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HomeMy WebLinkAboutBuilding Permit #Exception - 16 FAULKNER ROAD 9/23/2016 ' < ORT" BUILDING PERMIT �i-E° F6,"tio TOWN OF NORTH ANDOVER ._,... 6 o - :.,.- APPLICATION FOR PLAN EXAMINATION _ o# ey A Permit No#: Date Received 7Rp�R{TEp lea` �5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [I Addition El Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ Flogdplain ❑Wetlands _ 0 Watershed.District Water/Sewer_ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Siana it of A6Wn Owner R Signa ure of contractor i'�rl / d Location �+ �i t !�� N- I * ' No. 3o - ci Date 1 12 3 1 � . - TOWN OF NORTH ANDOVER ' t Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building inspector r-` Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ WCC ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments i I Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREjDEPARaTMENT_5- Temp,Du_mpster,on site ,yes Located at,1241MbimStreet - Fire Depar"tmerit signature/date u ` COMMENTS Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer A Tan iliw,/I lassage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pernianen: t)umpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT El El (p COMENTS �. ) 1A CONSERVATION ❑ -�� COMMENTS �{� �,, „��a'OL L&1`�y� � p0` DATE REJECTED DATE APPROVED EALTH F1 ❑ COMMENTS e,4.,.J Zoning Board of Appeals: Variance, Petition h',): 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 C-,,most .r on site yes no Located at 124 Main Street Fire Department signature/date h V h"i, ° COMMENTS_ yY �'m© e /t� crc /, ►rr '' �.. .- y Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ [Public YPE OF SEWERAGE DISPOSAL Sewer X Tanning/Massage/Body Art ❑ Swimming Pools ❑ell ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLL01l0!-'!G G SECTIO_ NS FOR OFFICE USE ONLY � INTERDEP�P "IVIENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑_a p� �. -- COMMENTS_ Cr"� LA DATE REJECTED DATE APPROVED EALTH ❑ F1COMMENTS Zoning Board of Appeals: Variance, Petition Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/siqnatr.ire_. Date Driveway Permit Located at 384 Osgood Street FFM E DEPARTMENT .Temp Durnosi r on site yes no _t ted at 24 Main Street e Department.signature/date T , ' Al a COMMENTS t> a--cj� a� Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, trust 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 Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 4 Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: 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/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 t%ORTH '9 Town of 2 t 1� sAndover O �++ No. h ver, Mass, Z4 A- COC JC4 WI_.%I- 1E D . I- ED 7S U BOARD OF HEALTH Food/Kitchen P E I T L D Septic System THIS CERTIFIES THAT ...... .. At 14. txv... ...: ... I..5 -410 k#,,,,� ..., BUILDING INSPECTOR has permission to erect . buildings .� .�, j, Foundation Rough tobe occupied as ............................................................. Chimney provided that the person accepting this permit shall In 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 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 CONST N Rough Service . .... ..... ..... Final BUILDING I SPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. TOWN OF NORTH ANDOVER Office of the Building Department � µORTM q Community Development and Services F 1600 Osgood Street, Bldg. 20,Suite 2035 North Andover, MA 01845 978-688-9545 '1 p�RA7fD I.fa�.(y �SSICHUS Donald Belanger—Inspector of Buildings September 20, 2016 To: Douglas Ludgin Fr: Donald Belanger Re: 16 Faulkner Road, North Andover, MA—Addition of Home Office, Full Bath & Hall Dear Mr. Ludgin, We received your Building Permit application on September 14, 2016 and it is being returned to you as incomplete. Per the Town of North Andover Zoning Bylaw Section 4.122 (4) (d)calculations must be provided to ensure the proposed addition adheres to the guidelines as outlined but not limited to in the section a bove. Additionally,your permit was returned for the following reasons: 1) Proposed plans have the appearance of a family suite. If this is not accurate,a notarized letter stating the aforementioned is not a family suite as defined in Section 4.122 (22) (a-d). 2) No cooking facilities allowed. 3) No separate living quarters allowed. 4)A completed DBA form for a Home Occupation completed, and included with the Building Permit Application. 5) Project cost must be provided on application. If you feel that you have been aggrieved by any actions that I have taken or failed to take,you have the right to appeal to the Town of North Andover Zoning Board of Appeals or the State Building Code of Appeals accordingly. Sincerely, Donald Belanger Inspector of Buildings Zoning Enforcement Officer , 1)0 North Andover MIMAP September 14, 2016 ni 043:0=0029 88 GREENEST 109, '0 043.0,"-0031 �a9@ 13,W,OODBRIUGEIRD 043 A-0030 04.4:0-0011 2,1 W,0I,IDGEAD n� 033:0-.0012 StGREENE+ST 044.0-0032 CR4 044.0=0018 0331000.4013. 6iFAUL!KNERAD 36' 044:0=001', 70' 39, 044.0=0017 141FAULKNERIRD 91, 0.44:0-00.16 68, 30 F,AULKNERxR„ 033w0-00-15 033.07!0014 0 95. 114 FAUI!KNERiRD. 044:0-0020 14 FAULKNER,RD` 044:0-0,021: (3MVPC Bo Zoning Overlay Zoning 0 Municipal Boundary ©Adult Entertainment Distric Busine s 1 District ❑Machine Shop Village Ove Q Busine s 2 District Horizontal Datum:MA Staleplane Coordinate System,Datum NAD83, Rail Line 2 Watershed Protection Dist D Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates ©Historic Mill Area ■ Busine s 4 District 14ORTq Valley Planning Commission(MVPC)using data provided by the Town of — ©Medical Marijuana ■Gener Business District Of t,to 'qh, North Andover.Additional data provided by the Executive Office of —SR )3 Dovmtovm Overlay District O Planne Commercial Dev :d '���OO Environmental Affairs/MassGIS.The information depicted on this map is Roads 0 Historic District : Comd Development Dist ,� ( for planning purposes only.It may not be adequate for legal boundary Osgood Smart Grov4h(40 17 Corridc Development Dist O .--• 0 definition or regulatory interpretation,THE TOWN OF NORTH ANDOVER t i Easements Hydrographic Features 0 Conid Development Dist h D MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Induslri 11 District • x THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ❑Parcels Streams Indus tri 12 District « i « • OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 4 Industh 13 District r< o _ ! ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF D Industri I S District �� ' THIS INFORMATION .. Exempt Lands Reside ce 1 District � °�%'&v•�`t.�9 Reside ce 2 District Reside ce 3 District SSACMUSE d de ce 4 District 1"=47 ft .�{).de ce 6 District T de ce 6 District ie a esidential District To: Donald Belanger Inspector of buildings Town of North Andover Office of the Building Department 22 September, 2016 Re: Building Permit Application Supplemental Requirement 16 Faulkner Road, North Andover Dear Mr. Belanger, I appreciate your review of my building permit application and your response. This notarized letter shall serve, in part,to complete requested documents needed to complete my building permit application as stipulated in your letter September 20, 2016. 1. The scope of work proposed as described in the building permit application and included plans includes the addition of 402 SF of living space and a minor modification to one existing bedroom wall and 3 adjacent small closets. It is hereby declared that no portion of the residence at 16 Faulkner Rd, existing nor proposed, will be used as a "Family Suite" in any capacity as defined in Town Zoning Bylaw Section 4.122 (22)a-d. 2. There are no separate cooking facilities proposed. It is hereby acknowledged that no separate cooking facilities are allowed under this requested building permit. 3. There are no separate living quarters proposed. It is hereby acknowledged that no separate living facilities are allowed under this requested building permit. There will be no change to those residing on the property, specifically: co-owners of the property in Trust,( myself and wife, Elise Ludgin) with our two dependent children age 3 and age 1.The "bedroom" on the plans undergoing minor adjustment will be occupied by the same person currently occupying the room, my one year old son, Milo Ludgin. 4. Because there is, and will be no proposed accessory use defined as a "home occupation" in Section 2.40 Home Occupation (1989/32)the requirements listed in section Zoning Bylaw Section 4.122 (4) d, are in fact adhered to, but are not applicable to this project. The proposed room labeled as"office" on the plans will be of a residential use consistent with the rest of the property in the following manner. The multi-functional room will be used for: (1)watching TV, (2)will be furnished with a desk and a couch seating area, (3) and will be furnished with a stationary bicycle. None of the use criteria set forth in 2.40 Home Occupation (1989/32) is applicable to how this room will be used. No services will be rendered from the space. The room was labeled as an "office" on the plans because my wife, Elise Ludgin,works a corporate human resources desk job from home 3 to 4 days per week, and it will indeed be furnished with one desk. In short,the proposed spaces will be used consistently with a single family residential dwelling in the R-4 district.There will be no change to use on the property. The calculation of area as defined in zoning bylaw Section 4.122 (4) d is not applicable to the project due to the said declaration of there being no "home occupation." However,the calculation will be provided here shall your opinion differ. "Office" labeled on drawings is 280 Sf/ 2,535 SF(total SF of proposed house) =9.1%of gross SF; 9.1%< 25% ("no more than") ; 280 SF < (not to exceed) 1,000SF. Respectfully submitted, Douglas Ludgin AIA Building Permit Applicant and Resident of 16 Faulkner Road, North Andover 617. 869.4782 <0-, �L 9/2 v1, � TONY PUNJABI Notary Public ,-,�nonwealth of Massachusetts Suffolk county (-:;;1;,11iesion Expires October 29,2021 _ fine Commonwealth of Mass,�,'chusefts Y X Congress Street,Suite 100 Boston, �yon).D�ry�r�02114-2y� 017 / ia 9 kexs'CompeazsatzonZnsuxanceAf rdavit:Builders/Contrac�orslE!gq#iciaazs/Thonbers. TO BB .+1ff-M)Wffff TSE PERAMTING•ATJTE[ORTI' ' A_ cant�n£ormatian . Please Print 71eg-b1y I�ph Name (Bus'Cress/Orgamationllndivzdual): D 0yq AS I .V �i Address: I� NA'M/ K06A u o,(A) , Wyytr M A 01 city/State%zip: N\ADVu , MA Old - Phone 61 Areyou an employer?Checkse appropxiate box: 'Type of project( ggmred): 1.0 I am a employervvith employees($ill and/orparttime).* J. I�eVT collsfztac ol! Z.L]I am a sole pmpdeb3?orparinership andhave no employees Working forme in 8. Remo deag any capacity.[No workers'comp.insurance required.] s, ❑Demolition 3 am a homeowner doing all workmyseli[No workers'comp..instQancenegained]t I0,fSJSuilding addition 4.�I am a homeowner and will.be hiring contractors to conduct all work on my property. I will I1 airs or.addition s ensure that an contra dm either have workers'compensation insurance or are sole Q Electrical rep proprietors vffino employees. 12:[]Plumbing repairs or additions 5.Q I am ageneral contractor and Ihavehiredthe sub-contactorslisted onthe attached sheet. I3;Q Roaf repairs These sob-contractors}rave employees andhaveworkers'comp.insruance. 14.❑Other 6.Q Vire are a corporafin zndits ofCeers,have exercisedtheii right of'examption perMGL c. ^ 152, 14,and wehave no,e Io ees. o workers'comp.in=anm required.] ed.]O _InP Y , 1r? *Any applicautthatchecksbax4lmustalsoSIIoutthesection below showingtheirworkers'compensationpolicyh ozonation. i Someawncm who s ldiftkis affidavitindicaiingtbey are doing all workandthenhim outside contractorsmust submit anew affidavithdicating such- ?contactors hat checkthis bog mustpghad an additional sheet showing the name of the sab-contractors and s`�.ate whether ornotihose entities have r. have employees, tiey most pravidethes workers'comp.policy numbez employees.Ifthe sub-corijractors X u7�x an erriployeT t1zat ispiovilozg-vorkeYs'corrzpenEa-dOn insuYanceforW ernplbyeess'Below is thepoliey acid jag site information. Insurance Company Name: Policy#or Self ins.Ii 0. ExpirationDate: lob Site Address: City/StateMp: [attach a copy ofthe o kers' coanpeMationpolicy de claration page(showing the poIicynumb er and expiration.date). Failure to secure coverage as required under MGI.c. 152, §25A is a criminal violation punishable by a fine np to$1,50 0.00 and/or oneyear imprisonment,as well as civil penalties i-a the form of a STOP WORK ORDER and a fine of up to$250.00 a day against•the-violator_A•copy Of this statement may b e forwarded to t e Office of Investigations of the DIA for lnstzrance coverage verification.. Xdo hereby certify under the pains ur�dpenait�es ofpeJj zU that theinformaiionNo>3id d a ove is true aP dreo��ect. Si atc�re: Phone#: Official use only. JI o not-write in this area,to he completed by city or•tO7wn official. City or Town: PenuffiLiceuse# Issuing.A.utTiO44-(circle one): 1.Board of Health.2.Buildiu9Departcaen.-t 3.Czty/'Town Clerk 4.Electrical bspector 5.Wumbingfnspector 6.OtTier Coxitact 1'ersosr: Phone#: TOWN OF NORTH ANDOVER OFFICE OF } _ BUILDING DEPARTMENT } + 1600 Osgood Street,Building 20, Suite 2035 +1. North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings, Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION B DING PERMIT APPLWA' ION Please print DATE: S P �� JOB LOCATION: I6 Fau(kyler, Rc)aA Number Street Address Map/Lot HOMEOWNER U 145 L( i n Name Home Phone Work Phone PRESENT MAILING ADDRESS ra u)kmr PooiA N64 Ambytr MA 01845 City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section I IO.R5.1.2 The undersigned homeowner assumes responsibility for compliance with 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 and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICISL �a�T) b(Z - Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Generated by REScheck-Web Software Compliance Certificate Project Ludgin Residence Addition Energy Code: 2012 IECC Location: North Andover, Massachusetts Construction Type: Single-family Project Type: Addition Orientation: Bldg. faces 135 deg. from North Climate Zone: 5 (6322 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 16 Faulkner Road Douglas Ludgin North Andover, Massachusetts 16 Faulkner road 01845 North Andover, Massachusetts 01845 617-869-4782 doug@ludginstudio.com Compliance: trade-off Compliance: 2.2%Better Than Code Maximum UA: 90 Your UA: 88 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. Envelope Assemblies Gross Area Cavity Cont. Perimeter Floor:All-Wood joist/Truss Over Uncond.Space 401 30.0 0.0 0.033 13 Wall:Wood Frame, 16in.o.c. 136 19.0 0.0 0.060 4 Orientation: Left side Window:Wood Frame, 2 Pane w/Low-E 12 0.290 3 Orientation: Left side Door: Glass 64 0.290 19 Orientation: Left side Wall:Wood Frame, 16in.o.c. 155 19.0 0.0 0.060 6 Orientation: Back Window:Wood Frame,2 Pane w/Low-E 54 0.290 16 Orientation: Back Wall:Wood Frame, 16in.o.c. 104 19.0 0.0 0.060 5 Orientation: Right side Window:Wood Frame, 2 Pane w/Low-E 27 0.290 8 Orientation: Right side Wall:Wood Frame, 16in.o.c. 39 19.0 0.0 0.060 2 Orientation: Front Ceiling: Flat or Scissor Truss 121 38.0 5.0 0.026 3 Skylight: Metal,Thermal Break,2 Pane w/Low-E 4 0.480 2 Ceiling:Cathedral 280 38.0 5.0 0.024 7 Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 1 of 9 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 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 2 of 9 I CREScheck Software Version 5.5.0 �J( Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions &Re .ID 103.1, Construction drawings and ❑Complies Requirement will be met. 103.2 documentation demonstrate []Does Not [PR111 energy code compliance for the 1) building envelope. I❑Not Observable ❑Not Applicable 103.1, Construction drawings and '❑Complies Requirement will be met. 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 lighting and mechanical systems. - []Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is: Heating: Heating: ❑Complies Requirement will be met. 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not (PR2]2 on loads calculated per ACCA Cooling: Cooling: ,. Manual J or other methods Btu/hr Btu/hr ❑Not Observable approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 3 of 9 Section # Foundation Inspection Complies? Comments/Assumptions &Re .ID 303.2.1 A protective covering is installed to ❑Complies Requirement will be met. [FO11]2 protect exposed exterior insulation ❑Does Not y, and extends a minimum of 6 in. below , grade. ❑Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system controls'❑Complies Exception:null. [FO12]2 installed. ❑Does Not 'J ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 4 of 9 Section Plans Verified Field Verified # Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions &Re .ID 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, 402.3.6, []Not Observable 402.5 ❑Not Applicable , [FR2]1 303.1.3 U-factors of fenestration products ❑Complies Requirement will be met. [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.1.1, Skylight U-factor. U- U- ;❑Complies :See the Envelope Assemblies 402.3.3, :❑Does Not table for values. 402.3.6, 402.5 '[]Not Observable [FR5]1 ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies 'Requirement will be met. [FR23]1 installed per manufacturer's ❑Does Not instructions. []Not Observable ❑Not Applicable 402.4.3 .Fenestration that is not site built []Complies Requirement will be met. [FR20]1 -is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4.4 IC-rated recessed lighting fixtures: ❑Complies Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate 52.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 Supply ducts in attics are R- R- ❑Complies Requirement will be met. [FR12]1 insulated to zR-8.All other ducts R_ R_ ❑Does Not in unconditioned spaces or outside the building envelope are: ❑Not Observable insulated to zR-6. ❑Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies :Requirement will be met. [FR13]1 'air handlers,and filter boxes are ❑Does Not sealed. []Not Observable ❑Not Applicable ; 403.2.3 Building cavities are not used as ❑Complies Requirement will be met. [FR15]3 ducts or plenums. ❑Does Not []Not Observable '. ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies .Exception: null. [FR17]2 above 105°F or chilled fluids ❑Does Not below 55°F are insulated to zR- 3 []Not Observable ❑Not Applicable 403.3.1 Protection of insulation on HVAC ❑Complies Requirement will be met. [FR24]1 piping. ❑Does Not []Not Observable . ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- R- ❑Complies Requirement will be met. [FR18]2 aR-3. ❑Does Not d ❑Not Observable ❑Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 5 of 9 Sectionplans Verified on Field Verified # Framing/Rough-In InspectiValue Value Complies & Re .ID ? Comments/Assumptions 403.5 Automatic or gravity dampers are' ❑Complies ;Requirement will be met. [FR19]2 installed on all outdoor air []Does Not y intakes and exhausts. ❑Not Observable '. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 6 of 9 1 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? TC omments/Assumptions &Re .ID 303.1 All installed insulation is labeled ❑Complies Requirement will be met. [IN13]2 or the installed R-values ❑Does Not 1 provided. []Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ;❑Complies See the Envelope Assemblies 402.2.6 Wood ❑ Wood ❑Does Not table for values. [IN1]1 '❑ Steel Steel '❑Not Observable ❑Not Applicable 303.2, Floor insulation installed per ❑Complies Requirement will be met. 402.2.7 manufacturer's instructions,and ❑Does Not [IN2]1 in substantial contact with the underside of the subfloor. ❑Not Observable ❑Not Applicable 402.1.1, .Wall insulation R-value. If this is a• R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall [IN3]1 exterior,the exterior insulation Mass ❑ Mass .❑Not Observable requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies -,Requirement will be met. [IN4]1 manufacturer's instructions. ❑Does Not []Not Observable , ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Re .ID 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, E] Wood E] Wood !❑Does Not Mable for values. 402.2.2, 402.2.6 E] Steel E] Steel ;❑Not Observable [Fill' ENot Applicable 303.1.1.1, :Ceiling insulation installed per ❑Complies ;Requirement will be met. 303.2 manufacturer's instructions. ❑Does Not [FI2]1 Blown insulation marked every 300 f:2. []Not Observable , ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies !Requirement will be met. [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- :❑Complies Requirement will be met. [FI3]1 insulation aR-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= ❑Complies Requirement will be met. [FI17]1 ach in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ; :❑Not Applicable 403.2.2 Duct tightness test result of<=4 ; cfm/100 dm/100 ❑Complies Requirement will be met. [FI4]1 :cfm/100 ft2 across the system or ftz ftz ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable handler @ 25 Pa.For rough-in tests,verification may need to j❑Not Applicable occur during Framing Inspection. 403.2.2.1 Air handler leakage designated ❑Complies 'Exception: null. [FI24]1 by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies 'Requirement will be met. [FI9]2 installed on forced air furnaces. ❑Does Not v ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies :Exception:null. [Fl 10]2 on heat pumps. ❑Does Not J ❑Not Observable ; ❑Not Applicable 403.4.1 Circulating service hot water ❑Complies 'Exception: null. [Flll]z systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable 1 ❑Not Applicable 403.5.1 All mechanical ventilation system: ❑Complies :Exception: null. [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ' ❑Not Applicable 404.1 •75%of lamps in permanent ❑Complies 1 Requirement will be met. [FI6]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable :lighting. ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 8 of 9 --f Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Re .ID 404.1.1 Fuel gas lighting systems have ❑Complies Exception: null [FI23]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies ;Requirement will be met. [FI7]2 []Does Not []Not Observable ❑Not Applicable 303.3 Manufacturer manuals for [ Complies Requirement will be met. [FI18]3 mechanical and water heating ❑Does Not systems have been provided. []Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low impact--(-Tie—r3) Project Title: Ludgin Residence Addition Report date: 09/12/16 Data filename: Page 9 of 9 2012 IECC Energy Efficiency Certificate Above-Grade Wall 19.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/Roof 43.00 Ductwork(unconditioned spaces): Window 0.29 Door 0.29 Skylight 0.48 .. Heating System: Cooling System: Water Heater: Name: Date• Comments