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Building Permit #560-13 - 22 UPLAND STREET 2/12/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received !/ 1 Date Issued: IMPORTANT: Applicant must complete all items on this page -,.et* .-:.7..� �..�''�*` '+x-..� °�-�i- .� a�w� x, '-'�, a�—• �- --'tet. h. '— ""sr .'�"{' �. e� a' -,i fi .p- t Y•c i'wa" �. r- -r t t r �- �' & �:-•d' . .. , ' ,y ,,,'" ..,t a n,, � rte. L®CATION ot '�� ;�'I15/1ZCC -ZV,1 ." .I.E= r• =a:.:.xa. .>., es -x+.sN.- IPROPERT,1( ®WNER ��uiy' G`y� +MAP NO � 7 _PARCEL . �ZONINGDISTRICTHastonc;®istnctye no w TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential $New Building ❑ One family ❑Addition )(Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _x.�'_"—�. �°.- ... -�-'r -.�" r'3:'kY-•r f �. �` j j g ❑Septic# ❑Wellt, k OsFloodplain ❑Wetlands �:❑ Ng ersheclt'Jistriet� � �*: ❑U1/ater/_Sewers s . r . DESCRIPTION OF WORK TO BE PERFORMED: ay€w 2 X612 Identification Please Type or Print Clearly) ' OWNER: Name: 4/JCyU z5- e4esC14 Phone:4W ' Address: 1*rr7A -'�l'kLha`1 x �9y FC 3 1Y '� i -� '1§a '�p CONTRACTtOR Name t �21ce -CvE Phone Address s �Qdl r �3 �d,��2 � r ��3 " Supervisor�s�Construction�License.� CS �6�5`"'rC .� Expr�-Date � o�;� � � �-� k, u � I ARCHITECT/ENGINEER Phone: . • t 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: $ FQi a0C-)FEE: , y'7 Check No.: � Receipt NoAlY NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ign to ureof�Agent/Ownerignatureof contractor �,,x ` �J- = _. _ _ e _. _ Plans Submitted Plans Waived ❑ Certified Plot Plan X Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL _ Public SewerSwimming Pools El Tanning/MassageBody Art 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 viewed on / Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes -� anning Board Decision: Comments r 6onservation Decision: Comments Water & Seager Connection/Si nature Driveway Permit DPW Towp IEh.gineer: Signature: '1✓ 4 C " - - Located H4 Osgood Street FIRE ®EPAF3TMEfi9T Temp D' pster on site yes no Located at 124 Main'Street Fire De`pa menf-sigriatu're/date t COMMENTS 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 o _MGL Chapter 166 Section 21A—F and..G min.$10041000 fine NOTES and DATA— (For department use all i i ® Notified for pickup - Date E Doc.Building Permit Revised 2010 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 I - f ❑ 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) i 4 Building Permit Application L k Certified Proposed Plot Plan ri ❑ 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 -A Mass check Energy Compliance Report U. W 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 subm;tted with the building application Doc: Doc.Building permit Revised 2012 Location No. Date 2 a - TOWN OF NORTH ANDOVER -200 Certificate of Occupancy $ - : Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ :Po F Check# �e 26149y `/7Building Inspector F NosrH q O SLxo f6 3•Z 96', a. '6 0 APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION �9ss"T`°"pE�ty GHUS BUILDING PERMIT # 5-&9�D �l3 A ADDRESS/LOCATION OF PROPERTY: Map Parcel Lot Number_ % -Z SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: 7/301 CLOSING DATE ON PROPERTY: z&/ 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 Permit Issued to: /,6,2, 5rS Z (p Address: 1)-0, ROUTING TOWN ENGINEER, SITE PLAN-DRIVE-WAY REVIEW CONSERVATION �- -3 r PLANNING ❑ DPW-WATER METER ' L'i" M -71-5oll3 SEWER CONNECTION V V150. 7/3 0//3 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 s1 ,Ot No 07:N 4 i J y'S51CNuSft1� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 560-13 on 2/12/2013 Date: August 1, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 22 Upland Street 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: Seaport Homes LLC P.O. Box 8225 Bradford, MA 01835 `Building Inspector Fee: Prepaid Receipt: 26149 Check : 4190 * NORrH q !l o tt LES !6 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION S o, CAUSS �5 BUILDING PERMIT # s 6iq r�3 �SAE� ADDRESS/LOCATION OF PROPERTY:_ Map Parcel Lot Number_ SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: 7 hq 3 CLOSING DATE ON PROPERTY: 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 Permit Issued to: Address:_,661 1-312 da/2_c4 1tp/ ROUTING TOWN ENGINEER, SITE PLAN—DRIVE—WAY REVIEW CONSERVATION 7 -3 0- PLANNING ,❑ DPW—WATER METER '713°ll3 SEWER CONNECTION -V(5)V 7/3%3 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 .40 'Andover Town of .0 • r _ * r r ANO tthffidU'`Ver1 1VIaS5 #� , 0 I BOARD OF HEALTH Food/Kitchen PERMI T T Septic Systemy y THIS CERTIFIES THAT .......... ` ' i _ ............. — 'PING INSPEC` — has permi� ;n to erect.......................... bt it son �.. . ............................ - - ugh tobe occupied as .................... ...... .::.. ....:.: ':..:. .........................................: . ... . ..................::........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Dal ` .