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HomeMy WebLinkAboutMiscellaneous - 1701 DOGWOOD CIRCLE 4/30/2018 s O V G 4 i Location /7�2� No. �� / Date • ,.ORTp TOWN OF NORTH ANDOVER 41, P Certificate of Occupancy $ /00 Building/Frame/Frame Permit Fee $ s�CHusa 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /V*7/ 2444 ; lBu)ding Inspector v «ORT► �oLiar p ascRui CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 504-2011 Date: August 4, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1701 Dogwood Drive, Buildin�#17 North Andover, MA 10845 �/o VRD Acquisitions LLC MAY BE OCCUPIED AS 1 of 3 Town Houses IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate issued to: VRD Acquisitions LLC 100 Andover Bypass, Suite 203 North Andover,MA 01845 1 Building Inspector Fee: 100.00 Receipt: 24445 3 NORTFI � _ over _ 0 of _ - o o dover, Mass., co MIC ME WICK �AD'4ATED �y qS E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING THIS CERTIFIES THAT . ., ....., �.. '.. . '� '� �.. Foundation --z�' has permission to erect........... ...................... buildings on .. '.%z:�°'..:: .....................�._r�....` ... r ti�4? ...... ; Roug to be occupied as.....,�.� ... r..� y ....> .:. �.�� .:.�.. ,,� .......................................................................................... ney Chim provided that the person accepting this permit shall in every respect conform to the terms of the application on file in gn l 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. 7� Y 4�0& PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INS ECTOR. UNLESS CONSTRUCTION ST,�WS Rough (('P'0 Service ...............................: ..::.. .............. .:.................... ..... BUILDING INSPECTOR Fin 2— Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final a No Lathing or Dry Wall To Be Done FIRE D P E Until Inspected and Approved by the Building Inspector. Burner � ?0�2_ ' Street No. SEE REVERSE SIDE Smoi e Det. vnnl � ijeR 4 riv APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY : I70 m4p Parcel 00-), Lot Number SUMMON A DATE REQUESTED FILEDIREADY FOR INSPECTION CLOSING ®ATE ON PROPERTY:` Q FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE DS REQUIRED ALL WORK AND SIGN-OFFS MUST SE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.0g)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address SIGNED , ROUTING E�_ CONSERVATION .f PLANNING I DPW-WATER DETER �' v)i Y I )o SEWERMATER CONNECTION EZ]/ N® DPW MUST BNDQCATE THAT THE WATER METER HAS BEEN INITALLED PRIOR To SUBMUTTAL OF THE OCCUPANCl(ANSPECTRON REQUEST DPW Signature Fft: Application for OC fwm revised Jan 2007 Alic-MKTM MatlChester Street,Nashua,N.H. 03064-2114 - ROBERT J. Vqq C�a.,sC6�A CH �e8ARCIff •- Tel:603 P 666®1736 FINAL AFFIDAVIT- ®n this•// day of before me, nl a Notar4ublic duly commissioned and qualified for the Commonwealth of Massachusetts, personally appeared G)2� ,T . who inspected the construction of - (Property Name) (Street AddrAss) under Permit## 0 6= and that this structure conforms to the submitted plans and to the codes of the City/Town of gN,-�wjb-, �+-.����' , and the .Commonwealth of Massachusetts. e Further, that all required approvals.and materials affidavits have been submitted, and that there are no pending violations of Law of Orders of the Department of Public { Buildings, I, as the Architect/Engineer who is signing the affidavit hereby certify that 1 is a dateinspected the.* roperty located 1,� t 03�; (Street Address) and find that the locus comply with my plans and specifications and all Rules and Regulations of the codes of the City/Town of W Jcv�nd the Commonwealth of Massachusetts. ,RED AA THEREFORE I REQUEST A CERTIFICATE OF OCCUPSAE ADDRESS. 00� B0S10�1. ` ®RIGI ' ND SEAL SUBSCRIBED AND J, DAY OFQDV, .2o// , SE ® W c Notary Public SJ \ ! Commonwealth of Massachusetts My Commission Expires Feb 8,2013 NOTARY PUBLIC 9503 Date.... '.... ..� ..... A yORTI� °f+"`° '•1"° TOWN OF NORTH ANDOVER AL p PERMIT FOR WIRING This certifies that .........A..e..�..�.......... L��c7?��.c....................... has permission to perform ....MM3.. .<r.�.. M...... !U S....................... wiring in the building of.......1.:.t i..