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HomeMy WebLinkAboutBuilding Permit # 7/1/2015 BUILDING PERMIT �SORT}{ TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION. �' "." �' " A Permit No#: Date:.Received-,.­,,'r1� .. gDRAreD PPP RG .. �SSACHl1`''E't Date Issued: IMPORTANT:Applicant must complete all items on this`page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building X One family XAddition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [� �J }'r"''r¢ =�u• ,y',-`Y7„i' 'M u❑P Se t�Ci .V-:Ve I� rg r 1r i �" � v� � r � n {}r env ,Y�y' 3 � � t r ry" � x� � D F oo�plain ❑Wetla tls } � �� �- d �" ,t'�,•� rz'� ,�.,�3" xr,„r;�' ,.r:,• .� �rJ �rprt}*�-�c��*r`�" �` Jl," ,�"•� � �' i�7 •��, H DESCRIPTION OF WORK TO BE PERFORME f1�'� �Z� l� � Cr tel' p-/2 z.� Identiticati - Please Type or Print Clearly: OWNER: Name: �Phone: Address: / vel Ol Mra Irv.r",.. � . ^ �rtm} } ; y�lame� Phonej r ar �r r Ho G e m rouement License . mEX , � fa „ ARCHITECT/ENGINEER Phone:_0,__' 9, � Address: ���'l i� � �m � � /1 Reg-No. FEE SCHEDULE:BULDING PERMIT.-$9200 PER$9000.00 OF THE TOTAL ESTIMATEQ;COSTBAsED ON$925.00 PER S.F. Total Project Cost: $-/Z,/ FEE: $. . Check No.: Recetpt.:No NOTE: Persons con ratting with unregistered.contractors do not;have access to the guaranty fund . Signaturerof Agent/Owner ` �, �- �4Signa��urea ofi�confiractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ jypF OF SEWERAGE DTSPOSAL Public Sewer X1 Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Durap ster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM J PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on ` /tf Signature COMMENTS � C�.-�`�'% C�.�� � � � C��� a � HEALTH Reviewed on Signature COMMENTS � �C�G Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street ` FIRE DEPARTMENT Temp Dumpster onsite' yes ,� not �, ' �,;?, �rrsr f_ r`r�✓r c -'� l -. � �? r J rr �r,� ��'� ..�✓,;�,R p ��'� E,�°�'';F"`�. ru�G` ''�,,.r:,r' '.c a ....!F,rr° r j r:rf lvrtr "_ t d rf tt .r� r rr2'�-"_ �r/rJ,fi�7��irr'r x,�J r ,r��frr'i�r``�r r ;: �'�"" 'J ''�� r""". ✓r... f1 .�' -, 1 :,r u .. 'r, '4" ;. t,"r'rn ' sl5 y ter r ,tvr: r r ..,Ta rr$js. r5 r✓rfi - 1 �r'. ,= - � ��zC�'�r;�, e n ✓'" 'i fix�r�, rrr 7: rr ,�� .�rrz. ,< r.°j,�:rrxli"�e� � i ,�'r t rs r't r4':,^;,r+ � /� ��'r�'rr'..fir -,�fs„rlr��a�?nr ,�: tkORT H Town ofE ,, over ® SAKE h ver, lVlass, COC MCHC WICK y1' S V BOARD OF HEALTH Food/Kitchen ��° ���T L Septic System rG�G — � � BUILDING INSPECTOR THIS CERTIFIES TE !! .. ... . .................. .......................................................................................... � . xq/ Foundation has permission to ....... ................ buildings on .......... .................................................................. Rough to be occupied as �`f ................. . ....... Chimney ............ ..... ..... .... ........... .. . .... provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTI ARTSRough Service .......... ........ ... .......... ............. ............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin,:; Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. William McKay Construction 18 Academy Avenue Bradford, MA 01835 Phone: (978)361-6402 Email:wmc3cons@msn.com Find us on Facebook! PROPOSAL Project name: Eichler Residence 11 Tyler Rd., North Andover, MA Scope of work. Addition to Existing Residence • Excavating:To be performed by client. • Foundation: Form and pour foundation walls and basement. • Framing: Frame and sheathing on new addition%"sheathing on walls, 5/8" sheathing on roof. • Windows: Install windows(window count taken by plans). Flashing and sealant will be applied on all flanges. • Siding: Installation of vinyl siding and aluminum trim on rakes and facia.Vented material to be used on soffits. • Roofing: Installation of all GAE shingles and all flashings required. • Insulation: Insulation to be performed as per code and will meet requirements in all new areas. • Electrical: Performed by approved William McKay Construction Contractor. • Plumbing: Installation and material of all plumbing and fixtures excluding vanity cabinet in bathroom. • Heating: Installation of wall hung heat pumps. • Sheetrock: Installation of blueboard and plaster. • Finish: Installation of all standing and running trim needed. Installation of all cabinetry,,doors and hardware. c, • Flooring: Install all flooring tile and laminate floating flooring. • Paint:To be performed by client. ® Spiral staircase: Install spiral staircase to loft area. • Remodel: Make all changes and patch in to new addition. • Existing Foundation:Cut doorway in existing foundation to new addition to be performed by client. • Permits: Permit fees included in cost for all subcontractors.Any special permits needed will result in Extra cost. • Protection of Existing residence will be done in order not to disturb homeowner. ** Cleanup of work will be done daily by William McKay Construction and disposed of too a dumpster we supply.Any changes needed or extra work requested will only be performed after the signature by both client and William McKay Construction on an Extra Work Order form.These forms once signed will become a part of the Proposal and Contract price." Total Cost of scope Outlined:$ 121,150.00 Material Allowance for this Project is as outlined below.Any materials that exceed these allowances made will result in an extra charge. Kitchen with laminate counters:$5,000 Flooring(including tile, carpet and laminate hardwood:$2,400 Spiral Staircase: $1,200 A deposit of$30,287 and a signed Proposal and Contract are required prior to start of this Project. Scheduling of Project will start immediately after deposit. Current plans may not be sufficient for Building Department.Please have your Architect prepare Construction Drawings.Need lot information and plans from town and stamped plans in order to pull permit. William L McKay III J net Eichler W McKay Construction LLC 1. WRILUTA\M MCKA\Y CONSTRUCTION 1L1LC. 18 Academy Ave Haverhill, MA 01835 978-361-6402 CONSTRUCTION CONTRACT This Construction Contract (hereinafter the "Contract")is hereby made on 15�Z,7// by and between Janet Eichler of 11 Tyler Rd., North Andover, MA 01845 (hereinafter "Client") and W McKay Construction LLC of 18 Academy Avenue, Haverhill, MA 01835 (hereinafter "Contractor) collectively referred to herein as the "Parties". ARTICLE i A. Contractor shall provide the following Construction Services (the "Project"), as agreed to in a signed Proposal related to said scope. B. Client engages Contractor and Contractor agrees to provide to Client all necessary service , materials, and labor necessary for the completion of the Project including, but not limited to , all building and construction materials outlined in the signed scope. Material estimate and all necessary tools and machinery needed for Project completion. All construction materials should be new and of the highest quality, unless previously specified by the Client. (r=' C. Contractor shall provide the construction services for the Project at the property located at 11 Tyler Rd., North Andover, MA 01845. D. The Contract shall be comprised of the following: this Construction Contract, Plans, Specifications, Addenda, Drawings, Photos, Proposal, Material estimate if applicable all signed and witnessed, all of which are attached hereto and are a part of this Contract as exhibits. TICLE II A. Contractor will begin work on , ! 0 to be completed by B. In the event that Client and Contractor agree on changes to the Project after this Contract is executed, the Parties will agree to new time deadlines that are reasonable in light of the modifications and that schedule change will be signed and witnessed and become a part of this Contract. TICLE III A►. In consideration of the performance of this Contract, Client agrees to pay Contractor the sum of $121 ,150.00 (the "Contract Price") on the following payment schedule for the services. B. Contractor shall receive a 25% deposit before the start of the Project and then Progress payments shall be made thereafter as reflected progression of the Contractor's services continue through to completion. C. After receiving notification by Contractor of each stage of completion, Client or its designee will inspect and approve the work or request any necessary adjustments to same. Client agrees to make payments to Contractor after approving work. Payment shall only be adjusted upon the mutual consent of both Parties if due to unseen events or the parameters of the work are expended materially beyond the terms of the Contract. This Contract and associated fees will be modified accordingly in the form of Extra Work Orders which once signed and witnessed to shall become a part of this Contract. ARTICLE IV A. All changes or modifications to the work ordered by Client must be made in writing, with appropriate adjustments made to total payment and payment schedule. The approval of both Parties shall be required in the form of an Extra Work Order for substantial Project changes as these changes will effect date of completion, Project price, and notifications of these changes must be made in a timely manner. B. If these changes should require additional expense to Contractor, Contractor must make a claim for increase in payment, in writing to Client in a timely manner. Client must approve this claim for increase in writing prior to any changes to the work, Project or schedule. All such documents relating to changes to this Project must be signed and witnessed to and will become a part of this Contract. ARTICLE V A. If Contractor is delayed from completing required work due too unavoidable casualties, Client shall grant Contractor an extension for the completion of work equal to the delay. Unavoidable casualties include, but are not limited to, fire, flood or natural disasters, delayed acquisition of materials or material delivery, and negligence or non- payment on the part of the Client. B. In the event of unavoidable casualties, Contractor shall properly document both the event and the impact of the event on Project completion. Documentation shall be presented to Client in a timely manner. ARTICLE VI A. If Contractor fails to correct defective work or persistently fails to supply materials or equipment in accordance with the Contract documents, Client may order Contractor to stop the work or any portion thereof, until the cause for such order has been eliminated. ARTICLE VII A. Free access to the work and the Project site shall be granted by Contractor to Client, the designated agents of the Client, and all necessary public authorities. B. Contractor agrees to keep the premises clean and orderly. Contractor shall remove all debris as needed during the hours of work in order to maintain work conditions free of health or safety hazards. ARTICLE'VII A. Contractor shall conduct its activities in a professional manner and adhere to reasonable wishes of Client in relation to its working schedule. Additionally, Contractor's work shall adhere to and be in compliance with both the Standard Practices of the Trades and any relevant Manufacturers Specifications. B. Contractor shall protect all work adjacent to the Project site from any damage resulting from the work of Contractor and shall repair or replace any damaged work at its own expenses. Contractor shall take all precautions to protect persons from injury and unnecessary interference or inconvenience. ARTICLE IX A. Client agrees to hold harmless, indemnify and defend Contractor and each individual or entity that is an agent, affiliate, partner, officer, or stockholder of same against any and all claims, losses, liabilities, damages, and expenses, including legal fees, fines, judgments, settlement amounts all made in connection with , or arising from errors in any representation or warranty made by Client under this Contract, any breach of the Contract by Client, or any omission or negligent act or error by Client in connection with this Contract, provided by such negligent act, omission, or error was not done at the direction of Contractor. B. Contractor agrees to hold harmless, indemnify and defend Client and each individual or entity that is an agent, affiliate, partner, officer, or stockholder of same against any and all claims, losses, liabilities, damages, and expenses, including legal fees, fines, judgments, settlement amounts all made in connection with , or arising from errors in any representation or warranty made by Contractor under this Contract, any breach of the Contract by Contractor, or any omission or negligent act or error by Contractor in connection with this Contract, provided by such negligent act, omission, or error was not done at the direction of Client. TICLE X A. Contractor may be responsible for insurance to protect against any property damage, bodily injury, death, or other claims for damages that may result from the commission of the work, including general liability insurance and workers compensation insurance for its employees and/or subcontractors. ARTICLE XI A. Contractor will be responsible for obtaining all the necessary permits and licenses to fulfill the services specified in this Contract. ARTICLE XII A. Contractor is responsible for maintaining proper work, safety and environmental protection standards. Contractor agrees to hold Client harmless for all fines from federal, state or local agencies and regulators. Contractor will work in compliance with all standards required by EPA, OSHA and other applicable federal agencies. Contractor will be responsible for paying all fines and judgments levied by these agencies resultant from the performance of this Contract. ARTICLE XIII A. The relationship created between the Parties shall be limited to that of independent contractors. Neither party shall undertake any actions that would imply or seek to establish, any partnership , ownership, employment, joint venture, or trust relationship between the Parties, except by amendment to this Contract. IN WITNESS WHEREOF, the Parties hereto execute this Contract: CLIENT Authoriz Signature L:I d- 7-I� Name and Title CONTRACTOR /✓ 'i' Z`- ® rte Authorized Signature Name and Title License # 179265 TICLE XIV A. Any dispute or claim related to or arising from this Contract, its performance, breach, interpretation, validity, or enforceability, shall be exclusively(except as provided below) resolved by final binding arbitration before AAA American Arbitration Association utilizing AAA Commercial Arbitration Rules. B. The arbitrator shall be selected using AAA procedures. The arbitrator shall render a written decision within thirty calendar days of the hearing. The arbitrator may award attorneys' fees or punitive, incidental, consequential, treble, or other multiple or exemplary damages. C. Awards shall be final, binding, and non-appealable, with the exception of the grounds for appeal guaranteed by the Federal Arbitration Act and applicable laws. All awards may be filed with one or more courts, state, federal or foreign having jurisdiction over the party against whom such award is rendered or its property, as a basis of judgment and the issuance of execution of its collection. AR'T'ICLE XV A. Both Parties are expressly prohibited from assigning this Contract or any rights or interest flowing therefrom. Assignment will only occur with the express written consent of both Parties. B. This Contract contains the entire agreement and understanding between the Parties and supersedes any prior or contemporaneous written or oral Contracts, representations, and warranties between them respecting the subject matter of this Contract. C. This Contract will be interpreted and enforced under the laws of the State of MA, without regard to conflict of laws. REScheck Software Version 4.6.0 compliance Cert'ficate Project Eichler Residence Addition Energy Code: 2012 IIECC Location: North Andover, Massachusetts Construction Type; Single-family Project Type; Addition Climate Zone: 5 0322 HDD) Permit Date: Permit Number: Owner/Agent: Designer/Contractor: Construction Site: Janet Eichler Joel SlIverwatch 11 Tyler Road Silverwatch Architects, LLC North Andover, Massachusetts, MA Owner 155 Londonderry Road 01845 11 Tyler Road Massachusetts, MA Windham, NH 03087 North Andover, Mas 603-894-4450 01845 exntrk4gatos@verizom net joel@silverwatch.com T!T=rn UA: 100 Your UA: 91 compliance the house is based on code trade-off rules. minimum-code home, _nPa A_) rn�h _ydn _f 600 21.0 0.0 0.057 26 Wall 1:Wood Frame, 1611 o.c. 80 0.300 24 Window 1:Vinyl Frame:Triple Pane 70 0.150 11 Door 1:Solid 96 38.0 0.0 0.030 3 Flat Ceiling: Flat Ceiling or Scissor Truss 354 30.0 0,0 0.034 12 Cathedral Ceiling:Cathedral Ceiling 450 30.0 0.0 0.033 15 Floor 1:All-Wood joistlTruss:Over Unconditioned Space Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in RqScheck Version 4.6.0 and to comply with the mandatory requirements listed yI the REScheck Inspection Checklist. ISO I Date _4Nae4itl�--e kL -5 No.N671 6ALEM �S' NH Report date: 05/20/15 Project Title: Eichler Residence Addition Data filename: C:\Users�oe[\Desktop\CAD-DESIGN\2014 Jobs\Eichler Energy Check.rck Pagel of 8 Q1REScheck Software Version Inspection Chelckl"Mt Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the ,Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. section Plans Verified" ?es li comp Field Verified comments/Assumptions # Pre-inspection/Plan Review Value Value .......... & Re 116 Ocomplies 103.1, Construction drawings and DDoes Not 103.2 documentation demonstrate [PR111 energy code compliance for the phot Observable building envelope. ONot Applicable . .... ElComplies 103.1, Construction drawings and ElDoes Not 103.2, documentation demonstrate 403.7 energy code compliance for ONot Observable [PR311 lighting and mechanical systems. E)Not Applicable Systems serving multiple dwelling units must demonstrate compliance with the IECC Commercial Provisions. ......------ FIComplies 302.1, Heating and cooling equipment is Heating: Heating: 403.6 sized per ACCA Manual S based Btu/hr_ Btu/hr E]Does Not [PR212 on loads calculated per ACCA Cooling: Cooling: FINot Observable Manual J or other methods Btu/hr_ Btu/hr�_ ONot Applicable approved by the code official. Additional Comments/Assumptions: LOW Impact(Tier 3 i-[Medium impact(Tier 3T igh Impact(Tie Report date: 05/20/15 Project Title: Eichler Residence Addition Page 2 of 8 Data filename: C:\Users�oel\Desktop\CAD-DESIGN\2014 jobs\Eichler Energy Check.rck 12 IECC Foundation inspection � complies? Comments/Assumptions JJ - ....... _ _ 3013 2,1 A protective covering is installed to ❑Complies [FO1112 protect exposed exterior insulation ❑does Not and extends a minimum of 6 in.below ❑Not Observable grade. ❑Not Applicable 4013 8 Snow-and ice-melting system controls ElComElDoe shot lies [FO12]2 installed. ❑Not Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier i) 2 rMedium Impact(Tier 2) 3 Low Impact(Tier 3) Report date: 05/20/15 Project Title: Eichler Residence Addition Page 3 of 8 Data filename: C:\Users\loel\Desktop\CAD-DESIGN\2014 Jobs\Eichler Energy Check.rck ld Verified Framing/Rough-in Value Comments/Assump Inspection tions Section Flans Verified Fie ElComplies See the Envelope Assemblies 402.1J, Door U-factor. UW U_ table for values. 402.3.4 E]Does Not [FR111 E]Not Observable E]Not Applicable 402.1.1, Glazing U-factor(area-weighted UW U_ ElComplies see the Envelope Assemblies 402.3.1, average). E]Does Not table for values. 402.3.3, E]Not Observable 402.3.6, E]Not Applicable 402.5 [FR2]1 303.1.3 U-factors of fenestration products ElComplies [FR4]1 are determined in accordance E]Does Not with the NFRC test procedure or E]Not Observable taken from the default table. EJNot Applicable 402.4.1.1 Air barrier and thermal barrier ElComplies [FR2311 installed per manufacturer's E]Does Not instructions. E]Not Observable E]Not Applicable —-------------........ ....... 402.4.3 Fenestration that is not site built ElComplies [FR20]1 is listed and labeled as meeting ODoes Not AAMA/WDMA/CSA 101/i.S.2/A440 E]Not Observable or has infiltration rates per NFRC E]Not Applicable 400 that do not exceed code limits. -----.._...------ 402A.4 IC-rated recessed lighting fixtures OComplies [FR16]2 sealed at housing/interior finish nDoes Not and labeled to indicate:52.0 cfm E]Not Observable leakage at 75 Pa. E]Not Applicable 403.2.1 Supply ducts in attics are R- R- ElComplies [FR12]1 insulated to �!R-8.All other ducts R- R- E]Does Not in unconditioned spaces or outside the building envelope are nNot Observable insulated to 2:R-6. ONot Applicable 403.2.2 All joints and seams of air ducts, ElComplies [FR13]1 air handlers,and filter boxes are F]Does Not 414 sealed. E]Not Observable ONot Applicable ........... --.._...---........-- 403,2.3 ........... 403,2.3 Building cavities are not used as ElComplies [FR15]3 ducts or plenums. E]Does Not E]Not Observable ONot Applicable —---------- ...... ............. 403.3 HVAC piping conveying fluids R- R- ElComplies [FR17]2 above 105 9F or chilled fluids E]Does Not below 55 QF are insulated to�:R- E]Not Observable E]Not Applicable 403.3.1 Protection of insulation on HVAC ElComplies [FR24]1 piping. ElDoes Not E]Not Observable ONot Applicable ........... ...... 403,4,2 Hot water pipes are insulated to R- R- ElComplies [FR18]2 DDoes Not N. E]Not Observable EJNot Applicable .......... 1 High Impact(Tier 1) 22 ---.....1..:...__1___..__..—Medium Impact(Tier 2) ow Impact(Ti 3) Project Title: Eichler Residence Addition Report date: 05/20/15 Data filename: C:\Users�oel\Desktop\CAD-DESIGN\2014 Jobs\Eichler Energy Checkrck Page 4 of 8 Section dans Verified Field Verified complies? Comments/Assumptions Final Inspection Provisions Value Value nEo p�fie See the Envelope Assemblies R- R- 402,1.1, Ceiling insulation R-value. F-1 Wood Wood ODoes Not table for values. 402,2J, 402.2.2, n Steel EJ Steel [:]Not Observable 402.2.6 nNot Applicable [Fill' ElComplies 303.1.1.1, Ceiling insulation installed per 303.2 manufacturer's instructions. DDoes Not [F1211 Blown insulation marked every nNot Observable 300 ft2, FINot Applicable ------- ........... ElComplies 402.2.3 Vented attics with air permeable ODoes Not [F12212 insulation include baffle adjacent to soffit and eave vents that nNot Observable extends over insulation. FINot Applicable ...... ................. door R- R- ElComplies 402.2.4 Attic access hatch and FIDoes Not [F1311 insulation>_R-value of the adjacent assembly. nNot Observable E]Not Applicable ------ 402.4.1,2 Blower door test @ 50 Pa. <=5 ACH 50 ACH 50=_ ElComplies [FI1711 ach in Climate Zones 1-2, and E]Does Not <=3 ach in Climate Zones 3-8. nNot Observable nNot Applicable 403.2.2 Duct tightness test result Of<=4 cfm/100 cfm/100 ElComplies [F1411 cfmI100 ft2 across the system or T2 Tt2 nDoes Not <=3 CfM/100 ft2 Without air EJNot Observable handler @ 25 Pa. For rough-in nNot Applicable tests,verification may need to occur during FramingInspection. ....... ElComplies 1 Air handler leakage designated F]Does Not [F12411 by manufacturer at<=2%of design air flow. [:]Not Observable ]Not Applicable ElComplies 403.1.1 Programmable thermostats ODoes Not [Fl9]2 installed on forced air furnaces, E]Not Observable Alk, E]Not Applicable ElComplies 403.1.2 Heat pump thermostat installed E]Does Not [FI1012 on heat pumps. []Not Observable E]Not Applicable ----------- ElComplies 403,4.1 Circulating service hot water F]Does Not [F11112 systems have automatic or accessible manual controls, [:]Not Observable AP E]NotApplicable ­­......-1........... OComplies 403,5.1 All mechanical ventilation system E]Does Not [F12512 fans not part of tested and listed HVAC equipment meet efficacy E1NOt Observable and air flow limits. ❑Not Applicable ........ ElComplies 404.1 75%of lamps in permanent E]Does Not [F1611 fixtures or 75%of permanent fixtures have high efficacy lamps. E]Not Observable Does not apply to low-voltage ONot Applicable lighting. ------ igh Impact(Tier 1MediumF 'i - Inpa.c t-.T. ie r..2. 3 Low.Impact.