— on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and .rF `' P,!l9MBING IN /1 Construction of Buildings in the Town of North Andover. a Rough a �` `. � � VIOLATION of the Zoning or Building Regulations Voids this Permit. qi f - Final �'r/ x. PERMIT EXPIRES IN 6 M N T HS ELECTRICAL INSPECTdk UNLESS CONSTRUCTION STARTS a- ....................... _ .. ..........BUILDING.INSPECTOR, Fin "l" � �, } I GASINSPECT Occupone , K-r itcit .,fie tdred to Qccu a J Buiieiina Rough Display in a.Conspicuo.us Place on the_ Premises - Do Not Remove Final Nblathing or Dry Wall To Be Done IRE DEPARTMENT .--�.---�l-Un#i1Tlnspccted-a.nd Approved-hy #he-Building Inspector. Burner Street No. �L�.yi� SEE REVERS �®E ;�-- ,►..� Smoke Det. — � .� e Advanced Building Analysis +, • • Duct Leakaqe Test Form for MA Code Compliance Client Information Buildina Information o7 Name: Seaport Homes/Pat Cone Address: Upland St Address: City, State Zip: N.Andover, MA City, State Zip: Test Date 7/12/2013 Phone: 508-509-4018 Test Time E-mail: pat@seai)orthomes.net Point of Construction O Rough O Final System#1 System#2 Location basement Location Type of test O Total/ X To Outside Type of test O Total/ O To Outside Approx. Floor Area Served 1480 Approx. Floor Area Served CFM Leakage at 25 pa &L7 CFM Leakage at 25 pa Approx% leakage for single system* C .z Approx% leakage for single system* System#3 System#4 Location Location Type of test O Total/ O To Outside Type of test O Total O To Outside Approx. Floor Area Served Approx. Floor Area Served CFM Leakage at 25 pa CFM Leakage at 25 pa Approx% leakage for single system* Approx% leakage for single system* r�X stem#5 Combined Results ation Total Conditioned floor area 1480 Sq. Ft. e of test O Total/ O To Outside Leakage limit O6% X 8% O12% prox. Floor Area Served Leakage limit 118 cfrn@25 CFM Leakage at 25 pa Combined Leakage** cfm@25 Approx% leakage for single system* 2009 IECC Compliance Pass O Fail *Approximations for single systems are for diagnostic use only. **Total combined duct leakage is required for 2009 IEEC Compliance. I certify that this test was performed in Compliance with applicable standards Tester's Signature Date HERS Rater Name: Tom Barnes HERS Rater Company: Advanced Building Analysis, LLC HERS Rater Provider: Energy Raters of Massachusetts ;r Building Airtightness Test Form A#Admced I uildingArWysis Customer Information: Building and Test Conditions: Name: Seaport Homes LLC / Pat Cone Date: 7/12/13 Address: 56 Beechwood Drive, Time: City: N. Andover State/Zip: IIIA 01845 Phone: sng-SnA-401 R Email: pat@seaporthomes.ne Floor Area(ft 2): 1,480 Volume (fP): 11, 840 Building Address: (if different from above) Street: 22 Upland St City/State: N. Andover, MA Comments: square footage of CFA and volume provided by client Test#1 Depresses Press Test#2 Depress Press Pre-test Baseline Pressure: (Pa) Pre-test Baseline Pressure: (Pa) Bdlg Press. Flow Ring Fan Press Flow Bdlg Press. Flow Ring Fan Press Flow Pa Installed Pa cfm a Installed a cfm) Post-test Baseline Pressure: (Pa) Post-test Baseline Pressure: (Pa) Fan Model/SN: Fan Model/SN: Results: Results: CFM50: ?� 3 CFM50: ACH50: ,G� �i ACH50: HERS Rater Name and Cert.#: 7)44-t*s -5 --i�7 15, HERS Rater Signature and Date: N°RTM 9H . O 37°4r.°rreS49 SSECN°Sf CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 560-13 on 2/12/2013 Date: August 1, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 24 Upland Street 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: Seaport Homes LLC P.O. Box 8225 Bradford, MA 01835 Building Inspector , Fee: PrePaid Receipt: 26149 Check : 4190 NORTy O SLED .i2 hhS lr- hb*6 O O APPLICATION ICOR CERTIFICATE OF OCCUPAl`aTCYANSPECTION Z eyb n ACHUse��y BUILDING PERMIT It S�D'l3 ADDRESS/LOCATION OF PROPERTY: 4- .P-C/ MapParcel Lot Number_ r, a -__21L SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPE'CTION:_7/3d 1,3 CLOSING DATE ON PROPERTY:_ 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 Permit Issued to: r ,L6'zz!1 5 (a Address:Y`G, �X ��� S— 1�f2 A ✓ 02� fes, Ula Sr ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW I CONSERVATION 7 3 O- 4 PLANNING ,❑ DPW-WATER METER SEWER CONNECTION -N&V 7ls%3 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 i own of 11clovur -Alk!R No. 64 ti Norah A d®�veY•, Mass, cy ...,. f \\\ r 0 t BOARD OF HEALTH Food/Kitchen IT T Ul Septic SystemPE � - ING INSPEC' 4 THIS CERTIFIES THAT ..... - . ........... ... .................... .................... ndation has permis n to erect .......................... be _o n . .. .............................. ............................ 7�V-71 ugh tobe occupied as .....................'....... ...........:................................................. . ..'..................... ............ Chimney " I provided that the person acceptingthis permit shall in every respect conform to the terms of the applicational j 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. 15,hUMBING INSPECTOR .� y, VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough - Final PERWT EXPIRES S I 6 MONTHS ELECTRICAL INSPECT UNLESS CONSTRUCTION STARTS ..............................................BUILDING.INSPECTOR. Fin `72, _ - GASINSPECT n 7�� Occ caring, .