 Glazing Area Percentage: 13% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: NH Compliance:1.7%.Better Than Code am gumi= memo Ceiling 1:Flat Ceiling or Scissor Truss 1823 48.0 0.0 47 Wall 1 2nd Floor:Wood Frame,16"o.c. 400 25.0 0.0 17 Orientation:Front Window 1:Vinyl Frame:Double Pane with Low-E 3 0.290 1 SHGC:0.27 Orientation:Front Window 2:Vinyl Frame:Double Pane with Low-E 20 0.290 6 SHGC:0.27 Orientation:Front Window 3:Vinyl Frame:Double Pane with Low-E 29 0.290 8 SHGC:0.27 Orientation:Front Window 4:Vinyl Frame:Double Pane with Low-E 3 0.290 1 SHGC:0.27 Orientation:Front Window 5:Vinyl Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.27 Orientation:Front Window 6:Vinyl Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.27 Orientation:Front Wall 2:Wood Frame,16"o.c. 348 25.0 0.0 18 Orientation:Right Side Window 7:Vinyl Frame:Double Pane with Low-E 17 0.290 5 SHGC:0.27 Orientation:Right Side Wall 3:Wood Frame,16"o.c. 400 25.0 0.0 17 Orientation:Back Window 8:Vinyl Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.27 Orientation:Back Window 9:Vinyl Frame:Double Pane with Low-E 7 0.290 2 SHGC:0.27 Orientation:Back Window 10:Vinyl Frame:Double Pane with Low-E 48 0.290 14 SHGC:0.27 Orientation:Back Window 11:Vinyl Frame:Double Pane with Low-E 18 0.290 5 Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 1 of 9 SHGC:0.27 Orientation:Back Wall 4:Wood Frame,16"o.c. 348 25.0 0.0 17 Orientation:Left Side Window 12:Vinyl Frame:Double Pane with Low-E 17 0.290 5 SHGC:0.27 Orientation:Left Side Window 13:Vinyl Frame:Double Pane with Low-E 3 0.290 1 SHGC:0.27 Orientation:Left Side Wall 5 1 st Floor:Wood Frame,16"o.c. 450 25.0 0.0 17 Orientation:Front Window 14:Vinyl Frame:Double Pane with Low-E 10 0.290 3 SHGC:0.27 Orientation:Front Window 15:Vinyl Frame:Double Pane with Low-E 41 0.290 12 SHGC:0.27 Orientation:Front Window 16:Vinyl Frame:Double Pane with Low-E 29 0.290 8 SHGC:0.27 Orientation:Front Window 17:Vinyl Frame:Double Pane with Low-E 8 0.290 2 SHGC:0.27 Orientation:Front Window 18:Vinyl Frame:Double Pane with Low-E 8 0.290 2 SHGC:0.27 Orientation:Front Door 1:Solid 20 0.350 7 Orientation:Front Door 2:Solid 20 0.350 7 Orientation:Front Wall 6:Wood Frame,16"o.c. 378 25.0 0.0 19 Orientation:Right Side Window 19:Vinyl Frame:Double Pane with Low-E 20 0.290 6 SHGC:0.27 Orientation:Right Side Wall 7:Wood Frame,16"o.c. 450 25.0 0.0 15 Orientation:Back Window 20:Vinyl Frame:Double Pane with Low-E 27 0.290 8 SHGC:0.27 Orientation:Back Window 21:Vinyl Frame:Double Pane with Low-E 39 0.290 11 SHGC:0.27 Orientation:Back Window 22:Vinyl Frame:Double Pane with Low-E 27 0.290 8 SHGC:0.27 Orientation:Back Window 23:Vinyl Frame:Double Pane with Low-E 58 0.290 17 SHGC:0.27 Orientation:Back Door 3:Solid 16 0.350 6 Orientation:Back Wall 8:Wood Frame,16"o.c. 378 25.0 0.0 17 Orientation:Left Side Window 24:Vinyl Frame:Double Pane with Low-E 20 0.290 6 SHGC:0.27 Orientation:Left Side Door 4:Solid 16 0.350 6 Orientation:Left Side Door 5:Solid 16 0.350 6 Orientation:Left Side Wall 9 Basement:Solid Concrete or Masonry:Interior Insulation 400 19.0 0.0 24 Orientation:Front Wall 10:Solid Concrete or Masonry:Interior Insulation 72 19.0 0.0 4 Orientation:Right Side Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 2 of 9 Wall 11:Wood Frame,16"o.c. 36 25.0 0.0 2 Orientation:Right Side Wall 12:Solid Concrete or Masonry:Interior Insulation 36 19.0 0.0 2 Orientation:Right Side Wall 13:Wood Frame,16"o.c. 234 25.0 0.0 11 Orientation:Right Side Window 25:Vinyl Frame:Double Pane with Low-E 19 0.290 6 SHGC:0.27 Orientation:Right Side Wall 14:Wood Frame,16"o.c. 450 25.0 0.0 18 Orientation:Back Window 26:Vinyl Frame:Double Pane with Low-E 13 0.290 4 SHGC:0.27 Orientation:Back Window 27:Vinyl Frame:Double Pane with Low-E 53 0.290 15 SHGC:0.27 Orientation:Back Door 6:Glass 40 0.350 14 SHGC:0.33 Orientation:Back Wall 15:Solid Concrete or Masonry:Interior Insulation 56 19.0 0.0 3 Orientation:Left Side Wall 16:Wood Frame,16"o.c. 70 25.0 0.0 4 Orientation:Left Side Wall 17:Solid Concrete or Masonry:Interior Insulation 252 19.0 0.0 15 Orientation:Left Side Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1701 19.0 0.0 80 Floor 2:All-Wood Joist/Truss:Over Outside Air 20 25.0 0.0 1 Floor 3:All-Wood Joist/Truss:Over Outside Air 8 25.0 0.0 0 Floor 4:All-Wood Joist/Truss:Over Unconditioned Space 1448 19.0 0.0 68 Boiler 1:Other(Except Gas-Fired Steam)84 AFUE 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 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. �- Name-Title Signature Date Project Title: Report date: 10/08!12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 3 0 9 I1� REScheck Software Version 4.4.3 Inspection Checklist C�J( Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 0 deg.from North Conditioned Floor Area: 4972 ft2 Glazing Area Percentage: 13% Heating Degree Days: 6322 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-48.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1 2nd Floor:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-25.0 cavity insulation i Comments: i ❑ Wall 3:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 4:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 5 1 st floor:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 6:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 7:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 8:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 9 Basement:Solid Concrete or Masonry:Interior Insulation,R-19.0 cavity insulation Comments: ❑ Wall 10:Solid Concrete or Masonry:Interior Insulation,R-19.0 cavity insulation Comments: ❑ Wall 11:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 12:Solid Concrete or Masonry:lnterior Insulation,R-19.0 cavity insulation Comments: ❑ Wall 13:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 14:Wood Frame,16"o.c.,R-25.0 cavity insulation Comments: ❑ Wall 15:Solid Concrete or Masonry:Interior Insulation,R-19.0 cavity insulation Comments: ❑ Wall 16:Wood Frame,16"o.c.,R-25.0 cavity insulation Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 4 of 9 Comments: ❑ Wall 17:Solid Concrete or MasonryAnterior Insulation,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 3:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled LI-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 4:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 7:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑Window 8:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled LI-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 9:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 10:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 11:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments: ❑ Window 12:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 5 of 9 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 13:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 14:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments: ❑ Window 15:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments: ❑ Window 16:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 17:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 18:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled LI-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 19:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes—No Comments: ❑ Window 20:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window 21:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 22:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 23:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 24:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Project Title: Report date: 10/08/12 Data filename:CAUsers\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 6 of 9 Comments: ❑ Window 25:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 26:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 27:Vinyl Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: Doors: ❑ Door 1:Solid,U-factor:0.350 Comments: ❑ Door 2:Solid,U-factor:0.350 Comments: ❑ Door 3:Solid,U-factor:0.350 Comments: ❑ Door 4:Solid,U-factor:0.350 Comments: ❑ Door 5:Solid,U-factor:0.350 Comments: ❑ Door 6:Glass,U-factor:0.350 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:All-Wood Joist/fruss:Over Outside Air,R-25.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 3:All-Wood Joist/Truss:Over Outside Air,R-25.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 4:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):84 AFUE or higher Make and Model Number: 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/doorjambs 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. Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 7 of 9 Wood-burning fireplaces have gasketed doors and outdoor combustion air. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. 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 50 pascals 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. (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Fi Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. F1 Insulation R-values,glazing LI-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: C] All ducts not completely inside the building envelope are insulated to at least R-6. Duct Construction and Testing: Lj Building framing cavities are not used as supply ducts. F1 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 181A 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). Lj 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 397.8 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 596.6 cfm(12 cfm per 100 ft2 of conditioned floor area). (3)Rough-in total leakage test with air handler installed:Less than or equal to 298.3 cfm(6 cfm per 100 ft2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Less than or equal to 198.9 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: 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: ❑ Circulating service hot water pipes are insulated to R-2. Lj Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Cj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Cj Heated swimming pools have an on/off heater switch. Project Title: Report date: 10/08/12 Data filename:C:\Users\Matana Homes\Documents\REScheck\Royal Oaks.rck Page 8 of 9 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. ❑ 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. Other Requirements: o 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. 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Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ,. www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ldayt Gym ec-, Address: PCO City/State/Zip: 'Ip—,N ;4:-G e,A f}f 0 s V6/ Phone#: 'y / �O 3 7 6 Are you an employer?Check the appropriate box: Type of project(required): 1 P 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.❑ I am a sole proprietor or partner- listed on the attached sheet. # 7• LJRemodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical.repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 1311 Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Cam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site °reformation. :assurance Company Name: 91 ✓a gop-r ?olicy#or Self-ins.Lic.#: b.)C Z?-$ 3 6a3 770- ( Expiration Date: 20/� lob Site Address:_ {ve�►� `�C�fe�►' )e�,,o9w. City/State/Zip: P'G41171—0? / Utach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). / ,ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. Flo hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. signature: Az-IKAA " �G Date. Oe —3 ( Z 01 e—'hone#: �D l�/,,;7 37 �9 Official use only. Do not write in this area,to be completer)by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other_ Contact Person: Phone#: 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 dwellinghouse having n g 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 Y emP to er." 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 commonwealthfor 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 s 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 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,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 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 a 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 permit/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 permits or licenses. A new 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 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 Department 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.2ov/dia r Massachusetts Department of P Board of BuildingRegulations Public Safety e g ations and Standards Construction Supenisor License: CS-073602 -MATTHEW N O PO BOX 283 L,�ON.. RINDGE NH 03461 I /_ cxpiratlon Commissioner 04/05/2014 r