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HomeMy WebLinkAboutBuilding Permit #289 - 10 CONCORD STREET 10/16/2007 V40RTH BUILDING PERMIT o`ttUr.o hb;'tio a OL TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received A) �ss�cHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION CL'Z X - 1 Cb 0K,jQ �� 7, Print PROPERTY OWNER.Z A c t•1-AYE Yy L. f:>Pt t.,_I— C— I - --Print MAP NO: 6PARCEL: A ZONING D-ISTRICT;J tL_^Historic District Vires knwv Machine Shop Village yes ho TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building t, ne family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Wa $rs ed District Water/Sewe DESCRIPTION OF WORK TO BE PREFORRE _f3 Identification Please Type or Print Clearly) / OWNER: Name: A I+AKX�y� t-LC- Phone: (173-771 J-F 97 Address:i i VJ Q t..- - f CONTRACTOR Name: Gt)M)WL`LC L- Phone: �' 7q `4 1 .5_8`1 Address: Supervisor's Construction License: ? © Q Ll Exp. Date: Home Improvement License: 1 -7- Exp.. Date: I I 4 O ARCHITECT/ENGINEER iU /A Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00/PER /S.F. Total Project Cost: $ FEE: $ Check No.: ?/ Receipt No.: aZ & 7 NOTE: Persons contracting with unregistered contractors do not have acce t e a and Sr Rnature_of,AgenVOwner F _ Signature of g_ contractor Location f�� �A"C o No. Date M°RTh TOWN OF NORTH ANDOVER ►°- s + Certificate of Occupancy $ �y U -1 CLAUS S� Building/Frame Permit Fee $ 11`� `�r Foundation Permit Fee $ / C)U d' Other Permit Fee $ TOTAL $ r Check # -!5-7/5 2- o _- " .� J Building Inspector r Locationf� No. Date A, NOs1q TOWN OF NORTH ANDOVER 41 ' Certificate of Occupancy $ +� Ja ,��s ,��'• Building/Frame Permit Fee $ / Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED LANNING & DEVELOPMENT COMMENTS mae'a' TE REJECTED DATE APPROVED CONSERVATI � COMMENTST� DATE REJECTED DATE APPROVED HEALTH COMMENTS ti Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on bite; Yes no Located at 124 Main StreetV/ or • Fire Department signature/date °" �? COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 7 -� Total land area, sq. ft.: 1- LL��� �) ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date I Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 /, NORTH y sa�cNu+� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDONTER Permit# 289 10/16/07) Date: _October 21, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 Concord St MAY BE OCCUPIED AS Multifamily Condo Unit _ ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Carolina Properties LLC PO Box 248 North Andover MA 01845 Buildi g'-Inspector 3- Town of U, Andover, Jv IVT ovoy? ` :;W o , dover1 Mass. 96 7OC KFC-if wi<+• .t At ' 'n BOARD OF HEALTH PERMIT T Food/Kitchen Septic System Z*.... ��' BUILDING INSPECTOR - THIS CERTIFIES THAT... ..�............... .......... . �.. . •.. ,....... .A... ....................... ........................... Foundation has permission to erect........................................ buildings r c� Rough. = t. to be occupied as Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fin 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. hI/ ELECTRICAL INS C s. TOR i�� � b -1. 1...+"�.... E S .-^��a + .l Ni l k � F .!t➢ '" Rough a a ................................................................................................................. Service BUILDING INSPECTOR Fina �c:c—upaw_-J' .Pemit Required to Occi,tpy Buddling GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough / G No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMElvff Street No. r v SEE REVERSE SIDE Smoke Det. NonrN ti 1 M 1qr� 1 nr 4 SrACIW CERTIFICATE OF USE & OCCUPANCY TO'R'N OF NORTH ANDOVER Permit#_ 763 (6/23/08) Date: October 21. 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 12 Concord St MAY BE OCCUPIED AS Multifamily Condo Unit ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Carolina Properties LLC PO Box 248 North Andover MA 01845 Building Inspector f , TAORT#i 0 of r •� 6 No. 763It- LA= ` o dower, Mass., co NE WICK y�. 0'C? RATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ r��ob...... , ::..�<-C�../....... ................................ . Foundation , ................ ..has Permission to erect........................................ buildings on . ...../.... ..../ Roug h - �lF�t/�� D r/1'f G�*+ �cGu arc � ��il !�' .Z�� Chimney to be occupied as....... ............. ............ ........................ ............. ......... ...................i...... .. ......................... provided that the person accepting this permit shall in everyrespect conform,(o the terms of thh application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Afteration-and Construction of Buildings in the Town of North Andover. a oo�joo0 PLUMBIN}}G INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 6Ug -` PERMIT EXPIRES IN b MONTHS UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR Rough k 4- z��- , ........................ ....... . ......................... Service BUILDING SPECTOR Occupancy Permit Required t0 Occupy Building, GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing, or Dry Wall To Be Done FIRE DEPARTMENT ENT Until Inspected and Approved by the Building Inspector. B er St t No. SEE REVERSE SIDE Smo(Ce"Det, ._: - f it^pf� PP+ SaCIR � CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 289 10/16/07) Date: October 21, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 Concord St MAY BE OCCUPIED AS Multifamily Condo Unit ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Carolina Properties LLC PO Box 248 North Andover MA 01845 Buildi g Inspector Town An dover. + 0 No - o dover, Mass./Q �c yK-,wrCx g BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR . ` THIS CERTIFIES THAT.....Z.O.A.. ...... .. .Mfr...........�. .. ......................' ' Foundation a......( #Ac.•0� has permission to erect........................................ buildings .......................... Rough to be occupied as Chimney ................................................................................................................................... . .............. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fin 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. h� On _ _ ELECTRICAL INSftCTOR NLESS �.���'v �� ' .�i *� :0Rough ................................................................................................................. Service BUILDING INSPECTOR Fina Occupancy Permit Required to Occt.cp' Building GAS INSPECTOR _ Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det // // 0% r • gORTM ' Of�t�a° • �NO R � # AO �� Arno C APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildin4 Permit# 7� ADDRESS/LOCATION OF PROPERTY :_b �-- Map Parcel _ 3 Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION` -y CLOSING DATE ON PROPERTY: 1 C2 -2 0 - Oy- FNE 151 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE r DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address SIGNED R TIN • CONSERVATION PLANNING O DPW-WATER METER 42f Amo � SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 e n 0 Nro 212„E z 150.00 ` l 00 O I ;0 0 79.2' 36.9' 91 w w EXISTING DWELLING 4' PARCEL X-1 129860 S.F. 30' TOP FIND. v =119.81 DRIVEWAY Ln EASEMENT tai 1 88.06' S68'35'46"W ` 'LcSi�. do 15 V j Z ��s IJ ry� z �O LANDSCAPE EASEMENT CERTIFICATION PLAN �A`ZHOF�y PARCEL X-1 , CONCORD STREET andover I HEREBY CERTIFY THAT THE LOCATION OF THE STRUCTURE SHOWN ON THIS PLAN WAS NORTH ANDOVER, MASS. N DETERMINED BY A FIELD SURVEY, CONFORMS TO THE ZONING REGULATIONS OF THE TOWN Prepared for consultants Q 29 OF NORTH ANDOVER AND IS NOT LOCATED IN A DESIGNATED FLOOD HAZARD AREA. P CAROLINA PROPERTIES, LLC inc. fEss�o� REG. PROF. LAND SURVEYOR SCALE: 1"=20' DATE: 6-23-08 1 East River Place, Methuen, Mass. IND Sua \04-32v�y�Q \dw g\CERTX-1.dw g uT� tkORT'i..i�^ Town of t fAndover 0 2� r TO No. 409 =_ _ : ; - L . }- X10 dover, Mass., w"arEc) ]] BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ...` «' .........�.. ... ........... l..�................... Foundation has permission to erect........................................ buildings n C. M ........................... Rough ��- to be occupied as.................... ....................:............ ..................................................... Chimney .............................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. h� ?/2,s�o PER?��1.1T EXPIRES 6 X K N-HS 1 r �, l ELECTRICAL INS CTOR t..)LESS �L � f'1Ti��� .);�+, Rough y ................................................................................................................. Service BUILDING INSPECTOR C � Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough G No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Ad— SEE REVERSE SIDE Smoke Det. NORTIy Town of And No.�� - 00 LAK o� dover, Mass., COC MIC ME WICK 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... ... i.. ......... .. .A.I.`I............�.........rw.................................................... Foundation /� . ..n C��elr ' has permission to erect........................................ buildings on/..10........... 0.........................��................................. Rough e �s'� i / �� 6 I"�" Chimney to be occupied as........................... .. ./.. {/ t ... ....:........... ........................r..............s�.:............................... provided that the person accepting this per d shall in every respect conform to the terms of the application on file in Final 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 .CONSTRUCTION TS Rough ................. ............^-..-."':-�'.... ...................... .......................... Service BUILDING ECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-4-2007 DATE OF PLANS: 10-04-07 TITLE: MAPLEWOOD -2 PROJECT INFORMATION: SINGLE FAMILY DWELLING COMPANY INFORMATION: GERARD E. WELCH, INC. COMPLIANCE: PASSES Required UA = 288 Your Home = 264 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 816 30.0 0.0 29 WALLS: Wood Frame, 16" O.C. 836 13.0 0.0 69 WALLS: Wood Frame, 16" O.C. 881 13.0 0.0 72 GLAZING: Windows or Doors 87 0.370 32 GLAZING: Windows or Doors 74 0.310 23 FLOORS: Over Unconditioned Space 816 19.0 0.0 39 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined u n t appli able Standard Design Conditions found in the Code. The HV C e u' ment ect d o h t or cool the building shall be no greater t o 5� f h d si l d a specified in Sections 780CMR 1310 a 4. Builder/Designer__ Date_-- �� 1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 MAPLEWOOD -2 DATE: 10-4-2007 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location [ ] I 2. Wood Frame, 16" O.C., R-13 I Comments/Location I WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.37 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] 1 2. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ l I 1. Over Unconditioned Space, R-19 I Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ( ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ l I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly i marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I L l I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-4-2007 DATE OF PLANS: 10-04-07 TITLE: MAPLEWOOD -2 PROJECT INFORMATION: SINGLE FAMILY DWELLING COMPANY INFORMATION: GERARD E. WELCH, INC. COMPLIANCE: PASSES Required UA = 288 Your Home = 264 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 816 30.0 0.0 29 WALLS: Wood Frame, 16" O.C. 836 13.0 0.0 69 WALLS: Wood Frame, 16" O.C. 881 13.0 0.0 72 GLAZING: Windows or Doors 87 0.370 32 GLAZING: Windows or Doors 74 0.310 23 FLOORS: Over Unconditioned Space 816 19.0 0.0 39 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined us' g t appliRig rd Design Conditions found in the Code. The HV e ui me sat or cool the building shall be no greater ha 5% hd as specified in Sections 780CMR 1310 a J . Builder/Designer Date _ N MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 MAPLEWOOD -2 DATE: 10-4-2007 Bldg. l Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location [ ] I 2. Wood Frame, 16" O.C., R-13 i Comments/Location I I WINDOWS AND GLASS DOORS: ( ] I 1. U-value: 0.37 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 2. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be , 1 I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I -r -n1v and return The t0rnlon11 13 X 14 a it weL assac � � Departrngnnt Of Fire Services Office Of the State Fire Box 1021 State Road, Marshal - Stow,MA 0I775 North Andover PERMIT (City of Town) Permit No Date: In accordance with the provisions of M:G_L.j (�E1 pPlicabla) �+B.Chapter10-as provided in sectio D,g Safe NUM er _ T1us Permit is granted to: n� 3 Start Date Permission to locate d u m Full name of persoq Firm or Co P s t e r for rporation construction/renovation/demolition of Comments: d u ra s b u i l d i n.g. cornFes ent'.' P ter must b e . 