�''evinit Required t Occ�upr Buildin Rough VV Display in a.Conspicuous Place on the Premises — Do Not Remove Final -7&C)- NO-Lathing G. N'o Lathing or Dry Wall To-Be Done IRE DEPARTMENT .M.-� --Until--inspecte.d-and Approved-by-the'-Building Inspector. Burner - -�, - - -- Street No. Smoke Det. ' SEE REVERSE SIDE s l %1 x ' Advanced Building Analysis ' Duct Leakage Test Form for MA Code Compliance Client Information Buildinsa Information Name: Seaport Homes/Pat Cone Address: 24 Upland St Address: 56 Beechwood Drive City, State Zip: N. Andover, MA City, State Zip: N.Andover, MA 01845 Test Date 7/12/2013 Phone: 508-509-4018 Test Time E-mail: pat@seaporthomes.net Point of Construction O Rough X Final System#1 System#2 Location basement Location Type of test O Total/ X To Outside Type of test O Total/ O To Outside Approx. Floor Area Served 1420 Approx. Floor Area Served CFM Leakage at 25 pa 5r.3 CFM Leakage at 25 pa Approx%leakage for single system* Approx% leakage for single system* System#3 System#4 Location Location Type of test O Total/ O To Outside Type of test O Total O To Outside Approx. Floor Area Served Approx. Floor Area Served CFM Leakage at 25 pa CFM Leakage at 25 pa Approx%leakage for single system* Approx%leakage for single system* System#5 Combined Results Location Total Conditioned floor area 1420 Sq. Ft. Type of test O Total/ O To Outside Leakage limit 06% X 8% 012% Approx. Floor Area Served Leakage limit 113 cfm@25 CFM Leakage at 25 pa Combined Leakage** 3 cfm@25 Approx%leakage for single system* 2009 IECC Compliance Vpass O Fail *Approximations for single systems are for diagnostic use only. **Total combined duct leakage is required for 2009 IEEC Compliance. 1 certify that this test was performed in Compliance with applicable standards -7 Tester's Signature bate HERS Rater Name: Tom Barnes HERS Rater Company: Advanced Building Analysis, LLC HERS Rater Provider: Energy Raters of Massachusetts Building Airtightness Test Form Advanced Building Aialysis Customer Information: Building and Test Conditions: Name: Seaport Homes LLC / Pat Cone Address: 56 Beechwood Drive Date: 7/12/13 City: N. Andover Time: State/Zip. MA 01845 Phone: 5nR-Sn4-4()1 R Email: pat@seaporthomes.ne _ Floor Area(ft): 1,420 Volume (ft): 11,360 Building Address: (if different from above) Street: 24 Upland St City/State: N. Andover MA Comments: square footage of CFA and volume provided by client Test#1 Depress_ Press Test#2 Depress Press Pre-test Baseline Pressure: (Pa) Pre-test Baseline Pressure: (Pa) Bdlg Preal Flow Icing Fan Press Flow Bdlg Press. Flow Ring Fan Press Flow a Installed a) in a Installeda in Post-test Baseline Pressure: (Pa) Post-test Baseline Pressure: (Pa) Fan Model/SN: Fan Model/SN: Results: Results: CFM50: C ?>L� ��,� CFM50: ACH50: Lt r_ at ACH50: HERS Rater Name and Cert.#: "i�fi�y� {�.+Hr�,.,�� y HERS Rater Signature and Date: L) mm y r., ° I lY I tf `1+,`a�l wti o ��dlk��3Y �c Fe. s r:.. •..J2n.AE rfir. .zY` + ,`�i .. " �t ,,n'"�k.�n�.{.'R1ti dn„ I� I, i `•IBJ I ' �Ir i r 1 r . . � q[S'�''�' x41 �j� ., ��,..5•-.- :•� ;y.,�.. r ,r,., A q .• •�` .� 'meq"q ,�y*�. i Vt � a aaair W,x nAI `! S ��'^"qGJ':•d'yb`iBc�.Rwa.....w.aM'+ri W...rar.+i.WL.>p�i lln'n•N.����X" _. • 4.. +�15.���.1�''i u� � I� *( i r A ���hb `*< ,aa�/,�,F G J�i., 4 I 4 y c ''S,e'T,Nw �Jk'�� 1 `'4,� - ,,y t , 'a• �` �4. d °•?}��'�T ,r ,q `�i' t, s' i..'..i••,-,... � ±rl .. n.., r;}.m•'t��A"� �'���„�,,.'.. h r� .A iii .,.Fr fA�"v!i.,�l'i.., .�1 j OF 1 Ll or • � sly, � t� t, cf e, r v � � ,��' , �t' ,1�� „�u'' �'' ,c.��. 5 � ` q� ,1 � � 1 .,. ,.. � ,, , i y. y� ,�a�J ' l�U � ��� ,�� Tom' Myo.., at t F .. i'W J� S ik q p ^y 4 Y �' � ��`Sr'A\ ��9p•,��'C W n y• � 'i r"�ti)L A��' ��y�����"x� ''taf}.� �� �'s., ... $� yy,, �i,�K. ¢� �,rr✓ F� '01ITki own of t an _ over No. �0 _ Over, Mass, 9 12 C0C"1CN41WIC/( 1. x.95°R,�TEo ^4a� 5 U BOARD OF HEALTH PERMITIT. Food/Kitchen Septic System THIS CERTIFIES THAT......41lic a ! ...�)...1��.�i........ •• •••••Sfy�v6,������ ���- BUILDING INSPECTOR •�`. ••••••• Foundation has permission to erect ........................... buildings on .�..��/�.:�rP z to be occupied as ..... Az' _ ROugh ........................... ..... ...�. ..�..... 6��...... Chimney provided that the person accepting this permit sh every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final 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 ...... .:...—..:................. BUILDING INSPECTOR• Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a ponspicuous 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. IF SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV. www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:./'-0` ��Z City/State/Zip: /3'e9d;rE 2 d Phone#:_5'-o k s--a9— y�J Are you an employer?Check the appropriate box: 1.ElI am a employer with 4. El am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. fK New construction 2.❑ I 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 [No workers' comp,insurance 5. rV1 We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.0 Other "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r 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. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site reformation. assurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: ob Site Address: City/State/Zip: Mach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). zilure 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 .ivestigations of the DIA for insurance coverage verification. do hereby cert�nder the pains and penalties of perjury that the information provided above is true and correct. ianature: / 13 Date � Z Z hone#: %p/,p Official use only. Do not write in this area,,to be completed by city or town offcial. 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 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 617-727-7749 Revised 5-26-05 Fax www.mass.gov/dia r The P.b.mmonwealth of Pilassachusetts Departmeht ©f Fire Services Office of the State Fire-Marshal P.0.Bos 1025 S4CitepRoad,StoW, 2/L4 0 177 ; PER , Date: Norah Andover 'ermitNo (City of Town) (LFApplicable.) Dig Safe Num er In accordance with the provisions of NtG_L14 8 Chapter_] 0 as provided in sectio"L-U-1—(',MR 3 4 Start Date This Permit is granted to:. �6ee Full name ofpersoa,Firm or Corporation Permissionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions:clearance dumps-ter must be covered with PlZwood or tarp enof f work day at 24 (Give location by street an no.,or descn such manner as to provied adequate identification aflbcation) Fee Paid$ 50 .00 ' Fire Chief This Permit will expire- / U T ature o al granting permit) 0 cal gran' g Pcmu�t (Title) i I CERTIFICATE OF LIABILITY INSURANCE 7[MM/DD2i2'ACORL713 ® THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemeM(s). PRODUCER CONTACT NAME: M.P. Roberts Insurance Agency PHONEFAx 1060 Osgood Street E-MAIL (978) 683-8073 A/ No: (979) 683-3147 ADDRESS: North Andover, MA 01845 INSURERS)AFFORDING COVERAGE NAIC# INSURER A:ENDURANCE AMERICAN SPECIALTY INSURED INSURER B: SEAPORT HOMES, LLC INSURER C: P. O. BOX 8225 INSURER D: BRADFORD, MA 01835 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSIR POLICY NUMBER M/DD/Y MMIDD/YYYY LIMITS A GENERAL LIABILITY TBA EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMSfuIADE a OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PROf F71 LOC $ AUTOMOBILE LIABILITY Co(EaT'1,NEEDtSINGLELIMIT $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCES SLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ MRKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORYIMTS FR ANY PROPRIETOR/PARTNER/EXECUTNE OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yyes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTiONOFOPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is requi red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 AUTHORIZED RE PRE SENMTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 38000.00 m $ - $ 4,560.00 Plumbing Fee $ 570.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 570.00 Total fees collected $ 5,800.00 22 Upland Street 560-13 on 2/12/2013 New Two Family Home Old home was Demolished 36' 28' 10" CONC, FILLED SONOTUBE FOUNDATION FOR PORCH, 4' BELOW GR4DE,TYPICAL 6' 9'-6" 3'-8° 6" 6" 6" 1T-8" 4' 4" 6 I ——————— ------------------ ----- �i 6n I --------- ---------------- ---� I 4 2_6�� I ' I TOP OF FOUNDATION=0+00 10"X20" CONCRETE FOOTING I -------------------- I I I I _------- — —`_---+— ---J I TOP OF FOUNDATION=O-I2" 10"CONCRETE FOUNDATION ———— ————— 7' Ii II _____ TOP OF—FM—ND—ATI—ON70— Z" I II � 4" CONCRETE SLAB 10"x2o"CONCRETE FOO—TN—G] f I I I I i I 10"CONCRETE FOUNDATION I I i I 16 SEE SHEET 9 I I 14" CONCRETE SLABPARTY WALL DETAIL I I I 11 .711 I I AND CHANGE IN FOUNDATION ELEVATION 14 I I I UNIT TOP OF FOUNDATION=0400 ( I I I i I 3-1/2"STEEL LALLY COL TOP OF FOUNDATION=O-12" UN(T ON 30'XI5"CONCREIE I I j'-6 �" �p 6' i FOOTING,TYPICAL I I I I ----------------------, J I — �-= — (B- I IL ---- r --------- --------- - ----------- 4-4 IIBEAM POCKETBEAM POCKET 2'———— I ( 12" GONG, FILLED SONOTUBE L---------------------J 7'-4" 4' I I I i FOUNDATION WITH ATTACHED BEARING WALL I I BEARING WALL I I GRADE,TYPICAL G,4'BELOW 4' 12" X 24" THICKENED SLAB I I 12"X 24"THICKENED LA EJ I i r ------- I I 10 8 I I I I -- — — I I I a'-411 I I I TOP of FOUNDIT ON- 1— ------- —1 I i L---- -- -j UP 13'-2" TOP OF FOUNDATION=O-12" I I TOP OF FOUNDATION= UP I IL--- --------- ---- -------------� �- -- -------- ------ — --J I —————————————————————————— ——— ———————————— ————————————————————————— 6 �_ 6il ro --- 6.. 