Loading...
HomeMy WebLinkAboutBuilding Permit #Exception - 10 INGLEWOOD STREET 5/1/2018 (3) HOFTH 'roWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION SSACHUSe Permit NO: Date Received: (ZL c7�" Date ISSUed: - - - 1mPOR rANT: ;Applicant must c0111plete all items on this page° - LOCATION_ 1 � r �v( -tom:trJc�u� �J� CLOT � -3 u) I'flll PROPERTY OWNER Mt Phi,,, �(4-.f q 1 not )V1AP NO.: 4 PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF ItiIPROVENIENT PROPOSED USE Residential Non- Residential ` i _ ' ''cw Building� I := One family Addition - Two or more family -.' Industrial Alteration No. of units: _ _. Repair, replacement ,\ssessory Bldg ---- _ i Commercial Demolition ' Moving(relocation) Other Others: Foundation only DESCRIPTION OF AORK TO BE PRF.FORIVIED CoptS1 Ct��� U1- � 13 L S i= i +. G LC= T--Av-1 I L Y — Identification Please TypeAr Print Clearly) OVV ER: Name: HPON .;,j f&t, oS r""'� Phone: i Signature,%/ :address: �ttie� S�", !�; A+.s4. t<, �d�" Mit ©1645 CONTRACTOR Name: IJ �. 3. - / Q o hms `��A'N Phone: - is Address: D BOX 13"2. N. /--v C>o V et-4A U 16 qr Supervisor's Construction License: —Exp. Date;: 1aonae: Impr,)v.,micnt Liccns,�: 13j5io, Ext). Date: 11 a oL, _ I \RC'I 111 IX"T. Filone: 17b - l&8 3 I — r it Address: AAjtOy-tr Reo. No. _ FEE.SC'i,zc 1. (1 N LDLI G PERMIT::10.00 PER$10/10.011 OF THE'TOT.9L ES'TLVATED COST8,11")-E.D Opti rdltal Projcc 1c'ust _ 1;71`—', Sbt� ------ x10.00 FEE:, Check No.:_ ----- -- ----Receipt No.:_.—.— i - �- TYPE OF SEN,ARGE DISPOSAL Tannin,-/Massa,;c Body .art Swimmim- Pools Public Sewer :i ! - ; Tobacco Sales j Food Packaging.Sales 1�'elI 4 i _ Permanent DLImpster on Site Private(septic tank,etc. MOTE: Persons cowmetim with.unre;lctered eoutructory(lo Ills/have uccess to the�;uurouty lund Sicnature ofAgent,Owner )y/ - Signature of Contractor t Plans SubmittedPlans Waived Certified Plot Plan i Stamped Plans I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY III INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED s PLANNING & DEVELOPMENT L I.Vater Shed Special Permit IJ Site Plan Special Permit Other { COMMENTS DATE REJECTED DATEAPPROVED CONSERVATI COMMENTSOYjd',' 01 W1 (— 11 Pt oL '�d � q A I Ird �Ov� DATE REJE 'TED DATE APPROVED jV4 HEALTH ! � COMMENTS %onin,! Board of,appeals: Variance. Petition No: ( Zoni ng Decision,receipt submitted yes IFhnnin!� Board Decision: Comments ;ill:i�r4allUll Dl'l'ISltltl:_ l 0111111CIIt:i '"tCl-& SCV,CI CollneetlOn iYnatllrC tE date T Tcinp Dunlp:Zter on site ;est/ no--- Fire Department signature'datev. 13t.iilding Permit ,Approved and Issucd hv: i Building Setback (ft.) -Front Yard Side Yard I Rear Yard Required Provided Rcquircd i ProN ides Required Provided DIMENSION -- N Unlber of Stories: —Total square feet of floor area, based on Exterior dimensions. A l avZ Total land area, sq. ft.: j 000 NO TFS and DMA—I I-or(1cpartment use) I i I r I 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 a Building Permit Application Debris Removal Form NVorkers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior'Work Addition Or Decks Building Permit Application Foirn U Surveyed Plot Plan Debris Removal