`S.... .. .. ........................... .. . :::.. ` r 61 at...f. .............4�?4.. ............. ............ Q.;i.-,North Andover,Mass. Fee.�..�'r..�'. . Lic.No.fe 11 63Z��.... .. .... . .......... 4 ELECTRICAL INSPECTOR Check # /` ��� �11 IiVI►►►►/U►IWCQILII W I•IdJJQWIUJC{W --- --- - '' Department of Fire Services Permit No. Occupancy and Fee Checked w BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives t i� of his or her intention to perform the electrical work described below. Location(Street&Number) ulc /"-C( � Owner "- Owner or Tenant Telephone No. Owner's Address O .irk 6 14 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building fvC W Utility Authorization No. 1,9/7. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service y(00 Amps l O /, tZVolts Overhead❑ Undgrdl>( No.of Meters Number of Feeders and Ampacity 3 Q Location and Nature of Proposed ElectricalWork: - I iSwf nrA-S ,�, G,'I' dtt sic/U2_4,2 A/,'// S Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets. No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ....................................................... Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: O 0 (When required by municipal policy.) Work to Start:- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V+ GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: e C LIC.NO.: �2 0 C(Yo Licensee: SignatureLIC.NO.:�D U (If applicable, enter "exempt tin the license number line) Bus.Tel.No.: Address: Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's Owner/Agent PERMIT FEE. $ Signature Telephone No. I , f lea / 7 z-� r The Commonwealth of Massachusetts 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): 10/? FleC_ Address: �oN p p/ r City/State/Zip: [A/rN !'1 ao,,� �� Q�U�? Phone#: �� G2G(— 6 ��� Are on 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.E] I am a sole proprietor or partner- listed on the attached sheet. $ E]Remodeling 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.❑ I 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 12.0 Roof repairs insurance required.]t employees. [No workers' 13.0 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. L Insurance Company Name: S,,a T C.. / Policy#or Self-ins.Lic.#: Expiration Date: / Job Site Address: E &q (,✓o d o 1 City/State/Zip: �'/�Nd 7,/ f r Attach a copy of the workers' compensation 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 form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pai d penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: Official use 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 Contact Person: Phone#: COMcheck Software Version 3.9.2 Envelope Compliance Certificate p cat e 2009 IECC Section 1: Project Information Project Type: New Construction Project Title: Building 17-Unit 1701 Construction Site: Owner/Agent: Designer/Contractor: 2357 Turnpike Street Tony Mesiti Robert Vorbach 1701 Dogwood Circle— VRD Acquisition,LLC Vorbach Architecture North Andover,MA 01845 100 Andover ByPass 58 Manchester Street Permit No.504 Suite 203 Nashua,New Hampshire,NH Permit Date: 11-05-2010 North Andover,MA 01845 03064-2114 978-687-5300 603-886-1738 dvorbach@mmcast.net Section 2: General Information Building Location(for weather data): North Andover,Massachusetts Climate Zone: 5a Building Space Conditioning Type(s): Residential Vertical Glazing!Wall Area Pct.: 8% Skylight Glazing/Roof Area Pct.: 1% Activity Type(s) Floor Area Multifamily 2764 Section 3: Requirements Checklist opq Climate-Specific Requirements: Component Name/Description Gross Cavity Cont. Proposed Budget Area or R-Value R-Value U-Factor U-Factor(a) Perimeter Roof 1:Attic Roof with Wood Joists 1221 38.0 0.0 0.027 0.027 Skylight 1:Wood Frame:Double Pane with Low-E,Tinted,SHGC 10 – -- 0.480 0.600 0.22 Exterior Wall 1:Wood-Framed, 16"o.c. 2215 19.0 0.0 0.067 0.051 Window 1:Vinyl Frame:Double Pane with Low-E,Tinted,SHGC 174 -- — 0.320 0.350 0.27 Door 1:Glass(>50%glazing):Nonmetal Frame,Non-Entrance 14 — — 0.320 0.350 Door,SHGC 0.27 Door 2:Other Door,Swinging 20 — --- 0.160 0.700 Floor 1:Slab-On-Grade:Heated,Horizontal with vertical 4 ft. 126 — 10.0 -- — Floor 2:Wood-Framed 44 50.0 0.0 0.022 0.033 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. (b)'Other components require supporting documentation for proposed U-factors. IM/ r Leakage, Component Certification,and Vapor Retarder Requirements: All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material installed in accordance with the manufacturer's installation instructions. M `• Windows,doors,and skylights certified as meeting leakage requirements. Project Title: Building 17- Unit 1701 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR_Building 17–Unit 1701.cck Page 1 of 2 /Component R-values&U-factors labeled as certified. ✓ YL�4 No roof insulation is installed on a suspended ceiling with removable ceiling panels. 