7'-10" 10'-4" 12"CONC. FILLED SONOTUBE FOUNDATION WITH ATTACHED TNG,4BELGUGRADE,TYMCAL 5ASEMET/FOU / — }IOLAN 3/1KJ11=1'-O NOTE: ANCHOR BOLTS SHALL BE 1/2"DIA. 6' O.C.,NOT MORE THAN 17'FROM CORNERS, BOLTS SHALL EMEND A MIN, OF 8" INTO CONCRETE DEC, 10, 2012 DRAWN BY: NARTWA MACINN16 PROfi�OSE1D NEW TWO FAMILY Y CONSTRUCTION E38 REGENT AVE. 22 UPLAND STREET BRADFORD, MA, 01835 - (978)374-8719 NORTH ANDOVER MA. i 14'-2" --14' to � llT-10" 4-4" 2'8/68 5' 6" 14'-4" 4' IT ® 6''6S DINING HARDWOOD LIVING FROOM 7, ill m SEE SNEEt 9 �ARDW�D to 8" 16' (I OR PARTY WALL DETAIL LIVING FROOM i I � DINING KITCN�N 14' © (� NARDIL�D • I-IARDIUGbD �I • I NARGWOOD KI I CHEN BEARING WALL BEARING WALLO O NARDl1KX�D O u --- 6 C,O, 3' a 4'-4u 3'-10" 1001 2'6/6'8 Q v�'O� ��w�' F-IARCIUGY�D UNIT HARDWOOD p DN S1. UNITt BEARING WALL TILE TI BEARING WALL 2�u t4uf- Er) RAILING X41 T E3 8'-4 SI co � I ��° � UP7A DN 4'-8" O. Ll 4 N OO 3-6 C C 1 '-4" I --- 20'-4" SEE SHEET 9 POF DECK LATERAL OAD CONNECTIONS (o 15 S-10" 2'-4" 8'-10" li' 15 to MODEL SH FOR NDOUJ5 ARE FOR THOSE NUMBERS AS MANUFACTUREANDERSEN NDERSEN FfRST FLOOR PLAN WINDOUJ SCHEDULE 311 ro 11=1 -l./ Nol Model Type R.O, A I 2846 DH 2-=10 1/8" X 4,8 7/8" B 2846-2 DBL. MULL 5'-8" X 4',8 7/8" C 2832 DH 2'-10 1/8" X 3'-4 7/8" D 2842 DI-1 2'-10 1/8" X 4-4 7/8" E 2842-2 DBL, MULL. 5' 8" X 4'-4 7/8" DEC, 10, 2012 DRAWN BYy� TWO t y� t r I MARTHA MAGNNIS PROPOSED NEW 1 WO FAMILY CORNS I RUCTION. 58 REGENT AVE, 22 UPLAND STREET2 BRADFORD, MA, 01835 I (978)374-8719 NORTH ANDOVER MA, 12' Ido'-21I 6' 17'-10" 4'-4" --------------- O � 5ED}ZOOM � O QE O GAR MAStEfi` 5EE SHEET'3 FGR PARTE WALL DETAIL 13'-4" CARPE? �_SII 2'-4" ro 1'-4" BEDROOM BEDROOM � O O CARPET I GARP T I MAS I EFR BEDROOM 2'-4113-8.. 2'-4" CARPET _ 2'-4" 4'/6'8 ro 2'-8" 0 1 4'/6'8 1 CO ql- 4'/6'8cz 4'/6'8F*"YI ryl Yi I ARDi1�D 5'-1" 5'-3" 3' g" 2' ROOF PROOF GRCN BELOW Ldll FULL WALL I/2 WALL — — 7 2'/6'8 4'-a BEDROOM g' TO — — n DN 51-SII 5' � O TILE 10'- 11 9'-4" 10'-411 7'-2" 1-3'-211— MODEL 3'-2"MODEL NUMBERS SHOWN FOR WINDOWS ARE FOR THOSE AS MANUFACTURED BY ANDERSEN PLAN SCHEDULE jECO` I D FLOOR � LAN No Model Type R.O. A 284(0 DH 2- 10 1/8" X 4,8 7/8" 3/16 1'-O B 2846-2 DBL. MULL 5-8" X 4'-8 7/8" C 2832 DH 2'-10 1/8" X 3'-4 7/811 p 1 2842 p1-1 7-10 1/8" X 4-4 7/8" E 2842-2 DBL. MULL 5-8" X 4'-4 7/8" DEC, 10, 2012 DRAWN BY. MARTHA MACINNIS PROPOSED NEW TWO F, MILY CONSTRUCTION 58 FREGENT AVE. BRADFORD, MA, 01835 22 UPLAND STREET 3 (978)374-8719 NORTH ANDOVER, 'MA c - � 8 FT2 - 8 FF2 a ® o - Io ® a ,o ® o_� 1_ a omilla_o111 a 1 1 I 'IF 1F-11H HoFRONT ELEVATION REAR ELEVATIONa 3/1r"=1'-O 3/1 Ko"=1'-O UNIT A UNIT E3 DEC, 10, 2012 DRAWN BY: MARTHA MACINNIS PROPOSED NEW TWO FAMILY CON5TRUCT I ON BRADDF REGENT AVE. 01535 22 UPLAND STREET (978)374-5719 NORTH ANDOVER, MA. s. 2-1/2"VINYL CROWN 5-I/2"ELUTED CORNER BOARD 'N,la ® a '-'"""`�'��""�.+� �� ® ® a A Efln 11111 E a o 0-- 4 o o a a o a _ XIO 10"COLUMN _I 01 a ® a � - a a � 41 IxIO WATER TABLE—�— RIGHT SIDE ELEVATION 311r 11=1'-O DEC, 10, 2012 DRAUJNMAGINNIS M MARTNA PROPOSED NEW TWO FAMILY CONSTRUCTION 58 RECENT AVE. 22 UPLAND ROAD BRADFORD, MA, 01835 (978)374-8719 NORTH ANDOVER, MA. IE± FFH LLU [H] Ell] EEB 0 66 LEFT SIDE ELEVATION 3/fro11=1'-O DEC, 10, 2012 DRAWN Bl': MARTA MACINN16 PROPOSED NEW TWO FAMILY CONSTRUCTION l 58 REGENT AVE, BRADFORD, MA. 01835 22 UPLAND STREET (978)374-8719 NORTH ANDOVER, MA. 2X6 COLLAR TIE CONT. RIDGE VENT ®32"Cv SLOPE CUT 2X12 RIDGE NAIL(5)12,TYPICAL FIBERGLASS SHINGLES 1/2"EXT. PLYWD, 04-IEAT"ING SIMPSON H2.5 HURRICANE CLIP 2X10 ROOF RAFTERS END OF EACH RAFTER,TYP 8 12 ZXIO o 16"CC SEE SHEET 9 FOR PARTIAL EAVE BLOCKING AT RAFTER SEAT CONT, MTL. DRIP EDGE CONT, SCREENED SOFFIT VENT 8 VINYL SIDING 1/2"EXT. PLYWD.SHEATHING HOUSEWRAP EQUAL TO"TYVEK" 2X6 STUD WALL R=21 FIBERGLASS INSUL. 8� 3/4"TSG PLYWD. 2X10 FLR,JOISTS ANCHOR BOLT------ R=30 FIBERGLASS INSUL ANCHOR EsOL7 (I)KD 2X6 SILL (I)F`T 2X6 SILL SILL SEAL ANCHOR BOLTS SHALL 13E 1/2"DIA, 8 10"CONT. CONC.FND. m 6' O.C.,NOT MORE THAN 12"FROM W/BITUM. DAMPPROOFING CORNERS, BOLTS SHALL EXTEND 4"CONC. SLAB A MIN, OF 7" INTO CONCRETE 6"GRAVEL W/ 10"X20"CONT, CONC,FTG. POLY VAPOR BARRIER TYPICAL WALL SECTION DEC, 10, 2012 DRAWN BY: MARTPA MAGINNIS PROPOSED NEW TWO FAMILY CONSTRUCTION 58 REGENT AVE. BRADFORD, MA, 01835 22 UPLAND STREET REET (978)374-8719 NORTH ANDOVER, MA, E 1/2"PLYWD,SHEATHNG FLOOR SHEATHING-ADYANTECH RAFTERS-ZXIO®16"O,C. ALL WOOD USED FOR DECK NAIL 3/4"T 6 G PLYWD. SHEATHING- I/2"NAIL ad CONSTRUCTION SHALL BE Sd NAILS m 6"O.G. PRESSURE TREATED LUMBER USED FOR FLOOR JOISTS NAIL IOd 6"O,G, 6" O,C PERIMETER- SHALL BE SPRUCE-PINE-FIR 02 OR BETTER PERIMETER AT PERIMETER 12"O.C. FIELD USE 4X4 POSTS AT SONOTUBES 12"O.C. FIELD 12"O.G. IN FIELD WITH SIMPSON ABU44 EASE WITH 2)2XB 1/2"ANCHOR BOLTS AND PAIR GLUE SIMPSON AC4 OR ACE4 CAPS (2)2>04� . . . . . 2X10 m 16"0,C,— SEE .C.SEE SHEET 9 14 2X10 m 16"O,C, ARTY WALL DETAIL 2X10 m 16"O.C. u I LHl4)ZXIO �� BEARING WALL (4)2X12 (4)2X10 ESE RING W 8 (2)2X6 (2)2X5 BEARING WALL BEARING W=7 4I BE WALL BEARING WALL SEE SI IEET 9 FOR 1=ffizSt FLOOR FRAMING CONNECTIONS DECK ONN TONS LOAD SECOND FLOOR FRAMING PLAN (8)16d NAILS END OF RAFTER TO CEILING JOIST,TYP 2XIO® 16"O.G. ZXIO m 16"O.C, 2X12 RI 2X10 m 16 O,C. I ( 2X12 RIDGE 2X12 RI 7XIOml6"O.C. ir SIMPSON 1-12.5A HURRICANE CLIP END OF EACH RAFTER,TYP 7 7 loll .11 1 1 1 11 1111 1 i j I ATTIC FLOOR FRAMING PLAN ROOF FRAMING PLAN [DEC, 10, 2012 DRAUJNPROPOSED NEW TWO FAMILY CONSTRUCTION MARTNA MAGINNIS 58 REGENT AVE. 22 UPLAND STREET BRADFORD, MA, 01835 (1378)374-8719 NORTH ANDOVER, MA, a s• O.0 OfO.0 O.0 OIC q" SPACING SPACING SPACING SPACING