(T.ie..r 3) ....... Report date: 05/20/15 Project Title: Eichler Residence Addition Check.rck Page 7 of 8 Data filename: C:\Users�oel\Desktop\CAD-DESIGN\2014 jobS\Eichler Energy section Plans Verified Field Verified Complies7 Comments/Assumptions Final Inspection Provisions Value Value 404,1.1 Fuel gas lighting systems have ElComplies [F123]3 no continuous pilot light. []Does Not ONot Observable ONot Applicable_________ Compliance certificate posted. OComplies C 171Does Not [F17]2 EJNot Observable 23 Not Applicable FIComplies 303.3 Manufacturer manuals for [FI18]3 mechanical and water heating 171Does Not systems have been provided, [ Not Observable 4k";P nNot Applicable Additional Comments/Assumptions: [1Ewlg Medium Impact(Tier ----i Low-Impact-(Tier.3.) Project Title: Eichler Residence Addition Report date: 05/20/15 Data filename: C:\Users\joel\Desktop\CAD-DESIGN\2014 JobsNEichler Energy Check.rck Page 8 of 8 P 2012 IECC Einer�g�y "CC E�fflic�'Iency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/ Roof 30.00 Ductwork(unconditioned spaces): MEMMINMEMMEMME= Window 0.30 Door 0.15 IMEMSEMEMEMEMMEM Heating System: I Cooling System:__ Water Heater: Name: Date: Comments Section Framing Rough-in glans Field Verified Complies? Comments/Assumptions tau eq.ID Value Value ....... .................. P Verified Fra Inspection 40 403.5 Automatic or gravity dampers are OComplies (FR19]2 installed on all outdoor air E]Does Not �rJYintakes and exhausts. E)Not Observable E]Not Applicable Additional Comments/Assumptions: 1- ig)�ImEpactTTier I) m Impact ALow Impact Project Title: Eichler Residence Addition Report date: 05/20/15 Data filename: C:\Users�oel\Desktop\CAD-DESIGN\2014 jobs\Eichler Energy Check.rck Page 5 of 8 ` # Vali Value Complies? Co 303.1 All installed insulation is labeled OCornplies [IN1312 or the installed R-values DDoes Not 11MV provided. ONot Observable ONot Applicable 402,1.1, Floor insulation R-value. R- R- ElComplies See the Envelope Assemblies 402.2.6 F1 Wood F1 Wood E]Does Not table for values. (IN111 E] Steel E] Steel E]Not Observable E]Not Applicable 303.2, Floor insulation installed per OComplies 402.2.7 manufacturer's instructions, and FIDoes Not [IN211 in substantial contact with the E]Not Observable underside of the subfloor. E]Not Applicable 402.1.1, Wall insulation R-value.If this is a R- R- ocomplies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the F1 Wood n Wood IDDoes Not table for values. 402.2.6 wall Insulation on the wall [:] Mass Mass E]Not Observable [IN311 exterior,the exterior insulation E] Steel Steel E]Not Applicable requirement applies(FR10). 303.2 Wall insulation is installed per ElComplies [IN4]1 manufacturer's instructions. ElDoes Not 44Y E]Not Observable E]Not Applicable AdditionaKComm 'Tier 1) Medium Impact(Tier 2) 3�Low Impact(Tier.3) Project Title: Eichler Residence Addition Report date: 85/20/I5 � Data filename: C:\UseryVnekDesktop\CAD-DES|GN\20l4]obs\Eich|erEnergy Check.nck Page 6of8 � � � The Commonwealth of Massachusetts Department of IndustrialAccidents r - I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 115;p C City/State/Zip,>� C�`liQ. ���36� Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with_�employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.F1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 1 ❑Demolition 10Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.F-1 Plumbing repairs or additions 5.Id,am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.FJ We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *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'tfzat is providing worlrers'compensation insurance for•nzy employees.' Below is thepolicy and job site information. Insurance Company Name: '/"�L - 1 Policy#or Self-ins.Lie.#: /� Expiration Date: 91// Job Site Address: l! �!� City/State/Zip: Attach a copy of the wor vers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 thepains andpenalties ofperjury that the information provided above is true and correct. Si ng ature /� Date: 1-Y(I'&7 Phone#: Official use only. Do not write in this area,to be completed by city or town official.. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ®® CERTIFICATE F LIABILITY INSURANCE FZATE(MM1DD1YYYY) 3/24/15 HIS 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 rNorth THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. NT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to s and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the e holder in lieu of such endorsement(s). CONTACT oberts Insurance Agency PHONE - --- _ sgood Street • (978) 683-8073 AX No: (978) 683-3147 ndover, MA 01845 ADDRESS: mike@mprobertsinsurance.com _ IN SURE R(S)AFFORDING COVERAGE NAICd -- INSURED INSURER A.Merchants Mutllal Insurance CO INSURER B: nr AtlaritiC Charter Isuance Co W MCKAY CONSTRUCTION LLC — — - --- ATTN: BILL MCKAY INSURER C: — - - - 18 ACADEMY AVENUE INSURER D: — I HAVERHILL, MA 01835 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR` �ADDL�SUBR _ LTR TYPE OF INSURANCE INS D POLICY NUMBER I MM/DDLICnEYYY MM DCLYYYEXP YW LIMITS - A GENERAL LIABILITY BOP9097489 8/14/14 8/14/15 EACH OCCURRENCE S 1 000,000 I X I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES_(Ea occurrence)___, $ 0 CLAIMS-MADE OCCUR _______0L_0_00 MED EXP(Anyone person) $ 15,000 PERSONAL&ADV INJURY S - j GENERAL AGGREGATE $ -2�QQO,OOO GE GENERAL - - PRO- I PRODUCTS-COMP/OP AGG $ 2,OOO OOO POLICY T LOC AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ ANY AUTO �_-(Ea accr�nl)__.__ - -- ALLOWWDBODILYINJURY(Perperson) $ AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE _ AUTOS Peraccideni $ -- --- - I A UMBRELLALIAB OCCUR CUP9147266 12/22/14 8/14/15 $ EXCESS LIAB I I EACH OCCURRENCE $ 1,000,000 -...._-_--_----_-- CLAIMS-MADE AGGREGATE $ 1,000,000 ! DED RETENTION$ — WORKERS COMPENSATION $ B AND EMPLOYERS'LIABILITY IIWCV01143500 3/29/14 3/29/15 N/CSTATU• OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN _L_TDRYLIMITS. ._.__ER- OFFICER/MEMBER EXCLUDED? N/A EL EACH ACCIDENT _500,00 ! (Mandatory In NH) I $ _---.__0 _— Ifyesdescnleunder I i EL DISEASE.-EA EMPLOYE- $_ - 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5001000 j DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Islregui red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JANET FICKLER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11 TYLER ROAD NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE MICHAEL P ROBERTS ©1988-20 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD phone: Fax: E-Mail: A CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 4/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). LRandolph CONTNAMEACT Kim Ly egies Company PHONE FA— P 986-4400 A/C No: (781)963-4420 Park Drive gppRlEss:kly@risk-strategies.com INSURERS AFFORDING COVERAGE NAIC# MA 02368 INSURED INSURER ANorGuard Insurance Co 31470 INSURER B: W McKay Construction LLC INSURER C: 18 Academy Avenue INSURER D: INSURER E: Bradford MA 01835 INSURER F COVERAGES CERTIFICATE NUMBER:CL154892045 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE I D POLICY NUMBER MM/DDY� MMIDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS MADE F—IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO ALL OWNED BODILY INJURY(Per person) $ SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ LEXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ Pj WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N x L E ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) C634557 /29/2015 /29/2016 If yes,describe under E.L.DISEASE-EA EMPLOYEd$ 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Janet Eichler ACCORDANCE WITH THE POLICY PROVISIONS. 11 Tyler Road North Andover, MA AUTHORIZED REPRESENTATIVE Michael Christian/KIL ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS02';i9n1nn-,)ni Thn Ar f)Pn nmmn and Innn nrn rnnie4nrnrl m�rlk—of Af_1110n L `:X Office of Consumer Affairs&Busin/ess Regulation License or registration valid for individul use only VME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 179265 Type: Office of Consumer Affairs and Business Regulation piration: 7/10/2016 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 W. MCKAY CONSTRUCTION LLC. WILLIAM MCKAY i 18 ACADEMY AVE. HAVERHILL,MA 01835Und --- -- ---- i— ersecretary Not valid without signature w O �L N c L _ ;3 (� ? 77QO P L3 p U) :n T.3 C' f_ O (9 .� f' i N b _ E �(� tN ` = 01- - -. Q CA C f +� IA V A In O Z3 a w > O o u) U as O ;n 13 0 � Q °' 3 '0-0x