HomeMy WebLinkAboutBuilding Permit #692 - 11 EMPIRE DRIVE 4/22/2013 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
PROPERTY OWNER -
���<<__ .a . . .��' 100 YearOld Structure_ yes no
Print
MAP NO: PARCEL Z;iONING DISTRICT.. Historic District . yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
.01 Resig@ntial Non- Residential
ew Building b-One family
❑Addition ❑Two or more family 0 Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ 5eptic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
%ANater/Sewer
DESCRIPTION OF WO K TO BE PERFORMED:
: Ide tification Please Ty a or Print Clearly) 1��
OWNER: NameL` GCC Phone: _�l
Address:,�k7 7 � G&()&Lfi N 0 A4 1 F� QJ
CONTRACTOR Name: ESS Nff Phone:Zze ocI"'��g�
AddressX? WP601IU( IONcr_�(96960666AIP AM 01 ?3'i--
Supervisor's Construction License:_. f .5� Exp. Date: ?/-T/
T
Home Improvement License: Exp. Date: / f 713
ARCHITECT/ENGINEER 4&12P�l DGali Pe Phone' �'3572- 2713/7
Address• C) AJ Reg. No*-0�~7 76 S-
FEE SCHEDULE.BULDING PERMIT.$,12(.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 01 /I)0 U FEE: $ SH- + 10()
Check No.: Receipt No.: 00-3 1 b
NOTE: Persons con racting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owne A2P"6 Signature of contractor _
Plans Submitted Plans Waived ❑ Certified Plot Plan V Stamped Plans
Location D YYI\PI`9-e°–
No. — Date4k"
• - TOWN OF NORTH ANDOVER
s
Certificate of Occupancy
Building/Frame Permit Fee $3293
Foundation Permit Fee $
Other Permit Fee $
TOTAL $33r3
Check#�
26310 bu5lding Inspector
'
Plans Submitted � Plans Waived ❑ Certified Plot Plan L Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer V 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
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
I
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/si natuewa Permit
DPW Towp ]Engineer: Signature:
Located 384 Osgood Street
FIRE DEPA►R-t tNT - Temp Du ster on sit yes no
Located at'124 Main Street er VLc
Fire Departmerit signatureldate
COMMENTS
� f i
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
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 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use
i
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The foliowing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits j
❑ 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 app:al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Bui!ding Permit Revised 2012
•.4 ♦ pF NORTH 1
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s ra
�7S�CeHO,
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 692-13 on 4/22/2013 Date: July 16, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 11 Empire Drive
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Orchard Village LLC
277 Washington Street
Groveland,MA 01834
Building Inspector
Fee: Pre Paid
Receipt: 26310
Check : 3446
i
r 1 � NORTF� N -
_ . w: .. �_E a : :. .c . . ver
No. *09� � z t -
o h ver, Mass, I
coc.ucnew.c..
ADR^TED
S V
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
�k. 3THIS CERTIFIES THAT ......D& �4. V.AN f.% BUILDING INSPECTOR
has permission ... •, • , LA
Foundati 1
p to erect .............. _ . buildings on .... ... .k'!��?!Ru�,..�. 30 6 !3
Rough qtr.• f
to be occupied as ......... .l.[1J. . le,.... .117:! .!.1�:...�.!►".................................................................... Chimney
provided that the person acceptiij this permit shall in every respect conform to the terms of the application y nal a
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and v ��
Construction of Buildings in the Town of North Andover. PLUMBIN I CTc��,
VIOLATION of the Zoning or Building Regulations Voids this Permit.
�j
3' z
g PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
NLE N TR TI
UNLESS COSUC 0 T'S
IService
....................... ....... . ....................................... final
BUILDING INSPECTOR
,. GAS INSPECTOR
Occupancy Permit Required to Occupy Buzldzn \
Display in a Conspicuous Place on the Premises — Do Not Remove Fina 1 1J�
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No. �
oke Det.
SEE REVERSE SIDE•
i
3? y�;i '• :6 O
ti p
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
SSAGH�1
° CIj BUILDING PERMIT #
� `���
ADDRESS/LOCATION OF PROPERTY: lI
fl
Ma C Parcel / Lot Number
Map 1
SUBDIVISION:C2
DATE REQUESTED FILED/READY FOR INSPECTION: 1-3
CLOSING DATE ON PROPERTY: Z-6
FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00)WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
I
Permit Issued to 6 gahi-0 OtLLACs� L L C
I
Address: Ac, 1 dl)67d/� S4A- 06 ,n du t) 1 ��
ROUTING
OWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW !
CONSERVATION ❑
PLANNING
DPW-WATER METER
SEWER CONNECTION L
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW � VLCi.c
SIGNATURE v
File:Application for OC form revised Jan 2007/2011
LAWRENCE H.OGDEN,P.E.
198 EAST MAIN STREET
978-352-8318 fax 978 352-2858
cell: 978-502-5921
May 1
4 2013
Mr. Robert Messina
Orchard Village LLC.
277 Washington Street
Groveland,Ma 01834
RE: THE PARSONS REVISED PLAN GB#R6314
Lot 30 Empire Drive,North Andover,Ma. 01845
Dear Mr.Messina
As you requested I visited the site 5110/13 to review the installation of the
Engineered Materials consisting of LVLs and Engineered Joist utilized in the framing
of the above project.These are shown on plans prepared by G.J. Bruno and Associates A-
I
1 to A-5 Dated 12/28/11 with the framing sheets certified by me 1/20/12.
Based on the above site visit and based on what I could visibly see I can certify
that to the best of my knowledge the LVLs members and Engineered Joist utilized in the
framing as shown on the drawings are installed properly and meet the loading conditions
of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences.
All other framing requirements of the drawings and code,including but not limited to
materials,nailing schedules,blocking,connections and other details are the responsibility
of the licensed construction supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
Yours.truly,
OF
���"
VWr::ceH O den P.E. Structural 27765 ti
g
S HAROW
Cc:Mr. Gerry Bruno °WNIt / 14413
� 4
FSS/pNAt��6
i
a.
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$ 274,000.00 m
$ - $ 3,288.00
Plumbing Fee $ 411.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 411.00
Total fees collected $ 4,210.00
11 Empire Drive
692-13 on 4/22/2013
New Single Family Home
NORTIf _� - - ----- -
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C -014
No. ( 1 Z
oh ver, Mass, P�
C OCHICHEWIC«
Q�RATED PPa��S
`r U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
`� BUILDING INSPECTOR
THIS CERTIFIES THAT D. & t • k ... """""
�� 3o Foundation
has permission to erect.......................... buildings on ......��.... ....Y..'Q..... r.................... Rough
g
_ 1 beli
n ......................................to be occupied as . ....�.�.Lll. . e,.... . ; •!".L.......................... ... Chimney
provided that the person accepti�this permit shall every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and PLUMBING INSPECTOR +'
Construction of Buildings in the Town of North Andover.
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. Final
2 � � PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
3 UNLESS CONSTRUCTIO TS Rough
1 Service
....................................... -' Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to 'Occupy Building 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.
SEE REVERSE SIDE
1
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
/ Boston,MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit:Builders/ContractorsAElectricians/Plumbers
j Applicant Information Please Print Legibly
IName(Business/Organizationgndividual):
Address:2?-7 UAS61 tj I D Lf
City/State/Zi44UU�� �_d ? Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ?rNew construction
I r mployees(full and/or part-time).* have Hired the sub-contractors
2. I am a sole proprietor or partner- listed on the attached sheet. �• E]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 10.n Electrical repairs or additions
3.❑ I 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.E]Roof repairs
insurance required.]t employees.[No workers' .13.❑Other
comp.insurance required.]
*Any applicant that checks box#1 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 MUL 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�brm 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 cerfify under the pains and penalties of perjury that the information provided above is true and correct.
Si e:atur �i Date:
2- 11-3
Phone
Of 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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Comm. onwealth of M,9ssachusetts
Department of industrial Accidents
Off,ce of Investigations
6. Washington Street
Bo fon,MA 02111
`I`el.#617-7749'Q'ezt4Q or]- 77�MASSAFE
Revised 5-26-05 Fa-. #617727-7749
.Mass,gov/dia
LOT 31
110'
LOT30 zs
EXIST.FND.
EL.=272.4'
38.
a. EMPIRE DR.
12.0' i
132'
H°Fftqs
LOT 29 2s'``�micwaE� sy�y
O J. G
SERGI m
v No.33191
FOUNDA TION L OCA TION opo�,LSTRUCTURE„� SHOWN CONFOFW
THEL
APPLICABLEZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED.
�I �OM"AONO ID S RCLIENTORCHARD VILLAGE, LLC MSCD ,4SEjf&M
THIS CERRFICAT70N IS MADEAND LIMITED TO THEABOVECUENi ORDERS OFCONDITIONSsETC.)THIS DRAWING SHALL NOTBE
USED BYTHECLIENTFORANY PURPOSE OTHER THAN THAT
LOCATION_ 11 EMPIRE DR. NORTHANDOVER,MA. OUTLINED ABOvF-EYCEPTWITH THE WRmFNPERMISSIONOF
CHRISTIANSEN&SERGI INC.FURTHERMORE THIS DRAWING IS
DATE.-4/11/13 SCALE.•1!-30' THECOPMGHTED PROPERTYOFCHRISTIANSEN&SERGI INC
.
AND ANY L+NAUINORIZED USE IS PROHIBITED CHRISTIANSEN&
SERGI TADS NO RESPONCS &I7YFOR THE UNAUTHORIZED USE
OF THIS DRAWING OR ANYINFOR MATTON CONTAINED HEREON.
PROFESSIONAL ENGINEERS& LAND SURVEYORS
R
CHRIS TiANSFN & SE .