Form Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses C opy Of Contract j Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) Building Permit Application j Form U a Certified Proposed Plot Plan j Photo of H.I.C. And C.S.L. Licenses i j Workers Comp Affidavit s j Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And HydraLf Calculations (If Applicable) j Copy of Contract "ass check Energ. Compliance Report i ail .all cases it*a I anance or special permit was rcciiiired 1he I'mn C!o-lis oftick! moist. •:uaap zh ale'_ e un ;roan the 3oard ot" ,A.ppeals that the appeal period is over. The.applicant.must then get this rixorded .at ?lae Re!;istrr of Neds. One copy and 1)rn•�J a-ecording :avast be submitted with the building•,applieatioll ')nc: I[ON 1i.�F:{t\K EN DEVAR P;W%r:;as NORTH "� Zoning Bylaw Review Form p p Town Of North Andover . w Building Department � O4.r.o•v'4h �SSACHl15Et 1600 Osgood Street, Building 20, Suite 2-32 North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: In lewood Street D Ma /Lot: 11115 Applicant: Matthew Xenakis Request: Construct single family dwelling Date: 7-1,8-06 Please be advised that after review of your Application and Plans that your Application is DENIED for the followings Zoning Bylaw reasons: Zoning District: R-4 Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting X 2 Frontage Complies 3 1 Lot Area Complies 3 Preexisting frontage X 4 1 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed X G Contiguous Building Area 2 Not Allowed 1 I Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA X 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient X 2 Complies X 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient X 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies X D Watershed 3 Coverage Preexisting 1 Not in Watershed X 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 I More Parking Required 2 Not in district X 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item# Special Permits Planning Board Item# Variance Site Plan Review Special Permit C-2, Setback Variance C-4 Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Con re ate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Lar a Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Develo ment District Special Permit Special Permit Use not Listed but Similar Planned Residential.Special Permit Special Permit for Sign R-6 Density S ecial'Permit Other Watershed Special Permit Supply Additional Information The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the abgve file.You must#e ew building permit application form and begin the permitting proc ss. Building apartment; ffici t Signature Application Received Itcafon Denied Denial Sent: If Faxed Phone Number/Date: f` I I Property Record Card PARCEL_ID:210/011.0-0015-00000 MAP:011.0 BLOCK:0015 LOT:0000.0 PARCEL ADDRESS: INGLEWOOD STREET. PARCEL INFORMATION Use-Code: , 131 Sale Price: 144,000 Book: 9321 Road Type: T Inspect Date: 04/01/1999 Owner: Tax Class: T Sale Date: 01/27/2005 Page: 315 Rd Condition: P Meas Date: J8M REALTY TRUST Tot Fin Area: 0 Sale Type: L Cert/Doc. Traffic M Entrance: MATHEW&JOHN XENAKIS,TRUSTEES Tot Land Area: 0.11 Sale Valid: Y Water Collect Id: AS Address: Grantor: GALVAGNA/CATALANO. - - Sewer. `" ' - Inspect Reas:—--- G= .. .... 701 SALEM STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/L020 Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 LAND INFORMATION NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 Seg ,Type Code. Method Sq-Ft Acres Infla Y/N Value Class 1 P 131 S 5000 0.11 77,967 VALUATION INFORMATION Current Total: 78,000 Bldg: 0 Land: 78,000 MktLnd: 78,000 Prior Total: 68,800 Bldg: 0 Land: 68,800 MktLnd: SKETCH PHOTO Ink N! o 0p; Av 'N o;k A -A Paroal ID:210/011.0-0015-0000.0 as of 7/13/06 Page 1 of 1 ` \ \ � \ \ \ ' � -- -\O2-- -' — | � — — — — — — — — — — — — — — — — — — — — — — — — — \ ` -^ -` U � U ��U �-�����x���� ROAD� �`� ���_�� �������� �������� VNDE �'R.C�VY\ ' rc /^ ' oxon= /u1u/ -- sy ' ' 5 INFILTRATO26.RS ' . `__- NOTE / _ OVERH �� -' ' 4 FOOT WIDE ^ - ' . | \ ./ OVERHANG—~ ~/ _ n/, . \ � � | i��22' do, PAVEMENT(SE'E DETAIL) � CANTILEV/ RED DECK- TP— / \ ~.~.,E '. .`".. � \ ' C�� D�|/\|) ' ~ ` � | ' / MAP � PARCEL 15 -'^' ' ^~` � F/ | \ ' LAURA MED0LD ^~ — / / Wf 02 � Wy \v � o~� ~ �f :� MIRAFIFILTER F � �f WETLAND DELINEATED BY | /~ 06 SEEKAMP ENVIRONMENTAL /3-4-06\ / . PLAN SCALE: 1~=2O' � 20 0 10 20 40 so ' | � IN 0M � � t Inch =" 20 & NOTES:1 . REFERENCE N.E.R.D. BOOK 9321 PAGE 315 N.E.R.D. PLAN 403 EXISTING � 2. ZONING DISTRICT: R4 PROPOSI 3. BENCHMARK = SPIKE 1 FT UP IN DULR7 POLE #4305 = 101 .07 PROPOSI PROPOSI 4. FU](lDZONE = % COMMUNITY PANEL 2500 98 0003C DATED 0/3/93' PROPOS 5. THE INFILTRATORS SHALL BE THE QUICK 4 HIGH CAPACITY SEWER � / CHAMBER AS MANUFACTURED BY INFILTRATOR SYSTEMS INC. TOP FOL i OLD 3AYBR{}OK, CT OR APPROVED EQUAL. BASEMEI SPOT Fit 6. THE LOCATION OF EXISTING UNDERGROUND UTILITIES HAVE NOT BEEN � | FIELD VERIFIED. THE CONTRACTOR SHALL VERIFY THEIR LOCATION EXISTINC � PRIOR TO CONSTRUCTION. "DIG SAFE" SHALL BE CONTACTED AT 1 -888-344-7233. SILT FEI MASSACHUSETTS STATE LAW REQUIRES THREE BUSINESS DAYS NOTICE PR/(}R TO CONSTRUCTION. 100 FT POROUS PAVEMENT SECTION MABLIN AVE COMPACTED POROUS HMA SURFACE 4 COMPACTED POROUS HMA BINDER 3� j HAR OOD Q 17" INGL WOOD vii JETW OD Q COMPACTED 1-1/2" CRUSHED STONE 12" SITE COMPACTED SUBGRADE LOCUS MAP NOT TO SCALE POROUS HOT PAVEMENT INFILTRATION CALCULATIONS: THE PRODUCTION OF THE POROUS HOT PAVEMENT SHALL BE IN 1256 SF OF ROOF AREA X 0.4 IN X 1 FT/12 IN = 42 CF REQ'D ACCORDANCE WITH PARAGRAPH M3.11.03, IN THE "THE COMM. OF EACH QUICK 4 HIGH CAPACITY CHAMBER MASS. DEPARTMENT OF PUBLIC WORKS, STANDARD SPECIFICATIONS FOR HIGHWAY AND BRIDGES, 1988", TABLE B WITH THE.._EXCEPTION PROVIDES 8.4 CF OF STORAGE. FIVE CHAMBERS OF THE AGGREGATE GRADING WHICH WILL BE AS SPECIFIED BELOW. ARE PROVIDED FOR A TOTAL OF 42 CF. BINDER AGGREGATE BLEND QUICK 4 HIGH CAPACITY 3/4" CRUSHED STONE - 45% CHAMBER OVERFLOW PIPE 1/2" CRUSHED STONE - 20% AND LAWN GRATE STONE SAND - 15% STONE SCREENINGS -20% 1611 ASPHALT CONTENT 5.5% ± 0.3% 28„ SURFACE AGGREGATE BLEND ” 3/8" CRUSHED STONE - 80% STONE SAND - 10% EL. 96.67 STONE SCREENINGS -10% 34" �f ASPHALT CONTENT 6.3% ± 0.3% NP. _ SILTFENCE AT INFILTRATOR CROSS SECTION 25 FT NO DISTURB ZONE NOT TO SCALE MIRAFI 10OX SEDIMENTATION CONTROL FABRIC ATTACHED TO 2" X 2" WOODEN POST 2'x2' STONE WALL OUIND ` SOIL - PROPOSED DRIVEWAY AGAINST FENCE W Q : GROUND o LEVEL EXISTING > o : :a o. .