SPACING q SEE PARTY WALL DETAIL THIS PAGE 2X4 WOOD STUDS,16"OC FIRE6TOPPED TOP AND BOTTOM O O 12" 5/6"GYP. WALLBOARD 112" THICK PLYWOOD CONNECT WIT"ed NAILS®6"OC AT PANEL EDGES AND 17'OC AT INTERIOR SUPPORTS CONNECT TOP PLATE TO RIM BOARD O O WITH 16d®6"OG 1211 T2' CONNECT RIM TO TOP PLATE WITH 8d TOE NAIL s 6"OC CONNECTORS: 3-5/8" FASTEN MASTER LEDGER LOK TIP OK LAG SCREW EXTENDS BEYOND RIM JOIST ON INSIDE FACE 60 PSF DECK LOAD 4"OC SPACING FOR DECK JOIST SPAN L 3-1/2"THICK GLASS OR MINERAL LESS THAN OR EQUAL TO 14' HOUR ��yy FIBER BATT INSUL y 1' REFER TO FASTEN MASTER TECHNICAL BULLETIN I YY IR RATED PARTY WALL,{ IDECKNSTALLATION LEDGER TO RIM JOIST FOR ANSVUL 2Co3 - DESIGN NO. U3`t� 12"GONG. FOUNDATION WALL INSTALLATION P8CCE7URE6 AND ON 24"X12"GONG. FOOTING OTHER REOUIFEMENTS NECK LEDGsEiz CONNECTION UNIT A 81 1211 UNIT 13 4"CONC, SLAB DECK SIDE HOUSE SIDE ROOF RA 4"CONG, SLAB 8d S 6"OC BLOCKING 1/2" DIA, SIMPSON FOR LENGTH OF NAIL 12d e 6"OC HDG THREADED ROD FLOOR JOIST MIN, (3)-12d WITH NUT AND WASHER JOIST SIMPSON 2.5A 2" MAX i If HURRICANE CLIP ON INSIDE DTT2 REFERENCE IRC 2009,8602.10.6.2.3 PAGE 182,AT ALL RAFTERS 2X12 SIZE AND AT 2X10 RAFTERS WHERE WIND FOUNDATION WALL ,4T PARTY WALL61MPStNT2 SPEED IS>=100 MP" DECK POST USE 2X BLOCKING MINUS 2"MAX CONNECTIONS J FOR VENTING NOTES: /� /� EA `/ /� I, REF. 8502.2.2.3 IRC 2009 PARTIAL EA E 5LOCKINGs AT 2. DTT2 TO BE CORROSION PROTECTED PER MAND PRESSURE TREATED L TRADITIONAL RAFTER SENT LUMBERBER RECOMMENDATIONS 3, SEE SEPEIRATE DECK LEDGER CONNECTION DETAIL 4, FLASHING AND WATERPROOFING BY OTHERS 5, MIN. 2 CONNECTIONS-I EACH END OF DECK UNLESS OTHERWISE NOTED ON FRAMING PLANS OR REQUIRED BY DECK DESIGN DECK LATERAL LOAD CONNECTION DEC, 10, 2012 DRAMAAR NA MACINNIS PROPOSED NEW TWO FAMILY CONSTRUCTION 58 REGENT AVE. 22 UPLAND STREET BRADFORD, MA, 01835 (978)374-8719 NORTH ANDOVER, MA. {f BRACED WALL PANEL ADDITIONAL CONNECTIONS FOR ALL EXTERIOR WALLS roO2,10 CONTINUOUS STRUCTURAL PANEL SHEATHING METHOD CO3-WSP \-ad'(2,F2"X.135")TOE NAILS w F" OC PER BLOCK BF-CED WALL PANEL CONNECTIONS CONNECT DRY WALL GYPSUM WALL PANELS CONSTRUCTION NOTE: WITH TYPE W OR S REQUIRED GYPSUM BOARD LAID HORIZONTALLY SCREWS w 7"CC METHOD GE3 AIR SPACE DOES NOT REQUIRE HORIZONTAL BLOCKING PER ASTM C1002 WITH MIN. PENETRATION OF 5/8"TYPICAL SEE PLANS AND SECTIONS 2X BLOCKING Sd TOE NAIL FOR HURICANE CLIPS AND (3)8d w 6"CC w 6"OC CEILING RAFTER CONNECTIONS (3)8d PER BLOCK CONNECT DRYWALL WITH TOE NAIL 2X BLOCKING TYPE W OR S SCREWS w 17'OC2Xq BLC✓K DOUBLE JOIST (3)16d NAILS UNDER INTERIOR PER ASTM 1002 WITH MIN OR BEAM (3.5" X .135") PARTITON WALL NOTE: THIS DRAWING SCHEMATIC PENETRATION 5/8"TYPICAL EVERY 16" FOR THE PURPOSE SE OF SHOWING RQUIRED CONNECTIONS CONNECT WALL d ROOF SEE PLANS FOR LAYOUT SHEATHING WITH 8d w 6"OC DETAILS AND FRAMING PANEL EDGES AND 12' INTERIORS JOIST SPAN Sd TOE NAIL w 6"OC as®6"a ALL OTHER NAILING NOT SHOWN RIM JOIST TO PLATE TO BE IN CONFORMANCE WITH ALTERNATE ATTACHMENT I6GA. 2 x BLOCKING w 16"OC PARALLEL TO PERPENDICULAR TO TABEL roO2,30) OF THE 1 3/4" STAPLES AT 3"OC AT AT SUD RIM TO FLOOR FRAMING G MASS GORE 8th EDITION PANEL EDGES AND 6"CC FIRST JOIST AT INTERIORS 2X4 BLOCK (3)164 EVERY 16"OC NOTE ALL HORIZONTAL OF BRACEDWALL INTO SHEATHING JOINTS TO BE JOIST/BLOCKING NAILED WITH Sd w 6"OC TO BLOCKING UNLESS OTHERWISE NOTED ON FRAMING PLANS ad w 6"OC ad w 6"OC RIM BOARD JOIST SPAN TO PLATE TYPICAL MIN, 24"WOOD YPSUM BOARD STRUCTURAL YPSUM BOARD GYPSUM BD, PANEL A7 INSTALLED IN GARNER ACCORDANCE PERPENDICULAR TO 1/2"A307 ANCHOR BOLT RETURN WITH CHAP,7 2 ROWS FLOOR FRAMINGWITH NUT AND WASHER PARALLEL TO 16d w 12"OC 16d w 12"OC 16d w 12"a 31/2"MIN, 12"MAX FROM FLOOR FRAMING (3-112"X.131) C31/2"X .131J COORDINATE (31/2"X.131) END AND MAX 6'-0 OC EACH PLATE WITH GARAGE OE AS SHOWN ON DRAWINGS DOOR FRAMING MIN, 2 ALTSAUALL PLATE SHEATHING BLOCK B SHEATHING MIN. 24"UIOYJD DETAILS NAILING NAILING STRUCTURAL ad NAILS-2112"X 0.113" PANEL AT 16d NAILS-31/2"X 0.135" CORNER RETURN WALL BRACING FOR THIS PROJECT IS BASED ON SECTIUON 602.10 OF THE 8th EDITION OF THE MASSACI-IUSETTS STATE BUILDING CODE FOR 1 3 2 FAMILY DWELLINGS AND ALTERNATIVE DESIGNS AS INDICATED ON ALL OTHER NAILING NOT SHOWN THE DRAWINGS. DO NOT MODIFY DOOR OR WINDOW OEPNNG SIZESOUTSIDE CORNER DETAIL INSIDE CORNER DETAIL GARACzE CORNER DETAIL AND LOCATIONS OR HEIGHTS AND LENGTHS OF WALLS AS INDICATED TO BE IN CONFORMANCE WITH ON THE ARCHITECTURAL DRAWINGS WITH OUT APPROVAL OF THE TABEL roO2.30) OF THE ENGINEER AS THIS AMY RESULT IN NONCONFORMANCE WITH THE MASS CODE 8th EDITION WALL BRACING REQUIREMENTS OF THE CODE, CONT, SHEATHING MIN. CORNER FRAMING DETAILS DEC, 10, 2012 DRAWN BY: PROPOSED NEW TWO FAMILY CONSTRUCTION MARTHAIS 22 UPLAND STREET 58 REREGENTT AVE.AvE. BRADFORD, MA, 01835 NORTH ANDOVER, MA. 10 (978)374-8719 Bk 13181 Pg188 #31462 'town of North Andover ZONING BOARD Esq.Ch P. OF APPEALSt���CLEWS I ()FF 10E Blbecc 14ia�i III, �rxrarr Enka P.Mck" viae ax 71p2 ocl "2 Richard j.Byers,Esq.C" ctE'�:r; D.Paul Koch Jr.Esq. �� (} �M Aua�raarMsar�rrr ,. Tows Michael P.rporraNORTH AS�iC`1 k � * T r ��m�'�,e► ' This is b certify that ft"{Z0)f sk have elapses tmm date a aecistoa,tiled wm=t f g cf Town Clerk Tune scam+ `pate Any appeal shall be filed within(20) Notice of Derision Jaya � days after the date of filing of this Year 2012 notice in the office ofthe Town Clerk, r Mass.Gen.L.ch.4q&§17 Pro at:22 U land$ North Andover MA 41845 NAME: ATthuT Coppeu HEARING(S): 19 June 2012,14 Au 2412&2 t 20I2 �20 12 1 1 Sept ADDRESS: 22 Upland Street (Map 67 Parcel 69), PETITION: 2012-0038 North Andover,MA 01845 The Northdo er An v Board of Appeals held a public hearing at the Town Hall, at 120 Mem Street,North Andover, MA. on Thursday, the 27* of September 2012 at 7:34 PM on the application of Alien E. Cuda located at 22 Upland Street (Map 67 Parcel 69), North Andover, MA 01845. Petitioner is requesting a Special Permit and a Variance.(in accordance with Section 9 Pre-existing Nonconforming Structures or Uses, Sections 4.122 and 4.122.14, and 4.122.14.A.b of the Zoning bylaw) within an R-4 District. The Special Permit is needed to demolish a two family home and garages and to construct a new two family home. Variances are also required.for Side Setbacks(Table 2 of the Zoning By-laws). Legal notices for the Special Permit and Variances were sent to all the certified abutters provided by the Town of North Andover,Assessors Office,and were published in the Eagle-Tribune,a newspaper of general circulation in the Town of North Andover,on June 5,2012 and lune 12,2012. The following voting members were present:Ellen P. McIntyre,Richard J.Byers, and D.Paul Koch Jr. The following Associate members were present Michael Liporto and Tyler Speck. Byers made a motion to Grant the Variances for relief of side set backs that are needed,7 feet are needed for the left side setback and 1 foot is needed for tate right side setback to be in accordance with Table 2 of the Zoning By laws.To allow for the new two family dwelling.that is proposed. Koch second the motion All were in favor to Grant the Variance:Richard Byers,D.Paul Koch Jr.Michael Liporto,and Tyler Speck. Not in laver to Grant the Varlimee:Ellen McIntyre 4-1 The Board finds dud this use, as developed by the building&site plans, is an appropriate location for such a use and will not adversely affect the neighborhood. There will be no nuisance or serious hazard to vehicles or pedestrians,since there are provisions for the required off-street parking. Adequate and appropriate facilities will be provided to demolish the 2 family dwelling and garages and to construct a new two family dwelling on this property. The Board finds that this new proposed two family dwelling will not be substantially more ddrimental than the existing dwelling to the neighborhood and that this use,is in harmony with the neighborhood and general purpose and intent of this Bylaw. Page 1 of 2 Bk 13181 Pg188A #31462 Site: 22 Upland Street, North Andover, MA 01845 (Map 67 Parcel 69), North Andover,MA 01845 Table 2 of the Zoning by laws for Side setbacks,and Sections 9,and Sections 4.122,4.122.14,4.122.14.A b,to demolish an existing two family home and garages,and construct a new two family within the R4 District. Plan(s)Title. 1.)"Plan of Land"Dated February 14,2012,2012,containing one(1) sheet,showing existing and proposed. Prepared by Andover Consultants Inc., 1 East River Place,Methuen MA 01844 2.)"Plans and drawings of the proposed 24amily"containing(3)sheets. Received April 27,2012 (I)Rear Elevation and Left Side Elevation.(2)Front Elevation and Right Side Elevation(3)Front Apt and Rear Apt,Prepared by Michienz D—raftink&Desi .If You can Dream it I can Draw it! no date supplied) Voting in favor: Richard Byers,D.Paul Koch Jr.Michael Liporto,and Tyler Speck. j Voting in the Negative: Ellen McIn Result ofvotes 4-1 I The Board finds that the applicant has satisfied the provisions of Sections 9 and Sections 4.122,4.122.14, 4.122.14.A.b,to demolish an existing two family home and garages and to construct a new two family dwelling.Variances are also required for Side Setbacks(Table 2 of the Zoning By-laws)for property located on 22 Upland Street(Map 67 Parcel 69)in an R-4 District. Notes: 1. This decision shall not be in effect until a copy of this decision is n=rded at the Essex County Registry of Deeds,Northern District at the applicant's expense. 2. The granting of the Variance and Special as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant mus abide by all applicable local,state,and federal building codes and tegulations,prior to the issuance Of building permit as required by the inspector of Buildings. 3. If the rights authorized by the Variance are not exercised within one(1)years of the date of the grant,it shall lapse,and may be reestablished only after notice,and a newhearing. a ) �J North Andover 2 WE' Board Gf Appeals Ellen P.McIntyre,acting Chairman Richard J.Byers,Esq.,Clerk D.Paul Koch Jr. Michael P.Liporto Tyler Speck I • Dedsron 20124038 I j ATTHBTi A True"Copy "Tou(rt Clerk i Page 2 of 2 �assachusetts G lspetrnent..Of Public Safety . . and a1 Bctilding egulations,And Stand r> s Comitrurtu,n Supervisor Lice—se: CS=026854 , PATRICK S CONL'� F , 101 BOARDMANTRE Haverhill MA 01835 Commissioner 06/2312014 . I i I .ZONING R-4: n<s7R1cr p— . OfllN A . a IR71 EL51Em gw�2D Prm M_+r!'u AAM A50 IT A! FRd1TA0E SO R _ No FS. 30 R. 99E 40 Pi. IS e m UR 9ewac u Fr Alm". n car. sr. Y,3i3 s.DF/ss. LOM PlM SCAM.r-ow _ I rw.) YIF USE L IOIAgwA(i1AAp WWE (sED ..