SERGI IN C
160 SUMMER STREET, HAVERHILL,MASSACHUSETTS 01830
WWW.CSI-ENGR.COM TEL.978-373-0310 FAX. 978-372-3960
DWG.NO.:06029.001.047
REScheck Software Version 4.4.3
Compliance Certificate
Project Title: Orchard Village
Energy Code: 2009 IECC
Location: North Andover, Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.orientation unspecified
Glazing Area Percentage: 10%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
lot 30#7 Empire Drive Robert Messina
N.Andover,MA 01845 Messina Development Co.Inc.
Compliance:Passes using UA trade-off
Compliance:13.5%Better Than Code Maximum UA:364 Your UA:315
The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Gross •
Assemblyor or D••
Perimeter •
Ceiling 1:Flat Ceiling or Scissor Truss 1232 0.0 38.0 31
Wall 1:Wood Frame, 16"o.c. 2773 0.0 21.0 94
Orientation:Unspecified
Window 1:Vinyl Frame:Double Pane with Low-E 283 0.350 99
SHGC:0.00
Orientation:Unspecified
Door 1:Solid 70 0.350 25
Orientation:Unspecified
Basement Wall 1:Solid Concrete or Masonry 1105 0.0 30.0 66
Orientation:Unspecified
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,ecifications and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in
REScheck Version 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Title: Orchard Village Report date: 03/27/13
Data filename: C:\MASCHECK\Revisedparslot3l.rck Page 1 of 4
REScheck Software Version 4.4.3
Inspection Checklist
Energy Code: 2009 IECC
Location: North Andover, Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.orientation unspecified
Glazing Area Percentage: 10%
Heating Degree Days: 6322
Climate Zone: 5
Ceilings:
❑ Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 continuous insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 continuous insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul,R-30.0 continuous insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled LI-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor:0.350
Comments:
Air Leakage:
❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between
window/doorjambs and framing.
❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or
damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed
to maintain insulation application.
❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air.
❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts.
Air Sealing and Insulation:.
❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7
ACH at 50 pascals OR 2)the following items have been satisfied:
(a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.
(c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
Project Title: Orchard Village Report date: 03/27/13
Data filename:C:\MASCHECK\Revisedparslot31.rck Page 2 of 4
(d)Floors:Air barrier is installed at any exposed edge of insulation.
(e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or
sprayed/blown insulation extends behind piping and wiring.
M Comers,headers,narrow framing cavities,and rim joists are insulated.
(9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall.
Sunrooms:
n Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum
skylight U-factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
;i Materials Identification and Installation:
Materials and equipment are installed in accordance with the manufacturer's installation instructions.
Lj Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
F-1 Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.
Duct Insulation:
Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R-6.
Duct Construction and Testing:
Building framing cavities are not used as supply ducts.
F1 All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means
of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or
UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically
fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet-metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
Duct tightness test has been performed and meets one of the following test criteria:
(1)Postconstruction leakage to outdoors test:Less than or equal to 98.6 cfm(8 cfm per 100 ft2 of conditioned floor area).
(2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 147.8 cfm(12 cfm per 100 f:2 of
conditioned floor area).
(3)Rough-in total leakage test with air handler installed:Less than or equal to 73.9 cfm(6 cfm per 100 ft2 of conditioned floor area).
(4)Rough-in total leakage test without air handler installed:Less than or equal to 49.3 cfm(4 cfm per 100 ft2 of conditioned floor area).
Temperature Controls:
Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary
heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle.
❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the
compressor can meet the heating load.
Heating and Cooling Equipment Sizing:
F1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
Lj For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating(Sections 503 and 504).
Circulating Service Hot Water Systems:
F-1 Circulating service hot water pipes are insulated to R-2.
Lj Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
F-1 HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.
Swimming Pools:
Project Title: Orchard Village Report date: 03/27/13
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F1 Heated swimming pools have an on/off heater switch.
I
F1 Pool heaters operating on natural gas or LPG have an electronic pilot light.
Lj Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar-and/or waste-heat-recovery systems.
Lj Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a
minimum insulation value of R-12.
Exceptions:
Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source.
Lighting Requirements:
❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a)Compact fluorescent
(b)T-8 or smaller diameter linear fluorescent
(c)40 lumens per watt for lamp wattage—15
(d)50 lumens per watt for lamp wattage>15 and—40
(e)60 lumens per watt for lamp wattage>40
Other Requirements:
Fi Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is
above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c').
Certificate:
❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window
U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility
of the circuit directory label,service disconnect label or other required labels.
NOTES TO FIELD:(Building Department Use Only)
Project Title: Orchard Village Report date: 03/27/13
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�( 20091ECC Energy
j Efficiency Certificate
Insulation Rating R-Value
Ceiling/Roof 38.00
Wall 21.00
Floor/Foundation 30.00
Ductwork(unconditioned spaces):
Glass&I
Door Rating U-Factor SHGC
Window 0.35
Door 0.35 NA
CoolingHeating&
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments: