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Miscellaneous - 21 COTUIT STREET 4/30/2018
Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that 1-C Lzu /h .................... / ............................................... ........................................... .. �4 /, a dooz, has permission to perform .............. W ..... ..................................... Q wiring in the building of .......... .... . ......................................... at 0 T—Lj h A Nortndover Mass. L Fee........ Lic. No . ...... ........... ........... ECTRICAL INSPECTOR Check # Commonwealth of Massachusetts Official Use Only - Department of Fire Services Permit No. �Z Occupancy and Fee Checked ,M BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 C,7 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector f IYres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location Street & Number Owner or Tenant/SI/ L L Telephone No. 'V- - Owner's Address Pd / O' G Is this permit in conjunction with a building per it. Yes No ❑ (Check A priate Box) Purpose of Building / /�✓DP,�C Utility Authorization %��d � % Existing Service Amps / Volts Overhead ❑ Undgrd ❑ o. e New Service �� Amps v / �olts Overhead IC Undgrd ❑ No. of Meters _? Number of Feeders and Ampacity c��il7� 'I.L'/Vj�G W1744 c)- &N,4/, e' r-4 Location and Nature of Proposed Electrical Work: Completion of the -following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Cell: (Paddle) Fans of Total TransSusp. Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- E] rnd. grnd. No. of Emergency Lighting Batter 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 Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number .......................................................... Tons KW No. of Self-Contained 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 Heaters No. of No. of Signs Ballasts Data Wiring: 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 Elec ical Work: � (When required by municipal policy.) Work to Start: (2Inspec ions to be requested in accordance with MEC Rule 10, and upon completion. PNSURANCE COVE E: 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 a BOND ❑ OTHER ❑ (Specify:) Icertify, under the sins and pen hies ofperjury, that the information on this application is true and complete. FIRM NAME: ✓_ , v� �i�� rr'Z/7 i '� //I J pI L7rc Cly► LIC. NO.: Licensee: �/i� ��,�/rCn Signature LIC. NO.: (If applicable, enter "exempt" in the license number linea Bus. Tel. No.• c^ Address: lsrDfj/�glif t�<-� �Q� Alt. Tel. No.: Per M.G.L c. 147, s. 57-61, security work requires Department o '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 agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. 'S ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Passe Failed ❑ Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass [N Failed Re- Inspection Required ($.) ❑ Inspectors Commen . Inspectors Signature: 9 Date: PARTIAL ROUGH INSPECTION: Pass EN Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSP CTION: Pass 0 X Failed Re- Inspection Required ($.) ❑ Inspectors Co ents: ' Inspectors Signature: Date: FINAL INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comme 2--11-7 -is- Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of IndustrialAcciclents Office Of investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual):, r r Address;S2,?f S y r A/K City/State/Zip:s/d 1, ! /(4j4 (J/M_Phone #: 771- 6 Y5— M� Armee yyoou an employer? Check the appropriate box: - 1. IJI J. am a employer with �_ 4. ❑ I am a general contractor and 1 employees (full and/or part-time).` have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner, doing all work right of exemption per MGL myself. [No workers' comp. c.152, § 1(4), and we have no insurance required.] employees. [No workers' comp. insurance required.] Type of profect (required): 6. ew construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 1011 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roofrepairs ME] Other 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. T Homeowners who submit this affidavit indicating they ice doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that 1s providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company 1_ Policy # or Self -ins. Lie. #: "/ //✓� t" �—�% �� 6 Expiration Date: Job Site Address; �'/ �� �T • City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as wellas 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. rdo hereby certify under Agpyois andpenalties ofperjury that the information pro vided ab o ve is true and correct. Official use only. Do not write in this area, to be completed by city or town offrcial. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone #: Information and Instruction' -s 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 ofits political subdivisions shall enter into any contract for the performance ofpublic 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, a policy is required. Be advised that this affidavit maybe 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 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 ox permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 Commowmlthof Massachusetts Do-pailment of Indusbial .A.ccidants Office of westigat> ons 600 Wash?tagto.n Street Bostu MA.02111 TO, # 617-727-4.900 ext 406 or. 1-8.77�;MASSAFE Revised 5-26-05 Fax # 617-727-7749 Date../ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that...................................uJ/./�Ll......................................... has permission to perform ...... U /,L E, wiring in the building of..........��'/y%F r C ............ at .....Z. �...........° .�-v'....<..................... S.l.......-..... ,North Andover, Mass. Fee .....3.. ......... Lic. No. 3. �............:... /J ............. k,,. ............. ELECTRICAL INSPEC , R Check # _ ` tt (rh 4- (q?f 109 -) 3 5_� Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services ' Occupancy and Fee Checked 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 (NEC), 527 C 12.00 (PLEASE PRINT ININK OR TYPE ALL .INFORMATION) Date: City or Town of. NORTH .ANDOVER To the Inspecto of * es: By this application the undersigned gives notice of his or her intention to per orm the electrical work described below. Location (Street & Number) Owner or Tenant dr �-t / (' Telephone No. W Owner's AddressiNW ylf Is this permit in conjunction with a building permit? Yes � No ❑ (Check A ropriate Box Purpose of Building e JG' Utility Authorization No. T1 Z9 3 7 P � Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of New Service dQO Amps / 2 9V 0 —Its Overhead �— Undgrd ❑ No. of Meters Number of Feeders and Ampacity b2OVAAV►/� �� G✓t %►� �`� �'� Location and Nature of Proposed Electrical Work: Com letion -Rhe following table may be waived by the Inspector of Wires. Id 4,�. s Attach additional detail y desired, oras required by the specO, o Estimated Value of Electrical Work: / (,Q, (When required by municipal policy.) Work to Start: Insp—ectiions to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: 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 cover e is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, tinder thepains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. r t r c �� �► LTC. NO.: Licensee: di h t_, ✓ /7 Signature LIC. NO.: 3 (If applicable, en er "exempt" in the license number line Bus. Tel. No.: Address: t ��(� //, s`i'll 2� Alt. Tel. No.: 3� *Per M.G.L c. 147, s. 57-61, security work requiress apartment o 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 agent. Owner/Agent PERMIT FEE.- $ Signature Telephone No. P No. of Total No. of Recessed Luminaires No. of Cell: Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. rnd. ❑ o. o mergency ig ting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiatin Devices of Ranges TotNo. No. of Air Cond. Tons No. of Alerting Devices HeaTotmlP Number KW,.._ No. of Self -Contained No. of Waste Disposers .Tons Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW Municipal Other Local ❑Connection ❑ No. of Dryers Heating Appliances �r Security Systems:Y No. of Devices or E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: T_ t f WZres Id 4,�. s Attach additional detail y desired, oras required by the specO, o Estimated Value of Electrical Work: / (,Q, (When required by municipal policy.) Work to Start: Insp—ectiions to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: 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 cover e is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, tinder thepains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. r t r c �� �► LTC. NO.: Licensee: di h t_, ✓ /7 Signature LIC. NO.: 3 (If applicable, en er "exempt" in the license number line Bus. Tel. No.: Address: t ��(� //, s`i'll 2� Alt. Tel. No.: 3� *Per M.G.L c. 147, s. 57-61, security work requiress apartment o 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 agent. Owner/Agent PERMIT FEE.- $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8—Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass EN Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Com s: CC /C/1 Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass [N Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass IE Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION• Pass Failed ❑' Re- Inspection Required ($.) ❑ Inspectors Comments: -- Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com 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 AAnlicant Information Please Print Leizibly Name (Business/Organizati6n/Individual):_ Address: J V' �rTOSI/C� City/State/Zip: Phone #: f%O 4 fzr Armee you an employer? Check the appropriate box: L 1 am a employer with 4. ❑ I am a general contractor and I _� employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑-I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' ' comp. insurance required.] Type of pr ' t (required): 6. LTNew construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they 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. am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site zformation. , / , / A isurance Company Name:, olicy # or Self -ins. Lic. #: ��7 «C�� ���r�� Expiration Date:C��c) 33 % ib Site .P, ddress: D 7/(� City/State/Zip: N .ttach a -copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure toy secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 F up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of westigations of the DIA for insurance coverage verification. do hereby certify and r e pains and penalties ofperjury that the information provided above is trite and correct i nature: Date_ _/I Official rise only. Do not write in this area, to be, completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. 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 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, 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 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 of 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 Fax # 617-727-7749 evised 5 -26 -OS www rnacc vnu/clic Date .9.:..a q..... I.."!...... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ......1�1.:...... ``.'.'%A-- '."......... ...................e................ has permission to perform ......... e J c ��- ................................................. plumbing in the buildings of......S..L.``..; ..'.. "'`r'.... �""`� "' L .L c ............................................. 1.c-.1 ` Cot.,�.,�C ST _ at ........ .......... ................. .... Nort4,Andover, Mass. Fee . -5 1 3 -t z� bb-� ........-` O'... Lic. No............................................................................ . ... ............. PLUMBING INSPECTOR Check # 2 Q 10 4a'\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK u,p P TYPE OR PRINT CLEARLY CITY North Andover MA DATE 9/29/14 PERMIT # MIL JOBSITE ADDRESS 19-21 Cotuit St. OWNER'S NAME Seaport Homes LLC OWNER ADDRESS PO Box 8225, Bradford MA 01835 TEL 508-509-4018 FAX OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL ZI NEW: ® RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ® NO ❑ FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 2 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER 2 DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK 2 LAVATORY 2 4 ROOF DRAIN SHOWER STALL 2 SERVICE / MOP SINK TOILET 2 4 URINAL WASHING MACHINE CONNECTION 2 WATER HEATER ALL TYPES 2 WATER PIPING 2 OTHER Sillcock 4 INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES ® NO ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ® OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE W IV I amware that the rnsee does not have the insurance coverage required by Chapter 142 of the Massachusetts Ge I a s y 'g aturehispermit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OW 00 AG NT I hereby certify that all of the details and information I ha submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Robert J. Frazier LICENSE # 13425 SIGNATURE MP ® JP ❑ CORPORATION ❑ # PARTNERSHIP ❑ # LLC ❑ # COMPANY NAME Bomar Plumbing & Heating ADDRESS PO Box 694 CITY Derry STATE NH zip 03038 TEL 603-325-8958 FAX CELL EMAIL Bob@BomarPH.com '_q1 r The Commonwealth of Massachusetts I— nil 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/Organizarion/Individual): Bomar Plumbing & Heating Address: PO Box 694 uerry, iVhi u,5uju Phone #: 603-32: Are you an employer? Check the appropriate bog: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2.XQ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t employees and have workers' comp. insurance.$ ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] i-8958 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11. M Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. I 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Fire Insurance Company Policy # or Self -ins. Lic. #: WC2-31 S366059-022 Expiration Date: 22 -Apr -15 Job Site Address: 19-21 Cotuit St City/State/Zip: N Andover MA 01845 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. Ido hereby ceriifi un�14 iWe pAs aW naltjs pf perjury that the information provided above is true and correct Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # 9/29/14 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 #: 1. • _ 'C'► Date ...........l...:.:. `?t 7'.......