- l�yxetood`E -- -- -------- 9 Y-� amma E1m7iim CAR= me' 10411? 0?C >EO 'la(M.) DA M4.0WYFE N �! SEOR c RDBPRT�P N:F11 A u.HOplEAIM . aw 3.f JESSICA M ERB DuSlING coNornoNs use l N...vvAARO leazr a+:AiAEE LOT B 9 i PROPOSED 4097 S.F. J.�� ss' ° (.._._. d' II 9 PN00ND RM11Y �HH Gp4E h 0 Y E RWER S�1 WAX 4 h V0 LL mw AMD Em E i$9011+E ml ) NORTH NDOVER ZO w HOARDAOf' APPFA a D t A A GROSS BOOR AREA I GS PROPOSED B m 1YNr. FIRST FLOOR– 990 SF FIRSFLOOR– 1,500 S.F. SECOND FLOOR– 990 S.F. SECOND FLOOR–1.500 S.F. wa or WSW— GARAGE– 1.104 S.F. TOTAL 3.084 S.F. TOTAL 3.000 S.F. A a v u :27 4YI aFhDu:.lt PxEc mR PLAN SHOWING PROPOSED BUILDING 22 UPLAND STREET NORTH ANDOVER, MASS. f HEREBY E6R7pi1,'1RAT THEPROPiRiY ONES v D D Eli RORm AYDOWE rust SHM R65 PLAN ARE THE ONES OF E1BSTtN6 PREPARED FOR:FREDERICK caPPETrA wim AIR w Isv.OEIND Er iso CD1Ku m.� O'NNER9RP�ANO 1NE LNES OF 1NE SIFEE7E AND DATE:FEBRUARY 74.2012 PMtN 6 MAffiEf,ERVBt• WAY$ST10Mi ARE THOSE OF PUBGC OR PPoYAIE SCALE 1'=2p• O PLWH DN IRE AYDE EisOc mim SRIEETS OR WAYS AIAEADY ESTAMMED,ATO w_ REy3 p.�. OtltdCc 1NAT NO NEW LDFS FQR E7DSRNC OMfR"jRP pt .N TDR 19 WAYS ARE M—. AND laX THIS CCIi'DRYTHE RULES Ai I EWLADDNi OF +�-6'or 721E 11EpDEEDS GF MAWAO USMS. mant9 V �1 PtAn/xx �i's�LAY5- 1 East 14—Fr.- REG. IH7f.LAND SURY .MEth..'Mm.Ore" RE PPtr 9.COodYBt n\+zVz-ww Pr'•E Ema su.reyor PYDvnADRD ZD 40 90 80 Ft. Net. REScheck Software Version 4.4.3 Compliance Certificate Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Glazing Area Percentage: 12% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 22 Upland Street-Unit B North Andover,MA .Compliance:5.9%Better Than Code Maximum UA:220 Your UA:207 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-oft rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. -- tik��f,`����7.n�.n����4,� (�,a�§ 4� • �,�,�`�'��'B�- rK�^� s" • -t �r v r t a�. � �•• ��,''�' i � t �;�.,vr+`F�"''�i"�� �"�,'�� ''� .,+'s-x'�nay«p,..•r.s,�'r��",'�;,�`a��'4�� 'r��'`�r ''`.:. xi-�afS`a,yl..��`'2 c�33'0_.-•i:"� • �.,�.�T .;. r Ceiling 1:Flat Ceiling or Scissor Truss 742 38.0' 0.0 22 Wall 1:Wood Frame,16"o.c. 1856 21.0 0.0 92 Window 1:Vinyl Frame:Double Pane with Low-E 155 0.300 47 Door 1:Solid 20 0.190 4 Door 2:Glass 60 0.300 18 Floor 1:All-Wood,Joist/Truss:Over Unconditioned Space 742 30.0 0.0 24 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 Inspect* hecklist. AA&2�, h Z' Z° 1 i Z'-' Name-Title Ignature ate Project Title: Report date: 12/12/12 Data filename: Untitled.rck Page 1 of 4 �M REScheck Software Version 4.4.3 Inspection Checklist Energy Code: 20091ECC Location: North Andover,Massachusetts Construction Type: Single Family Glazing Area Percentage: 12% Heating Degree Days: 6322 Climate Zone: 5 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.190 Comments: ❑ Door 2:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. 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-buming 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. Project Title: Report date: 12/12/12 Data filename: Untitled.rck Page 2 of 4 • (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. (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. (0 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: 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. Materials Identification and Installation: ❑ 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 clearly marked on the building plans or specifications. Duct Insulation: Cj 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: 0)Postconstruction leakage to outdoors test:Less than or equal to 118.7 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 178.1 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 89.0 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 59.4 cfm(4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: F-1 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: F-1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. n 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: ❑ Circulating service hot water pipes are insulated to R-2. LI 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: Project Title: Report date: 12/12/12 Data filename: Untitled.rck Page 3 of 4 [j HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: © 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. Ij 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: F1 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) i Project Title: Report date: 12/12/12 Data filename: Untitled.rck Page 4 of 4 ., 2009 IECC Energy �(j [efficiency Certificate F&MIMMO maw Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): .. Qi Window 0.30 0.70 Door 0.30 0.70 Heating System: Cooling System: Water Heater: Name: Date: Comments: