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HomeMy WebLinkAboutBuilding Permit # 12/12/2016 eaoRry BUILDING PERMIT oF�TLEo ,6q'�� TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �g'pR,T.o 4SSac�+u��� Date Issued: I I P o I U IMPORTANT: Applicant must complete all items on this page LOCATION . -t IA! K �, �t Print PROPERTY OWNER 6/-efr r`k 4 o h Print 100 Year Structure.: yes na MAR/Oct C PARCEL: g 67 ZONING..DISTRICT: R I Historic District yes -xV Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential i^ew Building [ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: 11Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition. ❑ Other .''r'�� "" .:�' o P',�. a" ,:''�,�r .ry�R„�i''" �d.''r a "�ti w,�.w-• '...J. ,�".24 �. �Ys:r�ri,���ycF �, .� �,-y"�; r,E�."'y,.r° ," s,;�- fr I F Qd aI � CIllfetlaricl - a � at11e D. w^ 1 ��s�i DESCRIPTION OF WORK TO BE PERFORMED: D vA LS +H I#- Identification eIdentificati©n- Please Type or Print Clearly OWNER: Name: Phone: 477e - s -C 606 Address: q 7J- & 'ta RaL �� .Contractor Name. RL, L' n're Phone: F7r 4rC3'-ea`a.� _-- Email. 't A.: C� Address: . �4 7L3 Supervisor's Construction License: C S3S8ti Exp. . Date: "' ,gat S Home Improvement License: Exp: Date: ARCH ITECTIENGINEER r c Phone: I O S C f - a C6 Address: 7&> 11a ` jq 6l" Wm_yl /4&,. Reg. No. OF FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3 Io 2 FEE: $ Y 3,1 d C) Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r : } Plans Submitted Pians Waived ❑ Certified Plot Pian ❑ Stamped Pians E2ubHc,Sower ERAGE DISPOSAL ❑ S +a.�xunin Pools`I'azniug/Massage/Body Art ❑❑ Tobacco SalesFood Packagiug/sales ❑ank,etc. pennan.ent Dunpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OF'F - U FORM PLANNING � DEVELOPMENT Reviewed On � ��l4gnature'r � C MMENT'S� C NNSERVATION Reviewed on 2 Si nature COMMENTS / HEALTH Reviewed ori � �- {� Si nature COMMENTS U'U��� i✓i�,.� �� 1��� Zoning Board of Appeals. variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Commen Water& Sewer Connectinnlsi nature Date 1-Z-7- Drivewav Permit DPW Town Engineer: Signature',--,. L ated 384 Osgood Street FIRE PER EPANT - Ternp Dempster on site yes [.acateci at i24 Main Street' ' noA FrreiDepartmenf�rgnaurelclae ': COMMENTS Dimension Number of Stories: YO, Total square feet of floor area, based on Exterior dimensions. -�7 loo Total land area, sq. ft.: d� M3 5 , ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector fres No DANGER ZONE LITERATURE: 'fres No MGL.Chapter 166 section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use) d u is ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 NORTy own of : TAndover O - 0 1 oh ver, Mass, /sit 1 D/ COCKICKl WICK *�/ITED p.�4�,�5 U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ....&4T........ . .Y.. ....... ...�llj�.��iw M . .. �.... .te BUILDING INSPECTOR has permission to erect .......................... buildings on ..S Z..... ....607 26Foundation Rough to be occupied as ..... .!.....A....... pt.d .1l..... .0, !!!.!.1. .. .... � Chimney provided that the person accepting this permit shall in every respect conform to the terms of fhe application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TART Rough Service .............. .. .. .V .. ................