HomeMy WebLinkAboutBuilding Permit #110 - 114 BOXFORD STREET 8/11/2008 I
l BUILDING PERMIT "°oT"gtio
TOWN OF NORTH ANDOVER 0r`b`. _�'. .° op
APPLICATION FOR PLAN EXAMINATION
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Permit NO:,&o Date Received L AogwrEo " �y
p �9SSACHUS�� i
Date Issued:J'-// �r
IMPORTANT:Applicant must complete all items on this page
LOCATION /A/ &
Print
PROPERTY OWNER A14'
36 Print
MAP NO: PARCEL: g-e3V ZONING DISTRICT:/ ^Historic District yes rho)
I Machine Shop Village yes o'
i TYPE OF IMPROVEMENT PROPOSED USE
Resid Non- Residential
New Building �ne family
Additio o or more family Industrial
A eration No. of units: Commercial
I Repair, replacement Assessory Bldg Others:
Demolition Other
Sep2/Sewe�r
Well Floodplain Wetlands Watershed District
a
DESCRIPTION OF WORK TO BE PREFORMED: F
Identification Please Type or Print Clearly)
OWNER: Name: Aah rl- G Phone: 9 '•,��' �
Address:
j CONTRACTOR Name: G Phone: 9+7d'-1X--*1;eff
i Address: J/y r"�rl 7
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ ��oo� FEE: $
Check No.: / C� Receipt No.: o �d T
NOTE: Persons contracng wi h unregistered contractors do not have access to the guaranty fund
gnature of Agent/Owner Signature of contractor
�- _ - r—
Location
No. Date
�ORTM TOWN OF NORTH ANDOVER
' Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
J�cMust 9
Foundation Permit Fee $
Other Permit Fee $
? o
TOTAL $ 9,2
Check #
2 1 407 Building Inspector
I
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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on V Si nature
COMMENTS �2` e ✓1-�. �+�> Zvi> -t
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Commen
Water & Sewer Connection/Si nature&Da04.1 Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Temp Dumps on fit y$s no
Located at 124 Main Street ✓ may, ,
Fire Department signature/date
COMMENTS
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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
❑ Notified for pickup - Date
........................................................................................................................._....-............................._._........................................................................................................................................_...._..._._..-----.......................................................................................................................................................
Doc.Building Permit Revised 2008
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Building Department
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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
i ❑ 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)
o 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 2.2008
And
TO" of over
No.
' I
dover, Mass., i,' zz-
0 LAKE
COCHICHEWICK
ATED P' BOARD OF HEALTH
Food/.Kitchen
PERMIT T D Septic System
/� /THIS CERTIFIES ... .............................................. BUILDING INSPECTOR
.............. Foundation
has permission to erect........................................ buildings on.//f....4. ........07.....*....................... Rough
to be occupied as.d.a.Y02K...... ..................!�,q& 1%ot oOlApow—so-2"' Chimney
provided that the person accepting this permit shal�i�i� every conform to the terms of the*'application*"o...n'*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 MONTES ELECTRICAL INSPECTOR
-M
C
UNLESS CONSTR U'jk�mS
Rough
.. ... ....................I.................................................................................. Service
BUILDING INSPECTOR 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 Der.
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J 1 TERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Dame: �1c121L J��/ �p Site Address: �i
/, ! CL
own: �/J>
Use Group:
Date of Application: — Dp
Applicant Phone: Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only)
Package(A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.la:
(For items d. through i., fill in all values that apply from Table J5.2.Ib:)
a. Gross Wall Area sq.ft f. Wall R-value R-
b. Glazing Area sq.ft. g. Floor R-value R-
c.. Glazing %(100 x b_a) % h. Basement wall R-
d. Glazing U-value U- i. Slab Perimeter R-
e. Ceiling R-value R- j, Heating AFUE
❑ Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only)
Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 EJ Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, ifapplicablej
❑ MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher)
❑ Systems Analysis OR 71 Renewwable-Eneergy Sources
ccs
Attach Mass Registered Arch tect raineer Analysis
.ALTERNATIVE FOR A]DrI - I\'S ONLY:
a. Gross Wail+CeiMg Area sq.ft. b. Glazin eal sq.ft. c. Glazing% (100 x b-a)
❑ ADDrTION with GI.azing % (c.) up to °° may use.780 CMR Table J1.1.2.3.1 below:
MAXimuM Li-value MINIMUM R-Values
Fenestration2 I Ceifind3 Fall Flonr Basement Wall I Slab Perimeter,Depth
R-37 R-13 I R-19 7R-1 0 R-10.4 ft
I Glazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC listing. Applies either to every unit, or to area-weighted average of all units.
