6 VERONA STREET - BUILDING INSPECTION SuperTab®
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Certificate Number: B-2014-0604 Permit Number: B-2014-0604
Commonwealth of Massachusetts
City of Salem
This is to Certify that the ....... ...... ...........Building located at
..............
......
auiiding Type
6 VERONA STREET in the ...City of Salem
.......................... .............. ..............................................
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
6 VERONA STREET
PRIME CAP LLC
This Pennit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ........_.._........._._Not 4p,punless sooner suspended or revoked.
#cable
.... ......
. ........... ............
Expiration Date
Ile
Issued On: Monday, November 17, 2014
S
6 VERONA STREET 586-14
GIS#: 112029 COMMONWEALTH OF MASSACHUSETTS
,Map: 08
Block: CITY OF SALEM
Lot: 0171
Category: New Single Family Ho
Pernut# 586-14 BUILDING PERMIT
.Project# JS-2014-001310
,Est:Cost: $140,000.00
,Fee Charged: $985.00
Balance Due: $.00 PERMISSIONIS HEREBY GRANTED TO:
:Const. Class: Contractor: License: Expires:
_se Group: Daniel Dandreo General Contractor-50032 11/23/2014
Lot Size(sq. ft.): 20999.8404
:Zoning: . . RI Owner: PRIME CAP LLC
:Units Gained: - Applicant: Daniel Dandreo
'Units Lost: AT. 6 VERONA STREET
,Dig Safe#:
ISSUED ON. 10-Feb-2014 AMENDED ON. EXPIRES ON. 10-Aug-2014
TO PERFORM THE FOLLOWING WORK:
NEW SINGLE FAMILY DWELLING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing yp `// Building
I;!nderground: \\ Underground: Underground:a,?�i;� •/ Excavation:
(S ervice:,i0..9'_�y /(C,(j� Meter: / Footings:
Rough:S--/V ,/ywRough: Rough: Foundation:
Final: /J/ [ Final: Final: Q'�' ,7�a/( Rough Frame:' S�r�JI�
Fireplace/Chimney:
D.P.W. Fi Health
Insulation: 6 ILtJ IH
Meter: Oil: •-1t DO,� I II
House# Smoke:
Final: 1'Ln.—• 1
41/�
,
Water: Alarm:
L//o/,/ rAssessor Treasury:
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOL OF ANY OF ITS
kULES AND REGULATIONS.
la..,
Signature:
4
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2014-001315 10-Feb-14 6110 $985.00
IMPORTANT:OWNER OR CONTRACTOR MUST
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc. ARRANGE FOR PERIODIC INSPECTIONS DURING
CONSTRUCTION.SEE CURRENT BUILDING CODE
CHAPTER 1 FOR LIST OF REQUIRED INSPECTIONS.
CALL 978-619-5641 TO SCHEDULE AN INSPECTION
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CITY OF SALEM
APPROVED
CITY OF SALEM
PLUMBING INSPECTION
DATE OF INSPECTION--
DATE
NSPECTION-`DATE OF ACTIVATION Y1 2k' S'+�eN! �I 37 Iy
Dennis Ross • Plumbing Inspector J
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Reg
y ID
Home Energy Rating Certificate ng Number
Rating Number EH0301
Certified Energy Rater Ian Rex
6 Verona St. Rating Date 01/21/2014
Salem, MA 01970 Rating Ordered For
lee Estimated Annual Ener Cost_
UseMMBtu Cost Percent
Hum5 Stars Plus Heating 71.1 $1547 51%
Projected Rating
HERS Index: 56 Cooling 0 $0 0%
Efficient Home Comparison: 44% Better Hot Water 17.0 $369 12%
Projected Rating: Based on Plans - Field Confirmation Required. Lights/Appliances 20.1 $1059 35%
'�`-_- —�_- � � Photovoltaics -0.0 $-0 -0%
General Ifor
nmation
Service Charges $72 2%
Conditioned Area 2326 sq. ft. House Type Single-family detached
Conditioned Volume 21099 cubic ft. Foundation Stab Total 110.0 "$3046 100%
Bedrooms 3 C—_ Criteria
__
Mechanical Systems Features This home meets or exceeds the minimum criteria for
the following:
Heating: Fuel-fired hydronic distribution, Fuel oil, 86.0 AFUE.
Water Heating: Integrated, Fuel oil, 0.79 EF, 40.0 Gal.
Duct Leakage to Outside NA
Ventilation System Exhaust Only: 53 cfm, 8.6 watts.
Programmable Thermostat Heat=Yes; Cool=Yes
Building Shell Features
Ceiling Flat R-33.0 Slab R-10.0 Edge, R-10.0 Under - -
Sealed Attic N/A Exposed Floor R-30.0
Vaulted Ceiling N/A Window Type U:0.30, SHGC:0.30«.....«« Ian Rex
Above Grade Walls R-21.0 Infiltration Rate Htg: 2.50 Clg: 2.50 ACH50 The Energy Hound
Foundation Watts N/A Method Blower door test 11 Broadway, Suite 3
Beverly,MA 01915
tLights and -
_Ap fiance Features _ _
_ 978-233-1433
Percent Interior Lighting 100.00 Range/Oven Fuel Electric Ian@TheEnergyHound.com
Percent Exterior Lighting 8.00 Clothes Dryer Fuel Electric
Refrigerator(kWh/yr) 555.00 Clothes Dryer EF 3.01 �.Digitally signed by Ian Rex
Ian Rex°DatcndanRex
Dishwasher Energy Factor 0.00 Ceiling Fan(cfm/Watt) 0.00 _Date:.2m 4.01.2116:31:43
Certified Energ�r Rater: ,i -osob
The Home Energy Rating Standard Disclosure for this home is available from the rating p ovider.
REM/Rate-Residential Energy Analysis and Rating Software v14.3
This information does not constitute any warranty of energy cost or savings.
0 1985-2013 Architectural Energy Corporation, Boulder, Colorado.
' , L
CITY OF SM.E:NI, -XLXSSACHLSETTS
BUILDING DEPARTNI&NT
• A• 120 WASHLNGTON STREET,aro FLOOR
TEL (978)745-9595
FAX(978)740-9846
KINiBERLEY DRISCOLL
MAYOR � THOMAS ST.P>FxRs
DIRECTOR OF PUBLIC PROPERTY/BL'lIDL`G COJMBSSIONER
Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A licant Information Please Print Legibly
Valne(Busitess:OrganizatioNlndividewl): 9-4 77"
J
Address: �7 �i�`'�L� )� P?W
City/State/Zip: SC` �S P(v } /Phone N: 17 ,315 5 y�ss
Are yoy.an employer?Cheek the appropriate box: Type of project(required):
1.Y1 am a employer with 4. ❑ 1 am a general contractor and 1 6. New construction
employees(full and/or part-time).' have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet t 7• ❑Remodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. workers'comp.insurance. q, ❑Building addition
(No workers comp.insurance 5. ❑ We are a corporation and its
required.) officers have exercised their 10.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions
myself.(No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.)t employees.(No workers'
comp.insurance required.) !3.❑Other
Any appliczat that checks box a I must also fill out the section below showing their workers'can4m inion policy infurmatlon.
*I Inmeownae who submit this affidavit indicating they are doing all work and then hire outside contractors meet submit a new affidavit indicating such
=Cumtnnon phot cheek this box must coached an additional sheet showing the name of the sub consmcrots and their work=*comp,policy information.
I am on employer that Is providing workers'compensadon Insurance for my emplayees. Below Is the policy and jab site
irrformudan.
Insurance Company Name:
Policy N or Self-ins.Lic.q: 3 - 07 0 3 3 -/3 Expiration Date:
Job Site Address: 6 U�s''�n g�/— City/State/Zip: 34 t
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date)-
Failure
ate)-
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 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations urthe DIA for in a e covem - 'on.
I do hereby certyy ut or th s and pet llles of perjury that the faformalion pro videdabove Is true and correct.
>m t etc G ..q Date: el
OJfcial use only. Do not write in this areas to be curnpleted by city or town official
City or Town: PermittlAcense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Citylfown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
IContact Percnn:
A