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HomeMy WebLinkAboutBuilding Permit #585-13 - 21 EMPIRE DRIVE 2/28/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: r 02 IMPORTANT: Applicant must complete all items on this page LOCATION 021 Ein P i 1ZG' D g i U%' �G a Z7� rmt PROPERTY OWNER C�IC t I/� 1� i L L�C�6 Z_4L G- � Print MAP NO: /]7C PARCEL/�%/Z ZONING DISTRICT: Historic District yes no Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building -tne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg 0 Others: ❑ Demolition ❑ Other ❑, Septic Well. ❑Floodplain ❑Wetland's ❑ Watershed District ?Vater/Sewer y 1 DESCRIPTION OF WORK TO DE PERFORMED: S/NG/E FAV&-Y W€t1�Nrg 2'/z t3.4+ fes 2-STA AP-AGe WA)IC-1PA L (,A) AT_ & (Identif"icati Please Type or Print Clearly) OWNER: NameDxeYAAV Phone:q-7 319U Address:` 77 ASO wgQ7'N � • � ,20Uci—ogAip M A - 0 q CONTRACTOR Name: p 64 m Phone: Address;277 0 A SB I N TN %r_r" gW 61 19 NI , ,4/q Supervisor's Construction License: ;'/0 q 3 Exp. Date: F 3 0 Home Improvement License: Exp. Date: ARCHITECT/ENGINEE Phone: Ad d ress M r_:2 / an&t6P CP/©WIO , 4J4dZJYZ Reg. No--X 2 776 S FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Tota! Project Cost: $ T00 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Age ntLOwner S' <_ Signature of contractor Location No. �/�? Date • TOWN OF NORTH ANDOVER 0? . Certificate of Occupancy $ Building/Frame Permit Fee 3 94:� a d h` Foundation Permit Fee $ Other Permit Fee $ TOTAL $3 — zSd Check# y�� 26183 Building Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan L9' Stamped Plans I� TYPE OF SEWERAGE DISPOSSALL Public Sewer UQ 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 ❑ El COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Sinnpttjre COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Si nat D e 2X6��IDrivewa Permit t DPW Town Engineer: Signature: a Located 384 Osgood Street FIRE DEPARTMENT - Temp D ster on siteye no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land areasq. ft.: I ELECTRICAL: Movement of Mete_r 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 2008mi f . Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed.Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan.Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o 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: Doc.Building Permit Revised 2008mi ti !� oa MO eTN O q !oo ► y,SSJ4C HU564 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number on 585-13 on 2/28/2013 Date: May 22, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 Empire Drive—Lot #27 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 Buil ing Inspec or Fee: PrePaid Receipt: 26183 Check : 3403 O`HORTI �� O •` p ♦io � M t! ,gSwCNUSEt i CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number on 585-13 on 2/28/2013 Date: May 22, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 Empire Drive— Lot #27 MAY BE OCCUPIED AS a sin le family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. I Certificate Issued to: Orchard Village,LLC 277 Washington Street Groveland,MA 01834 Buil ing Inspec or Fee: PrePaid Receipt: 26183 Check : 3403 1 Noerp OF 'L.ec <6q� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION <o< c ewK `• '� �'SS•+CHuS���`y BUILDING PERMIT it ADDRES S/LOCATION OF PROPERTY:-/2/ 47 1 fC�P oe V'� Ma /l' 2,7 � Map -/07C--- ?i Lot Number SUBDIVISION:D j2C44,WZ) -.j ' L � DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED 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 Permit Issued to: L Z_C Address: 7" ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW CONSERVATION Z_ PLANNING DPW-WATER METER � i3 SEWER CONNECTION C✓J DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST SIGNATURE File:Application for OC form revised Jan 2007/2011 NORTH .1T\.ED '6 qN 2 s6 O E p APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION RArgo �S BUILDING PERMIT H.6'95-IS SACHUS ADDRESS/LOCATION OF PROPERTY:-"412/ '!�-/'II-/ Doc- f U!�' Map Parcel/64112,- Lot Number -* 2,7 SUBDIVISION: 1 E- DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED 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 Permit Issued to: OKA" 6- Address: � A 24 (� eT �� hl /- - ROUTING TOWN ENGINEER, SITE PLAN-DRIVE-WAY REVIEW�I� CONSERVATIONZ- PLANNING DPW-WATER METER 3 SEWER CONNECTION L� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW w- �►.� ►-- ��/j '� .3 — a SIGNATURE File:Application for OC form revised Jan 2007/2011 r 1NORTH +� w: 1 s E ic . . ve. . No. 158 }. C'O h ver, Mass, Y LAKE COC NIC Nl WIC.( � �d ADRATED S BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT �'r��� BUILDING INSPECTOR i t -eleih�77`,,j Foundation has permission to erect ..... ........ buildings on Z.:f?-, .............. � ........ .... - Cr L �/ oug to be occupied as ......... .`.....:...��....�(/ ...�.:v.�.. 1........................`? ........................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application i ai �, �— 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. P MBING I PECTC � � VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Finales�3 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTSough � -_ er ....................... ............................ ....................... - � ina ��� 02 f BUILDING INSPECTOR d p GAS NSP TRR Occupancy Permit Re uired to Occupy Buildin n �°�� j7 V q py � Rough Display in Conspicuous Place on the Premises — Do Not Remove 'nal 62 1— �� 3 p Y a P No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. .s-z,f^43 SEE REVERSE SIDE LAWRENCE H.OGDEN,P.E. 198 EAST MAIN STREET 978-352-8318 fax 978 352®2858 telt: 978-502-5921 March 29,2013 Mr. Robert Messina Orchard Village LLC. 277 Washington Street Groveland,Ma 01834 RE: THE PARSONS REVISED PLAN GB#R6314 Lot 27 Empire Drive,North Andover,Ma. 01845 Dear Mr. Messina As you requested I visited the site 3/29/13 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- 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 requite ments 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 o supervisor responsible for the project. Should you have any questions please do not hesitate to call. Yours tnfly, (f SN OF La ce H. Ogden.P.E. Structural 27765 �KOoi a yG o am I v y Cc: Mr. Gerry Bruno Mr. Jeff Horne o Fc 2� �O Q F 1sr£ �rS/pntAL ENS'\ LAWRENCE H.OGDEN,P.E. 198 EAST MAIN STREET 978-352-8318 fax 978 352-2858 cell: 978-502-5921 March 29,2013 Mr. Robert Messina Orchard Village LLC. 277 Washington Street Groveland,Ma 01834 RE: THE PARSONS REVISED PLAN GB#R6314 Lot 27 Empire Drive,North Andover,Ma. 01845 Dear Mr. Messina As you requested I visited the site 3/29/13 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- 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. Shouldou have ave any questions please do not hesitate to call. Yours truly, H OF Mgss9 L Wo�62/nce H. den P.E. Structural 27765 o iV H Cc: Mr. Gerry Bruno Mr. Jeff Horne Ao'Fs STeCL41 Q S�ONAt EN I Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 2745000.00 m $ - $ 3,288.00 Plumbing Fee $ 411.00 Gas Fee 100 comm. $ 1'00.00 Electrical Fee $ 411.00 Total fees collected $ 4,210.00 21 Empire Drive 585-13 on 2/28/13 New Single Family Home I I 10.6' I 26.0' 10 EXIST. FND. EL.=274.3' �I LOT27 Nom'- 10.6' 0 F� 10 �VjAOFAtq 2� MICHAEL 9C' O J. U SERGI v No.33191 A�OFESS���Py SLIRV�O FOUNDA TION L OCA TION I CERTIFYTHATTHEPR/MARCKREQ REQUIREMENTS O CONFORMS TO THE HORIZOMAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLEZON/NG BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS CLIENT. ORCHARD VILLAGE, LLC ORDERS OFCONDITTONS,ETC)THAISDRAWNGSHALLSNOT BE THIS CERTIFICATION IS MADE AND LIMITED TO THEABOVE CLIENT USED BY THE CLIENT FORANY PURPOSE OTNER THAN THAT OUTLINED ABOVE,EXCEPTWITH THE WRITTEN PERMISSION OF LOCATION:21 EMPIRE DR. NORTH ANDOVER,MA. CHRISTIANSEN&SERGI INC FURTHERMORE THIS DRAWING 1S THE COPYRIGHTED PROPERTY OF CHRISTIANSEN&SERGI INC. DATE.• 1/18/13 SCALE.•1"=30' AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRIS77ANSEN& SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY/NFOR-MATION CONTAINED HEREON. PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRISTIANSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.NO.:06029.001.04 7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UV. 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): t ztc Address: City/State/Zip:C9e�N p f b f�',5 7�Phone#: ��C�� J — /2C..5 Are you an employer?Check the appropriate box: Type f project(required): 1.❑ I am a employer with 4. El am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition o workers'ers comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 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.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑Other Any applicant that checks box 41 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. tContractors that check this box must attached an additional sheet showing the name 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 and job site information. I Insurance Company Name: ?olicy#or Self-ins.Lic. #: Expiration Date: i lob Site Address: City/State/Zip: attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. Wo hereby c ' under the pains and penalties of perjury that the information provided above is true and correct ii nature: Date: hone#: --------------- Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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.deetned to be an"em'p'loyer." 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 burn 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 5-26-05 www.mass.gov/dia 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 27#21 Empire Drive Robert Messina N.Andover,MA 01845 Messina Development Co.Inc. • . • 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 Cavity Cont. Assemblyor or D•• Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss 1232 0.0 38.0 31 Wall 1:Wood Frame,16"D.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,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: 02/22/13 Data filename: C:\MASCHECK\Revisedparslot27.rck Page 1 of 4 CREScheck Software Version 4.4.3 NJ( 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 U-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/door jambs 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: 02/22/13 Data filename: C:IMASCHECK\Revisedparslot27.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 wail:Insulation exists between showers/tubs and exterior wall. Sunrooms: 0 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight LI-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: LI 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. L1 Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: F-I 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. 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 181 A 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 ft2 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 handier installed:Less than or equal to 49.3 cfm(4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: Lj Where the primary heating system is a forced air-fumace,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: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ 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: Lj 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: F1 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: 02/22/13 Data filename: C:\MASCHECK\Revisedparslot27.rck Page 3 of 4 n Heated swimming pools have an on/off heater switch. F1 Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ 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. 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: 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: 02/22/13 Data filename: C:\MASCHECK\Revisedparslot27.rck Page 4 of 4 �J( 2009 IECC Energy Efficiency Certificate nsulation . Ceiling I Roof 38.00 Wall 21.00 Floor!Foundation 30.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.35 Door 0.35 NA Cooling:Heating & Heating System: Cooling System: Water Heater: Name: Date: Comments: i I r 7 NORTI-� - o - .:,: � � ver, Mass, a/n /--� oL 60, coc.ucnew�cK �1' A04ATED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System �.^ /j a�^,�•' /,�t�E BUILDING INSPECTOR THIS CERTIFIES THAT ............ ....................................... ...................................................................... t� has permission to erect.......................... buildings on � �, 1.�:�.. �'l.c f.................. ' Foundation� • Rough to be occupied as C_e_ S�,z'�/ C I ,/.. 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 CONSTRUCTION STARTS ' Rough 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