•. GROUND = 6" a FLOW ''� W O 2' o o MIN. GROUND Z 0 N j LEVEL Ld °•.,: 3 (BEHIND)' X 2" o4- 0 POST ixv W :8o-. o:s - •0° VARIES SILTATION CONTROL FENCE/HAYBALE DETAIL STONE APRON DETAIL NOT TO SCALE NOT TO SCALE ENG: JM DRN: 6/5/06 JM ADD STONE APRON, POROUS PAVE- CHK: MENT, MOVE INFILTRATORS JUN 4 7 2006 DATE BY REVISION ANDOVER E G E N D CONSE ORT L.. T ON COMMISSION PLAN OF LAND IR ------- ---- --- .. --- OF I CONTOUR -�� �����" Mgr��ry INGLEWOOD ROAD G R LINE NORTH ANDOVER, MA� JOHN F. �' R LINE "S o MaOUILKIN,JR. :WAY — — — — — — — — CIVIL Na 311N VATION T.F. 100' R ELEVATION B.F. = 100 NATION 1 ooxoo SCALE: 1 in. = 20 ft. DATE: May 3, 2006 S _ - MAIN W �1 PREPARED FOR OWNER: A � '� JM Associates ONE _ _ Mathew Xenakis 325 Main Street X wf a2 317 Blueridge Road N. Reading, MA 01864 N. Andover, MA 01845 978-664-6668 SH. 1 OF 1 21 i .2 s;©�� b m 2.2- A 2 f l 5i��2Y c � � -i fr) X Rj in 2 r q Town of North Andover of Nn oT►i 9 Office of the Conservation Department ' °bit Community Development and Services Division 24 400 Osgood Street tt�SSACHUSEta9 North Andover,Massachusetts 01845 Pamela A. Merrill 'relephone (978) 688-9530 Conservation Associate Fax (978) 688-9542 February 27, 2006t'�r 1/ (ON Mr. Mathew Xenakis 701 Salem Street North Andover, MA 01845 RE: REJECTED BUILDING PERMIT APPLICATION:10 Inglewood Street,North Andover (Map 11;Parcel 15) Dear Mr. Xenakis, This letter has been prepared as a follow up to my phone conversation with you and your contractor,John Leeman, North Andover Building Corporation regarding your building permit for the above-referenced property. As you may know,the North Andover Conservation Department REJECTED your building permit application for the construction of a single-family house with a garage and associated appurtenances, driveway and grading. During my site inspection on February 24, 2006,I observed a jurisdictional wetland resource area that traverses along the southeastern(rear) portion of your property. Please be aware any work proposed within 100-feet of jurisdictional wetland resource areas must be preceded by a Request for Determination of Applicability (RDA) or Notice of Intent(NOI) application(whichever is appropriate) before the North-Andover Conservation-Commission(NACC),per MA Wetlands-- Protection Act-M.G.L. c.131, X40 and the North Andover Wetlands Bylaw (C.178 of the Code of North Andover). Additionally, under the provisions in the North Andover Wetlands Protection Regulations,the NACC enforces a 25-foot No Disturbance Zone and a 50-foot No Build Zone from the edge of a wetland resource. Due to the extent of the work and the proximity of the wetland to your proposed project,you will be required to file Notice of Intent(NOI)with the NACC. This will require you to hire a Professional Wetland Scientist to delineate all jurisdictional wetland resources within 100-feet of the proposed project. In addition,a Professional Civil Engineer or Registered Professional Land Surveyor would need to prepared a plan showing all proposed activities; the wetland boundary and its associated Buffer Zone (25' No Disturbance Zone,50' No Build Zone,and 100' Buffer Zone). BOARD OF APPI=.AL,S 6RR-9541 BUILDING 688-9545 CONS•;RVATION 688-9530 I1EAI:C1-1 688-9540 PLANNING 688-9535, � I Enclosed please find the Notice of Intent application and instructions, along with the 2006 meeting schedule. Should you have any questions regarding the filing process, please do not hesitate to contact the undersigned at your earliest convenience. Thanking you in advance for your anticipated cooperation with this matter. Respectfully, NORTH ANDOVER CONSERVATION DEPARTMENT Pamela A. Merrill Conservation Associate Cc: Gerry Brown, Inspector of Buildings Alison McKay,Conservation Administrator File I PLAN OF PROPOSED HOUSE LOCATION LOT # 136 INGLEWOOD AVE. NORTH ANDOVER, MA OWNERS: JOHN & MATHEW XENAKIS Inglewood Avenue Edge Road EI. =68.70 Ira 77 gka 1 k' 1S i 66 PROPOSED 26X30 2-STORY WOOD STRUCTURE z Top Foundation El.=70.85 U s�5. 6 1 63 y i PROPOSED 26X22 It STORY WOOD 0 GARAGE UNDER 2 62^ s , 0 CONTOUR KEY: .� Existing-„,,:; - - -- X` Proposed - Date:December 9,2005 Rev: December 22,2005 ' r E .5000SF Engineers:Of Henry .Himber..rY DANTE d� dam, ? 1 Dante Bartolomeo E. BARTOLOMEO No.15309.... o SD PO 'Pf6I TER�c� L LAKG S� 4 0 ..+. 20 .L g"''�'eR'`p tR � � `zst�' .� 3221 � ° QU11CLAIM REED We,MARIA GALVAGNA l`+IESiNGER,SAMUEL A.GALVAGNA alld MARE A. CATALANO,of North Andover,Essex County, Massachusetts,and ANTHONY L.GALVAGNA of Charlestown,Suffolk County,ftusachusetts for consideratlora of ONE paid, Vf $REIFORTY FOUR � �� �THOUSAND DOLLARS AND 00/100 $1449M.00)pai ,hereby t to 4a is and John n Xenakis,Trustees or J&M Realty Trust,under Declaration of Trust dated May 21, 1985,recorded with Essex South Registry of Deeds in Book 7895,page 349,of 701 Salem Street,North Andover,Essex County Massachusetts with QUITCLAIM COVENANTS our undivided interest in the following parcel of land more particularly described as follows: A certain tract of land situated in Nowt Andover,Essex County,being shown as Lot numbered one hundred thirty-six(136)on a plan of land entitled:"Plan of Waverly West Parr',recorded with North Essex Registry of Deeds,plan No.463,said Lot being more particularly bounded as follows: Northwesterly by Inglewood Street fifty feet(50); rn Northeasterly by Lots numbered one hundred thirty-four(134)and one hundred thirty five (135),as shown on said:plan,one hundred(100)feet; cn Southeasterly by Lot numbered one hundred sixty-two(162)as shown mn said plan,fifty(50 and, r ° Southwesterly b Lot numbered one hundred thirty-seven �— Y 4ltrrty n(137)as shown on said 1 one cn pari, J hundred 100 feet. Subject to the conditions and restrictions of record insofar as the sabre are in force and applic� � rr, .. For title,see Deed recorded with North District Essex Registry of Deeds Book 1157,Page 769. co co For Grantors title see Estate of Anna L,Sceppa,aka Antra Lucia SceFpa and Anna L.Scheppa, Commonwealth of Massachusetts..,Essex Probate Court rocket No.04P l 1 18EP 1. 0 EXECUTED as a sealed instrument thh0f day of January,2005. C:) NO f � 4aGo va Mesing COMMONWEALTH OF MASSACg$USETTS COUNTY OF ESSEX ) Can January'V 2005 before me personally appeared Maria Galva esinger,personally known to ane(or proved to tare on the basis of satisfactory evidence)to be the person whose tie is subscribed to the within instrument and acknowledged to rate that she executed the same in her individual capacity., voluntarily. ' S any hand and official seal. Notary Public tu*"lC 9,2 My corminission expires: S 1zc,164�' gdBOtBCp tesOttttt ....,.... --^�--:,,---:�.;,:;.-.r..c.-r:..^,;:;;^.,>;-aa..-,. ..y.�..'7r".^".?'.^,•i^'^ -:..:.,;^'z,....»>,.:;n:-a:..>•�.r.•.:sa:yc-cpm .. _..... .,. ...... ... - :.,. ....,+.r.....•......,.r.-..,...... ..r...sv>z;.:a.<:no..an :-.y.>.v-r-.-..-x-s+.m>.-:..v>-....-..<o.�.n.....-.._.._...._,..-..�.,...,:.., Permit Number REScheck Compliance Certificate Checked By/Date 2000 MCC REScheckSo#tware Version 3.6 Release 1 Data filename:Untitled.rck PROJECT TITLE:PLAN NO 1874 CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE:Single Family WINDOW/WALL RATIO:0.12 DATE:02/20/06 DATE OF PLANS:2-16-06 PROJECT DESCRIPTION: COLONIAL HOUSE DESIGNER/CONTRACTOR: BRUNO ASSOC. 28 BERKELEY ROADN.ANDOVER,MA 01845 COMPLIANCE:Passes Maximum UA=.381 Your Home UA=314 17.6%Better Than Code(UA) Gross Crazing Area or Cavity Cont.. o :Door Perimeter R-Valae R-Value;'U=Factor UA Ceiling 1:Fiat Ceiling or Scissor Truss 1352 30.0 30.0 23 Wall l:Wood Frame, 16"o.c. 2144 13.0 13.0 86 Window 1:Vinyl Frame:Triple Pane with Low-E 264 0.360 95 Door 1:Solid 84 0.360 30 Basement Wall 1: Solid Concrete or Masonry 1352 19.0 19.0 80 Wall height: 8.0' Depth below grade:7.0' Insulation depth:4.0' 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 2000 IECC requirements in RES checkVersion 3.6 Release 1 {formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. Builder/Designer REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release I DATE:02/20/06 PROJECT TITLE:PLAN NO 1874 Bldg. { Dept. { Use { Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss, R-30.0 cavity+R-30.0 continuous insulation { Comments: I Above-Grade Walls: [ ] { 1. Wall l:Wood Frame, 16"o.c.,R-13.0 cavity+R-13.0 continuous insulation I Comments: Basement Walls: [ ] { 1. Basement Wail 1: Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul, R-19.0 cavity+R-19.0 continuous insulation Comments: { Exterior insulation must have a rigid,opaque,weather-resistant protective covering that { covers the exposed(above-grade)insulation and extends at least 6 in.below grade. I I Windows: j ] { 1. Window 1:Vinyl Frame:Triple Pane with Low-E,U-factor:0.360 I For windows without labeled U-factors,describe features: { #Panes Frame Type Thermal Break? Yes No { Comments: Doors: [ ] { 1. Door 1:Solid,U-factor:0.360 Comments: I { Air Leakage: [ ] ( Joints,penetrations,and all other such openings in the building envelope that are sources of air { leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly { with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a { 3"clearance from insulation. Vapor Retarder: [ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed beating and cooling equipment and service water heating equipment