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installation ......=-�......- ................... in the buildings of .....S....5..?.4K. �......A., A. t ............. L....-....................... at .....1. +........ ........�.. .:��� .:I.JJk .. ........................North Andover, Mass. Fee ..19 a-0.. Lic. No. �....' {. �. ..... ..........<: ...5 w. ................................. GAS INSPECTOR Check # t 0 Z '. TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Andover MA DATE 9/29/14 PERMIT # JOBSITE ADDRESS 19-21 Cotuit St. OWNER'S NAME Seaport Homes LLC OWNER ADDRESS PO Box 8225, Bradford MA 01835 TEL 508-509-4018 FAX OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL NEW-® RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ® NO ❑ APPLIANCES 1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 2 DIRECT VENT HEATER DRYER FIREPLACE 2 FRYOLATOR FURNACE 2 GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER 2 OTHER INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES ® NO ❑ I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ® OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE W IV :I are that the Iic�ansee does not have the insurance coverage required by Chapter 142 of the Massachusetts Gee I t signatur oft this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OfAVAER OR AGE I hereby certify that all of the details and information Phave submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASATTER NAME Robert J. Frazier LICENSE # 13425 SIGNATURE MP ® MGF ❑ JP ❑ JGF ❑ LPGI ❑ CORPORATION ❑ # PARTNERSHIP ❑ # LLC ❑ # COMPANY NAME Bomar Plumbing & Heating ADDRESS PO Box 694 CITY Derry STATE NH zip 03038 TEL 603-325-8958 FAX CELL EMAIL Bob@BomarPH.com --A N\ - , 1 cs" I a - a-7� --f-f CALL,- rA Deems, Maura krom: Bob <bob@bomarph.com> Sent: Monday, September 29, 2014 6:47 PM To: Deems, Maura Subject: Re: Insurance Binder Needed Ok no problem. I will have it sent to you tomorrow. Sorry I though you had up to date copy. Thanks Bob Q�w Date. .�.�' {t }`; ........ TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION A I • This certifies that'. `...�;!:...`.'�. ...�'!�'.� �..' ............ has permission for mechanical installation , t L .. ............ in the buildings of ............... at :........ `�:..�.......:.l..:.... , North Andover, Mass. Fee. !.: r - .. Lic. No... ! �.1..... '` : D ....................... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer a Commonwealth of Massachusetts 0h eet 1VYeta1 Pe',lmil Date: V Estimated Job Cost; $ $60(7 Plans Submitted; YES NO ✓: Business License f 9 Permit # AZ Permit Fee: $ 16.Z Plans Reviewed: YES NO Applicant License ## 773( Business Information: Property Owner / rob Location Information: Name;at.Ks hkal�y Nam 0: k Q0 .s Street: 5-5 S W t1y�(tn Street: L) �- City/Town: i.1 sCity/Tooln: Telephone; ����� ��( �(�(03 Telephone: i Photo I,D, required / Copy of Photo I,D; attached: YES NO ' Stnf(CnitLrl J�1 /IVY -Y -unrestricted licensee J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq, ft. / 2 -stories or less Residential; 1-2 family �~ .Iv(ulti-family Condo'/ Townhouses Other Commercial; Office Retail Industrial' Educational Institutional Other Square rootage: under 10;000 sq• ft, over 10,000 sq, 1t• Number of Stories: v2 Sheet metal work to be completed: New Work: Renovation: r i HVAC Metal 'Watershed Roofing Kitchen }exhaust System .Metal Chimney /Vents Air Dailncing Provide detailed description of work to be clone: •-�-5�� � c3�r-o_ ij1 Q � �^ 0. Y K- S..e— a 4 INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes h No ❑ If you have checked Y� indicate the type of coverage by checking the appropriate box below: A liability insurance policy 19""' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does_ _not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box , I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Duct inspection required prior to insulation installation: YES NO Progress Inspections Comments Final Inspection Date Comments Type of License: By ❑ Master Title / ❑ Master -Restricted City/Town meyperson Permit # ou Signature of Licensee Fee $ ❑Joumeyperson-Restricted License Number: Check at www.mass.gov/dal Inspector Signature of Permit Approval 4 d,�D Lo -- Sheet Metal Residential Guidelines / Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to- apprentice ratios / Equipment sized per heating / cooling load calculations Duct work sized per manual "D" calculations Bath / shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) Load Short Form 4 Entire House HEATING SERVICE Franks Heating Service 555 Woburn St, Tewksbury, MA 01876 Phone: 978-851-4403 Fax: 978-851-0398 For: lot 2 cotuit rd north andover ma Job: Date: Jul 16, 2014 By: HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80AFUE 0 Btuh Design . Btuh Htg Clg Infiltration Outside db (°F) 1 88 Method Simplified Inside db (°F) 70 75 Construction quality Average Design TD (°F) 69 13 Fireplaces 1 (Average) Daily range - M Inside humidity (%) 30 50 Moisture difference (gr/Ib) 28 28 HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80AFUE 0 Btuh 0 Btuh 0 OF 1070 cfm 0.027 cfm/Btuh 0 in H2O COOLING EQUIPMENT Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 0 SEER Area (ft2) 0 Btuh 0 Btuh 0 Btuh 1070 cfm 0.046 cfm/Btuh 0 in H2O 0.89 2875 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) Clg AVF (cfm) kit 156 2482 2674 68 123 din 180 4962 2875 136 132 foy 160 4658 1667 127 77 lav 42 641 84 18 4 fam 198 2997 1758 82 81 bed1 144 5629 4011 154 185 bath 96 1763 1226 48 56 bed2 156 2305 1362 63 63 mas 225 4852 2084 133 96 m bath 88 2863 1093 78 50 wic 63 1129 223 31 10 nnc AOCn A10A 111 101 hall Luo-tV.JL. -r 1 V - 1-1 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. .. + wrightSOW Right -Suite® Universal 201515.0.03 RSU10062 ACCK ...=ProjectVot 2 cotuit rd north andover ma.rup Calc= MJ8 Front Door faces: N 2014 -Sep -24 15:53:42 Page 1 Entire House d 1712 39133 23243 1070 1070 Other equip loads 1185 223 Equip. @ 1.00 RSM 23466 Latent cooling 2829 A �An AA7An nnnnr .1 A -M 'Inin IVIHLJ 1/ IL `WO IU LVLVv IV!v v!v Calculations approved byACCA to meet all requirements of Manual J 8th Ed. + wrightsoft" Right -Suite® Universal 201515.0.03 RSU10062 ACCP....C21ProjeotVot 2 ootuit rd north andover ma.rup Calc = MJ8 Front Door faces: N 2014 -Sep -2415:53:42 Page 2 The Commonwealth of Massachusetts Department of Industrial Accidents = +:a Office of Investigations rY 600 Washington Street 77 Boston, MA 02111 www. mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information `1 (� Please Print Lezibly Name (Business/Orgmization/Indijfvidual): �`� 1 I Il S (0 S e 0 6%A (f 11h Address: SSS U o b tk f V�, S� Are you an employer? Check the apbr 1. �am a employer with l 0 employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t 018-) b Phone #: (9-)S 11� S I- 91-103 riate box: 4. E] I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance reauired.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. El Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.0 Roof repairs / 13.H—Other H V A L *Any applicant that checks box #1 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 and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. IaWhim ip oyer rs provcduig workeis' compensaliotiinsurance formy emp7oyeesis ilicy a� joli-- - information. Insurance Company Policy # or Self -ins. Lic. M `,JL 1-0 0 11 3 I () 0 .L, (a Expiration Job Site Address: City/State/Zip: /U d10� v{Y ,MA 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 i gins'and penalties of perjury that the information provided above is true and corred. T�S)ssI-�yOS 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 Cleric 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #• Client#: 53676 HILLISFRAN2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) I TYPE OF INSURANCE 6/26/2014 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 pol)cy(les) 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 HUB Int'1 New England (WILSB) (A"Ic°NN Ext : 978 657-5100 Alc No): 978-988-0038 299 Ballardvale St E-MAIL Wilmington, MA 01887 ADDRESS: PERSONAL & ADV INJURY $ INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Independence Casualty Ins CO 11984 PRODUCTS - COMP/OP AGG $ INSURED Hillis Corp INSURER B: AUTOMOBILE DBA Frank's Heating Service INSURERC: 555 Woburn St INSURER D : Tewksbury, MA 01876 INSURER E: BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident INSURERF: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR EACH OCCURRENCE E PREMISES Ea c&rrrrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I PE 1-1 LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident b UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATIONWCI00113101 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 6/30/2014 I 06/30/201 X VMC STATU- OTH- E.L. EACH ACCIDENT $500000 E . DISEASE - EA EMPLOYEE s5OO OOO DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) EVIDENCE OF COVERAGE FRANK'S HEATING SEVICE 555 WOBURN STREET Tewksbury, MA 01876 ACORD 25 (2010105) 1 of 1 #S1162697/M1140054 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V 7985-ZU7U ACUKU t:UKVUKA I IUN. All rlgntS reservea. The ACORD name and logo are registered marks of ACORD DKO04 ACCORa - li-. CERTIFICATE OF LIABILITY LNSURANCE 0014 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(les) 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 '"TACTTAcTNTER NAW CLIENT coNcE PNOE FAX AIC!No Ext : 888-3;33-4949 A/ No): 5071446-4664 E-MAIL ADDRESS: CLIENTCONTACTCENTER F DINS.COM OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE NAIL# 06/3006/30/2015 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE 51,000,000 INSURED 360-541-7. INSURER 6: HILLIS CORP 555 WOBURN ST INSURER C' INSURER D: TEWKSBURY, MA 01876 INSURER E: GEN'L X INSURER F. PRODUCTS -. COMPIOP. AGO $2,000,000 COVERAGES CERTIFICATE NUMBER: 0 REVISION NUMBER:1 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. INSRLTR 7R OF INSURANCE L ADDTYPE SR SUER WVD POLICY NUMBER POLICJEFF MMIDDMM/GENERAL PM' XPLIMITS A X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR N N 9385795 06/3006/30/2015 EACH OCCURRENCE 51,000,000 PAMREMSES O RENTED 5100,000 MED EXP.(Anyonepersah) EXCLUDED PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L X AGGREGATE OMIT APPLIES. PER: POUCY JECT LOC PRODUCTS -. COMPIOP. AGO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS N N 9385794 06/30/2014 06/30/2015 COMBINED SINGLE LIMIT 5110001000 BODILY INJURY_ (Per person) BODILY. INJURY. (Per wddenQ. PROPERTY.DAMAGE P A X UMBRELLA UABX EXCESS LIAB OCCUR cLAiMs-MADE N N 9385796 06/30/2014 06/30/2015 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 DED I I RETENTION. WORKERS COMPENSATIONWC. AND EMPLOYERS' LIABILITY Y I H ANY. PROPRIETORIPARTNERIEXECUTPA ❑ OFF1GERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A STATU- OTH- TORYLIb11TS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT DESCRIPTION. OF OPERATIONS i LOCATIONS 1. VEHICLES. (Attach ACORD. 101. Additional Remrks aSchedule,, if more space- is required) THIS: CDPY IS, NOT TO, BE: REPRODUCED FOR ISSUANCE OF; CERTIFICATES. 01 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED. REPRESENTATIVE 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (20.10/05) The ACORD name and logo are registered marks of ACORD COMMONWEALTH OF MASSACHUSETTS 1. BOARD OF SHEET METAL WORKERS' ISSUES -THE FOLLOWING LICENSE,..: 1 A.S.A: JOURNEYPERSON-UNRjESTR--I-CTEi9 1 JJ, 1 - TIMOTHY R PALMER t "` y y.. 112 LOWELL AVE Z � � J HAVERHILL,. _.MA 01832-3710 ' 3731`: 09/2.8/16 326259 '�l l U i Date. ......... TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION P s This certifies that A.I..M �' . !� . ? �.�..:!..... ....... I.... I. `... I t. has permission for mechanical installation .: ,1 X� . . . .......... . r in the buildings of —!q `. 7 s..t ....i. ! :' ............... . at .. �. r L .. +.. `..� . ' . l' ... �: �:: } ....... , North Andover, Mass. Fee..lLic. No. % ' .�... 1'.�i1....................... { {L '- `j f j('7 GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth ot'M ssachllsetts Sheet Metal Permit Date: V (p r I 13stimated Job Cost: $T 5-0 o Plans Submitted: YES NO Business .License # �' 9 Pcrmit P Z— t Permit Fee; $ /do7, Plans Reviewed: YES NO Applicant Doense # 3 3 I Business Information: Property Owner / Job Location Information: Name; ITA 3 Lt I ` ��tfat�Ks NtaIn y N1me: C:0�a6-(A 4U q Street: s -S S w Street; I �e -`l-wi , City/Town: --Z�—o k % i i �- S!�r Cfty/'I'orvn: � c,Y (-1� �,1.�«-c Telephone:—(g e-;-5( —L-NO3 Telephone: i Photo I,D• required / Copy of Photo I•D' attached: YES NO stnfrfotlnl J" -Y / 1VS-1-unrestricted licensee J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 Sq. ft. / 2-stor1es or less Residential: 1-2 family Multi -family Condo/Townhouses Other Commercial; Office Retail Industrial' Educational Institutional Other ;quare Footage: under 10,000 sq. ft, over 10,000 sq, 1t• Number of Stories: Sheet metal work to be completed: ;New Work: Renovation: i HVAC Metal 'Watershed Roofing Kitchen Exhaust System .Metal Chimney/ Vents Air Balancing Provide detailed description of work to be clone: -�►-s (I 0,,� W ars-. A r P. w ► �-�,- �L �h ��sew�,, f C.- ►4-; c , 0 I INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes k No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy 19""' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box , I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Duct inspection required prior to insulation installation: YES NO Progress Inspections Comments Final Inspection Comments Inspector Signature of Permit Approval Signature of Licensee License Number: 3-? 3 Check at www.mass.aov/dpi Type of License: By ❑ Master Title ❑ Master -Restricted City/Town oumeyperson Permit #2 ❑J oumeyperson-Restricted Fee $ Inspector Signature of Permit Approval Signature of Licensee License Number: 3-? 