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43 BOSTON ST - B-16-1461 W/BACKUP Commonwealth of Massachusetts City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-95M x5841 t Return card to Building Division for Certificate of Occupancy PelTAI ►v 8.18.1461 PERMIT TO BUILD FEE PAID: $10,587.50 DATE ISSUED: 1 212 8/2 01 6 This certifies that 43 BOSTON STREET REALTY TRUST DACEY PAUL/GAINES has permission to erect, alter, or demolish a_building - 43 BOSTON STREET. Map/Lot: 150302-0 as follows: Other Building Permit COMPLETE RENOVATION OF EXISTING BUILDING EXCEPT EXTERIOR WALLS. NEW: WALLS, FLOOR, ROOF,EXTERIOR WALL,CAVITY INSULATED, EXTERIOR DOORS, WINDOWS, PARTITIONS, PLUMBING, ELECTRICAL, HVAC & FINISHES. (time extended; new contractor 5/9/2017) Contractor Name: THOMAS GROOM DBA: GROOM CONSTRUCTION CO., INC. r Contractor License No: CS-040379 1 212 8/2 01 6 Building official . Date This permit shall be deemed abandoned and invalid unless the work authorixed,by ft permit Is commenced wjMM1 six months after issuance.The Building Official may gram one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes, This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all appiloabie signatures by the Building and Fire Officials are provided on this permit, HIC#: 104999 'Persons contrecang with Unregistered Contractors do not how acdass to the guaranty fun8(as set forth In MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. _ Commonwealth of Massachusetts City of Salem i A R 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-16-1461 INNEW FEE PAID: $10,587.50 P E R M I T T 00" B mum L m1m) DATE ISSUED: 12/28/2016 This certifies that 43 BOSTON STREET REALTY TRUST DACEY PAUL/GAINES has permission to erect, alter, or demolish a_building___43 BOSTON-STREET Map/Lot: 150302-0 as follows: Other Building Permit COMPLETE RENOVATION OF EXISTING BUILDING EXCEPT EXTERIOR WALLS. NEW: WALLS, FLOOR, ROOF, EXTERIOR WALL CAVITY INSULATED, EXTERIOR DOORS, WINDOWS, PARTITIONS, PLUMBING, ELECTRICAL, HVAC & FINISHES. Contractor Name: Thaddeus Siemasko _ tf DBA: SIEMASKO &VERBRIDGE Contractor License No: 6026 ' — - 12/28/2016 Building Official �' Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. � 1 All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained operi for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building.and Fire Officials are provided on this permit. HIC #: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(asset forth in MGL c.142A). f Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts a 9 City of Salem I 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy - Structure CITY OF SALEM BUILDING PERMIT PERMIT TO BE POSTED IN THE WINDOW ° Excavation Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber e , Final Plumbing/Gas } F Rough:Plumbing Rough:Gas lr Final 1 Electrical Service Rough t Final t Fire Department / Preliminary / Final Health Department 01 Preliminary Final Gram Mr.Thomas St.Pierre Inspectional Services Director Salem Building Department 120 Washington Street 3rd Floor Salem,MA 01970 May 8, 2017 Dear Tom, I am writing to let you know that Groom Construction will be taking over the construction management of Harborlight Community Partners two Boston Street Affordable Housing Projects.The addresses include: • 43 Boston Street (Permit#: B-16-1461) • 179 Boston Street (Permit#: B-16-1460) The Permits were previously submitted by the architect, Seimasko and Verbridge and expire June 28"'. The construction will not begin until July. Please see attached a copy of my Contractor's License as well as our Workmen's Compensation Coverage. Please let me know if you need any additional information. Thank you in advance! ll� 96 Swampscott Road • Salem, MA 01970 •tel: 781.592.3135•fax:781.593.1480 www.groomco.com ..,_ Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS-040379 Construction Supervisor " 7HOMASGROOM 89 SWAMPSCOTT Rp:-,. SALEM MA 01970 CoTT 'f ' y Y Expiration: ' 'Commissioner ` 94H9/2919 GROOCON•01 TAYES A� CERTIFICATE OF LIABILITY INSURANCE DATEIMMmomYn 3MO12017 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., N the certificate holder Is an ADDITIONAL INSURED,the POliey(ks)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 18 WAIVED, subject to the terms and condkions of the policy,certain policies may require an endorsement. A statement on this certificate does not con7771su oreemen a PRmucEa License B 1780862 THUB realR fional New Englan ,No:(978)263.4189 Act Great Road o EMI:(978)263.9577Acton,MA 01720.4739INSU 5 AFFORDI CO E' NAICa A:MassachusethmRo IRatmanceCorn an 22306 wsuREO itlsum e:Hanover insurance Company 27.292 Groom Construction Co.,Ina INSURER C: 96 Swampscott Road,Suite B D: Salem,MA 01970-7004 INSURER WSURERE: WEGRER F: L GE CERTIFICATE NUMBER: EVI ION NUMBER: TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,IONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF WSURANCE AOO SUBR POIJCY EFF POLICY EXP im POLICY NUMBER L1MIT8 COMMERCIALGENEDALLIAWLItt EACH RRENCE 1,000,000 corms-NADE EX occuR DNA570457 0311012017 031101201E °AMAG TORENTED E 600,000 LAEQ EXP mon 10,000 P ONA SA INJ RY 11000,000 AGGRE��+yATE� LIMpIT APPLI PER G N l REpAT S 2,000,000 OLICY •-U JECTLOC PA T -C MP P S 2,000,000 THER: E MOeILE LUIBILItt COMBINEDSINGLE UNIT 1,000,000 E. E NYAUTO DMASS3076 03110/2017 0311012018 WDILYINJURv r WNED SCHEDULED UpT�O�S ONLY AAUUTTOSSµN�p 80DILY1 RY Per ecti0em s UTOS ONLY AUTOB ONLY P���R�Ym MADE MBRELLA W1B X OCCUREACH OCCURRENCE E S,000,000 xcEssLwe CLAIMS-MADE UHNA570452 03/101201T 0311012018 AQ9REGATE 5,000,000ED RETENTIONS B wORXERs COMPENSATION PER OTH- AND:mPLOYERS'LIABILITY X A�NFY PRROAPIRpIETgOQRRIPARTNERIEIfECUTIVE YIN HNA5524T6 D311D12D17 D3HD12D1B IMAFOGiM In NIII EXCLUDED? NIA EL EACH ACCIDENT600,000 �NM M NHl 500,000 Ilyea.CeacnEe uMer .015 DISEASE EMPLOYEE E DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT SOO,000 B LeaselRented IHNA570980 03HOI2017 0311 012016 See Remarks DESCRPTION OF OPERATIONS I LOCATORS I VEHICLES JACOND tot,AaeMonal Remark.Sclwdule,may b ato0eE If mom apace is"uimdl Evidence of insurance CERTIFICATE HOLDER A CELLATI N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sample THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ?9?`4*r ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD [716 fiC 20 ,q IG� t t The Commonwealth of Massachusett � q ¢ / Department of Public Safety Massachusetts State Building Code(780 CMR) Zo l ly F) ��!{{ {�; Building Permit Application for any Building other than a One-or f �l�OuFa lhellin (This Section For Official Use Only) t Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION l 43 Boston Street Salem MA 01970 No.and Street City/Town Zip Code Name of Building(if applicable) r 15 15-0302, 2697 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 8th EditIOMf New Construction check here ❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration XI Addition ElDemolition ❑ (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes kl No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No R Brief Description of Proposed Work: COMplete renovation of existing building Exterinr walls to remain Partial removal of first floor- remainder of floors to remain. Front stair and interior partitions to be remnved- All new walls and existing floor, roof and exterior wall cavity to he insulated All exterinr doors and windows to ha renlared in-kind New partitions lun mhing alactrical and C -with new fin'Shes as part of renovation. SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) O Existing Use Group(s): R-2 Proposed Use Group(s): R-9 SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 4 1835 sf 4 1835 sf Total Area(sq.ft.)and Total Height(ft.) 5505 s 34'6" SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5 ❑ I: Institutional I-1 ❑ I-2❑ I-3❑ 1-4❑ M: Mercantile❑ 1 R: Residential R-10 R-2 99 R-3❑ R 1❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ 1 Special Use❑and please describe below: Special Use Description: - SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA O IB ❑ IIA 0 IIB 0 ]IIA 0 IIIB ❑ IV ❑ VA 0 VB M SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 6 Check if outside Flood Zone 91 Indicate municipal 9 A trench will not be Licensed Disposal SiteXI Private❑ or indentify Zone: or on site system❑ required Q or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable® Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No dl Yes W No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: dth LdltlMeGroup(s): R-9 Type of Construction:5R Does the building contain an Sprinkler System?:_yes S ecial Stipulations: Design Occupant Load per Floor and Assembly space: UlJ gross, 5 actual t Qtt�J SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 43 Boston St. Realty Trust 29 Green Street Newburyport MA 01950 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Paul Dacey 978 504 9043 978 504 9043 hill.top@aol.com Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Harborlight Community Partners PO Box 507 Beverly MA 01915 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise Erovide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coardin ting document submittals) Thaddeus S Siemasko 97$ 927 3745 thad@svdesign.com 6026 Name Registrant Telephone No. e-mail address Registration Number 126 bodge Street Beverly MA 02633 architecture 8/31/2017 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Company Name not awarded yet Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Telephone No. (business) Telephone No. (cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs: (Labor Item and Materials) Total Construction Cost(from Item 6)=$962,500 1.Building $ Building Permit Fee=Total Construction Cost x.01 1(Insert here 2.Electrical $ appropriate municipal factor)=$ O 587.50 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ 25 (contact municipality) 5.Mechanical (Other) $ Enclose check payable to City of Salem Inspectional Services 6.Total Cost $ 962,50 (contact municipality)and write check number here - SECTION 13:. IGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby a est nder the pains and penalties of perjury that all of the information contained in this application is true and accurate to the t f my knowledge and understanding. Andrew DeFranza Executive Director 978 922 .1305 12/15 10 Please print and sign name Title Telephone No. Date PO BOX 507 Beverly MA 01915 adefranza@harborlightcp.org Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: Name Date Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing include local connections 9 Gas Natural,Propane,Medical or other) 10 Surveyed Site Plan Utilities,Wetland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investi ation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State ZIP Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. Appendix 2 (For total demolition only) For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location No. and Street City /Town Zip Name of Building(if applicable) Assessors Map# Block#and/or Lot # For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) i - r` The Commonwealth of Massachusetts November 13,201 William Francis Galvin, Secretary of the Commonwealth Massachusetts Historical Commission Roes White Women's Institute 15 Court Square Suite 210 Boston,MA 02108 RE: Hope Harbor Site A and Site B Rehab,43 and 179 Boston Street, Salem,MA; MHCt#RC.58708 RC.58709 Dear Ms.White: Thank you for submitting additional information for the projects referenced above,received at this office on October 27, 2015. The staff of the Massachusetts Historical Commission WC) have reviewed the information submitted and have the following comments The proposed project consists of the rehabilitation of two properties at 43 and 179 Boston Street in Salem. The project includes window replacement, siding replacement, and interior work. The information provided indicates that the project will use funding from the Department of Housing and Community Development(DHCD). Review of the Inventory of Historic and Archaeological Assets of the Commomvealth indicates that the properties at 43 Boston Street(SAL.141)and 179 Boston Street(SAL,218)are included in the Inventory. Review of MHC's files and the information submitted indicates that the proposed project will have "no adverse effect" (950 C-'vIR 71.07(2)(b)(2)) on these historic properties. If project plans change, please provide revised scaled existing and proposed conditions project plans to MHC for review and comment. These comments are offered to assist in compliance with M.G.L. Chapter 9, sections 26-27C, (950 CMR 71.00). Please do not hesitate to contact Linda Santoro of my staff if you have any questions. Sincerely, Bronx Simon State Historic Preservation Officer Executive Director Massachusetts,,Mstorical Commission xc: Salem Historical Commission Historic Salem,Inc. 220 Morrissey Boulevard, Boston, Massachusetts 02125 (617) 727-8470 • Fax: (617) 727-5128 www.sec.state.ma.us/mhc Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 1 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 3.5 $66 8% General information Cooling 0 $0 0% Conditioned Area 359 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 12% Conditioned Volume 3231 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.1 $487 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 16.3 $803 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Onty: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado.' The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 2 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 64 Heating 4.3 $77 9% General Information cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 11% Conditioned Volume 3024 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.0 $482 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 17.0 $809 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 3 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 68 Heating 3.3 $65 8% General information Cooling 0 $0 0% Conditioned Area 284 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 11% Conditioned Volume 2556 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $472 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 16.0 $784 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate- Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 4 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 1.5 $41 5% General information Cooling 0 $0 0% Conditioned Area 234 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2106 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features I Total 14.0 $750 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting. 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 5 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 3.0 $61 8% General information Cooling 0 $0 0% Conditioned Area 281 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2529 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $471 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 15.7 $779 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 6 Rating Date: 11/29/16 Rating Number: Salem, MA 01970. -Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 63 Heating 0.7 $34 5% General information Cooling 0 $D 0% Conditioned Area 232 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2088 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 62% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 13.2 $743 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Watts NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 7 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 68 Heating 2.1 $51 7% General information Cooling 0 $0 0% Conditioned Area 253 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2277 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $465 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $764 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Coot=Yes Building Shell Features Ceiling Flat NA - Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. 0 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 8 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 66 Heating 2.2 $48 6% General information Cooling 0 $0 0% Conditioned Area 233 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2097 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $758 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326.7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 9 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 66 Heating 4.8 $84 10% General information Cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3024 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.0 $482 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 17.7 $812 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS - Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 11 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 68 Heating 2.8 $59 8% Generallnformation cooling 0 $0 0% Conditioned Area 256 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2304 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $466 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 15.4 $772 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 12 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 5.4 $93 11% General information Cooling 0 $0 0% Conditioned Area 368 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3312 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.2 $489 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 18.5 5e27 100% . Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Vatue: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. . . Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 10 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 1.6 $42 6% General information Cooling 0 $0 0% Conditioned Area 223 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2007 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.5 $459 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.0 $749 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct.Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. The Commonwealth of Massachusetts J Department of Public Safety / Massachusetts State Building Code(780 CMR) . Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION 43 Boston Street Salem MA 01970 No.and Street Cittyy/Town Zip Code Name of Building(if applicable) 15 15 0302, 2697 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA Slate Code used 8th Edition{New Construction check here ❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration AI Addition❑ Demolition ❑ (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes Z No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No IR Brief Description of Proposed Work: Complete renovation of Pxisting hiiilding Exteriar walk to r m^in Partial removal of first floor remainder of floors to rem in Front stair and interior p^rtitio_ nc to be removed All new was and Pxictin9 floor and xtprinr wgil cavity to be insulated ti All Pxtpnnr floors an windows to hp rpnln_roof in kind Npw .partitions lun mhing Plertrir I and on- with new fin4shes as part �f renovate SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): R-2 Proposed Use Group(s):R-2 SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 4 1835 sf 4 1835 sf Total Area(sq.ft.)and Total Height(ft.) 5505 s 34'6" - SECTIONS:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2 24 R-3❑ R4 ❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ 1 Special Use❑and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB O IIA O IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB M SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public�§ Check if outside Flood Zone M Indicate municipal IS A trench will not be Licensed Disposal SiteXl Private❑ - or indentify Zone: or on site system❑ required Q or trench or specify: permit is enclosed ❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable M Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No M Yes 0 No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 11013se Group(s): R-2 Type of Construction:j$_ Does the building contain an Sprinkler System?: e_y_ S_ Special Stipulations: Design Occupant Load per Floor and Assembly space: gross, 5 actua SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 43 Boston St. Realty Trust 29 Green Street Newburyport MA 01950 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Paul Dacey 978 504 9043 978 504 9043 hill.top@aol.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Harborlight Community Partners PO Box 507 Beverly MA 01915 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Thaddeus S Siemasko 978 927 3745 thad@svdesign.com 6026 Name Registrant Telephone No. e-mail address Registration Number 126 bodge Street Beverly MA 02633 architecture 8/31/2017 Street Address City/Town - State Zip Discipline Expiration Date 10.2 General Contractor Company Name not awarded yet Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Telephone No. business Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INS URANCEAFFIDAVIT M.G.L.c.152.§ 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes 11 No 13 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor 962,500 and Materials) Total Construction Cost.(from Item 6)=$ 1.Building $ Building Permit Fee=Total Construction Cost x 1 (Insert here 2.Electrical $ appropriate municipal factor)=$1 587.50 3.Plumbing $ 4.Mechanical (HVAC) $ - Note:Minimum fee=$ 25 (contact municipality) 5.Mechanical Other $ Enclose check payable to City of Salem Inspectional Services 6.Total Cost 1 $ 962,50 (contact municipality)and write check number here SECTION 13: IGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby a est nder the pains and penalties of perjury that all of the information contained in this application is true and accurate to the t f my knowledge and understanding. Andrew DeFranza Executive Director 978 922 .1305 I 15 Please print and sign name Title Telephone No. Date PO Box 507 Beverly MA 01915 adefranza@harborlightcp.org Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: - Name Date The Commonwealth of Massachusetts William Francis Galvin, Secretary of the Commonwealth November 13,2015 Massachusetts Historical Commission Roes White Women's Institute 15 Court Square.Suite 210 Boston,MA 02108 RE: Hope Harbor Site A and Site B Rehab,43 and 179 Boston Street, Salem MA; M11C#RC.58708,RC.58709 Dear Ms. White: Thank you for submitting additional information for the projects referenced above,received at this office. on October 27, 2015. The staff of the Massachusetts Historical Commission WC) have reviewed the information submitted and have the following comments The proposed project consists of the rehabilitation of two properties at 43 and 179 Boston Street in Salem. The project includes window replacement, siding replacement, and interior work. The information provided indicates that the project will use funding from the Department of Housing and Community Development(DHCD). Review of the Inventory of Historic and Archaeological Assets of the Commomvealth indicates that the properties at 43 Boston Street(SAL.141)and 179 Boston Street(SAL218)are included in the Inventory. Review of MHC's files and the information submitted indicates that the proposed project will have"no adverse effect" (950 CMR 71.07(2)(b)(2)) on these historic properties. If project plans change, please provide revised scaled existing and proposed conditions project plans to MHC for review and comment_ These comments are offered to assist in compliance with M.G.L. Chapter 9, sections 26-27C, (950 CMR 71.00). Please do not hesitate to contact Linda Santoro of my staff if you have any questions. �Sincerely, Brona Simon State Historic Preservation Officer Executive Director Massaahusetts;Historical Commission xc: Salem Historical Commission Historic Salem,Inc. 220 Morrissey Boulevard, Boston, Massachusetts 02125 (617) 727-8470 • Fax: (617) 727-5128 w w w.sec.state.m a.us/mhc Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 1 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 3.5 $66 8% General Information Cooling D $0 0% Conditioned Area 359 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 12% Conditioned