must be provided. ( J Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: { ] j Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: j ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to I ' partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I I Service Water Heating: [ ) I Water heaters with vertical pipe risers must have a.heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: { ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: { ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I _ Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Nater Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U12 to I Up to 1.25 1.5"to 2.0" Over 211 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System ypes Range(F) 2"Runouts 1"and Less 1.25"to 2" 2,511 to 411 Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) 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: LaT 13(,, 1&;G L-e tAj 000is 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: bu v%ip S c-e-r2S rum o r(e r- C�'�� r►2''`cn 1u (Location of Facility) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date INTERNET INSURANCE Fax:9786870149 Feb 22 2006 10:50 P. 03 E1 TIF1•CATE OF LIABILITY INS... U .NGE . caYE�>v�omrrn.. IP IS AS 0A MATTER'gW.INFOFiMi4Tl'ON':, THIS CERTIFICATE • pROpuCfili:' ONLY AND.COtdFER� !�':� ;1JP.ON ..7R1f1=1C�►T •` fN1` RNEI`11VS�1,RANCE AGENCY HOLDER.THIS:CRTIFIik T�:�g5 / i:Nf� E( Ni�` 1;-': 522 CMLCi� ALtERTHE:C646RAO `A [�EI� 'LG . ANL50 FR,.MA 0 4� NORT INSURERS AFF0101NO CG�1��iAfb . . WA V. TINSURERX QLIC'&'DCFi�KM:: NoaF INSURED` o P�.LEEMAN NSIlRER'B: 45! IN 1Pf PO INSli1�C: i0 'H ANDOVER, MA'01845 INSURERD: INSURER E: CCVERA0r%. THE�'POUIdES'7 jhS0R*C9 LI81 EO.BELOW HAVE BEEN ISSUED OTHTHE R DOCUMENT WITH RE8PE TOTRO WI{LOHT IS CERT FICAT��a�.g E B6UEb dR Awy.15 .UIR.. T,,:TER I OR CONDITION OF ANY CONTRACT P 1Y-.R .,THE IN URANG6 AFFORDED®Y THE POUCIE8 pE9CR18ED HEREIN IS SUBJECT TO ALL THE TERMS' EXCtUBICEN$AND GONDITIONS OF SUCH' POLICfES::ACiCiI� 'GATE uMITS'SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER 1 g i�130FfNSURIiN�E . 1='BICE 300,OO.OQ ;eENER7►L I lurr 80618256 06 A . 2/17/20 2/17/2b0 -,r.: acH occu ql ENERAULIAAI0orY0 .1 C":IB'MADE . OV`CUR G ALS&��N ICK ; '$:,,oO boQ: b'• .' "6l?.ERA1'.A K. : TE IMIT APPLIES PER: OIEN'L.AO REGA "FOCI Y;. PROJECT LOC AUTCMa I LIABILITY „• SODICY •Af��r. 4�0 ALL gNL'D AUTOS .... . per6on�:k. BDH, 019LED AUTOS WIRfiD'AUTOS ;BD1LYyl J Y.:; '... IP�raca� a id8y 01riINED'AUT02 ,.. a :AuTp'ott: �.EA l3l{RA®E.,.IIABiLITY -,•• :::: ANY' u1°.a 'F{ dd�ggRc �{q ERCta55l M)3AELLA LIAWL14Y :'.EP H`QGCG1l�LtEf�CE' CIAjMS'NU11)E ,b El9 CTIBLE s �; RET IJTIbN. '-$ • Vy .o. R P NSATION ANW`: W END20155 2/16/2006 2/.16/Z00 ;.'> ti ' k, i...: Enn�rRB A A: ANY PROPf7 E PARTNE U11YE Of.FICER/blEMJ3E EXCLUD1. Q:DO.' {y� tJ85C b9 Or E. •:DIBFAO�c.�P.OLIG"Y,L•IMI7:!�:100iQ0 l Red ROV$IONS WOW OTHER 5. CAN SN UCLD ANY OF THfi Rfi D63C}itI3E�pOL1lE8 BE CA1�Cd:1.ED:®EFORE'Yt1( 6XPtRiS71 ON CERTIFICATE.H LDER M . EViI XENAKI$ 030.•;ppY.S,4VIi1Yt F1. DATd'TFIEReoF,'fH8183UIN61t�$CJFi6R.Yl!tC1,t�ND�►Vd1tT0.'MAI6.• 7.0'; SALEM ST NOTICE SO THE CERTIFICAT°`F{OItOER•IFA((!ED TO THE LFRTr•BUT�!