3 Check at www.mass.aov/dpi ("A Load Short Form Entire House HEATING SERVICE Franks Heating Service 555 Woburn St, Tewksbury, MA 01876 Phone: 978-851-4403 Fax: 978-851-0398 Project • • • For: lot 2 cotuit rd north andover ma 11 (i✓+, -,k Job: Date: Jul 16, 2014 By: HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFUE 0 Btuh 0 Btuh Htg Clg Infiltration Outside db (°F) 1 88 Method Simplified Inside db (°F) 70 75 Construction quality Average Design TD (°F) 69 13 Fireplaces 1 (Average) Daily range - M Inside humidity (%) 30 50 Moisture difference (gr/Ib) 28 28 HEATING EQUIPMENT Make Trade Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFUE 0 Btuh 0 Btuh 0 OF 1070 cfm 0.027 cfm/Btuh 0 in H2O COOLING EQUIPMENT Make Trade Cond Coil AHRI ref Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 0 SEER 0 Btuh 0 Btuh 0 Btuh 1070 cfm 0.046 cfm/Btuh 0 in H2O 0.89 180 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) Clg AVF (cfm) kit 156 2482 2674 68 123 din 180 4962 2875 136 132 foy 160 4658 1667 127 77 lav 42 641 84 18 4 fam 198 2997 1758 82 81 bed1 144 5629 4011 154 185 bath 96 1763 1226 48 56 bed2 156 2305 1362 63 63 mas 225 4852 2084 133 96 m bath 88 2863 1093 78 50 wic 63 1129 223 31 10 nr%r AOGr1 A10A ill 102 hall LVJ -tVJG � 1v 1— — Calculations approved byACCA to meet all requirements of Manual J 8th Ed. � + wrightSOW Right -Suite® Universal 2015 15.0.03 RSU10062 ACCA ...C2\ProjedUot 2 cotuit rd north andover ma.rup Calc= MJ8 Front Door faces: N 2014 -Sep -2415:53:42 Page 1 Entire House d 1712 39133 23243 1070 1070 Other equip loads 1185 223 Equip. @ 1.00 RSM 23466 Latent cooling 2829 474n An„n I)cI)nr 1n7n 11)7n I V 1/A LJ 1114 -tuo 10 LVLAIJ Ivi v - Calculations approved byACCA to meet all requirements of Manual J 8th Ed. 2014 -Sep -24 15:53:42 wrightSOW Right -Suite® Universal 2015 15.0.03 RSU10062 Page 2 ACCX ...C2tProjeclVot 2 ootuit rd north andover ma.rup Calc = MJ8 Front Door faces: N 1 I C o -L"' Sheet Metal Residential Guidelines / Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided f All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to- apprentice ratios Equipment sized per heating / cooling load calculations Duct work sized per manual "D" calculations Bath / shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length Volume dampers installed for each supply air branch duct f Ductwork installed using proper gauges and hangers V/— Ductwork / plenum connections sealed substantially airtight / v Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) 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 ` / V Please Print Legibly Name(BusinesslOrganization/IndilIvidual): �'} Il S Lie i e � �A �;(o K K Address: S S S U 0 b�,( K S� City/State/Zip: i -e W kAv t 1AA U 1's-) 6 Phone #:9 `�" I^ y U 3 Are you an employer? Check the ap 1. 21 -am a employer with l 0 ropriate box: 4. ❑ I am a general contractor and I Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. E] New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance required.] comp• insurance. 5. ❑ We are a corporation and its 10. ❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no 13.0 Other V H , lA C employees. [No workers' come. insurance reouired.] • Any applicant that checks box #1 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an -employer rs provu?uig worms' coinpensalion-insurancefior my empZoyees�eTowis Ifie policy -ani jobs�e information. Insurance Company Name: 7Z,— c Policy # or Self -ins. Lic. #: W 0 U I 1 3 10 o 1 Expiration 15 Job Site Address: -t �t ( , �, i t- City/State/Zip: :l`( vkt If,it/lA 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 tli and penalties of perjury that the information provided above is true and correct �116)SSI-x` 0S Official use only. Do not write in this area, to be completed by city or town official City or Town: Issuing Authority (circle one): I. Board of Health 2. Building Department 6. Other Contact Person: Permit/License # 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector Phone M Client#: 53676 HILLISFRAN2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE /DD/YYYY) TYPE OF INSURANCE 6126/ 6/26!2014 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(les) 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 AME CT HUB Int'I New England (VIIILSB) A/C N Ext:978 657-5100 AIC No): 978-988-0038 299 Ballardvale St E-MAIL Wilmington, MA 01887 ADDRESS: PERSONAL & ADV INJURY b GENERAL AGGREGATE E INSURER(S) AFFORDING COVERAGE NAIC A INSURERA:Independence Casualty Ins Co 11984 $ INSURED Hillis Corp INSURERB: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS DBA Frank's Heating Service INSURER C : 555 Woburn St INSURER D: COMBINED SINGLE LIMIT Ea accident Tewksbury, MA 01876 INSURER E: PROPERTY DAMAGE $ Per accident $ INSURERF: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE NDDLSU R WVD POLICY NUMBER (MMI EFF YYY)iPOLIMIDCY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE Z PREMISESO RE ED nce $ MED EXP (Any one person) $ PERSONAL & ADV INJURY b GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? 51 (Mandatory In NH) If yes, describeunder DESCRIPTION OF OPERATIONS below N / A WC100113101 6/30/2014 06/30/201 X v� STATU- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) EVIDENCE OF COVERAGE FRANK'S HEATING SEVICE 555 WOBURN STREET Tewksbury, MA 01876 ACORD 25 (2010/05) 1 of 1 #S1162697/M1140054 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V IVUU-ZU1U AUUKU UUKNUKA I JUN. All rlgnts reserve0. The ACORD name and logo are registered marks of ACORD DKO04 Ak '� CERTIFICATE OF LIABILITY INSURANCE �' 0 '� 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: U 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 corder rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CLIENT CONTACT CENTER (A/CC!No Ext : 888-333.4949 F n X No): 507446-1664 E-MAILADDRE CLIENTCONTACT.CENTERaFEDINS,COM OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE NAIL# 9385795 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 06x30/2015 "SIRED 360-541-7 INSURER B: HIL:LIS CORP 555 WOBURN ST INSURER C INSURER D: TEWKSBURY, MA 01876 INSURER E: OEWL X INSURER F: PRODUCTS . COMPIOP. Apo $2,000,000 COVERAGES CERTIFICATE NUMBER: 0 REVISION NUMBER:1 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. MSR TYPE OF INSUR-IMANCE ADDL SUBR WVDPOLICY NUMBER POLICY EFF.YYYyI POLICY EXPYYYY1 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR N N 9385795 06/30/2014 06x30/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 MED EXP (AV one per=4 EXCLUDED PERSONAL s ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 OEWL X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC PRODUCTS . COMPIOP. Apo $2,000,000 A AUTOMOBILE X LIABILITY ANY UTO- ALL OWNEDSCHEDULED AUTO AUTOS HIRED AUTOS NON-OWNED AUTOSPROPERTY.DAMAGE N N 9385794 06/30/2014 06/30/2015 COMBINED SINGLE LIMIT $1,000,000 -land BODILY INJURY OW person BODILY WARY (Per acdclent) A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLANS -MADE N N 9385796 06/30/2014 06/30/2015 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 GED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITYY ANY PROPRIETORIPARTNERXJMCUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandelory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- OTH- TORY LIMITS ER El. EACH ACCIDENT EL DISEASE - EA EMPLOYEE El DISEASE • POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1M. Additional Remarks S&wdule, If more specs Is requl eA THIS COPY; IS. NOT: T0. BE REPRODUCED: FOR ISSUANCE OF CERTIFICATES. 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. Ali rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD R COMMONWEALTH OF MASSACHUSETTS e • -• •lei BOARD OF SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE.... AS A JOURNEYPERSON-:UNRESTRI-CTE© s� TIMOTHY R PALMER y I \ I Z ; y 112 LOWELL' AVE ti W � % U HAVERHILL MA 01832-3710 3731 09/28/16 326259 CL co 0 1° N N co E 0 l0 (O co d Q M 0 C M e- P® M 7 O C7 r � LAN s3 C> O � U C N C U 4— M U L � o C �LL- yd M Y cu~0) E a U T— N L � d .Q O L c Uo a� a r' a O M _U N N � di> U U U 5 c U M � Q Q r U r z P "d c alc 1366a PScS? OWL _-??944 Town of North And6val %--'2013 & j r = -73Cx ZONING BOARD OF APPEALS Albert P. 'Nt wai M,1 -4q. CJaeiivya l Lk m P. hlclntyre, 1 nr-f ,mrmav It 6wd I. Brea,1 st;. � Aro(; 1). itnul Koch Jr., I•:sit, ,ill in Cw;eu srrra ddto Mm?mty Niidinel P. uparto Vvney %forgandtal Oauglns Ludgin Ary appeal shali be filed within (20) days after tht: date of filing of this notice in tho office of thc't'owrt utero-, aet Mass. Gen. L. ch. 40A_§17 NAME John J. Burke ADURJ:SS: 0 Cotuit Street (Map 47, 148)North Andover. 41A 01845 Trope Ch 4 71me st:mh Notice of Decision Year 2013 ot)Crty at: u Cotuit street This Is to Certify that -wenn (20) aays have 0180sad from 4abp oftlecision, Aled whrutfilinnf ig11b-aff l?1_0 v oyoo A. Bradshaw Tarn Clark Sept 10 201 2013-01 ; The North Andovix Board of Appeals held a public hearing, ai 31te *ratik�n iia?I , at 120 Main S1rcc:, North Andover, MA op. Tuesday, Septetnbcr 10, 2013. a: 7:30 PRj on the upplicmion of John J. Burkc bored at 4 Cotuit 5tteet (Hap 47, Parcel 148), North Antdiiver, MA 01:145. Petitioner is requc:ting a Spccial Permit to cr;nslruct a neve two remdiy dwelling in accordance with 4A22.14, A (b).. 4,122.14.0 and 10-31 til' the Zoning Bylaws, in the It -4 'Zoning District. Legal noJ= mere sent to al the certified abtlitcrs pravidrd by the Town ofNonh Andover. assessors Office, and were p-Vished in Cote Eaglel'ribvne, a newspaper of general circulation in the Town of North Andover, on August 271h 2013 and September 31d, 2013. 'I hy following voting members were present: E'slen P. McIntyre, Richard J. Byers, D. Paul Koch Jr., And Allan Cuseirt The Following A;$06alc members were present: N4,chacl Uporto. Urney \, 4organihsl and DouflaF Ludgin. Upon u motion by Byers to GRANT a Special Permits to allots from Seclion 4.322.14.+ (L). 4.122.14.D and 10.31 of the Zoning Bylaws to rot.struci, a new, two Farrik* dwelling. Kock wocild the motion 'N44 c in fano: to Grant a Specie[ Permits [Alen V. NIOnt3re, Richard t. 13ycrs. D. Paul Koch Jr, Altau C st;;a ural Dcncy Morganthal. Tate motion was unani-mously apptoved and the Special Pertuit Gronted: 5-0 The SaaM tin3s that this use, as developed by the Itailding & sim pians, will rot adversely affect the neighborhood. Thum NOil br: no nuisance o: serious hazard to vehicles or pedestrians since nitre are provision:, For the required off-street parking, AppropriWe facilities will ha provided Cor the p.opar operation OT111C proposed new ttvo- family dwe:l'utg. The Eloped fords that tate new rsvo family dwelling vtilt not be: d0riment,+l to thr neishbornood and that: it %v; R he ir ham ony with the general purpose Site: P:an(s) "Pine, True tr1 �`rttt: �tl• 0 Cotuit Street (Map 47, Parcel 148)Rorth Andover, NIA 01845 4.1.2214.A (b), 4.121141) and 10.31 of the Zoning Bylaws to construct, a, two family dwelling in the R4 Zoning District - [)Plot Plan ofthe Land for Lot Prepared by Pennon Associates inc., I? Branch Street Suite 103, Methuen MA 01844, Dated July 31, 2013. 2)"Propo3ed. New Two Family Cons.rucCon" for First Flonr„l. , Contenting 1 sheet Drawn by M tiha Macinnis 58 Regent Ave Brad"tvrd MA 01335 (dated Dee. 10, 2012) 3) "Propose4l New "rwo Family Construction" for Second F'oor Containing 1 sheet Drawn by Martha Machirtis 58 Regent Ave Bradford MA Old 835(ditted Dee t0, 2012) 4) "Proposed New Two Family Construction" for ftqnt E ovation Containing I sheet Drawn by Martha Macinnis 58 Regent Ave 13radfordIVIA 01835 (dated Dec ?0.20121 Page 1 of 2 Bk 13668 Pg63 #Z"40 III ThcBowd rinds that tht applic4nt has satisfied the provisions under Seetiort 4,122.14.A (6). 4.122.14.0 and 10.31 of the Zoning Bylaws to construct u new two family dwellings at property located at 0 Cotuit Strom (Map d?, Parcel 148)North An4overi MA 01845 in the It -4 Uning District. Notes: I. 'Chis decision shalt not be in etrcct ungl a copy ofihis decision is roaordcd at the Lrssex County Registry of Oeeda, hlorthem District at the applicM%*s expense, 2. The Ming of the Special Permit (s) as requeocti by the applicant dtus not necessarily ensure the: Smting of a building ptmait as the applicant mum abide by all applicable local, slate, and foda all building, codes and rcgulatituts, prior to the issutsnce of a buildio$ peanut as requited by the Inspador&f iluiidings, 3. If 4ltE rights authorized by the Special Permit are not exercised within two (2))cats of tete date of the grant, it shall upset and; logy be rt- e9tabll3hed only ,atternotice, and a neer hctriag. IVA North Andover Zoning toard ht Appeals Ellen F. Mcintym Acting Cleanpaxon Richard L Byers,, Esq., Clerk D. Fath Koch Jr. Allan Cuscla Kenney Morganthal 2013-013 Page 2 of 2 '5) "Proposed New two 1~amily Comtruction" for $ar Elmtiuns Containing. 1 sheet. Drawn. by Martha Maclnnis 58 Regent Ave Bradford. MA 01835(dated Dec 10, 7012) 6)"Propoud 'New Two Family Construction" for 'ij; Wcal Wall Section Containing .1 sheet Drawn by Martha Macinnis U Regant.Avo Bradford MA 01835 (datedDec 10, 2012) 7) "Proposed New Two Family Construction" lbr ft%Ftgtsr &; Sccpnd Floor Containing 1 sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 41835 (dated Dec 10, 2012) 8 ) "Proposed Now Two Family CottmvOlon" for Attic & RoofFratit'tt Containing .l sheat Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dm 101. 2012) 9) " Fr nposed New Two Family Construction" for Deck ledger Connection. l� Lateral Load Connection" , ! Haar Rated Patty Wall and Partial E6Y Blocking Containing 1 sheat Drawn by Mucha Macinais 58 Regent Ave Bradford MA 01835(datad Dec 10, 2012) 10) "Proposed New Two Family Construction" for :puble Garage Door Frr wing & bottlale Door Sfteathi Q Containing, 1 sheet Drawn by Martha. Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) 11)`•Proposed New Two Family ConstructioWr far Braced W&Jl panel=13raced Wall €'anel_Cflnnections and Corner fgjpjag Q2Wjg Containing 1 sheet Drawn by Martha Macinnis 58 ftent Ave Bradford MA 01835 dated Dec 1 d 2012 Voting in Favor Ellen McIntyre, Richat'd J. Byers D. Paul Koch Jr., Allan Cuscia and Denney Morgan hal Voting 1n the Negative: N/A ThcBowd rinds that tht applic4nt has satisfied the provisions under Seetiort 4,122.14.A (6). 