'Other'components have supporting documentation for proposed U-Factors. l�6. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. ❑ 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized dampers. ❑ 8. Cargo doors and loading dock doors are weather sealed. ❑ 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk. ❑ 10.Building entrance doors have a vestibule equipped with self-closing devices. Exceptions: ❑ Building entrances with revolving doors. ❑ Doors not intended to be used as a building entrance. ❑ Doors that open directly from a space less than 3000 sq.ft.in area. ❑ Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors. ❑ Doors opening directly from a sleeping/dwelling unit. Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the 2009 IECC requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title A aq \ _ Signature Date Project Notes: � ED A�c' J Building 17 is a wood frame three unit structure built on a concrete slab. - J. V(,y� C N0. 9085 "' BOSTO+Y, MASS. tit Project Title: Building 17-Unit 1701 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR_Building 17—Unit 1701.cck Page 2 of 2 : COMcheck Software Version 3.9.2 Envelope Compliance Certificate p 2009 IECC Section 1: Project Information Project Type: New Construction Project Title: Building 17-Unit 1702 Construction Site: Owner/Agent: Designer/Contractor: 2357 Turnpike Street Tony Mesiti Robert Vorbach 1702 Dogwood Circle VRD Acquisition,LLC Vorbach Architecture North Andover,MA 01845 100 Andover Bypass 58 Manchester Street Permit No.504 Suite 203 Nashua,New Hampshire,NH Permit Date: 11-05-2010 North Andover,MA 01845 03064-2114 978-687-5300 603-886-1738 dvorbach@wmcast.net Section 2: General Information Building Location(for weather data): North Andover,Massachusetts Climate Zone: 5a Building Space Conditioning Type(s): Residential Vertical Glazing/Wall Area Pct.: 14% Activity Tvae(si Floor Area Multifamily 2264 Section 3: Requirements Checklist a Climate-Specific Requirements: Component Name/Description Gross Cavity Cont. Proposed Budget Area or R-Value R-Value U-Factor U-Factor(a) Perimeter Roof 1:Attic Roof with Wood Joists 763 38.0 0.0 0.027 0.027 Exterior Wall 1:Wood-Framed,16"o.c. 982 19.0 0.0 0.067 0.051 Window 1:Vinyl Frame:Double Pane with Low-E,Tinted,SHGC 113 -- -- 0.320 0.350 0.27 Door 1:Glass(>50%glazing):Nonmetal Frame,Non-Entrance 29 -- -- 0.320 0.350 Door,SHGC 0.27 Door 3:Other Door,Swinging 20 — — 0.160 0.700 Exterior Wall 2:Wood-Framed,24"o.c. 51 0.0 31.6 0.028 0.051 Floor 1:Slab-On-Grade:Heated,Horizontal with vertical 4 ft. 43 -- 10.0 -- — Floor 2:Wood-Framed 70 50.0 0.0 0.022 0.033 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. (b)'Other'components require supporting documentation for proposed U-factors. Air Leakage, Component Certification, and Vapor Retarder Requirements: 2(1. All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material installed in accordance with the manufacturer's installation instructions. �. Windows,doors,and skylights certified as meeting leakage requirements. i� Component R-values&U-factors labeled as certified. . No roof insulation is installed on a suspended ceiling with removable ceiling panels. Project Title:Building 17-Unit 1702 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR–Building 17–Unit 1702.cck Page 1 of 2 .�j . 'Other'components have supporting documentation for proposed U-Factors. / 6. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that S� achieves the rated R-value without compressing the insulation. ❑ 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized dampers. ❑ 8. Cargo doors and loading dock doors are weather sealed. ❑ 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk. ❑ 10.Building entrance doors have a vestibule equipped with self-closing devices. Exceptions: ❑ Building entrances with revolving doors. ❑ Doors not intended to be used as a building entrance. ❑ Doors that open directly from a space less than 3000 sq.ft.in area. ❑ Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors. ❑ Doors opening directly from a sleeping/dwelling unit. Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the 20091ECC requirements in COMcheck Version q3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Signature Date J.Vp Project Notes: Building 17 is a wood frame three unit structure built on a concrete slab. o No. 9083 BOSTON, MASS. �T of to Project Title: Building 17-Unit 1702 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR_Building 17—Unit 1702.cck Page 2 of 2 J M :1 COMcheck Software Version 3.9.2 Envelope Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title:Building 17-Unit 1703 Construction Site: Owner/Agent: Designer/Contractor: 2357 Turnpike Street Tony Mesiti Robert Vorbach 1703 Dogwood Circle VRD Acquisition,LLC Vorbach Architecture North Andover,MA 01845 100 Andover ByPass 58 Manchester Street Permit No.504 Suite 203 Nashua,New Hampshire,NH Permit Date: 11-05-2010 North Andover,MA 01845 03064-2114 978-687-5300 603-886-1738 dvorbach@comcast.net Section 2: General Information Building Location(for weather data): North Andover,Massachusetts Climate Zone: 5a Building Space Conditioning Type(s): Residential Vertical Glazing/Wall Area Pct.: 10% Activity Type(s) Floor Area Multifamily 2283 Section 3: Requirements Checklist Climate-Specific Requirements: Component Name/Description Gross Cavity Cont. Proposed Budget Area or R-Value R-Value U-Factor 1.11-Factor(a) Perimeter Roof 1:Attic Roof with Wood Joists 772 38.0 0.0 0.027 0.027 Exterior Wall 1:Wood-Framed, 16"o.c. 1822 19.0 0.0 0.067 0.051 Window 1:Vinyl Frame:Double Pane with Low-E,Tinted,SHGC 159 -- -- 0.320 0.350 0.27 Door 1:Glass(>50%glazing):Nonmetal Frame,Non-Entrance 29 — -- 0.320 0.350 Door,SHGC 0.27 Door 3:Other Door,Swinging 20 — – 0.160 0.700 Exterior Wall 2:Wood-Framed,24"o.c. 131 0.0 31.6 0.028 0.051 Floor 1:Slab-On-Grade:Heated,Horizontal with vertical 4 ft. 78 -- 10.0 -- — Floor 2:Wood-Framed 60 50.0 0.0 0.022 0.033 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. (b)'Other'components require supporting documentation for proposed U-factors. Ir Leakage, Component Certification, and Vapor Retarder Requirements: 1. All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material installed in accordance with the manufacturer's installation instructions. l2 `• Windows,doors,and skylights certified as meeting leakage requirements. Component R-values&U-factors labeled as certified. is 4 No roof insulation is installed on a suspended ceiling with removable ceiling panels. Project Title: Building 17-Unit 1703 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR–Building 17–Unit 1703.cck Page 1 of 2 J 'Other components have supporting documentation for proposed U-Factors. ` 6. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that { ` achieves the rated R-value without compressing the insulation. ❑ 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized dampers. ❑ 8. Cargo doors and loading dock doors are weather sealed. ❑ 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk. ❑ 10.Building entrance doors have a vestibule equipped with self-closing devices. Exceptions: ❑ Building entrances with revolving doors. ❑ Doors not intended to be used as a building entrance. ❑ Doors that open directly from a space less than 3000 sq.ft.in area. ❑ Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors. ❑ Doors opening directly from a sleeping/dwelling unit. Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the 20091ECC requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. - 2Q1n-el1— 3 \101A1--1 J1 -t o f 3 Name-Title SignatureRED AAc'�� Date Project Notes: ' �� J. � y Building 17 is a wood frame three unit structure built on a concrete slab.. CD No 9085 . of M Project Title: Building 17-Unit 1703 Report date: 08/27/13 Data filename:C:\Users\Owner\Documents\COMcheck\MR_Building 17—Unit 1703.cck Page 2 of 2