�LUR!•TtS¢O>�O;SIiALI ' N ft"I'H ANDOVEit,MA 01845 IMPOSE NO OBLICATION.OR *.0F., 19ND UPON THI;'.INSI�RER,1T$AC@NT$pit ' REPREB i A ZED ESENTATIVE. ::�,,ADOttI. . 'RP01iA�'I>�y;18'88.� ACORD 26(200tdg8) F. ., r The Commonwealth of Hassachusetts Department of Inditstrial Accidents Office of Investigations 600 Washington Street Boston, ,VA 02M ivww.niass.gov1dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f f �,,,�,, Please Print Lepibly �atlle 113usincss/Organirttiun/Individual): AJAR — Dhn t_o- ` 'cf--\J Address: L4 S i"r Al2 --3 Z �2 Q , An/.D( Ver' ��_----- CityiState/Zip: N% 1k-VD0.ser M� 618' hone #: 9 7 8L,cl t&f& Ae ,on an employer?Check the appropriate box: Type of project(required): I. I am a employer with—a 4. ❑ i aan a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.+ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for the in any capacity. workers' comp. insurance. q, 0 Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ 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, 81(4),and we.have no 17.0 Roof repairs insurance required.]t employees.[No workers' 13.0 Other comp. insurance required.] PP *.finY a Meant that checks box#I must also fill out the section below showing their workers'compensation policy information. +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 na ne of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy cmd job site information. insurance Company Name: .&)Ui'FVL11 I b-4ali ['1G VVI i Policy ##or Self-ins. Lic. #: W e.n ZO) 5 Expiration Date: oZ S V Job Site Address: LO 13 &-LLj City/StateiZip: / DU ,%ttach 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. - - 1 do hereby c wif•under the pains and penalties of perjury that the information provided above is trite and correct Si 4natttre: nate: Phone 't: — D C',( Ce l)llicial use only. Do not tante in this area,to be completed by city or town oJjicial. City or Town: Permit/License#r! 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#: 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 _ Q q 00 APPLICANT ►l/'rh-evJ V-e/ui lS PHONE 1-7F) _ �' g CO` LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) 13 (o STREET ST. NUMBER OFFICIAL USE ONLY RECOMMENDAT S OF TQWN AGENTS: CONS RVATION ADMINISTRATOR DATE APPROVED i DATE REJECTED COMMENTS QwIO� IRS (901 �T �j� F V fit O� f L�✓�� I/IS1�/1� 4LxV "Id -- Maw ye L-,?c W,vab U vlbrc Ram,s - IMO TOWN PLANNER DATE APPROVED DATE REJECTED ! COMMENTS V FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS c DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY-BUILDING,INSPECTOR --DATE -- Board of Building Regulations-and Standards HOME IWIP,ROVEMENT CONTRACTOR Registration; .137552 EXpiration --,1126/2006 Private Corporation j NORTH ANDOVER;BUILDING CORP. 1 JOHN LEEMAN r 45 PINE RIDGE N.ANDOVER,MA 01845 . •�! r4 :-> �� V/0079/IN.072C!/e�O�/IiGQ.06Q.CTr�'.caec¢a-,.�. T t' )BOARD OF BUILDING'REGULA7ION5, x License: C.ONSTRICTIOiJ-SUP<ERVtSOR r: Number CS, 082896 t ; Birthdate 06/16/1958 °` Expires -06/1t;%2D06 <Tr.no:Jul 82816 ; Cs Restricted 00 w , J -a JOHN R LEEMAN'JR r s3'S PINE'RIDGERD ? H tVORTH ANDOVER MAL01845 �'` 5 Admmishator f Y