4.122.14.0 and 10.31 of the Zoning Bylaws to construct u new two family dwellings at property located at 0 Cotuit Strom (Map d?, Parcel 148)North An4overi MA 01845 in the It -4 Uning District. Notes: I. 'Chis decision shalt not be in etrcct ungl a copy ofihis decision is roaordcd at the Lrssex County Registry of Oeeda, hlorthem District at the applicM%*s expense, 2. The Ming of the Special Permit (s) as requeocti by the applicant dtus not necessarily ensure the: Smting of a building ptmait as the applicant mum abide by all applicable local, slate, and foda all building, codes and rcgulatituts, prior to the issutsnce of a buildio$ peanut as requited by the Inspador&f iluiidings, 3. If 4ltE rights authorized by the Special Permit are not exercised within two (2))cats of tete date of the grant, it shall upset and; logy be rt- e9tabll3hed only ,atternotice, and a neer hctriag. IVA North Andover Zoning toard ht Appeals Ellen F. Mcintym Acting Cleanpaxon Richard L Byers,, Esq., Clerk D. Fath Koch Jr. Allan Cuscla Kenney Morganthal 2013-013 Page 2 of 2 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 4255000.00 m $ - $ 5,100.00 Plumbing Fee $ 637.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 637.50 Total fees collected $ 6,475.00 19-21 Cotuit Street 155-15 on 8/16/14 New Duplex �--- z 0 z }0 0 0 mQ �J LL- C) U >LLJI J Q� Irf z� O w �Z 0LW�. Qoa -j Qm Of C) 00 ZUW �O Z ULLJ (nZOZIr ZQ m ZOO omw oUW 0Z cn O �Ow z W 005 oa- wZ 0 o UQz L00 �N W OZC'>D cr0 ZOz_ Z0 a,af W V) Z= Ln LZ of -N XWF= X0-0 SQ O w WQU I-2 Z N r� 00 m O fY ZDw Z V) O 0 Lo N O N D d �LLJ W'H mz NV)U o00 Q�oa Lf-)ZN �000N 0 V) ® N LU Q N64°55'59"E t i1-140.00' I o 0 Z _ Q J L- w I W LL - LL. L D m w z 00 I t I I 30.1' I J I 0W00 60.0' I r7 I� O r L6 ui Lo 140.00' N64'55 59"E j 0 ILo (z t WIVE 1031'02id '81SSON INONN3d 3lgS101d NOSNVH H3HdOlSldH3 :;,o 'Wd B�:OS:ZI I— W WI m /� m U I �' w 0 �Lf') 0v U :03ll01d 0MU LUUdA\HSIl9fld \N91S30\9NIll3M0 XUldf10 133NIS llfUOO—L04LH1dS\H1dS\S1O3PO8d\:N �I i 00 � I. 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V) - W W LLI QOZ -i Qm O�w of cnUw . 000 121J ?wU W lipp0 Zm< ~OQ Zoo omw zm <000 Cf) CU IiI 0 Z Q o0w zgz �w UQz I, -0U oN OZw 0 Li >� afO ZOZ Z0 - a.lOf W NzZ MEZ�N I-- LLJM LLJ WQU F=-2 0 Z N V7 00 oin Z�w Z Lo 0 N D N f� -H m w d �WZ NACU 000 Q oa LOZN �O00M 0 V) N LU U) Q N64°55'59"E 140.00' l _ I _ o �H Z _ Q J f � w I i 301' J W I O i J J c6 / O (n w 00 L — — -� .. . z 00 Z f= � �Q w� 0 w JLli06 U) w o0 60.0' �o `oI o _ I� N � L6Ln ! f 1. �. 140.00' N64'55'59"E g � o Ln 0 (n l I z t tl i ---- WIVE 103PO6d 'ES'SON INONN3d TLU.S101d NOSNVH 2GHdOlSIUHO :A 'Wd BC;OS:ZI DOWIM JMU LUUJA\HSI IHIld \NSJS3U\0NM3M0 X31d10 133NIS 1U110O-1041H1dS\H1dS\S103POHd\:N K:\PROJECTS\SPTH\SPTH1401-COTUIT STREET DUPLEX DWEWNG\DESIGN\_PUBLISH\VFOOI.DWG IZ:�U:stl PM, NY: CHRISTOPHER HANSON PLOTSTYLE: PENNONI NCS.STB, PROJECT STATUS: I I Z I N Cn C5f -P C7 PI _ c v. I 1 TTTTZTl7TT7TTP77>1 TT7P� M• `.r m m Z ' O S0,91I w 0 _ I ,00.01 L� > 41*�+ Ln m O N00O� ZCn DO�� N OOO 0(nN Z m W �} v C N O N r O OO Z - CA 0 mcz m0 co 00 =-1 O>M ::E-om O D= OTX mx —I D (AM --- IZ� (f) :U.D -102 ZO2 o� cmO mZO O200 zm� mczm -Z(;z moo (AOND; O * (A � 200 DZ PCZ OZN -0� Zc� ocom m nm— r- I m Oro M-iLn �ON0K -< �> zm> m rm-(n rnO z0cn�cc DZ �U) rm D D 0-( '� r= >W O Z O O O Z -� .nhe Commonwealth of :tL.1'assachusetts Department of)ndi!sNg1Aecid&S Office o, f Inverfigaflons 664 Washington Street .Boston, .MA 42111 ww1 mass.govIdia workers' Compensation Insurance Affidavit: BuRders/Contractors/EIectricians/rX be�� A ppheant Info rwation. Please Prim Legl .1y Name CBusinesslorgadzation&di-viduaD: Address: v Phone #:, ,T -5_&9 yolk .Are pout an employer? Check the appropriate lbox: 1. ❑ I am a employer with __ ____ 4. d I am a general contractor and I employees( fulland/orpMttime) havehiredthesub-contractors • t 2.E] I am a sole proprietor or partner- 'ship artner ship and `llaveno-employe,es working forme in. any capacity. [No workers' comp. znsurauce required.] 3.0 1 am a homeowner doing all work myself j- O workers' comp. insurancerequired.] t Jig -Lea on the attached sheet These suis -contractors have workers' comp. insurance. 5. IM We are a corporation and its officers have exerelsed.their right of exemption porMOL c.152, §1(4), andwehaveno employees. [No workers' comp. insurance required.] Type of project (required): 6.� New c6A&action f 7.] Remodeling S. [] Demolition 9. ❑ Building addition 10.[( Electricalrepalrs or additions 11,.[] Plumbingrepairs or additions 12.❑ Roofrepairs 13.❑ ©Hier KAny applicantthat checks box#Z mustalso fdl outthesection beldw showingtheir workers' compensationpoEq Monnation. I Horeawners who submitihis amdavit indicatingfhey �'re doing aaworlc andthen hire outside contraotors must. submit a neat afCdayit indicating such. TContractors that elaeoktbis bob must attached � additional sheet showingthe name ofthe sub -contractors and their workers' comp. policy information. am an ernproysNiiiaiisp ovicii�tg o� ens' compe.�asation insurancefoa•rny eWfoyeef BoloW bAepolicy ancijabsite information. Insurance Company Policy' #� or Sell ins. Lir. Expiration Date: Sob Site Address: City/State/Zip: . . Attach a copy ofoeworlters' coxnBensation-poitcytleclarationpage (showing•the poiieymm��be�r and expiration crate). Failure to secure coverage as regairedunder Section 25A. of MGL o.152 can lead to the imposit%on of crimivallsenalt%es of a fine up to $1,50 0.00 and/or one-year imprisonment, as well as civil penalties in the foam of a STOP WORD ORDER and a ime of -up to $250.0 0 a day against the vin atox: Be. advised that a copy of this statement may be forwarded to the Office -of- investigations £ investigations o£the DIA for ibsurance coverage veri-ECation. X do liereby cert& under tiiepains and penalties of verjiny tliat the in, formadon,provided above is true anrieo�xeet, Phone #: Oficial use ogly..Do not -Write in Hits area, to be eoWrtplefed by city or town official. City or Town: 1'ermitlLicense fssuing.A�uthority (circle ane): 1. Board of Health ?. )3uJ1d1ngDepartmend 3. ClfyiTown Clerk 4. Mectricalxnspector 5. PlumblugInspector 6. Other Information an ... d Instructions Massachusetts General Laws chapter 152 xeq#es all employers to provide workers' compensation for their employees. Parsuant to this statute, an em-Ployee is defhod as "...every person id the service of another under any contract ofbire; express ox•implied, oral ox wxitten" An empfoye�is defined as "an. individual, partnership, association, corporation ar other legal entity, or anytuto oxxnoxe ofthe foregoing engaged in a joint enterprise, and includingthe legal representatives of wdeceased emplcyer,.or the receiver or Mistee ofan individual, partnership, association ox other legal entity, employing employees. However the owner of a dwelling househavingnotmore thanthree apartments and who xWdes therein, or the occupant ofthe dwelling house of another who employs persons to do maintenance, construction ox repair work on such dwelling house or outhe grounds or building appurtenant thereto shalinot because of such employment be deemed to be an employer." MOL 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 pro duced•acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states `Neitherthe 0ommonwealthnox 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 Us chapter have, bacupresonto dtathecontractingauthority.." Applicants Please fill out the workexs' comp ons aRon affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-conixactor(s) zzam e(s), address(es) and phone rlumber(s) along with their certifzcate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) With no employees other than the members oxpartners, arenotrequiredto carrywoxkers' compensationiusurance. ffmLLC orLLP doeshave employees,apolicyismquired. Be advised thattf6afhdavitmaybe,submittedtothe Department of Industrial Accidents fox confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be xet-am.edto the city or town thatth.e application foxthepormit or license is beingxequested, pot the Department of Industrial Acoldents. Should you have any questions regarding the law or if you are requited to obtain, a woxkexs' comp ensation policy, please call the Department at the number listed helow. Self-insured companies should enter their self insurance license number on the appxopriate tine. Oty or Town Ofacials PleasebesurethatihoafCdavitiscompleteaudprintedlegibly. The Department has provided a space at the bottom of the affidavitfoxyouto fall out in the eventthe Office of7�avestigationshas to Gontactyouxegardingtire applicant. Please be -sure, to fill in the pemiif/license MMbex whichwili be used as a reference number, lu addition, aaz applicant thatrnust submit multiple permit/licemo applications is any givenyear, need only submit one affidavit indicating current policy information (if necessary) and under "Tob Site Address" the applicant shouldwxite "all Iocaiions in (city or tOWjT)" .A copy otthe affidavit that has been officially stamped or marked by :the city or town maybe provided to the applicant as Urboffhatavalidaffidavit•isonfile'forfuturepennitsorlicenses.Anew affidavitmustbefilledouteach year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license cr permit to burn leaves eta.) said person is NOT required to complete this affidavit. The Office ofInvestigations would ince to thank you in advance for your cooperation and should you have any .questions, Please do not hesitate to give us a call. The Depaxtm.ent's address, telephone aird faxmmnber. ThQGa ora a th o M S q &V - �epaxacxtli Q�Zuduza.� .A.cc����iS ()pec d1RVeW!gAAow% 6bG WaqW1.jgtQnS xe BoAon, lea 4 x x TO 617.7-2.Z:4900 Qxt 406 Qr. I-W-T,11W AF Revised 5 -26 -os Fax# 617-727-7749 ' �•�ta�,gQ.v��a. 1 Bk 13663 F'!362 ILr 2 9 9 4 0 Town of North And6-trr1 a •-- 2� 113 a 11 = 2 3 ct ZONING BOARD OF APPEALS Allen 11. Manzi I I ],1 isq. Choinvau Ellen 11. \Iclnryrc, I rce-C/rnimrn�i Richard). Byers, U.sq. Clerk D. Paul Koch Jr., Esq, Allan Cascia A.nvriat AIeluGenf Michael P, Lipurto Dcuey MoT vithal Douglas Ludgin Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk, er Mass. Gen. L. ch. 40A, § 17 Tom, nt:kdk'1•a S(amt, Notice of Decision Year 2013 2013 SSP 16 P It 12: 5,3 e This Is to certify that twenty (20) days have elapsed from date of decision,, filed without fllDatea p �I.1t Z-0 13 Joyco A. Bradshaw Town Clerk Pro ert at: 0 Cotuit Street (Map 47, Parcel 148)Nor1h Andover, MA 01845 NAME John J. Burke HEARING(S): Sept 10 2013 ADDRESS: 0 Cotuit Street (Map 47, Parcel 148 North Andover, MA 01845 PETITION: 2013-013 The North Andover Board of Appeals held a public hearing at The Town Hall , at 120 Main Street, North Andover, MA on Tuesday, September 10, 2013 at 7:30 PM on the application of John J. Burke located at 0 Cotuit Street (Map 47, Parcel 148), North Andover, MA 01845_ Petitioner is requesting a Special Permit to construct a new two family dwelling in accordance with 4.122.14. A (b), 4.122.14.1) and 10.31 of the Zoning Bylaws, in the R-4 Zoning District. Legal notices were sent to all the certified abutters provided by the Town of North Andover, Assessors Office, and were Published in the Eagle -•Tribune, a newspaper of general circulation in the Town of North Andover, on August 27'h 2013 and September 3rd, 2013. The following voting members were present: Elien P. McIntyre, Richard J. Byers, D. Paul Koch Jr„ and Allan Cuscia The following Associate .members were present: Michael Liporto, Dency Morganthal and Douglas Ludgin. Upon a motion by Byers to GRANT a Special Permits to allow from Section 4.122,14.A (b), 4.122.14.D and 10.31 of the Zoning Bylaws to construct, a new, two family dwelling. Koch second the motion ThQ�e-in favor to Grant a Special Permits Eilen P. McIntyre, Richard J. Byers, D. Paul Koch Jr, Allan Cuscia and Dency Morganthal. The motion was unanimously approved and the Special Permit Chanted: 5-0 The Board finds that this use, as developed by the building & site phins. will not adversely affect the neighborhood. *]'here will be no nuisance or serious hazard to vehicles or pedestrians since there are provisions for (lie required off-street parking, Appropriate facilities will be provided for the proper operation of the proposed new two fatnily dwelling. The Board finds that the new two family dwelling will not be detrimental to the neighborhood and thni it will he in harmony with the general purpose and intent of this Bvtaw. Site: 0 Cotuit Street (Map 47, Parcel 148)North Andover, MA 01845 4.122.14.A (b), 4.122.14,13 and 10.31 of the Zoning Bylaws to construct, a, two family dwelling in the R4 Zonint District. P,-afn(s) T it)e: I )Plot Plan of the Land for Lot Prepared by Pennon Associates Inc., 13 Branch Street Suite 103, Methuen MA 01844, Dated July 31, 2013. 2)"Proposed New Two Family Construction' for FirstFloor Plan, Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835 (dated Dec 10, 2012) 3) "Proposed New Two Family Construction" for Second Floor Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated AT I'lES'r: Dec 10, 2012) A 1'rue Copy 4) "Proposed New Two Family Construction" for Front. Elevation Containing tc I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835 (dated n" Title: Dec 10, 2012) Trait Pagel oft . ne rsoaru anus inat me appucanr has satisfied the provisions under Section 4.122.14.A (b). 4.122.14.1) and 10.31 of the Zoning Bylaws to construct a new two family dwellings at property located at 0 Cotnit Street (Map 47, Parcel 148)North Andover, MA 01845 in the R-4 Zoning District. Notes: L This decision shall not be in effect until a copy of this decision is recorded at the Gssex County Registry of Deeds, Northern District at the applicant's expense. 2, The granting of the Special Permit (s) as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal building codes and regulations, prior to the issuance of a building permit as required by the inspector of Buildings. 3. If the rights authorized by the Specinl Permit are not e.wreised within t%vo (2) years of the date of the grant, it shall lapse, and may be re- established only after notice, and anew hearing. evt'L, / %I, _ North Andover Zoning goard Appeals Ellen P. McIntyre, Acting Chairperson Richard J. Byers, Esq., Clerk D. Paul Koch Jr. Allan Cuscia Denney Morganthal 2013-013 Page 2 of 2 5) "Proposed New Two Family Construction" for Rear Elevations Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated r Dec 10, 2012) 6)"Proposed New Two Fatuity Construction" for Typical Wall Section Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA r' 7) "Proposed New Two Family Construction" for First Floor & Second Floor . ne rsoaru anus inat me appucanr has satisfied the provisions under Section 4.122.14.A (b). 4.122.14.1) and 10.31 of the Zoning Bylaws to construct a new two family dwellings at property located at 0 Cotnit Street (Map 47, Parcel 148)North Andover, MA 01845 in the R-4 Zoning District. Notes: L This decision shall not be in effect until a copy of this decision is recorded at the Gssex County Registry of Deeds, Northern District at the applicant's expense. 2, The granting of the Special Permit (s) as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal building codes and regulations, prior to the issuance of a building permit as required by the inspector of Buildings. 3. If the rights authorized by the Specinl Permit are not e.wreised within t%vo (2) years of the date of the grant, it shall lapse, and may be re- established only after notice, and anew hearing. evt'L, / %I, _ North Andover Zoning goard Appeals Ellen P. McIntyre, Acting Chairperson Richard J. Byers, Esq., Clerk D. Paul Koch Jr. Allan Cuscia Denney Morganthal 2013-013 Page 2 of 2 5) "Proposed New Two Family Construction" for Rear Elevations Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) 6)"Proposed New Two Fatuity Construction" for Typical Wall Section Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835 (dated Dec 10, 2012) 7) "Proposed New Two Family Construction" for First Floor & Second Floor Framin>: Containing 1 sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835 (dated Dec 10, 2012) 8 ) "Proposed New Two Family Construction" for Attic & Roof Framing Containing 1 sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) 9) "Proposed New Two Family Construction" for J�S-k ledger Connection, Deck 1,4lgral Load Cel Jtt lection . I Hour Rated Party Wall and Partial 1 Vl V Btockinti Containing I sheet Drawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) 10) "Proposed New Two Family Construction" for Double Garage Door Framing, & Double Doer Sheathing Containing I sheet prawn by Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) t 1)"Proposed New Two Family Construction" for Oraced Wall Panel_, Braced Wall Panel Connections and Corner fratninQ Detail- -Containing 1 sheet Dawn b Martha Macinnis 58 Regent Ave Bradford MA 01835(dated Dec 10, 2012) Voting in Favor Ellen McIntyre, Richard J. Byers D. Paul Koch Jr., Allan Cuscia and Denney Morganthal Votin in the Ne five: NIA . ne rsoaru anus inat me appucanr has satisfied the provisions under Section 4.122.14.A (b). 4.122.14.1) and 10.31 of the Zoning Bylaws to construct a new two family dwellings at property located at 0 Cotnit Street (Map 47, Parcel 148)North Andover, MA 01845 in the R-4 Zoning District. Notes: L This decision shall not be in effect until a copy of this decision is recorded at the Gssex County Registry of Deeds, Northern District at the applicant's expense. 2, The granting of the Special Permit (s) as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal building codes and regulations, prior to the issuance of a building permit as required by the inspector of Buildings. 3. If the rights authorized by the Specinl Permit are not e.wreised within t%vo (2) years of the date of the grant, it shall lapse, and may be re- established only after notice, and anew hearing. evt'L, / %I, _ North Andover Zoning goard Appeals Ellen P. McIntyre, Acting Chairperson Richard J. Byers, Esq., Clerk D. Paul Koch Jr. Allan Cuscia Denney Morganthal 2013-013 Page 2 of 2 or V C o 0 0 0 0 0 0 U m N i0 N r O M 0 G a CPI 4f V :. m m o a N 0 p E a E c E_ c m � �' CM eF LO O _ - (Drn .aOF U U U � 69 699 W). 619- 04 m O c O C Q (D CL of A C7 ¢ 'o L y ` �' Ol ` = cA m E E m 2 m t=13 0 m c ) Y C � � W � c0 co co M O O y Om M •� a R T y W � ate+ N N O' ti m O R' a a C CCU, G m ts m M r' �o m� m= S ,+m-•' 'C OD a 13 co m co a m N C N O Y> (0 t G .. O .. d W_ r C OI 6. d w a J N IA D M CO tiE E d m p .g m oo w m m U E o v m W a �' W U)m ;; x= Z c 0 W 3 M W Z m W O ri o`u c a o. cp Lm m e o w U o E at e c tr li 0O n o co r H m W U o +. W m w 0I Z a; Q Q U U m U N U r fA m W C O U m Q O W m d O O «O. O t0 a N U N¢ T p m xUTZ tLto 0 0 O. 'o w g u- LL U aU. 'O Q c or V N a o o o N 0 p � U U C .. (D CL C7 ¢ �' m ` = t=13 0 :O ) m O O M y W EW `� a a �o m� N O O W_ r C OI 6. m O O « d m p O U Cl V m W a �' W c O 3 M W Z m W O ri 0 o d o M> o Z 2 m fA m I11 m = = LL W coo t0 a T p .0ca 0 0 O. 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Andover, MA 01845 Building Envelops Insulation Ceiling: R-38.4 Above Grade Walls: R-21.0 Foundation Walls: R-0.0 Exposed Floor: R-30.0 Slab: None Infiltration: Htg: 3.00 Clg: 3.00ACH50 Duct: R-8.0 Total Duct Leakage: 70.00 CFM @ 25 Pascals Window Data U -Factor - Y. SHGC Window: 0.300 0.290 Mechanical Equipment HEAT: Fuel -fired air distribution, Natural gas, 95.0AFUE. COOL: Air conditioner, Electric, 13.0 SEER. DHW: Instant water heater, Natural gas, 0.95 EF, 0.0 Gal. Budder or Design Professional Signature REWRate - Residential Energy Analysis and Rating Software 04.4. t ACTION REPORT Date: August 08, 2014 Rating No.: ABA6047 Building Name: Cotuit St Duplex Right Side Rating Org.: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Rater's Name: Dan Clark Address: N. Andover, MA 01845 Rater's No.: 3704635 Builder's Name: Seaport Homes LLC 8.7 $ Weather Site: North Andover, MA Rating Type: Projected Rating File Name: Right Cotuit St P1.blg Rating Date: 8/7/2014 The following table identifies and ranks energy use and cost by building component. A maximum of six components are shown. Current mechanical equipment is assumed for this analysis. To determine the impact of varying the equipment efficiency, change the equipment specified in the building file and perform the energy calculations again. REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. ANNUAL ENERGY PROFILE Energy End -Use Component Consumption Cost (MMBtu/yr) ($/yr) HEATING Above Grade Walls 9.8 $ 175 Mechanical Ventilation 8.7 $ 156 Windows/Skylights 7.7 $ 137 Ducts 5.6 $ 99 Crawl Space/Unht Bsmt 5.4 $ 97 Ceilings/Roofs 4.2 $ 76 Other -5.8 $ -104 Total 35.6 $ 637 COOLING Internal Gains 2.7 $ 142 Windows/Skylights 1.1 $ 58 Ducts 0.4 $ 18 Other -1.1 $ -58 Total 3.1 $ 161 WATER HEATING Water Heater 12.7 $ 228 LIGHTS &APPLIANCES Lights &Appliances 20.3 $ 949 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. AIR LEAKAGE REPORT Date: August 08, 2014 Rating No.: ABA6047 Building Name: Cotuit St Duplex Right Side Rating Org.: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Rater's Name: Dan Clark Address: N.Andover, MA01845 Rater's No.: 3704635 Builder's Name: Seaport Homes LLC 0.00015 ELAM 00 sf shell: [sq.in] Weather Site: File Name: North Andover, MA Right Cotuit St P1.blg Rating Type: Rating Date: Projected Rating 8/7/2014 Cooling NaturalACH: 0.22 0.18 Whole House Infiltration Duct Leakage Ventilation Leakage to Outside Units Blowerdoortest CFM @ 25 Pascals: Heating Cooling NaturalACH: 0.22 0.18 ACH 50 Pascals: 3.00 3.00 CFM 25 Pascals: 454 454 CFM @ 50 Pascals: 712 712 Eff. Leakage Area: [sq.in] 39.1 39.1 Specific Leakage Area: 0.00015 0.00015 ELAM 00 sf shell: [sq.in] 0.95 0.95 Leakage to Outside Units whole house CFM @ 25 Pascals: 35 CFM25 / CFMfan: 0.0283 CFM25 / CFA: 0.0200 CFM per Std 152: N/A CFM per Std 152 / CFA: N/A CFM @ 50 Pascals: 55 Eff. Leakage Area: [sq.in] 3.02 Thermal Efficiency: N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage: 0.0399 Mechanical: Exhaust Only Sensible Recovery Eff. (%): 0.0 Total Recovery Eff. (%): 0.0 Rate (cfm): 48 Hours/Day: 24.0 Fan Watts: 5.6 Cooling Ventilation: No Ventilation ASHRAE 62.2 - 2010 Ventilation Requirements Forthis home to comply with ASHRAE Standard 62.2 - 2010 Ventilation and Acceptable IndoorAir Quality in Low -Rise Residential Buildings, a minimum of 48 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 95 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REM/Rate - Residential Energy Analysis and Rating Software v14A.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT File Name: Right Cotuit St_P1.blg Date: August 08, 2014 PropertySuilder: Rafing Building Name: Cotuit St Duplex Right Side Org. Name: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Address: 2 Woodlawn St Property Address: X Cotuit Street City, St, Zip: Amesbury, MA 01913 City, St, Zip: N. Andover, MA01845 Phone No: 978-270-3911 Phone No: Website: advancedbuildlinganalysis.com Builders Name: Phone No: Email Address: Model: Development Permit Date/Number: Seaport Homes LLC 508-509-4018 pat@seaporthomes.net Lot 2 Cotuit Rd Generat Building Information Area of Cond. Space(sq ft): Volume of Cond. Space: Year Built: Housing Type: Level Type(Apartments Only): Floors on orAbove-Grade: Number of Bedrooms: Foundation Type: Enclosed Crawl Space Type: Thermal Boundary Location: Raters Name: Raters Email: Raters ID: Provider ID: Sample Set ID: Rating Date: Rating Type: Reason: Rating No.: Registry ID: 1753 14234 2014 Duplex, single unit None 2 3 More than one type N/A REM Default Dan Clark dan@advancedbuildinganalysis.com 3704635 8/7/2014 Projected Rating New Home ABAB047 Foundation Wap Info: 1 2 Name uncon>amb uncon>garage Library Type R0,10" R0,10" Length(ft) 63.5 23.1 Total Height(ft) 7.0 7.0 Depth Below Grade(ft) 5.5 5.5 HeightAbove Grade(ft) 1.5 1.5 Location Uncond bsmt->amb/gmd Uncond bsmt->garage/gmd Uo Value (wall, airfilm, & soil) 0.255 0.255 Uo Value (wall assembly only) 1.205 1.205 REM/Rate - Residential Energy Analysis and Rating Software vi 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 2 FoemdatioftW!aff: R8jW' Type: Solid concrete or stone Thickness(in): 10.0 Studs: None Interior Insulation: Continuous R -Value: 0.0 Frame Cavity R -Value: 0.0 Cavity Insulation Grade: 1 Ins top: 0.0 ft from top of wall Ins Bottom: 0.0 ft from top of wall Exterior Insulation: R -Value: 0.0 Ins top: 0.0 ft from top of wall Ins bottom: 0.0 ft from top of wall Note: Frame Aoct-Ww 1 2 3 Name cond>garage cond>uncon basement cond>stairs uncond Library Type R30,FG2,10-16 R30,FG2,10-16 R25,FG1,X-16COMPRES Area (sq ft) 240 734 57 Location Btwn cond & garage Btwn cond & uncond bsmt Btwn cond & uncond bsmt Uo Value 0.042 0.042 0.041 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Cotuit St Duplex Right Side Frame Flo�►r,1�,8QfG2,t0.18 Information From Quick Fill Screen: Continous Insulation R -Value Cavity Insulation R -Value Cavity Insulation Thickness (in.) Cavity Insulation Grade Joist Size (w x h, in) Joist Spacing (in oc) Framing Factor- (default) Floor Covering Note: ABA DSC 4.19.11 BUILDING FILE REPORT Page 3 Layers Paths Cavity Framing Grade Inside Air Film 0.860 0.860 0.860 Floor covering 0.680 0.680 0.680 Subfloor 0.820 0.820 0.820 Cavity ins 30.000 0.000 0.000 Continuous ins 0.000 0.000 0.000 Framing 0.000 11.625 0.000 0.000 0.000 0.000 Outside Air Film 0.455 0.455 0.455 Total R -Value 32.815 14.440 2.815 U -Value 0.030 0.069 0.355 Relative Area 0.850 0.130 0.020 UA 0.026 0.009 0.007 Total Component UA: 0.042 Total Component Area: 1.0 Component Uo: 0.042 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 5 Rim and Bated ,foisst: i . _ Name 3 . Name R21>ambient R21>garage R11>adiabatic Area (sq ft) 63.3 24.4 38.0 Continuous Ins 0.0 0.0 0.0 Framed Cavity Ins 21.0 21.0 11.0 Cavity Ins Thk(in) 5.5 5.5 3.5 Joist Spacing 16.0 16.0 16.0 Insulation Grade 2 2 2 Location Cond -> ambient Cond -> garage Cond -> another cond unit Uo Value 0.054 0.054 0.080 Above -Grade ij, 1 - Name 3 Name 2x6x16 R21>amb 2x6x16 R21>garage 2xW6>adiabatic Library Type R21,FG1,6-16 R21,FG1,6-16 R11,FG1,4-16 Gross Area (sq ft) 1143.50 195.30 570.00 Exterior Color Medium Medium Medium Location Cond -> ambient Cond -> garage Cond -> another cond unit Uo Value 0.058 0.058 0.093 Abpve-{3rade Waq:.. - _ - Name 2x4x16>uncon bsmt Library Type R15,FG1,4-16 Gross Area (sq ft) 37.30 Exterior Color Medium Location Cond -> uncond bsmt Uo Value 0.079 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 4 Frame Floor: R25,FG1,X 16 QOMPRES Cavity Information From Quick Fill Screen: Continous Insulation R -Value 0.0 Cavity Insulation R -Value 25.0 Cavity Insulation Thickness (in.) 8.0 Cavity Insulation Grade 1.0 Joist Size (w x h, in) 1.5 x 9.3 Joist Spacing (in oc) 16.0 Framing Factor- (default) 0.1300 Floor Covering HARDWOOD Note: R30 COMPRESSED Layers Paths Total Component UA: 0.041 Total Component Area: 1.0 Component Uo: 0.041 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Cavity Framing Grade Inside Air Film 0.860 0.860 0.860 Floor covering 0.680 0.680 0.680 Subfloor 0.820 0.820 0.820 Cavity ins 25.000 0.000 0.000 Continuous ins 0.000 0.000 0.000 Framing 0.000 10.000 0.000 0.000 0.000 0.000 Outside Air Film 0.455 0.455 0.455 Total R -Value 27.815 12.815 2.815 U -Value 0.036 0.078 0.355 Relative Area 0.870 0.130 0.000 UA 0.031 0.010 0.000 Total Component UA: 0.041 Total Component Area: 1.0 Component Uo: 0.041 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 6 Above -Grade Wan: R21,FG ,646 Framing Grade Infonnation From Quick Fill Screen: 0.680 Standard Wood Frame 0.680 Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 21.0 Frame Cavity Insulation Thickness (in) 5.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 5.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note: Updated Grade I BH 10/24/05 Layers Paths Cavity Inside Air Film Gyp board Air Gap/Frm Cavity ins/Frm Continuous ins Ext Finish Outside Air Film Total R -Value U -Value Relative Area UA Total Component UA: 0.058 Total Component Area: 1.0 Component Uo: 0.058 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Framing Grade 0.680 0.680 0.680 0.450 0.450 0.450 0.000 0.000 0.000 21.000 6.875 1.030 0.000 0.000 0.000 0.940 0.940 0.940 0.000 0.000 0.000 0.170 0.170 0.170 23.240 9.115 3.270 0.043 0.110 0.306 0.770 0.230 0.000 0.033 0.025 0.000 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Paths Cotuit St Duplex Right Side Page 7 Above -Grade WaW R11,FG1,446 Cavity Information From Quick Fill Screen: Standard Wood Frame 0.680 Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 11.