3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full P.-value over the entire ceiling-area
D
,i.e.-not compressed over exterior walls, and including any access openings.)
❑ "SUI ROOM" addition (greater than 40% glazin. --to-wall and ceiling brows area)
Attach "Consumer Information Form"from 780 CIAR Appendix B.
Official's Name: Official's Signature:
4
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REScheck Software Version 4.0.1
Compliance Certificate
Report Date:08/04/08
Data filename:Untitled.rck
Energy Code: 2000 IECC
Location: Andover,Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 15%
Heating Degree Days: 6322
Construction Site: Owner/Agent: Designer/Contractor:
114 boxford st
North Andover,MA
Ceiling 1:Flat Ceiling or Scissor Truss: 528 30.0 0.0 18
Skylight 1:Vinyl Frame:Double Pane with Low-E: 16 0.350 6
Wall 1:Wood Frame,16"o.c.: 736 19.0 0.0 38
Window 1:Vinyl Frame:Double Pane with Low-E: 67 0.350 23
Door 1:Glass: 40 0.350 14
Floor 1:All-Wood Joist/Truss:0ver Unconditioned Space: 528 19.0 0.0 25
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
REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
AVQ""
Name-Title /Signature- Date
Page 1 of 4
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REScheck Software Version 4.0.1
Inspection Checklist
Date:08/04/08
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Skylights:
❑ Skylight 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.350
Comments:
Floors:
❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation
Comments:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 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,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ 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.
❑ Insulation R-values and glazing U-factors are dearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions,in substantial contactwith the surface being insulated,and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
❑ Ducts in unconditioned spaces are insulated to R-5.Ducts outside the building are insulated to R-6.5.
Duct Construction:
Page 2 of 4
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All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,
or tapes.Tapes and mastics are rated UL 181A or UL 181 B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or
cooling input to each zone or floor is provided.
Service Water Heating:
Water heaters with vertical pipe risers 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 Circulating hot water pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
Ij Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
El All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable
sources.Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
L] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
Page 3 of 4
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Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
Temperature("F)
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 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 Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
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 and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
I
Page 4 of 4
of`NOHTH a"�L 1OWN OYNORTH ANDOVER
OFFICE OF
o - m
BUILDING DEPARTMENT
400 Osgood Street
North Andover Massachusetts t 01845
9'sSAc14usE�
Gerald A. Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE:
JOB LOCATION: 1�2/e
Number Street Address Map/ of
HOMEOWNER J1 e 4C� ' jLef
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and
to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner
acts as supervisor). State Building (Code Section 108.3.5.1)
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws,rules and regulations.
The undersigned"homeowner'certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and;requirements d that he/she will mpl ith said procedures and
requirements.
IIOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 1(1.2005
Forst Homomicis Exemption
BOARD OF HEALS 088-9541 CONSERVATION(,38-0530 HEALTH 688-9W PLANNING o:,{-
9525
CERTIFIED PLOT PLAN
LOCATED IN NORTH ANDOVER, MASS.
SCALE:1"=40' DATE:8%21/2007
Scott L. Giles R.P.L.S.
Frank. S. Giles R.P.L.S.
50 Deer Meadow Road
North Andover, Mass.
LOPB'
1.34+/-ACRES
PLAN#5996 N.E.R.D.
48' 30, / O
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N GAR.
41' 22'
— --- - PROP.
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#114
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259.26'
BOXFORD STREET
I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE OF
THE OFFSETS OF THE BUILDING INSPECTOR ONLY
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SHOWN COMPLY
AND SUCH USE IS FOR THE
1MTH THE ZONING DETERMINATION OF ZONING �2 '
BYLAWS OF Vie^ ��tCISTER�
NORTH ANDOVER CONFORMITY OR NON-CONFORMITY ,��L
WHEN BUILT WHEN CONSTRUCTED.
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