Volume 3231 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.1 $487 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 16.3 $803 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Seated Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508.326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 2 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 64 Heating 4.3 $77 9% General information Cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 11% Conditioned Volume 3024 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.0 $482 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features I Total 17.0 $809 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ® 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 3 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 68 Use MMBtu Cost Percent Heating 3.3 $65 8% General Information Cooling 0 $0 0% Conditioned Area 284 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 11% Conditioned Volume 2556 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $472 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 16.0 $7E4 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Coot=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test - CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 4 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 65 Use MMBtu Cost Percent . Heating 1.5 $41 5% General Information Cooling 0 $0 0% Conditioned Area 234 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2106 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.0 $750 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Stab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult - Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508.326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 5 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 3.0 $61 8% General information Cooling 0 $0 0% Conditioned Area 281 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2529 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $471 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total- 15.7 $779 ion% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326.7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 6 Rating Date: 11/29/16 Rating Number: Salem, MA 01970. :Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 63 Use MMBtu Cost Percent Heating 0.7 $34 5% General information Cooling 0 $o 0% Conditioned Area 232 sq. ft. House Type Apartment, end unit Hot Water 2.9 . $91 12% Conditioned Volume 2088 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 62% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 13.2 $743 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any"warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS - Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 7 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 68 Use MMBtu Cost Percent Heating 2.1 $51 7% General Information cooling 0 $0 0% Conditioned Area 253 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2277 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $465 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $764 loose Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA - - This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Seated Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100,00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ® 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 8 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 66 Use MMBtu Cost Percent Heating 2.2 $48 6% General information Cooling 0 $0 0% Conditioned Area 233 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2097 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $758 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None - Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Watts R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 9 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 66 Heating 4.8 $84 10% General information Cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3024 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.0 $482 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 17.7 $812 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. m 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit.10 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 1.6 $42 6% General Information Cooling 0 $0 0% Conditioned Area 223 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2007 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.5 $459 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.0 $749 loose Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct.Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: - Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 11 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HER$ Index: 68 Heating 2.8 $59 8% General information cooling 0 $0 0% Conditioned Area 256 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2304 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $466 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 15.4 $772 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 12 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 5.4 $93 11% General information Cooling 0 $0 0% Conditioned Area 368 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3312 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.2 $489 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 18.5 $827 100% Heating: Fuet-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Stab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 .Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 _ Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. o 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. rThe Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION 43 Boston Street Salem MA 01970 No.and Street Cittyy/Town Zip Code Name of Building(if applicable) 15 15-0302. 2697 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK' Edition of MA State Code used 8th EditIOr1If New Construction check here ❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration )0 Addition❑ Demolition ❑ (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 4 No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No R Brief Description of Proposed Work: C)nmolete renovatinn of PASting bl idding Exterior walls to remain Partial removal of first floor- remainder of floors to rem Front t^ir ^nd int rior ^rtitions to bP removed- All new walls and existing floor roof and Pxterinr wall r^vity to he insul^ted All Pxterinr doors and w0ndnwg to he replaced in-kind Npw partitions lun mhin9 Plertrir^I and with new finoshes as part of renovation, SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY - Check here if an Existing Building Investigation and Evaluation is enclosed(See 780CMR 34) ❑ Existing Use Group(s): R-2 Proposed Use Group(s): R-2 SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 4 1835 sf 4 1835 sf Total Area(sq.ft.)and Total Height(ft.) 5505 sl 34'6" SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ 1 H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2 N R-3❑ R4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB 29 SECTION 7:SITE INFORMATION(refer to 780CMR 105.3 for details on each item)' Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 6 Check if outside Flood Zone E Indicate municipal 9 A trench will not be Licensed Disposal SiteX3 Private❑ or indentify Zone: or on site system❑ required Q or trench or specify: permit is enclosed ❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable M Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No n Yes ja No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 8th LdItIOUseGroup(s): R_2 Type of Construction:5 R Does the building contain an Sprinkler System?:A e—S�S ecial Stipulations: Design Occupant Load per Floor and Assembly space: 266 gross, 5 act SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 43 Boston St. Realty Trust 29 Green Street Newburyport MA 01950 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Paul Dacey 978 504 9043 978 504 9043 hill.top@aol.com Title Telephone No.(business) Telephone No. (cell) - e-mail address If applicable,the property owner hereby authorizes: Harborlight Community Partners PO Box 507 Beverly MA 01915 - Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 13, - Otherwise provide construction control forms(see section 107 in the code)as reeluired. - 10.1 Registered Professional Responsible for Construction Control(the professional coordin ti2fi document submittals) Thaddeus S Siemasko 978 927 3745 thad@svdesign.com 6026 Name Registrant treet BTelephone No. e-mail address Registration Number 126 bodge Severly MA 02633 architecture 8/31/2017 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor , Company Name not awarded yet Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Telephone No. (business) Telephone No. (cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a si ed Affidavit submitted with this a lication? Yes O No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor 962,500 and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ Building Permit Fee=Total Construction Cost x•01 (Insert here 2.Electrical $ appropriate municipal factor)=$10.587.50 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ 25 (contact municipality) 5.Mechanical Other $ Enclose check payable to City of Salem Inspectional Services 6.Total Cost $ 962,50 (contact municipality)and write check number here SECTION 13: IGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby a est nder the pains and penalties of perjury that all of the information contained in this application is true and accurate to the t f my knowledge and understanding. AndrewDeFranza Executive Director 978 922 .1305 1 Please print and sign name Title Telephone No. Date PO Box 507 Beverly MA 01915 adefranza@harborlightcp.org Street Address City/Town State Zip Email Address -Municipal Inspector to fill out this section upon application approval: Name Date A - M The Commonwealth of Massachusetts William Francis Galvin, Secretary of the Commonwealth November 13,2015 Massachusetts Historical Commission Roes White Women's Institute 15 Court Square.Suite 210 Boston,MA 02108 RE: Hope Harbor Site A and Site B Rehab,43 and 179 Boston Street, Salem,MA; MHC#RC.58708,RC.58709 Dear Ms.White: Thank you for submitting additional information for the projects referenced above,received at this office on October 27, 2015'. The staff of the Massachusetts Historical Commission WC) have reviewed the information submitted and have the following comments The proposed project consists of the rehabilitation of two properties at 43 and 179 Boston Street in Salem The project includes window rcp)accment, siding replacement, and interior work The information provided indicates that the project will use funding from the Department of Housing and Community Development(DHCD). Review of the Inventory of Historic and Archaeological Assets of the Commonwealth indicates that the properties at 43 Boston Street(SAL.141)and 179 Boston Street(SAL_218)are included in the Inventory. Review of MHC's files and the information submitted indicates that the proposed project will have "no adverse effect" (950 CMR 71.07(2)(b)(2)) on these historic properties. If project plans change, please provide revised scaled existing and proposed conditions project plans to MHC for review and comment. These comments are offered to assist in compliance with M.G.L. Chapter 9,sections 26-27C,(950 CMR 71.00). Please do not hesitate to contact Linda Santoro of my staff if you have,any questions. Sincerely, Brona Simon State Historic Preservation Officer Executive Director Massachusetts°Historical Commission xc: Salem Historical Commission Historic Salem,Inc. 220 Morrissey Boulevard, Boston, Massachusetts 02125 (617) 727-8470 • Fax: (617) 727-5128 w ww.sec.state.m a.uslmhc Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 1 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 3.5 $66 8% General information Cooling 0 $0 0% Conditioned Area 359 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 12% Conditioned Volume 3231 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.1 $487 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features - Total 16.3 $803 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Seated Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 50&326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ® 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 2 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 64 Heating 4.3 $77 9% General information Cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.7 $93 11% Conditioned Volume 3024 cubic ft. Foundation Unconditioned basement Lights/Appliances 10.0 $482 60% Bedrooms 1 Photbvoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 17.0 $809 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.O watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes - Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test - CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate- Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 3 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 68 Heating 3.3 $65 8% General information Cooling 0 So 0% Conditioned Area 284 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 11% Conditioned Volume 2556 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $472 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 16.0 $784 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. m 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate. Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 4 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 65 Use MMBtu Cost Percent Heating 1.5 $41 5% General Information Cooling 0 $0 0% Conditioned Area 234 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2106 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.0 $750 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 6.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting. 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 - REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. m 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 5 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 3.0 $61 8% General information cooling D $D 0% Conditioned Area 281 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2529 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.8 $471 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features - Total 15.7 $779 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate- Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 6 Rating Date: 11/29/16 Rating Number: Salem, MA 01970. :Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 63 Heating 0.7 $34 5% General information Cooling 0 $0 0% Conditioned Area 232 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2088 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 62% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 13.2 $743 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building SheH Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult - - Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 7 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 68 Use MMBtu Cost Percent Heating 2.1 $51 7% General Information Cooling 0 $0 0% Conditioned Area 253 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2277 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $465 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $764 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA - This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Coal=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation.Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected RatingCertified t led EnergyRater Nicholas Abreu 43 Boston Street Unit 8 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 66 Use MMBtu Cost Percent Heating 2.2 $48 6% General Information Cooling 0 $0 0% Conditioned Area 233 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2097 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.6 $461 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.7 $758 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 C(g: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326.7506 Refrigerator (kWh/yr) 550. Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 9 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 66 Heating 4.8 $84 10% General information Cooling 0 $0 0% Conditioned Area 336 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3024 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.0 $482 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 17.7 $812 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gat. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 - REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. ® 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 10 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 65 Heating 1.6 $42 6% General Information Cooling 0 $D 0% Conditioned Area 223 sq. ft. House Type Apartment, end unit Hot Water 2.9 $91 12% Conditioned Volume 2007 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.5 $459 61% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 21% Mechanical Systems Features Total 14.0 $749 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct.Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: - Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 11 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HER$ Index: 68 Heating 2.8 $59 8% General Information cooling 0 $0 0% Conditioned Area 256 sq. ft. House Type Apartment, end unit Hot Water 2.9 $90 12% Conditioned Volume 2304 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 9.7 $466 60% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 20% Mechanical Systems Features Total 15.4 $772 100% Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA This home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508-326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: Nicholas Abreu 43 Boston Street Unit 12 Rating Date: 11/29/16 Rating Number: Salem, MA 01970 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 67 Heating 5.4 $93 11% Generallnformation Cooling 0 $0 0% Conditioned Area 368 sq. ft. House Type Apartment, end unit Hot Water 2.9 $88 11% Conditioned Volume 3312 cubic ft. Foundation Apartment above conditioned space Lights/Appliances 10.2 $489 59% Bedrooms 1 Photovoltaics -0.0 $-0 -0% Service Charges $157 19% Mechanical Systems Features Total 18.5 $827 100% . Heating: Fuel-fired hydronic distribution, Natural gas, 95.0% EFF. Water Heating: Integrated, Natural gas, 0.87 EF, 40.0 Gal. Criteria Duct Leakage to Outside NA - This.home meets or exceeds the minimum criteria for the following: Ventilation System Exhaust Only: 30 cfm, 7.0 watts. 2009 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat NA Slab None Sealed Attic NA Exposed Floor NA Vaulted Ceiling R-38.4 Window Type U-Value: 0.310, SHGC: 0.300 Above Grade Walls R-22.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls NA Method Blower door test CLEAResult Nicholas Abreu Lights and Appliance Features 50 Washington Street Percent Interior Lighting 100.00 Range/Oven Fuel Electric Westborough, MA 01581 Percent Exterior Lighting 100.00 Clothes Dryer Fuel Electric 508.326-7506 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 REM/Rate - Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8`s edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Boston Street Crossing Date:12/19/16 Property Address: 43 Boston Street, Salem MA 01970 Project: Check(x) one or both as applicable: X New construction X Existing Construction Project description: Construction of a new 4 story steel framed lounge addition on the east end of the existing Brindle Hall as well as a new steel framed entry vestibule addition. Recofiguration of some dorm rooms and addition of a toilet room. I Thad S Siemasko MA Registration Number: 6026 Expiration date: 08/31/16, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. \SZERED q Enter in the space to the right a"wet"or electronic signature and seal: m g No.s 6EVER?B o Phone number: 978.927.3745 Email: thad@svdesign.com 9 0 Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. Version 06 I 1 2013 Initial Construction Control Document To be submitted with the building permit application by a\ Registered Design Professional _ for work per the 8a' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Boston Street Crossing Date:12/19/16 Property Address: 43 Boston Street, Salem MA 01970 Project: Check(x)one or both as applicable: X New construction X Existing Construction Project description: Construction of a new 4 story steel framed lounge addition on the east end of the existing Brindle Hall as well as a new steel framed entry vestibule addition. Recofiguration of some dorm rooms and addition of a toilet room. I Thad S Siemasko MA Registration Number: 6026 Expiration date: 08/31/16, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or TEREp qR electronic signature and seal: QOEUS S S�c� ~ to Nc N n Phone number: 978.927.3745 Email: thad@svdesign.com �r of Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an`x'-project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8u'edition of the p< Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Boston Street Crossing Date:12/19/16 Property Address: 43 Boston Street, Salem MA 01970 Project: Check(x) one or both as applicable: X New construction X Existing Construction Project description: Construction of a new 4 story steel framed lounge addition on the east end of the existing Brindle Hall as well as a new steel framed entry vestibule addition. Recofiguration of some dorm rooms and addition of a toilet room. I Thad S Siemasko MA Registration Number: 6026 Expiration date: 08/31/16,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural X Structural Mechanical Fire Protection Electrical I Other: for the above named project and that to the best of my knowledge, information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or GxgZEREo q electronic signature and seal: �� r)EOS S 40 ti� SF m 8 BE eR Y o i Phone number: 978.927.3745 Email: thad@svdesign.com 414 y 9!/3, MA PG��5c1C Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a x Registered Design Professional for work per the 8t1i edition of the Massachusetts Stale Building Code, 780 CMR, Section 107 Project Title: HCP Boston Street(#43) Date: 12/14/16 Property Address: 43 Boston Street, Salem, MA 01978 Project: Check one or both as applicable: rl New construction K Existing Construction Project description: Renovations to 3-story residential building, approximately 6,900 sf. Kenneth R. Beck MA Registration Number: 38446 Expiration date: 6/30/18 , ant a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural [ ] Mechanical [X] Fire Protection [ ] Electrical ( ] Other for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the b ' al a`Final Construction Control Document'. vv��t�N Mgss�^ Enter in the space to the right a"wet"or �� KENNETH R. . electronic signature and seal: BECK t> ME,FIANICAL u No 38446 qs' .yFCis Phone number: (978) 486-4301 cFF . 1 ail: info@blwengineers.com Builds O&ial Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 Initial Construction Control Document x`r b To be submitted with the building permit application by a eRegistered Dcsign Professional for work per the 8'"edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: HCP Boston Street (#43) Date: 12/14/16 Property Address: 43 Boston Street Salem MA 01978 Project: Check one or both as applicable: I New construction X Existing Construction Project description: Renovations to 3-story residential building, approximately 6,900 sf. 1 John C. Pierga MA Registration Number: 48291 Expirationdale: 6/30/18 am registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural [ ] Mechanical ] Fire Protection [X] Electrical [X] other Fire Alarm for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. 1 understand and agree that 1 (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: I. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to became generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to to�y�c ' i �rgss9cial a`Final Construction Control Document'. Enter in the space to the right a"wet"or o PIEgGq' m electronic signature and seal: a ELECinipFlt No.4829 i Phone number: (978) 486-4301 ail: info@blwengineers.com Building Official Use Only Building Official Name: Permit No.: Dale: Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional I'or work per the 8d'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: HCP Boston Street (#43) Date: 12/14/16 Property Address: 43 Boston Street, Salem, MA 01978 Project: Check one or both as applicable: 11 New construction X Existing Construction Project description: Renovations to 3-story residential building, approximately 6,900 sf. 1 Kenneth R. Beck MA Registration N Limber: 38446 Expirationdate: 6/30/18 , aura registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural [X] Mechanical [ ] Fire Protection [ ] Electrical [x] Other Plumbing for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. 1 understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the ff icial a`Final Construction Control Document'. Of d7grS � Enter in the space to the right a"wet"or v,hcNNETh R.�u electronic signature and seal: 7r z BECK u ME:;FIA.NICA,L Z3f 77 No 36446 1 arF�PE�t fF a l��c-/ Phone number: (978) 486-4301 F,•,,,. � c�1G�°� mail: info@blwengineers.com Suilal t Icial Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 BLW ENGINEERS 311 Great Road, Post Office Box 1551 Littleton, Massachusetts 01460 T: 978.486.4301 F: 978.428.0067 www.biwengineers.00m lfVAC•Ef.F.CTRICAL •PLUMBING •F7RE PAOTECT70N OF 84,ff9rHG O KENNETH R ✓' BLW Engineers o H kK 311 Great Road 5e<46 'Littleton, Massachusetts GISTV, 1 (978)486-4301 Job Name #43 Boston Road Building Location System Contract Data File 16283_Wet system Bldg. #43.WXF Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Water Supply Curve (C) BLW Engineers Page 1 *; #43 Boston Road Date 12/14/16 City Water Supply: Demand: C1 - Static Pressure 77 D1 -Elevation 16.025 C2-Residual Pressure: 70 D2 -System Flow 45.702 C2- Residual Flow 1060 D2 - System Pressure 44.823 Hose( Demand ) 100 D3-System Demand 145.702 Safety Margin 31.999 150 140 130 p 120 R 110 E 100 S 90 S 80 C2 U 70 R 60 E 50 40 01 D 30 20 D1 10 200 400 600 800 1000 1200 1400 1600 1800 FLOW N^ 1.85 ) Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Fittings Used Summary BLW Engineers Page 2 �. #43 Boston Road Date 12/14/16 Fitting Legend Abbrev. Name Y. Y. 1 1Y.. 1% 2 2Y. 3 3% 4 5 6 8 10 12 14 16 18 20 24 E NFPA 13 90'Standard Elbow 1 2 2 3 4 5 6 7 8 10 12 14 18 22 27 35 40 45 50 61 G NFPA 13 Gate Valve 0 0 0 0 0 1 1 1 1 2 2 3 4 5 6 7 8 10 11 13 T NFPA 13 90'Flow thry Tee 3 4 5 6 8 10 12 15 17 20 25 30 35 50 60 71 81 91 101 121 Zwb Watts 009 Fitting generates a Fixed Loss Based on Flow Units Summary Diameter Units Inches Length Units Feet Flow Units US Gallons per Minute Pressure Units Pounds per Square Inch Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Pressure / Flow Summary - STANDARD BLW Engineers Page 3 #43 Boston Road Date 12/14/16 Node Elevation K-Fact Pt Pn Flow Density Area Press No. _ Actual Actual Reg A1H 37.0 4 7.9 na 11.24 0.05 144 7.6 Al 26.5 13.01 na A2 26.5 13.44 na A3 15.5 18.75 na A4 15.5 19.25 na A5 15.5 20.04 na A6 3.0 25.98 na 61H 37.0 4 9.28 na 12.19 0.05 144 7.6 131 26.5 14.48 na B2 26.5 14.88 na B3 15.5 20.06 na B4 15.5 20.56 na B5 15.5 20.7 na B6 3.0 26.34 na B7 3.0 26.51 na C1H 37.0 4 7.9 na 11.24 0.05 144 7.6 C1 26.5 12.79 na D1H 37.0 4 7.6 na 11.03 0.05 144 7.6 DI 26.5 12.69 na D2 26.5 13.22 na A 3.0 26.63 na B 3.0 26.73 na N 3.0 28.29 na O 0.0 29.78 na P 0.0 43.01 na Q 0.0 43.15 na TAP 0.0 44.82 na 100.0 The maximum velocity is 5.36 and it occurs in the pipe between nodes A3 and A4 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Final Calculations - Hazen-Williams BLW Engineers Page 4 #43 Boston Road Date 12/14/16 Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C'. or Ftng's Pe Pv ****'** Notes "**" Point Qt Pf/Ft Eqv. Ln. Total Pf Pn Al H 11.24 1.101 1E 3.825 10.500 7.900 K Factor=4.00 to 150.0 1T 9.563 13.387 4.548 Al 11.24 0.0234 0.0 23.887 0.560 Vel = 3.79 Al 0.0 1.101 1E 3.825 5.000 13.008 to 150.0 1T 9.563 13.387 0.0 A2 11.24 0.0234 0.0 18.387 0.431 Vel = 3.79 A2 0.0 1.101 1 E 3.825 10.000 13.439 to 150.0 1T 9.563 13.387 4.764 A3 11.24 0.0234 0.0 23.387 0.548 Vel = 3.79 A3 22.27 1.598 1E 5.828 11.500 18.751 to 150.0 0.0 5.828 0.0 A4 33.51 0.0289 0.0 17.328 0.500 Vel = 5.36 A4 0.0 1.598 1 E 5.828 10.000 19.251 to 150.0 1T 11.656 17.484 0.0 A5 33.51 0.0288 0.0 27.484 0.792 Vel = 5.36 A5 0.0 1.598 1E 5.828 12.500 20.043 to 150.0 0.0 5.828 5.414 A6 33.51 0.0288 0.0 18.328 0.527 Vel = 5.36 A6 0.0 1.598 1 E 5.828 5.000 25.984 to 150.0 1T 11.656 17.484 0.0 A 33.51 0.0288 0.0 22.484 0.648 Vel = 5.36 0.0 33.51 26.632 K Factor= 6.49 B1 H 12.19 1.101 1 E 3.825 10.500 9.283 K Factor=4.00 to 150.0 1T 9.563 13.387 4.548 B1 12.19 0.0272 0.0 23.887 0.650 Vel = 4.11 B1 0.0 1.101 1T 9.563 5.000 14.481 to 150.0 0.0 9.562 0.0 B2 12.19 0.0272 0.0 14.562 0.396 Vel = 4.11 B2 0.0 1.101 1E 3.825 11.500 14.877 to 150.0 0.0 3.825 4.764 B3 12.19 0.0272 0.0 15.325 0.417 Vel = 4.11 B3 0.0 1.101 1E 3.825 5.000 20.058 to 150.0 1T 9.563 13.387 0.0 B4 12.19 0.0272 0.0 18.387 0.501 Vel = 4.11 B4 0.0 1.394 1E 4.762 2.000 20.559 to 150.0 1T 9.523 14.284 0.0 B5 12.19 0.0086 0.0 16.284 0.140 Vel = 2.56 B5 0.0 1.394 1E 4.762 12.500 20.699 to 150.0 1T 9.523 14.284 5.414 B6 12.19 0.0086 0.0 26.784 0.231 Val = 2.56 B6 0.0 1.394 1 E 4.762 5.000 26.344 to 150.0 1T 9.523 14.284 0.0 B7 12.19 0.0086 0.0 19.284 0.166 Val = 2.56 B7 0.0 1.394 1 E 4.762 11.000 26.510 to 150.0 1T 9.523 14.284 0.0 B 12.19 0.0086 0.0 25.284 0.218 Val = 2.56 0.0 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Final Calculations - Hazen-Williams BLW Engineers Page 5 #43 Boston Road Date 12/14/16 Hyd. Ca Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv **** Notes ****** Point at Pf/Ft Eqv. Ln. Total Pf Pn 12.19 26.728 K Factor= 2.36 C1 H 11.24 1.101 1 E 3.825 10.500 7.902 K Factor=4.00 to 150.0 0.0 3.825 4.548 C1 11.24 0.0235 0.0 14.325 0.336 Val = 3.79 C1 0.0 1.101 1E 3.825 5.000 12.786 to 150.0 1 T 9.563 13.387 0.0 D2 11.24 0.0234 0.0 18.387 0.431 Val = 3.79 0.0 11.24 13.217 K Factor= 3.09 D1H 11.03 1.101 1E 3.825 10.500 7.600 K Factor= 4.00 to 150.0 1 T 9.563 13.387 4.548 D1 11.03 0.0226 0.0 23.887 0.540 Val = 3.72 D1 0.0 1.101 1E 3.825 10.000 12.688 to 150.0 1 T 9.563 13.387 0.0 D2 11.03 0.0226 0.0 • 23.387 0.529 Val = 3.72 D2 11.24 1.394 1 E 4.762 15.000 13.217 to 150.0 1 T 9.523 14.284 4.764 A3 22.27 0.0263 0.0 29.284 0.770 Val = 4.68 0.0 22.27 18.751 K Factor= 5.14 A 33.51 2.003 0.0 10.000 26.632 to 150.0 0.0 0.0 0.0 B 33.51 0.0096 0.0 10.000 0.096 Val = 3.41 B 12.19 2.003 4E 25.929 40.000 26.728 to 150.0 2T 25.929 51.858 0.0 N 45.7 0.0170 0.0 91.858 1.564 Val = 4.65 N 0.0 2.003 1 E 4.29 3.000 28.292 to 120.0 0.0 4.290 1.299 O 45.7 0.0258 0.0 7.290 0.188 Val = 4.65 O 0.0 1.959 1 Zwb 0.0 8.000 29.779 to 120.0 0.0 0.0 13.000 *Fixed loss= 13 P 45.7 0.0286 0.0 8.000 0.229 Val = 4.86 P 0.0 1.959 1 E 3.85 1.000 43.008 to 120.0 0.0 3.850 0.0 Q 45.7 0.0287 0.0 4.850 0.139 Val = 4.86 Q 0.0 1.959 1 G 0.77 50.000 43.147 to 120.0 1 T 7.7 8.470 0.0 TAP 45.7 0.0287 0.0 58.470 1.676 Val = 4.86 100.00 Qa = 100.00 145.70 44.823 K Factor= 21.76 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Commonwealth of Massachusetts 11 (O -1 f./(�v/ City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745.9595)c5841 Return card to Building Division for Cert#lcate of Occupancy Permit No. e_16.1460 PERMIT TO BUILD FEE PAID: $0.00 DATE ISSUED:. 12/ 8 2 16 This certifies that HILLTOP MANOR REALTY TRUST DACEY PAUL/GAINES w has permission to erect, alter, or demolish,a building 179 BOSTON,STREET Map/Lot: 160052-0 as follows: Other Building Permit COMPLETE RENOVATION OF EXISTING BUILDING EXCEPT EXTERIOR WALLS. NEW: WALLS,FLOOR, ROOF, EXTERIOR WALL CAVITY INSULATED, EXTERIOR DOORS, WINDOWS, PARTITIONS, PLUMBING, ELECTRICAL, HVAC &FINISHES. (time extended; new contractor 05/09/2017) Contractor Name: THOMAS GROOM DBA: GROOM CONSTRUCTION CO., INC. Contractor License No: CS-040379 12/28/2016 Building Official Date This permit shall be deemed abandoned and Invalid unless the work authorized by-this permit Is commenced within six months:after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request All work authorized by this permit shall conform to the approved application and the approved construction documents.:for which this permit has been granted. All construction,alterations and changes of use of any building and structures shell be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public Inspection for the entire duration of the work until the completion of the same. The certificate of occupancy will not be issued until all applicable signatures by the Building and Fire Officials am Provided-on this permft. Ff IC#: 104999 'Persons contracting with unregistered contractors do not he"access to the guaranty fund"(asset forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the properly Of the PROPERTY OWNER. Commonwealth of Massachusetts City of Salem a 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 z5641 Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT Excavation PERMIT TO BE POSTED IN THE WINDOW ` Footing INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final Plumbing/Gas i r I r ! Rough: Plumbing r Rough:Gas Final /f Electrical La Service Rough \ s Final i Fire Department � Preliminary Final Health Department Preliminary Final M�oNmm,, Commonwealth of Massachusetts ; f � a Citv of Salem ki 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy - Permit No. B-16-1460 fill omw FEE PAID: $0.00 PERM TO BUILD DATE ISSUED: 12/28/2016 This certifies that HILLTOP MANOR REALTY TRUST DACEY PAULIGAINES has permission to erect, alter, or demolish a building_ 179-BOSTON STREET Map/Lot: 160052-0 as follows: Other Building Permit COMPLETE RENOVATION OF EXISTING BUILDING EXCEPT EXTERIOR WALLS. NEW: WALLS, FLOOR, ROOF, EXTERIOR WALL-CAVITY INSULATED, EXTERIOR DOORS, WINDOWS, PARTITIONS, PLUMBING, ELECTRICAL, HVAC 8r FINISHES. Contractor Name: DBA: Contractor License No: i f f / 12/28/2016 Building Official �_ Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. t � All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I The Certificate of Occupancy will not be issued until all applicable signatures.by the Building and Fire Officials are provided on this permit. HIC #: -Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-040379 Construction Supervisor THOMAS GROOM 99 SWAMPSCOTT RD ry SALEM MA 01970 Expiration: Commissioner 04/19/2019 v. ---1 GROOCON-01 TAYER ,444 2 CERTIFICATE OF LIABILITY INSURANCE °"'1101°017 3/1012017 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 19 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 License#1780862 PRAPCT 275 Great Road al New England I lcC No,EMI;(978)263.9677 ac,Ne):(978)2634189 Acton,MA 01720.4739 INSURERS AFFORDING COVERAGE NAIC a INSURER A:Massachusetts Bay Insurance Company 22306 INSURED INSURER B:Hanover Insurance Company 22292 Groom Construction Co.,Inc, INSURERC 96 Swampscott Road,Suite 6 INSURER 0 Salem,MA 01970.7004 WSURE E: NSURE R III: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE INSD ADO S n POLICYNUMBER POUCYEFF POUCYEXPyyYTYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE aOCCUR DNA570457 03170/2017 0311012018 DAMAGETO REMEO 500000 Eeom mn.1 M DEXP one arson 10,000 PERSONAL 4 ADV INJURY 5 1,000,000 GENL AGGREGATE LIMIT APPLI S PER GENERAL AGGREGATE S 2,000,000 POLICY❑X PELF LOC PRODUCTS-COMP/OPAGG 2,000,000 OTHER: b A AUTOMOBILE LIABILITY COMBINEDdsh SINGLE UMIT S 1,000,000 X ANY AUTO DNASS3076 03/10/2017 03110/2018 BODILY INJURY Par Iron 5 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY Per acmdanl S AUTOS ONLY nUT05 ONLY P�tm08LEGRTYm MACE $ tltlee E B X UMBRELLA LUIB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAR CLAIMS-MADE UHNA570452 03/10/2017 03/1012018 AGGREGATE $ 5,000,000 OED I I RETENTION$ $ B WORKERS COMPENSATION X PERMPPLOE IA1U OTH- YINHNA552476 0311012017 0311012018 E L.EACH ACCIDENT ANY PROPREeIETggOR/PgRTNEgIEXECUiIVE SOo,000 1MFeoCat.y9 NH)IXDLGDED4 Q NIA SDD,DDD E.L.DISEASE-EA EMPLOYE 3 i/ySCRIPcnbe OFFundef E.L DISEASE-POLICY LIMIT 3 DESCRIPTION OF OPERATIONS below 500,000 B Lease/Rented IHNA570980 0311012017 03110/2018 See Remarks DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,AddMonal Remarks Schedule,maybe attached It more space Is mquimd) Evidence of insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sample THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED�REJPRESENTATIVE (/ 9 ,-IT ACORD 25(2016103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial.tccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Costractors/Electricians/Plumbers Applicant Information Please Print Le ibly Name(Business/otganizationnndividuaq: Groom Construction Co. , Inc. Address: 96 Swampscott Road City/State/Zip. Salem, MA Phone.#: 781 -592-3135 Are you an employer?Check the appropriate box: 1,® I am a employer with 7 5 4• ❑ I am a general contractor-and I Type of project(required): employees(litB and/or part-time)! have hired the rub-contractors 6• New construction 2.❑ I am a sole proprietor or partner- listed on the attached shed 7, [�Ramodeling ship and have no employees These sub-contractors have 8, �]Demolition working for me in any capacity. employees and have workers' [No wodM'Comp,insurance comp.insuranre.t 9. �]Building addition required.) 5. 0 We are a corporation and its 10.1]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp, right of exemption per MOL 12.[�Roof repairs insurance required.]t c, 152,§1(4),and we have no employees.[No workers' ME)Other conip —_ .insurance ) 'My applicant dutdueoks box#1 mat sho fill out the section below showing date vod=, on t Homeownerr WIN)submit this Affidavit iodiuting dW= ti tZay tntemadon. tCaftelots that check this box must at6ehed an ddidoW shoat sho��and do hhe auhidd emus OnO must sublailaaew Affidavit indicating such, to atng themes:orau subcm ct*and state whetheror not tho,a enaties love amp you. lfthesub<onaaotonlnvaemployne,.nwymustprovidethe'aRmlops'aotr�•pogcynumba. I am an employer that is prosidlttg workers'cornpensaZion lnamisce for my employees. Below la th I e podry and Job site rrformadon Insurance CompanyNalme:_. . Aanp�rQr Tnc rrancrP -['mm�any Policy#or Selfina.Lic.#_ WHNA552476 BxphatimDgte• 3/10/ 18 Job Site Address; City/Stattaip. Attach a copy of the Workers'compansattoa policy declaration page(showing the pCBey aatnbar and ezplratlon date), Failure,to secure coverage as required wader Section 25A of MOL c. 152 can lead to the imposition of criminal penalfies of a Sae tip to$1,500.00 and/or onFyear impriso»ment w well ere civr7 ptmaltica in the form of a STOP WORK ORD13R and a fine of up to$250,00 a day against the violator, Be advised that a rApyof this atabemeat may be forwarded to the Office of hyOggetions of the bIA for iasura+M�covetase yediilxdtm I do hereby cert(/y unaerlhepaGGrss•and penalties of vtded above is/sae and correct Shmatum: Date Phone#: UUXUU i use only. Do not wr atn4hkrarea,to a eo mP y or town q/J7cia' City or Town: Permif/License# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6, Other i Contact Person: Phone#: i Gr�v�o won Mr. Thomas St. Pierre Inspectional Services Director Salem Building Department 120 Washington Street 3rd Floor Salem,MA 01970 May 8, 2017 Dear Tom, I am writing to let you know that Groom Construction will be taking over the construction management of Harborlight Community Partners two Boston Street Affordable Housing Projects. The addresses include: • 43 Boston Street (Permit#: B-16-1461) • 179 Boston Street (Permit#: B-16-1460) The Permits were previously submitted by the architect, Seimasko and Verbridge and expire June 28°i. The construction will not begin until July. Please see attached a copy of my Contractor's License as well as our Workmen's Compensation Coverage. Please let me know if you need any additional information. Thank you in advance! 96 Swampscott Road • Salem, MA 01970 • tel: 781.592.3135 • fax: 781.593.1480 www.groomco.com