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Mote: Updated Grade I BH 10/24/05 0.000 Layers Paths Cavity Framing Grade Inside Air Film 0.680 0.680 0.680 Gyp board 0.450 0.450 0.450 Air Gap/Frm 0.000 0.000 0.000 Cavity ins/Frm 11.000 4.375 1.030 Continuous ins 0.000 0.000 0.000 Ext Finish 0.940 0.940 0.940 0.000 0.000 0.000 Outside Air Film 0.170 0.170 0.170 Total R -Value 13.240 6.615 3.270 U -Value 0.076 0.151 0.306 Relative Area 0.770 0.230 0.000 UA 0.058 0.035 0.000 Total Component UA: 0.093 Total ComponentArea: 1.0 Component Uo: 0.093 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 8 Above -Grade Wall: R15,FG1,4.16 0.680 Information From Quick Fill Screen: 0.680 Standard Wood Frame 0.450 Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 15.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note: Updated Grade 1131-110/24/05 0.940 Layers Paths 0.000 Cavity Framing Grade 0.000 Inside Air Film 0.680 0.680 0.680 Gyp board 0.450 0.450 0.450 Air Gap/Frm 0.000 0.000 0.000 Cavity ins/Frm 15.000 4.375 1.030 Continuous ins 0.000 0.000 0.000 Ext Finish 0.940 0.940 0.940 0.000 0.000 0.000 Outside Air Film 0.170 0.170 0.170 Total R -Value 17.240 6.615 3.270 U -Value 0.058 0.151 0.306 Relative Area 0.770 0.230 0.000 UA 0.045 0.035 0.000 Total Component UA: 0.079 Total ComponentArea: 1.0 Component Uo: 0.079 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 9 J Window kKonn9ion 1 2 1 3 I Name A2 Front DH D Front CS sidelites Library Type U:0.30, SHGC:0.29 1-1:0.30, SHGC:0.29 U:0.30, SHGC:0.29 U -Value 0.300 0.300 0.300 SHGC 0.290 0.290 0.290 Area (sq ft) 25.00 12.00 6.75 Orientation South South South Overhang Depth 0.0 0.0 0.0 Overhang To Top 0.0 0.0 0.0 Overhang To Bottom 0.0 0.0 0.0 Interior Winter Shading 0.85 0.85 0.85 Interior Summer Shading 0.70 0.70 0.70 Adjacent Winter Shading None None None Adjacent Summer Shading None None None Wall Assignment AGWall 1 AGWall 1 AGWall 1 Window Information: 4 5 6 Name RIGHT DH (3) RearA DH (2) RearA2 DH (1) Library Type U:0.30, SHGC:0.29 U:0.30, SHGC:0.29 0:0.30, SHGC:0.29 U -Value 0.300 0.300 0.300 SHGC 0.290 0.290 0.290 Area (sq ft) 75.00 25.00 50.00 Orientation East North North Overhang Depth 0.0 0.0 0.0 Overhang To Top 0.0 0.0 0.0 Overhang To Bottom 0.0 0.0 0.0 Interior Winter Shading 0.85 0.85 0.85 Interior Summer Shading 0.70 0.70 0.70 Adjacent Winter Shading None None None Adjacent Summer Shading None None None Wall Assignment AGWall 1 AGWall 1 AGWall 1 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 10 Door Informations 1 -- 2 3 Window Information: 7 8 9 Name RIGHT C DH (1) RIGHT B CS (1) RIGHT slider Library Type U:0.30, SHGC:029 U:0.30, SHGC:0.29 U:0.30, SHGC:0.29 U -Value 0.300 0.300 0.300 SHGC 0.290 0.290 0.290 Area (sq ft) 6.30 13.70 40.00 Orientation East East East Overhang Depth 0.0 0.0 0.0 Overhang To Top 0.0 0.0 0.0 Overhang To Bottom 0.0 0.0 0.0 Interior Winter Shading 0.85 0.85 0.85 Interior Summer Shading 0.70 0.70 0.70 Adjacent Winter Shading None None None Adjacent Summer Shading None None None Wall Assignment AGWall 1 AGWall 1 AGWall 1 WwIOW: 0:0.30, SHGC:0,28_ U -Value: 0.300 Solar Heat Gain Coefficient: 0.290 Note: Door Informations 1 -- 2 3 Name Front Entry garage basement OpaqueArea(sq ft) 27.0 18.0 18.0 Library Type Fiberglass R5 steel insul 1-3/8 Wd panel Wall Assignment AGWall 1 AGWall 2 AGWall 4 Uo Value 0.168 0.168 0.545 Door: Fiberglass R -Value of Opaque Area: 5.0 Storm Door: No Note: Door: R5 steel insttt R -Value of Opaque Area: 5,0 Storm Door: No Note: Door: 1-3/8 Wd panel R -Value of Opaque Area: 0,9 Storm Door: No Note: REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 11 Roof Information: t Name 2x10x16 12" CE R38 Library Type R38,CE12",10-16 CeilingArea(sq ft) 1019.00 RoofArea(sq ft) 1274.00 Color Medium Radiant Barrier No Type(Attic) Attic Llo Value 0.028 Clay or Cement Tiles: No Sub Roof Ventilation: No REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side LCefding: R38,CE12",10.16 Information From Quick Fill Screen: Continous Insulation (R -Value) Cavity Insulation (R -Value) Cavity Insulation Thickness (in) Cavity Insulation Grade Gypsum Thickness (in) Bottom Chord/Rafter Size(w x h, in) Bottom Chord/Rafter Spacing (in o.c.) Framing Factor- (default) Ceiling Type Note: MAB ABA 11-07-08 strapped Layers Paths Total Component UA: 0.028 Total Component Area: 1.0 Component Uo: 0.028 REM/Rate - Residential Energy Analysis and Rating Software vi 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 12 8.8 29.6 9.3 1 0.500 1.5 x 9.3 16.0 0.1412 Attic Framing Cavity Grade Inside Air Film 0.610 0.610 0.610 Gyp board 0.450 0.450 0.450 Cavity Ins/Frm 11.625 29.600 0.000 Continuous ins 8.800 8.800 8.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Outside Air Film 0.610 0.610 0.610 Total R -Value 22.095 40.070 10.470 U -Value 0.045 0.025 0.096 Relative Area 0.141 0.859 0.000 UA 0.006 0.021 0.000 Total Component UA: 0.028 Total Component Area: 1.0 Component Uo: 0.028 REM/Rate - Residential Energy Analysis and Rating Software vi 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 12 8.8 29.6 9.3 1 0.500 1.5 x 9.3 16.0 0.1412 Attic BUILDING FILE REPORT Cotuit St Duplex Right Side Page 13 Mechanical Equipment. Genera[ Number of Mechanical Systems: 3 Heating SetPoint(F): 68.00 Heating Setback Thermostat: Present Cooling SetPoint(F): 78.00 Cooling Setup Thermostat: Present Heat: AS GoldXIAUH18060A_ SystemType: Fuel Type: Rated Output Capacity (kBtuh): Seasonal Equipment Efficiency: Auxiliary Electric: Note: Location: Performance Adjustment: Percent Load Served: Number Of Units: Cooling Equkment ACG, 36K,13 SEER, System Type: Fuel Type: Rated Output Capacity (kBtuh): Seasonal Equipment Efficiency: Sensible Heat Fraction (SHF): Note: Location: Performance Adjustment: Percent Load Served: Number Of Units: Fuel -fired air distribution Natural gas 57.0 95.0 AFUE 421 Eae AHRI 5722434 ecm 95% AUH1 B06OA9H31A` Conditioned area 100 100 1 Air conditioner Electric 36.0 13.0 SEER 0.70 Conditioned area 100 100 1 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 14 Water Heating Equipment: Gas, Instant, 956 Water HeaterType: Instant water heater Fuel Type: Natural gas Energy Factor: 0.95 Recovery Efficiency: 0.00 WaterTank Size (gallons): 0 Extra Tank Insulation (R -Value): 0.0 Note: Location: Percent Load Served: Performance Adjustment: Number Of Units: Duct System Informations Name Heating System Cooling System SupplyArea(sq ft) Return Area(sq ft) Conditioned FloorArea(sq ft) # of Registers Duct Leakage Qualitative Assessment - Not Applicable Duct Leakage to Outside: Supply Duct Leakage - NotApplicable Return Duct Leakage - NotApplicable Total Duct Leakage: Duct Tightness Test: Conditioned area 100 100 1 whole house AS Gold XIAUH1 B060A ACC, 36K,13 SEER 355.0 328.7 1753.0 6 35.00 CFM @ 25 Pascals 70.00 CFM @ 25 Pascals Postconstruction Test t)uct Irtfgrmatiion: 1 2 3 Type Supply Return Supply PercentArea 70.0 80.0 25.0 R -Value 8.0 6.0 8.0 Location Unconditioned basement Unconditioned basement Attic, under insulation Duct Information: 4 6 Type Return Supply Return Percent Area 15.0 5.0 5.0 R -Value 6.0 8.0 6.0 Location Attic, under insulation Conditioned space Conditioned space REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 15 inf'dtration and Mechanical Ventilatiorf. Whole House Infiltration Measurement Type: Blower door test Heating Season Infiltration Value: 3.00 ACH @ 50 Pascals Cooling Season Infiltration Value: 3.00 ACH @ 50 Pascals Shelter Class 4 2009 IECC Verification: Tested Mechanical Ventilation for IAQ Type: Exhaust Only Rate(cfm): 48 Sensible Recovery Efficiency(%): 0.00 Total Recovery Efficiency(%): 0.00 Hours per Day: 24.00 Fan Power (watts): 5.60 Ventilation Strategy for Cooling Cooling Season Ventilation: No Ventilation Ughts and Appliances Simplified Audit Refrigerator KWh: 600 Refrigerator Location: Conditioned Dishwasher EF: 0.70 Dishwasher kWh/yr: 0 Dishwasher Capacity: 12 Dishwasher kWhNear: 0 Range/Oven Fuel Type: Natural gas Induction Range: No Convection Oven: No Clothes Dryer Fuel Type: Electric Clothes Dryer Location: Conditioned Clothes Dryer Moisture Sensing: No Clothes Dryer Energy Factor: 3.01 Clothes Dryer Gas Energy Factor: 2.67 Clothes Washer Location: Conditioned Clothes Washer LER: 704.0 Clothes Washer MEF: 0.817 Clothes Washer Capacity: 2.874 Clothes Washer Electricity Rate: 0.08 Clothes Washer Gas Rate: 0.58 REM/Rate -Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 16 lights and Appliances Clothes WasherAnnual Gas Cost: 23.00 Percent CFLs: 80.0 Percent Fluorescent: 10.0 Percent Exterior Lights: 100.0 Percent Garage Lights: 100.0 Ceiling Fan CFM /Waft: 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side Page 17 Mandatory Requirements IECC Requirements Verified IECC 04: Verified IECC 06: Verified IECC 09: Verified IECC 12: Verified IECC NY: Verified Florida: ENERGY STAR Version 2 Checklists Thermal Bypass Checklist: ENERGY STAR Products: ENERGY STAR Version 3 Checklists Thermal Enclosure Checklist: HVAC System Quality Installation Contractor Checklist: HVAC System Quality Installation Rater Checklist: Water Management System Builder Checklist: ENERGY STAR Version 3 Appliances Has Refrigerators: Number Of Refrigerators: Has Ceiling Fans: Number Of Ceiling Fans: Has Exhaust Fans: Number Of Exhaust Fans: Has Dishwashers: Number Of Dishwashers: false false false true false false false false true false false false true 1 false 0 false 0 true 1 ENERGY STAR Version 3 Basements Basement Wall Area 50% Below Grade: false Basement FloorArea: 0 2009 IECC Prescriptive Requirements for ENERGY STAR v3.0 false Slab Insulation Exemption: false Indoor airPlus Verification Checklist: false Notes P1 HERS 57 R38 12 CE Flat Ceiling 27.9% >UDRH Tier 1 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Right Side 3 ach50 4°% total leakage 70cfm 2% LTO 35cfm Page 18 P2 R49 15" CE Flat Ceiling & IF 2ach50 - Tier 2 - 31.3% >UDRH Still HERS 55 3ACH50 WITH ASHP DHW = HERS 57 32.7%>UDRH TIER 2 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 01985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDER'S AFFIDAVIT Property/Builder: Owner's Name: Seaport Homes LLC Property Address: L.o ZX Cotuit Street City,St,Zip: N. Andover, MA 01845 Phone No.: Builder's Name: Seaport Homes LLC Model: Lot 2 Cotuit Rd Development: Phone No.: 508-509-4018 Rating Date: 8/7/2014 Rating No.: ABA6047 IMPORTANT NOTICE TO BUILDER Builder affirms in this affidavit that all components listed in the Building File Report are accurate and incorporated into this New Home. Builder agrees to permit home energy rating system (HERS) Provider and/or Rater, to randomly verify components solely for the benefit of the HERS Provider's and/or Rater's interest. The HERS Provider and Rater do not create or imply any duty or obligations to Builder or any subsequent owner. Builder is responsible for making any inspections to protect Builder's interest. There is no GUARANTEE or WARRANTY, expressed or implied, from the HERS Provider or Rater as to this New Home. Builder's Signature: Date: HERS Index: 57 Rating Reason: Projected Rating Rater's Signature: Date: REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. 2012 IECC ANNUAL ENERGY COST COMPLIANCE Date: August 08, 2014 Rating No.: ABA6047 Building Name: Cotuit St Duplex Right Side Rating Org.: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Rater's Name: Dan Clark Address: N.Andover, MA01845 Rater's No.: 3704635 Builder's Name: Seaport Homes LLC Weather Site: North Andover, MA Rating Type: Projected Rating File Name: Right Cotuit St P1.blg Rating Date: 8/7/2014 Annual Energy Cost (a) 20121ECC As Designed Heating: 708 758 Cooling: 172 162 Water Heating: 352 227 SubTotal -Used to Determine Compliance: 1232 1146 Lights &Appliances: 973 948 Photovoltaics: -0 -0 Service Charge: 59 59 Total: 2264 2153 ' Mandatory Requirements: Duct Insulation R -Value Check (per Section 405.2) Minimum Duct Insulation (Design must be equal or higher) 6.0 6.0 Window U -Factor Check (Section 402.5) Window LI -Factor (Design must be equal or lower): 0.480 0.300 Home Infiltration (Section 402.4.1.2): PASSES Duct Leakage (Section 403.2.2): PASSES Mechanical Ventilation (Section 403.5): PASSES This home MEETS the annual energy cost requirements of Section 405 of the 2012 International Energy Conservation Code based on a climate zone of 5A. In fact, this home surpasses the requirements by 7.0%. Name: Dan Clark Organization: Advanced Building Analysis LLC Design energy cost is based on the following systems: Heating: Fuel -fired air distribution, 57.0 kBtuh, 95.0AFUE. Cooling:Air conditioner, 36.0 kBtuh, 13.0 SEER. Water Heating: Instant water heater, Gas, 0.95 EF. Wind ow-to-Floo r Area Ratio: 0.14 Signature: Date: August 08, 2014 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. 2012 IECC ANNUAL ENERGY COST COMPLIANCE Cotuit St Duplex Right Side Blower door test: Htg: 3.00 Cig: 3.00 ACH50 Page 2 In accordance with IECC, building inputs, such as setpoints, infiltration rates, and window shading may have been changed priorto calculating annual energy cost. Furthermore, the standard reference design HVAC system efficiencies are set equal to those in the design home as specified in the 2012 IECC. These standards are subject to change, and software updates should be obtained periodically to ensure the compliance calculations reflect current federal minimum standards. REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. X --im ©� m o m Co O N3 ) N oN O7 N AQp nD0 N N F, 00 2.o m C o @:3 m 7 O (Cl n� O � N O @ m �'. a j O OC K 0 Fw- rnm U) 8 C781 O C < :3 ,p r m x d CD r s N ? m TCD CD a T Q o o' o < T �^ „O,. .fir. •O O O D1 p a - c 47 of d CD n r1 0 ry n o a a m CD ccO 'cc r r m mac > =r C!'. ^ !%f to m o N } C!'. r m y O O O o c o O O o rt3 > D w C ? w 3 R6 x �. m m a (Q v N a1 m n > s 3� m n 3 fp A N Q O71 CD O x -• CO 0 o CL 3 o CD co co o "' 0 E a o M 3�amo0 .CL CA o N ur m o m X o c D 6-r 3 CD CO CO Co m w 0 2 rTl W 3 D n CD A N O m ? 0 (1 co -n CD O m N � j y Ln CD o d m �. Vf O n O O Of E O fQ W �O D1 y % c) C H N m o co N A m CD O O c D w c m -n 0 0 cn o cn mCD o o � m N a m s m -1 O fn M D r m 0 m CD fD Q `< 3 N 0 � tp O O m 03 W N ID Wm n D < cr. D a W ym n n fa co > K o m D fn S. m o n � 0 ' to 0 `7 a o n v o 3 0 CD (o W V2 Q. 0)CD n _ _ ' 0 CCA CD 3 CD m o m m CL m m eo y CD n m a m ono Q N .7,. CD o O O O $ Q, C m p O o M (� m X W N? n Op CD p a, O O. C. M 0 3 0 Oi m3 &. 7 tD 3 �' 3 w o m o a `� o- f "� sia CD G 0 COD 3 m N m� n 0 r- - O O m CQ `z -" O W 0 (A O N O 8 4 "* Cr 3 CD C, - CD CD N c C C" CO 001 ,y cn 3m 0 3 o o m m n eD =ti w CD D � O O O 0 W o oAD o W Cn o COD o w r1 f 2012 IECC Certificate X Cotuit Street, N. Andover, MA01845 Building Envslgw Insulation Ceiling: R-38.4 Above Grade Walls: R-21.0 Foundation Walls: R-0.0 Exposed Floor: R-30.0 Slab: None Infiltration: Htg: 3.00 Clg: 3.00 ACH50 Dud: R-8.0 Total Duct Leakage: 69.00 CFM @ 25 Pascals HG. C-'-- Window: -'--Window: 0.300 0.290 Mechanical Equipment HEAT: Fuel -fired air distribution, Natural gas, 95.0AFUE. COOL: Air conditioner, Electric, 13.0 SEER. DHW: Instantwater heater, Natural gas, 0.94 EF, 0.0 Gal. Builder or Design professional Signature JI REWRate - Residential Energy Analysis and Rating Software 444.1 Mandatory Requirements: Duct Insulation R -Value Check (per Section 405.2) Minimum Duct Insulation (Design must be equal or higher) 6.0 6.0 Window U -Factor Check (Section 402.5) Window LI -Factor (Design must be equal or lower): 0.480 0.300 Home Infiltration (Section 402.4.1.2): Duct Leakage (Section 403.2.2): Mechanical Ventilation (Section 403.5): This home MEETS the annual energy cost requirements of Section 405 of the 2012 International Energy Conservation Code based on a climate zone of 5A. In fad, this home surpasses a require me by 10.7%. Name: Dan Clark Signature: Organization: Advanced Building Analysis LLC Date: Augustox2014 * Design energy cost is based on the following systems: Heating: Fuel -fired air distribution, 57.0 kBtuh, 95.0AFUE. Cooling: Air conditioner, 36.0 kBtuh,13.0 SEER. Water Heating: Instant water heater, Gas, 0.94 EF. Window -to -Floor Area Ratio: 0.11 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 This information does not constitute anywarranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. PASSES PASSES PASSES 2012 IECC ANNUAL ENERGY COST COMPLIANCE Date: August 08, 2014 Rating No.: ABA6046 Building Name: Cotuit St Duplex Left Side Rating Org.: Advanced Building Analysis LLC Owners Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Raters Name: Dan Clark Address: N.Andover, MA01845 Raters No.: 3704635 Builders Name: Seaport Homes LLC Weather Site: North Andover, MA Rating Type: Projected Rating File Name: Left Cotuit St P1.blg Rating Date: 8/7/2014 Annual Energy Cost (;) 2012 IECC As Designed Heating: 706 724 Cooling: 170 143 Water Heating: 352 230 SubTotal - Used to Determine Compliance: 1228 1097 Lights &Appliances: 966 942 Photovoltaics: -0 -0 Service Charge: 59 59 Total: 2253 2098 Mandatory Requirements: Duct Insulation R -Value Check (per Section 405.2) Minimum Duct Insulation (Design must be equal or higher) 6.0 6.0 Window U -Factor Check (Section 402.5) Window LI -Factor (Design must be equal or lower): 0.480 0.300 Home Infiltration (Section 402.4.1.2): Duct Leakage (Section 403.2.2): Mechanical Ventilation (Section 403.5): This home MEETS the annual energy cost requirements of Section 405 of the 2012 International Energy Conservation Code based on a climate zone of 5A. In fad, this home surpasses a require me by 10.7%. Name: Dan Clark Signature: Organization: Advanced Building Analysis LLC Date: Augustox2014 * Design energy cost is based on the following systems: Heating: Fuel -fired air distribution, 57.0 kBtuh, 95.0AFUE. Cooling: Air conditioner, 36.0 kBtuh,13.0 SEER. Water Heating: Instant water heater, Gas, 0.94 EF. Window -to -Floor Area Ratio: 0.11 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 This information does not constitute anywarranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. PASSES PASSES PASSES 2012 IECC ANNUAL ENERGY COST COMPLIANCE Cotuit St Duplex Left Side Blower door test: Htg: 3.00 Clg: 3.00ACH50 Page 2 In accordance with IECC, building inputs, such as setpoints, infiltration rates, and window shading may have been changed priorto calculating annual energy cost. Furthermore, the standard reference design HVAC system efficiencies are set equal to those in the design home as specified in the 2012 IECC. These standards are subject to change, and software updates should be obtained periodically to ensure the compliance calculations reflect current federal minimum standards. REM/Rate - Residential Energy Analysis and Rating Software 04.4.1 This information does not constitute anywarranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. AIR LEAKAGE REPORT Date: August 08, 2014 Rating No.: ABA6046 Building Name: Cotuit St Duplex Left Side Rating Org.: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Rater's Name: Dan Clark Address: N.Andover, MA01845 Rater's No.: 3704635 Builder's Name: Seaport Homes LLC 0.00015 ELA/100 sf shell: [sq.in] Weather Site: North Andover, MA Rating Type: Projected Rating File Name: Left Cotuit St P1.blg Rating Date: 8/7/2014 Whole House Infiltration Duct Leakage Ventilation Leakage to Outside Units Blower doortest CFM @ 25 Pascals: Heafing Cooling NaturalACH: 0.22 0.18 ACH @ 50 Pascals: 3.00 3.00 CFM @ 25 Pascals: 447 447 CFM @ 50 Pascals: 701 701 Eff. Leakage Area: [sq.in] 38.5 38.5 Specific Leakage Area: 0.00015 0.00015 ELA/100 sf shell: [sq.in] 0.93 0.93 Leakage to Outside Units whole house CFM @ 25 Pascals: 34 CFM25 / CFMfan: 0.0275 CFM25 / CFA: 0.0197 CFM per Std 152: N/A CFM per Std 152 / CFA: N/A CFM @ 50 Pascals: 53 Eff. Leakage Area: [sq.in] 2.93 Thermal Efficiency: N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage: 0.0400 Mechanical: Exhaust Only Sensible Recovery Eff. (%): 0.0 Total Recovery Eff. (%): 0.0 Rate (cfm): 47 Hours/Day: 24.0 Fan Watts: 5.6 Cooling Ventilation: No Ventilation ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 - 2010 Ventilation and Acceptable IndoorAir Quality in Low -Rise Residential Buildings, a minimum of 47 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 95 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 This information does not constitute any warranty of energy cost or savings. © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. ACTION REPORT Date: August 08, 2014 Rating No.: ABA6046 Building Name: Cotuit St Duplex Left Side Rating Org.: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Phone No.: 978-270-3911 Property: X Cotuit Street Raters Name: Dan Clark Address: N. Andover, MA 01845 Rater's No.: 3704635 Builder's Name: Seaport Homes LLC 8.5 $ Weather Site: North Andover, MA Rating Type: Projected Rating File Name: Left Cotuit St P1.blg Rating Date: 817/2014 The following table identifies and ranks energy use and cost by building component. A maximum of six components are shown. Current mechanical equipment is assumed for this analysis. To determine the impact of varying the equipment efficiency, change the equipment specified in the building file and perform the energy calculations again. REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. ANNUAL ENERGY PROFILE Energy End -Use Component Consumption Cost (MMBtu/yr) ($/yr) HEATING Above Grade Walls 10.5 $ 187 Mechanical Ventilation 8.5 $ 153 Windows/Skylights 5.8 $ 104 Ducts 5.4 $ 96 Crawl SpaceAUnht Bsmt 5.3 $ 95 Ceilings/Roofs 4.2 $ 76 Other -5.8 $ -103 Total 34.0 $ 608 COOLING Internal Gains 2.7 $ 141 Windows/Skylights 0.9 $ 44 Ducts 0.3 $ 18 Other -1.1 $ -58 Total 2.8 $ 145 WATER HEATING Water Heater 12.8 $ 230 LIGHTS &APPLIANCES Lights &Appliances 20.2 $ 942 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. J J N a) E O Y CD � U o 0 Q C N a o � n p M LL = tm z rn ._ a� m tm m P r w O R 4, C lY• w cc E It a) U C o 0 0 0 0 aR o0 V (1 d ' O a) r a �, •' P• t0 O N O W N U) O U vi to to to �- UT tow (D C C '— W W w w O O m N O N O m 4 N C4 6 6 O a � � E a (n LL c m R U c W m a o U m C c: w C y .� .o L o Z 2 0 2 a C H r-4 N N _7 N LL J N f6 O (n O r U) Lo Lo OD to 7 FE w a m d o W m m Ln M ON N 7 4. N w fA N N LnN d N O co 3 r LL O M Z5 cs65 6 � o in $ tn Y'f .0 N � E c c E a� 5 E c m 'c 4 a o a) O a) O co E R � O C ll R O f0 O Y > x Co m J j X W m a) U O m U L o W U N U N N W m N 0 o 2 E R V -2 N w Lm 0)?j LL a v 'm 'S Li c (u v T m is a •o ou LL a) W N O O ai ._ G R a) ` U co S 0 O C O. 7E w L ° o LLC L1 a) L R d N L71 J �M N O °U O ° cn 00 G c o CO ° o G c m R � o O 0 }, U m rn T� w V y � C O 7 W ° v O .O. C L N v� y C O w N fa � ' E00 o r Ln W F- w O W R E O O R OO N O LL Q O) O a0 O O Ln = 0 0 o Co M Q m Orn O w (� W O 0 = o LL v J U) 0 N O J O M 0I LY O _L L W LU OO U O m (1) NN F m O LT Z o ri Rvi } c w fl — o — WN = 7 0 Q (O o ci 'c m Z L o a :5 z r2U E o y_ W R n �'- O eco `- m m O Q 0 Q O O w N o p } v 3 c N 3 LL U v m a U w Orn U) co N O C O M G N O a) LO R Lxx r` v U y "tLll w — <- Cl) LL Q S M 43)U E R V -2 N w Lm 0)?j LL a v 'm 'S Li c (u v T m is a •o ou LL a) W N O O ai ._ G R a) ` U co S 0 O C O. 7E w L ° o LLC L1 a) L R d N L71 J �M N O °U O ° cn 00 G c o CO ° o G c m R � o O 0 }, U m rn T� w V y � C O 7 W ° v O .O. C L N v� y C O w N fa � ' E00 o r Ln W F- w O E O O R OO N O O O) O a0 O O Ln = CL 0 0 W Co M Q m d O w (� O a) w I o J U) 0 N � J O M U C _L L cm OO U o W U C O LT co Rvi c w fl — o CL E WN = 7 0 Q (O O U m C a :5 z m L� V U d O !O h �'- O eco o 0M0 E aD m O Q N Q O E R V -2 N w Lm 0)?j LL a v 'm 'S Li c (u v T m is a •o ou LL a) W N O O ai ._ G R a) ` U co S 0 O C O. 7E w L ° o LLC L1 a) L R d N L71 J �M N O °U O ° cn 00 G c o CO ° o G c m R � o O 0 }, U m rn T� w V y � C O 7 W ° v O .O. C L N v� y C O w N fa � ' E00 o r Ln W F- w O O O O OO N O O a0 O O Ln = 0 W 0 0 W Co M Q U N O U Q I o U) 0 O M y ccH C L cm OO U o W U ui 0 z w o 0 O z :5 z m O W �'- O m 'CU' '0" U- u- m R LL n ~ O c v 3 c N U �dL ai o�'� c C L o LL 3 O o U a� S U 43)U E R V -2 N w Lm 0)?j LL a v 'm 'S Li c (u v T m is a •o ou LL a) W N O O ai ._ G R a) ` U co S 0 O C O. 7E w L ° o LLC L1 a) L R d N L71 J �M N O °U O ° cn 00 G c o CO ° o G c m R � o O 0 }, U m rn T� w V y � C O 7 W ° v O .O. C L N v� y C O w N fa � ' E00 o r Ln W F- w O O OO O a0 O O 0 W 0 0 W Co M Q Q N O E R V -2 N w Lm 0)?j LL a v 'm 'S Li c (u v T m is a •o ou LL a) W N O O ai ._ G R a) ` U co S 0 O C O. 7E w L ° o LLC L1 a) L R d N L71 J �M N O °U O ° cn 00 G c o CO ° o G c m R � o O 0 }, U m rn T� w V y � C O 7 W ° v O .O. C L N v� y C O w N fa � ' E00 o r Ln W F- w BUILDER'S AFFIDAVIT Property/Builder: Owner's Name: Seaport Homes LLC Property Address: X Cotuit Street City,St,Zip: N. Andover, MA 01845 Phone No.: Builder's Name: Seaport Homes LLC Model: Lot 2 Cotuit Rd Development: Phone No.: 508-509-4018 Rating Date: 8/7/2014 Rating No.: ABA6046 IMPORTANT NOTICE TO BUILDER Builder affirms in this affidavit that all components listed in the Building File Report are accurate and incorporated into this New Home. Builder agrees to permit home energy rating system (HERS) Provider and/or Rater, to randomly verify components solely for the benefit of the HERS Provider's and/or Rater's interest. The HERS Provider and Rater do not create or imply any duty or obligations to Builder or any subsequent owner. Builder is responsible for making any inspections to protect Builder's interest. There is no GUARANTEE or WARRANTY, expressed or implied, from the HERS Provider or Rater as to this New Home. Builder's Signature: Date: HERS Index: 56 Rating Reason: Projected Rating Rater's Signature: Date: REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 This information does not constitute anywarranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT File Name: Left Cotuit St_P1.blg 1726 Date: August 08, 2014 Property/Builder. Year Built: Rating Housing Type: Building Name: Cotuit St Duplex Left Side Org. Name: Advanced Building Analysis LLC Owner's Name: Seaport Homes LLC Address: 2 Woodlawn St Property Address: X Cotuit Street City, St, Zip: Amesbury, MA 01913 City, St, Zip: N. Andover, MA 01845 Phone No: 978-270-3911 Phone No: Website: advanced bu ildlinga nalysis.com Builder's Name: Seaport Homes LLC Rater's Name: Dan Clark Phone No: 508-509-4018 Rater's Email: dan@advancedbuildinganalysis.com Email Address: pat@seaporthomes.net Rater's ID: 3704635 Model: Lot 2 Cotuit Rd Provider ID: Development: Sample Set ID: Permit Date/Number: Rating Date: 8/7/2014 Rating Type: Projected Rating Reason: New Home Rating No.: ABA6046 Registry ID: General Building Information Area of Cond. Space(sq ft): 1726 Volume of Cond. Space: 14020 Year Built: 2014 Housing Type: Duplex, single unit Level Type(Apartments Only): None Floors on orAbove-Grade: 2 Number of Bedrooms: 3 Foundation Type: More than one type Enclosed Crawl Space Type: N/A Thermal Boundary Location: REM Default Foundation Wali Into., 1 2 Name uncon>amb uncon>garage Library Type R0,10" R0,10" Length (ft) 61.6 22.3 Total Height(ft) 7.0 7.0 Depth Below Grade(ft) 5.5 5.5 HeightAbove Grade(ft) 1.5 1.5 Location Uncond bsmt->amb/gmd Uncond bsmt >garage/gmd Uo Value (wall, airfilm, & soil) 0.255 0.255 Uo Value (wall assembly only) 1.205 1.205 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 2 Foundation Wall: ROiW' i Type: Solid concrete or stone Thickness(in): 10.0 Studs: None Interior Insulation: Continuous R -Value: 0.0 Frame Cavity R -Value: 0.0 Cavity Insulation Grade: 1 Ins top: 0.0 ft from top of wall Ins Bottom: 0.0 ft from top of wall Exterior Insulation: R -Value: 0.0 Ins top: 0.0 ft from top of wall Ins bottom: 0.0 ft from top of wall Note: Frame Floor Info: 1 2 3 Name cond>garage cond>uncon basement cond>stairs uncond Library Type R30,FG2,10-16 R30,FG2,10-16 R25,FG1,X-16 COMPRES Area (sq ft) 261 710 57 Location Btwn cond & garage Btwn cond & uncond bsmt Btwn cond & uncond bsmt Uo Value 0.042 0.042 0.041 REM/Rate -Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 3 Frame Floor: R30,FG2,1046` Information From Quick Fill Screen: Continous Insulation R -Value Cavity Insulation R -Value Cavity Insulation Thickness (in.) Cavity Insulation Grade