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Qceupr Ruildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Registry ID: e.avv Rating Number: ABAS362 Z� Certified Energy Rater., Dan Clark Greenwood Ave Rating Date: 11/17/2016 52 Wellington Circle Rating Ordered For., RLI Corp N.Andover,MA01845 A Estimated Annual Energy Cost Projected Rating Use Mmstu Cost Percent 6 Stars Plus Heating 69.6 $1261 40% Projected Rating:Based on Plans, Field Confirmation Required Cooling 33 $173 6% Uniform Energy Rating System Energy Efficient Hot Water 21.1 $373 12% ri Star I I Star Plus 2 State 12 Stars Plus 3 Stars 1 3 Stars Plus 4 Stars 14 Stars Plus 15 Stars S Stars Plus Lights/Appliances 29.9 $1299 41% Fr,&)�Aol 400-301 300-2511 1 250-201 1200-151 1 150-101 1017 91 9086 85 71 70 or Less Photovoltaics -0.0 $_0 _0% HERS Index: 66 Service Charges $69 2% Total 123.8 $3164 100% General Information Conditioned Area: 3167 sq.ft. HouseType: Single-family detached Conditioned Volume: 26075 cubic ft. Foundation: More than one type This home masts or exceeds the minimum Bedrooms: 4 criteria for all of the following: Mechanical Systems Features 2012 Intematlonal Energy Conservation Code Heating: Fuel-fired air distribution,Natural gas,95.5 AFUE. 2012 IECC Duct Leakage Requirement* Heating: Fuel41red air distribution,Natural gas,95,5AFUE. 2012 IECC Requirement-Infiltration<3ACHSO* Cooling: Air conditioner,Electric,13.0 SEER. 2012 IECC Whole House Ventilation Requirement~ Duct Leakage to Outside: 126,00 CFM26. MA Base Code HERS Rating Performance requirement' Ventilation System: Exhaust Only:69 cfm,112 watts. Programmable Thermostat., Heating:Yes Cooling:Yes Building Shell Features Ceiling Flat: R-40.0 Slab: None SealedAttle: NA Exposed Floor. 840.6 ~Compliance with criteria for Oils program Is Vaulted Ceiling: R-37.8 Window Type: U-Value:0.280,SHGC:0.250 determined by the rater. Above Grade Walls: R-23,0 Infiltration Rate: Htg:3.00 Cig:3.00 ACH50 Foundation Walls: R-0.0 Method: Blowerdoortest Lights and Appliance Features HERS Rater Percent Interior Lighting: 90.00 Range/Oven Fuel: Natural gas Advanced Building Analysis,fie Percent Garage Lighting: 100.00 Clothes Dryer Fuet Natural gas 2 Woodlawn St Reldgerator(kWh/yr): 691.00 Clothes Dryer EF: 2.67 Amesbury,MA 01913 Dishwasher Energy Factor: 0.60 Ceiling Fan(dnVWatt): 70.40 Phone#-978-270-3911 The Horne Energy Rating Standard Disclosure for this home is available from ft rating provider, Fax#-978-587-0359 REMIRats-Residential Energy Analysis and Rating Software v14.6A This Information does not constitute any warranty of energy cost or savings, 01985.2016 Noresco,Boulder,Colorado. Certified Energy Rater The Commonwealth of Massachrselys Department of Indasl'i l e-Ode" ts r T G`o g�'ess,5�ee#,S` - Boston,ffA 02114-2017 www mass.go�vldIa lJer b Qw ers. � s* �,.ee.Af�davxt=73�dex�ICox��ractoxsli3;leG�.czans tt kexs' Coxrzp stioxixnsrti G 'UT ORT3Cy- TOBEIGT�T7 W HTH �'+L' TXN y'lease ':rimt 7L Z A ''lica��o�aatia�t 11 Na'l�.e(BusinesslOrgariizatzonl�[ndivadua�.): . Chyli ate/Zip: Type of r oJect( ec ed); xo riatebax: Axcpon an employer?CJiac�tTie app 7, �N'ev4`constx�'c'�ian amaOMP loyezwith_ �—�Ployees[illandlorparttime) RI �Or 3110 in $. 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I£the sub-coniractors here oanrlay s, Y rovid"azgtivarke�s'co npensatian inszarance-ftnzy eMF16yee,s. �elaw r tlis ra�icy arzdjo i life lam an eYriptayerzaf is p irzforrnatior2. n JSirrance Company Name: L: Expitatzo3aD 1303icy if or Set E ixEs.Lie. ' City/5tat'Izip: lob Site.A.ddress'� y oIs deciaxatioupage(show�oagtTuepolxcyxz�oaber and e�pi�a�az� date)- - Attach a copy ofthewoxkexs coamp aanp cY 500.00 as xe ed undex NfQL o_152,§25A is a cx a ival vzolatiozz p nisha l e by a iie to$�, Faiiuxe to seeux e coveragee�alties inIIIe foam o1 a STOW VJ OR7 QRDER o£the DIA fox insu:rancD a aridlos one-yearivaprisonmezxt,as well as civi3 p day against the violator.A Dopy afthis statement may be forwarded to the Office ofv £ trr�e wMation. urzc7exfliepaiTzs utxdperzalfies ofperjury that Elie izxforrnatio�provzded wave burzd ca�rec� covexage ver -r do Itereby certify J M Date, Si attire: Pbone #: ~ Official ase only. Do rzotwr zte in tXais area,is he cornplted 77y city o�to��i official. BermztlLicense C.ity'ox Tovw )3jjy( czrcle a ector 5.PlumbingxnTec-tox xssraing t uth 1.Board o:fHealth 2.Building pepaxtnaex,t 3.Citylxoec�Cie:rk 4.Bi.ectx%eX7Gns� 6.Other phone#: f'nntaCt Paxsaaat: 12/07/2016 09:01 5786£310773 DEANGEL.IS INS PAGE 01/01 AL r_"12/7/2016 AT$(MM1DDrfVYYICERT1FtCATE OF LIABILITY INSURANCE THIS C£RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the Cgrtlflcate holder Is an ADDITIONAL INSURED,the polloy(les)must be endorsed. If 5UBR0(iATION 114 WAIVED,6Ub]aot to the terms and condldans of the policy,certain policies mey inquire an endomomard. A statement ort this certlflaalte doss not confer rights to the certificate holder In lieu of such endorsement e. PAODUCER CD A° TsaCy T.aeecben DeAngelis Ixiauranae PHONE (9781 6g1^3397 --FA N6;ts�al rS�-a733 Zai Merrimack street BRUNEI— INS uDplei, ' INSURE App0RDINq CCVERARe -..,, NAIC p Methuen KIL 01844 INSUAffnA; a Oxon INSURED �— INSURER a: R L I Cory INSURERC: 475 Boston Road msuRRRD: IN�RERE7 - - Silleriaal NA 01821 INSURE COVERAGES CERTIFICATE NUMBER:2016 TerM REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCH LISTED BELOW HAVE.SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC8 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED CE E BY PAID rLA PS - uMITa MGEt' TYPE qF INSURANCE Y NUMBER COMMERCIAL GENERAL LIABILITY EACH OCOURRENC�_ II CLAIMS-MADS ❑OCCUR PFt}y1l$P,8(1:t+ Off° eS— 3 M6p EkP An ane PerAw+} S PEAe0NAL8 AOVINJURV 5 GENERALAGGRRGATE 3 'L AGGREGATE LIMIT APPLIES AER: POLICY((''''`�PRO• LOC PRODU^ OT3-COh1P10PACiO $ L^I JECT ❑ g TFiER: G Mql 0 SINGLE LIMIT 5 AIfTOMQ9ILE UAGILITY ma.10B 1 BODILY INJURY(Pnr perm) S ANY AUTO ALLOYMED SCHEDULED BODILY INJURY(PW acdidenq ! AUTOS AUTO PROPCRTY AMAGE S NON•OVJNED tPryccldnnly ___ HIREO AUTOS AVTOS S UMBRELLALIAIS OCCUR EACH OCCURRENCE. S EXCESS LIAB GLAIMS�IADe AOGREOATE 3 I nkt} RiJOTiON S PER TH WORKERS COMPENSATION E AND EMPLAYERV LIABILITY Y 1 N E,L,EACH ACCIDENT ! 3.00,0 D OFFICENY %—M ECUYIVE ❑N 1 A A OFFICaturylhNH} 6g62gg45G2P91] 5/9/If116 5/6/I617 E.I..DIBFASE•EA MPLOYE 3 100,000 if yy!e6 tleagrlbpuntler E.L.DI EASE•POLICY LIMIT 5 ono imandDESS PTI F PERP d W 8 I]E94RIPTION OF OPERATIONS f LOCATIONS I VEHICLE9 IACORD 101,Addlllanal RRiuks GehOdWe,MAY be 611athe0 if Mura apace 10 llqulyd�d) certificate in issued in th9 interest qE the named insured and holder lintel below. Subject to GomZfllny conditions %nd exclusions. CERTIFICATE HOLDER CANCELLATION (97 8)5S7-5490 SHOULD ANY OF TAF ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andovex THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North AxLdover, MH 01845 AUTHEaR1ZE0REPRE9ENTATIV6 David. sepal/TZt, ID 1980.2014 ACORD CORPORATION. All rights reserved. ACORO 25(2014101) The ACORD Warne and logo are registered I>;Illrke of ACORD INS025(90,401) i' Massachusetts Department of Public_ Safety Board of Building Regulations and Standards License: CS-058839 Construction Supervisor ROBERT L INNIS 3 LORRAINE TERR BILLERICA MA 01821 5 `-' Expiration:. Commissioner 06 /26[2018 i