2 5 clearance dura from structure Pster must if unable to lace w at _ rwn be covered with ith required -- orc,/CS% l wood or tar end of work day (Give Location by street and no.,qr des .;be' _ Fee Paid S 50.00 'Q such ma This Permit will expire � /- �y� � 0 �o pro adequate identification of location) (Sigrtahu•e of offical granting perrrri t Fire Chief Oca1 grantingPermit (Title) I below o ,• I - _ I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 1 refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1 1.0 1.5 2.0 I 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- 1 1 provided. Insulation R-values and glazing U-values must be clearly i marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ l I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" i 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- i The Commonwealth of Massachusefts r-, Department of Fire Services r Office of the State Fire Marshal R O.Box 1025 State Road,Stow,MA 01775 PERMIT Date: fa y-v7 North Andover -PermitNo City of Town) (If Applicable) Dig Safe Num er In accordance with the provisions of M.G.L 14 8.Chap.ter 1 n as provided in sectio'-122—EMR 34 / Start Date This Permit is granted to: Full name of person,Firm or Corporation Pennissionto locate dumpster for constru'ct 'ion/renovation/demolition of building. Comments: dumpster must be . 25 ' from structure if unable to lace with required Restrictions'clearance dumpster must be covered with I wood or tarp end of work -day at (Give location by street and no. i d be such ma - to pro aaequate identification of location) Fec Paid$ 50.00 ! � Fire Chief This Pennit will expire 3 3/— (Signature of offical granting p t) Offical granting.p'emut (Title) S- -- ❑ -- -- -- 11ie -Cowzww 2avaGGft o1✓G'&JjaC1l&je 4 BOARD OF BUILDING REGULATIONS ` License: CONSTRUCTION SUPERVISOR Number: CS 007864 Birthdate: 04/18/1954 Expires: 04/18/2008 Tr. no: 22586 Restricted: 00 GERARD E WELCH PO BOX 248G�4 N ANDOVER, MA 01845 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 M s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Co C!R-AK W ELK--H Address: J_I p M 1 b 0 L C- !5 t y— ]— City/State/Zip: N , A NO OV L-12 JLl/Q Phone #:9� � -- 7 7 Are you an employer? Check the appropriate box: Type of project(required): LEI❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.�m a sole proprietor or partner- listed on the attached sheet. $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their ME] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ert y nde t e pa' s s p a e of p rjury that the information provided above is true and correct. Si nature: I p, Date: — 3 — O k Phone#: 01 7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: -1 C,o S is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I 0A. The debris will be disposed of in: -P 03 A L (Location of F Cil' y) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit -07 Date FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT CQQ/L Q WJ C.C.)j PHONE LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (S) STREETI O C OAJC 0,k J0 Sr ST. NUMBER_/ USE ONLY *** **************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS 1j 07 DRIVEWAY DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised M7jm N° FD 5552 Date ,,OF / T Z. TOWN OF NORTH ANDOVER RECEIPT S`SACHUS This certifies that .............................. haspaid.... ..6......................................................................... for ........................... .... .......................................... Received by ................ .......... Department.......... .. ... rte ... ........................................................................ WHITE: Applicant CANARY:Department PINK:Treasurer The CDmmonweafth of as sachusetts Department ®f Fire Services On ce cf the State Fire Marshal P.O.B ate Road,Sto Ox 1075�SL � MA 01775 North Andover PERMIT Date: Y, R'ermit No {City of town) (If Applicable) Dig Safe Num er In accordance with the provisions of,Nt'G-L-1 4 8 C-hzp'ter_L(L as provided in sectio CMR 34 Thin-Permit is granted to: Start Date Flill Ilarne cfPerSon7 Firm or Corporation Pcartission tolocate dumpster for construction/renovation/demolition of mm building. Co e"ts: dumpster must be . 25 ' from s.tructu-r Rcsb�ictions; e if unable to P ace with r clearance dumpster must be covered with C/S.7— wood or tarp end ofeqwuired at ork -day (Give location by street and no.,..Qr des c--,bc h j . such ma�0,pro vT7a&quate idcntificat* Fee Paid s 50.00 Ion of location 4/(/ This Permit tiyijj expire Fire Chief Xp tignature,of offical granting permit j Offical Title)