Joist Size (w x h, in) Joist Spacing (in oc) Framing Factor- (default) Floor Covering Note: ABA DSC 4.19.11 Layers Paths Total Component UA: 0.042 Total Component Area: 1.0 Component Uo: 0.042 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. g 0.0 30.0 9.3 2.0 1.5 x 9.3 16.0 0.1300 HARDWOOD Cavity Framing Grade Inside Air Film 0.860 0.860 0.860 Floor covering 0.680 0.680 0.680 Subfloor 0.820 0.820 0.820 Cavity ins 30.000 0.000 0.000 Continuous ins 0.000 0.000 0.000 Framing 0.000 11.625 0.000 0.000 0.000 0.000 Outside Air Film 0.455 0.455 0.455 Total R -Value 32.815 14.440 2.815 U -Value 0.030 0.069 0.355 Relative Area 0.850 0.130 0.020 UA 0.026 0.009 0.007 Total Component UA: 0.042 Total Component Area: 1.0 Component Uo: 0.042 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. g 0.0 30.0 9.3 2.0 1.5 x 9.3 16.0 0.1300 HARDWOOD BUILDING FILE REPORT Cotuit St Duplex Left Side Page 4 Frame Floor. R26,FG1,X•l6 GOMPRES Cavity Information From Quick Fill Screen: Continous Insulation R -Value 0.0 Cavity Insulation R -Value 25.0 Cavity Insulation Thickness (in.) 8.0 Cavity Insulation Grade 1.0 Joist Size (w x h, in) 1.5 x 9.3 Joist Spacing (in oc) 16.0 Framing Factor- (default) 0.1300 Floor Covering HARDWOOD Note: R30 COMPRESSED Layers Paths Total Component UA: 0.041 Total Component Area: 1.0 Component Uo: 0.041 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Cavity Framing Grade Inside Air Film 0.860 0.860 0.860 Floor covering 0.680 0.680 0.680 Subfloor 0.820 0.820 0.820 Cavity ins 25.000 0.000 0.000 Continuous ins 0.000 0.000 0.000 Framing 0.000 10.000 0.000 0.000 0.000 0.000 Outside Air Film 0.455 0.455 0.455 Total R -Value 27.815 12.815 2.815 U -Value 0.036 0.078 0.355 Relative Area 0.870 0.130 0.000 UA 0.031 0.010 0.000 Total Component UA: 0.041 Total Component Area: 1.0 Component Uo: 0.041 REM/Rate - Residential Energy Analysis and Rating Software v14A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 5 Rim and Band Joist; 1 i 2 3 Name R21>ambient R21>garage R11>adiabatic Area(sq lt) 62.4 23.6 38.0 Continuous Ins 0.0 0.0 0.0 Framed Cavity Ins 21.0 21.0 11.0 Cavity Ins Thk(in) 5.5 5.5 3.5 Joist Spacing 16.0 16.0 16.0 Insulation Grade 2 2 2 Location Cond -> ambient Cond -> garage Cond -> another cond unit Uo Value 0.054 0.054 0.080 Above-Orade Wat 1 2 a Name 2x6x16 R21>amb 2x6x16 R21>garage 2x4x16>adiababc Library Type R21,FG1,6-16 R21,FG1,6-16 R11,FG1,4-16 Gross Area (sq ft) 1165.80 188.70 570.00 Exterior Color Medium Medium Medium Location Cond -> ambient Cond -> garage Cond -> another cond unit Uo Value 0.058 0.058 0.093 Above -Grade Wall. 4 Name 2x4x16>uncon bsmt Library Type R15,FG1,4-16 GrossArea(sq ft) 37.30 Exterior Color Medium Location Cond -> uncond bsmt Uo Value 0.079 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT 0.680 Cotuit St Duplex Left Side Page 6 Above -Grade Walls R21,FG1,646 0.450 Information From Quick Fill Screen: 0.450 Standard Wood Frame 0.000 Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 21.0 Frame Cavity Insulation Thickness (in) 5.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 5.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note: Updated Grade 1131-110/24/05 0.000 Layers Paths 0.170 Cavity Framing Grade 0.170 Inside Air Film 0.680 0.680 0.680 Gyp board 0.450 0.450 0.450 Air Gap/Frm 0.000 0.000 0.000 Cavity ins/Frm 21.000 6.875 1.030 Continuous ins 0.000 0.000 0.000 Ext Finish 0.940 0.940 0.940 0.000 0.000 0.000 Outside Air Film 0.170 0.170 0.170 Total R -Value 23.240 9.115 3.270 U -Value 0.043 0.110 0.306 Relative Area 0.770 0.230 0.000 UA 0.033 0.025 0.000 Total Component UA: 0.058 Total Component Area: 1.0 Component Uo: 0.058 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Outside Air Film 0.170 BUILDING FILE REPORT 0.170 Cotuit St Duplex Left Side 13.240 6.615 3.270 Page 7 Above -tirade WaH. ft11,FG1,4r1H 0.151 0.306 Relative Area 0.770 Information From Quick Fill Screen: 0.000 UA 0.058 0.035 Standard Wood Frame Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 11.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note: Updated Grade I BH 10/24/05 Layers Paths Cavity Framing Grade Inside Air Film 0.680 0.680 0.680 Gyp board 0.450 0.450 0.450 Air Gap/Frm 0.000 0.000 0.000 Cavity ins/Frm 11.000 4.375 1.030 Continuous ins 0.000 0.000 0.000 Ext Finish 0.940 0.940 0.940 0.000 0.000 0.000 Outside Air Film 0.170 0.170 0.170 Total R -Value 13.240 6.615 3.270 U -Value 0.076 0.151 0.306 Relative Area 0.770 0.230 0.000 UA 0.058 0.035 0.000 Total Component UA: 0.093 Total Component Area: 1.0 Component Uo: 0.093 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Paths Cotuit St Duplex Left Side Page 8 move -Grade Wad: R15,FG1,446 Cavity Information From Quick Fill Screen: Standard Wood Frame 0.680 Continuous Insulation (R -Value) 0.0 Frame Cavity Insulation (R -Value) 15.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note: Updated Grade I BH 10/24/05 0.000 Layers Paths Cavity Framing Grade Inside Air Film 0.680 0.680 0.680 Gyp board 0.450 0.450 0.450 Air Gap/Frm 0.000 0.000 0.000 Cavity ins/Frm 15.000 4.375 1.030 Continuous ins 0.000 0.000 0.000 Ext Finish 0.940 0.940 0.940 0.000 0.000 0.000 Outside Air Film 0.170 0.170 0.170 Total R -Value 17.240 6.615 3.270 U -Value 0.058 0.151 0.306 Relative Area 0.770 0.230 0.000 UA 0.045 0.035 0.000 Total Component UA: 0.079 Total Component Area: 1.0 Component Uo: 0.079 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 9 Window k0ormation: 4 2 3 Name A2 Front DH D Front CS sidelites Library Type U:0.30, SHGC:0.29 U:0.30, SHGC:0.29 0:0.30, SHGC:0.29 U -Value 0.300 0.300 0.300 SHGC 0.290 0.290 0.290 Area(sq ft) 25.00 12.00 6.75 Orientation South South South Overhang Depth 0.0 0.0 0.0 Overhang To Top 0.0 0.0 0.0 Overhang To Bottom 0.0 0.0 0.0 Interior Winter Shading 0.85 0.85 0.85 Interior Summer Shading 0.70 0.70 0.70 Adjacent Winter Shading None None None Adjacent Summer Shading None None None Wall Assignment AGWall 1 AGWall 1 AGWall 1 Window !r90 'oration: 4 5 6 Name LeftA DH (4) RearA DH (2) LeftA2 DH (1) Library Type U:0.30, SHGC:0.29 U:0.30, SHGC:0.29 0:0.30, SHGC:0.29 U -Value 0.300 0.300 0.300 SHGC 0.290 0.290 0.290 Area(sq ft) 50.00 25.00 25.00 Orientation West North West Overhang Depth 0.0 0.0 0.0 Overhang To Top 0.0 0.0 0.0 Overhang To Bottom 0.0 0.0 0.0 Interior Winter Shading 0.85 0.85 0.85 Interior Summer Shading 0.70 0.70 0.70 Adjacent Winter Shading None None None Adjacent Summer Shading None None None Wall Assignment AGWall 1 AGWall 1 AGWall 1 REM/Rate - Residential Energy Analysis and Rating Software vi 4A.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 10 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Window Information: 7 8 Name Left B CS (1) slider Library Type U:0.30, SHGC:0.29 U:0.30, SHGC:0.29 U -Value 0.300 0.300 SHGC 0.290 0.290 Area (sq ft) 13.70 40.00 Orientation West North Overhang Depth 0.0 0.0 Overhang To Top 0.0 0.0 Overhang To Bottom 0.0 0.0 Interior Winter Shading 0.85 0.85 Interior Summer Shading 0.70 0.70 Adjacent Winter Shading None None Adjacent Summer Shading None None Wall Assignment AGWall 1 AGWall 1 Window: U:0.30, SHGC:0.29 U -Value: 0.300 Solar Heat Gain Coefficient: 0.290 Note: Door Information: ! 2 Name Front Entry garage basement Opaque Area (sq ft) 27.0 18.0 18.0 Library Type Fiberglass R5 steel insul 1-3/8 Wd panel Wall Assignment AGWall 1 AGWall 2 AGWall 4 Uo Value 0.168 0.168 0.545 Door; Fiberglass R -Value of Opaque Area: 5.0 Storm Door: No Note: Door: R6 steellnsul R -Value of Opaque Area: 5.0 Storm Door: No Note: ...... ... ..____ .. Door: 1-3/8 Wd panel ._ ._ ._ .......- _. R -Value of Opaque Area: 0.9 Storm Door: No Note: REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 11 Roof Information: 1 Name 2x10x16 12"CE R38 Library Type R38,CE12",10-16 Ceiling Area(sq ft) 1017.00 RoofArea(sq ft) 1271.00 Color Medium Radiant Barrier No Type(Attic) Attic Uo Value 0.028 Clay or Cement Tiles: No Sub Roof Ventilation: No REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Cotuit St Duplex Left Side Ceiling: R38,CEW,11046 Information From Quick Fill Screen: Continous Insulation (R -Value) Cavity Insulation (R -Value) Cavity Insulation Thickness (in) Cavity Insulation Grade Gypsum Thickness (in) Bottom Chord/Rafter Size(w x h, in) Bottom Chord/Rafter Spacing (in o.c.) Framing Factor- (default) Ceiling Type Note: MAB ABA 11-07-08 strapped Layers Paths BUILDING FILE REPORT Page 12 Total Component UA: 0.028 Total Component Area: 1.0 Component Uo: 0.028 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. Framing Cavity Grade Inside Air Film 0.610 0.610 0.610 Gyp board 0.450 0.450 0.450 Cavity Ins/Frm 11.625 29.600 0.000 Continuous ins 8.800 8.800 8.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Outside Air Film 0.610 0.610 0.610 Total R -Value 22.095 40.070 10.470 U -Value 0.045 0.025 0.096 Relative Area 0.141 0.859 0.000 UA 0.006 0.021 0.000 Total Component UA: 0.028 Total Component Area: 1.0 Component Uo: 0.028 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 13 Mechanical Equipment; general Number of Mechanical Systems: 3 Heating SetPoint(F): 68.00 Heating Setback Thermostat: Present Cooling SetPoint(F): 78.00 Cooling Setup Thermostat: Present Heat: AS Gold XI AUH1 B060A SystemType: Fuel -fired airdistribution Fuel Type: Natural gas Rated Output Capacity (kBtuh): 57.0 Seasonal Equipment Efficiency: 95.0 AFUE Auxiliary Electric: 421 Eae Note: AHRI 5722434 ecm 95% AUH1B060A9H31A* Location: Conditioned area Performance Adjustment: 100 Percent Load Served: 100 Number Of Units: 1 Cooling Equipment: ACC, 36K,13 SEER System Type: Air conditioner Fuel Type: Electric Rated Output Capacity (kBtuh): 36.0 Seasonal Equipment Efficiency: 13.0 SEER Sensible Heat Fraction (SHF): 0.70 Note: Location: Conditioned area Performance Adjustment: 100 Percent Load Served: 100 Number Of Units: 1 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 © 1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 14 Water Heating Equ piment: Gas, Instant, 94% Water HeaterType: Fuel Type: Energy Factor: Recovery Efficiency: WaterTank Size (gallons): Extra Tank Insulation (R -Value): Note: Location: Percent Load Served: Performance Adjustment: Number Of Units: Instant water heater Natural gas 0.94 0.00 0 0.0 Conditioned area 100 100 1 Duct System Informations Name 4 whole house _. $ Heating System Return AS Gold XIAUH1 B060A Return Cooling System 15.0 ACC, 36K,13 SEER 5.0 SupplyArea(sq ft) 6.0 349.5 6.0 Return Area(sq ft) Attic, under insulation 323.6 Conditioned space Conditioned FloorArea(sq ft) 1726.0 # of Registers 6 Duct Leakage Qualitative Assessment- Not Applicable Duct Leakage to Outside: 34.00 CFM @ 25 Pascals Supply Duct Leakage - NotApplicable Return Duct Leakage - NotApplicable Total Duct Leakage: 69.00 CFM @ 25 Pascals Duct Tightness Test: Postconstruction Test Duct inforniition: 1 2 i 3 Type Supply Return Supply Percent Area 70.0 80.0 25.0 R -Value 8.0 6.0 8.0 Location Unconditioned basement Unconditioned basement Attic, under insulation Duct Information: 4 5 _. $ Type Return Supply Return Percent Area 15.0 5.0 5.0 R -Value 6.0 8.0 6.0 Location Attic, under insulation Conditioned space Conditioned space REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ®1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 15 Infiltration and Mechanical Ventilation Whole House Infiltration Measurement Type: Blower door test Heating Season Infiltration Value: 3.00 ACH @ 50 Pascals Cooling Season Infiltration Value: 3.00 ACH @ 50 Pascals Shelter Class 4 2009 IECC Verification: Tested Mechanical Ventilation for IAQ Type: Rate(cfm): Sensible Recovery Efficiency(%): Total Recovery Efficiency(%): Hours per Day: Fan Power (watts): Ventilation Strategy for Cooling Cooling Season Ventilation: Lights and Appliances Simplified Audit Refrigerator KWh: Refrigerator Location: Dishwasher EF: Dishwasher kWh/yr: Dishwasher Capacity: Dishwasher kWh/Year: Range/Oven Fuel Type: Induction Range: Convection Oven: Clothes Dryer Fuel Type: Clothes Dryer Location: Clothes Dryer Moisture Sensing: Clothes Dryer Energy Factor: Clothes Dryer Gas Energy Factor: Clothes Washer Location: Clothes Washer LER: Clothes Washer MEF: Clothes Washer Capacity: Clothes Washer Electricity Rate: Clothes Washer Gas Rate: Exhaust Only 47 0.00 0.00 24.00 5.60 No Ventilation 600 Conditioned 0.70 0 12 0 Natural gas No No Electric Conditioned No 3.01 2.67 Conditioned 704.0 0.817 2.874 0.08 0.58 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 16 Ughts and Appliances Clothes WasherAnnual Gas Cost: 23.00 Percent CFLs: 80.0 Percent Fluorescent: 10.0 Percent Exterior Lights: 100.0 Percent Garage Lights: 100.0 Ceiling Fan CFM /Watt: 0.00 REM/Rate - Residential Energy Analysis and Rating Software v1 4A.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side Page 17 Mandatory Requirements IECC Requirements Verified IECC 04: false Verified IECC 06: false Verified IECC 09: false Verified IECC 12: true Verified IECC NY: false Verified Florida: false ENERGY STAR Version 2 Checklists true Thermal Bypass Checklist: false ENERGY STAR Products: false ENERGY STAR Version 3 Checklists Thermal Enclosure Checklist: true HVAC System Quality Installation Contractor Checklist: false HVAC System Quality Installation Rater Checklist: false Water Management System Builder Checklist: false ENERGY STAR Version 3 Appliances Has Refrigerators: true Number Of Refrigerators: 1 Has Ceiling Fans: false Number Of Ceiling Fans: 0 Has Exhaust Fans: false Number Of Exhaust Fans: 0 Has Dishwashers: true Number Of Dishwashers: 1 ENERGY STAR Version 3 Basements Basement Wall Area 50% Below Grade: false Basement FloorArea: 0 2009 IECC Prescriptive Requirements for ENERGY STAR v3.0 false Slab Insulation Exemption: false Indoor airPlus Verification Checklist: false Notes P1 HERS 56 R38 CE 12"Attic 28.3% >UDRH Tier 1 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. BUILDING FILE REPORT Cotuit St Duplex Left Side 3 ach50 4% total leakage 69cfm 2% LTO 34cfm Page 18 P2 R49 Attic 15" IF 2ach50 - Tier 2 - 31.4% >UDRH HERS 54 IfASHP DHW & 3 ach50 Tier 2 - 33.4% > UDRH HERS55 REM/Rate - Residential Energy Analysis and Rating Software v14.4.1 ®1985-2014 Architectural Energy Corporation, Boulder, Colorado.