HomeMy WebLinkAboutBuilding Permit #32 - 257 BRIDLE PATH 7/14/2009 BUILDING PERMIT NORTH
161tiO
TOWN OF NORTH ANDOVER 3� y '`- -* °
APPLICATION FOR PLAN EXAMINATION #
Permit N0: 3z, Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION. .257 i_,8 date P
Print
PROPERTY-OWNER . 11%e&a
- Print _
MAP NO: .t� PARCEL: ZONING DISTRICT: Historic District yes no
MachineShopVillage yes'
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ne of
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, repIa eemen Assessory Bldg Others:
Demolition Other
-:Septic. Well Fleodplain_� Wetlands g '� . -Watershed"D.istnct ;
Water%Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: j!72 60 Phone �-
Address: c=�'6-7 ;N/Z42CC-
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CONTRACTOR Name: %ARE/
g
Address �'` �IAAIJavu�
Supervisor's Construction License ��� �- _ _ . : Exp:-Date:
Home,Improvement License 1-2 �_ _ _ Exp. Date
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAUD ON$125.00 PER S.F.
Total Project Cost: $ k5, J--d U FEE: $ r�
C,l
Check No.: / 3 0 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner _ =L
Signature of conte ctor = -
Location
�-- Date `
No. ,
aR,
TOWN OF NORTH ANDOVER
41 9
Certificate of Occupancy $
Building/Frame Permit Fee $ �--
�CMUS
Foundation Permit Fee $
Other Permit Fee $ —
TOTAL $
_q �Check #:V
r
22404
Building Inspector
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Plans Submitted F1 Plans WF] Stamped Pla
Certified Plot Plan ❑ ns
aived ❑
`I PE-OF"-SEVJT—R—A DISPOSAL
-
Public Sewer ❑ Tanning/Massage/BodySwimming Pools
Art ❑
Well ❑ Tobacco.Sales ❑ Food Packaging/Sales El
Private.(septic tank,etc... ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
:.. DATE REJECTED: DATEAPPROVED
PLANNING & DEVELOPMENT El ❑
COMMENTS
.CONSERVATION Reviewed on Si nature
COMMENTS
HEALTH Reviewed on Si nature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Seaver Connection/s
Drivewa i Permit
APW Town Engineer: Signature. Located 384 Osgood Street
FIREDEPATIXIE.NT -Tem' Dumpster on site yes.. . no
Located'at V4 Mair Street
Fire bepartmentsignatureldate
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 apprrov2I of
Electrical Inspector Yes
No
DANGER ZONE LITER JURE: lies leo
MGL Chapter 166 section 21A—F and G min.$10o-$1000 fine
NOTES and DATA—(For department use)
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® Notified for pickup Calf Email
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Date Time Contact Name
Doc.Building Permit Revised 2014
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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
o Copy Of Contract
❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets.of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable) _
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the 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
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Doc:Building Permit Revised 2014
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✓!e elmmea�uaea�
Board of Building Regulations and Standards
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Construction Supervisor License
License: CS 66342
., Birthdate: 8/1511971
�wW
-- " Expiration: 81152009 Tr# 2233
i Restriction: 00
t DARREN MARTINO
44 ADDISON AVE EXT ��-
METHUEN,MA 01844 Commissioner
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,per ✓/ze Z1o..vmo�zcaea�i o��aaaa/zu�el�a
�\ Board of Building Regulations and Standards
U9HOME IMPROVEMENT CONTRACTOR
Registration: 124961
Expiration: 9/172009 Tr# 132544
Type: Individual
DARREN MARTINO
Darren MARTINO
44 ADDISON AVE.EXT. ,�„��,,,,`
METHUEN,MA 01844 Administrator
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_ DM Construction
Building with the QUALITY and aaracterof yesteryear.
44 Addison Ave Ext. j
Methuen, MA 01844
(978) 685-3037
Estimate Submitted To:
Margo Kealler
257 Bridle Path
Andover,MA
We hereby purpose to furnish the materials indicated and perform the labor necessary for the
completion of-
ROOFING
fROOFING & MISCELLANEOUS(See specifications sheet) j
All material is guaranteed to be as specified, and the above work to be performed in accordance
with the drawings and specifications submitted for above work and completion in a substantial
workmanlike manner in the sum of. Fifteen thousand eight hundred dollars-$15,800.00
Payments to be made as follows:
$2500.00 when work begins.
Remaining payments as work progress
Respectfully submitted: Darren M ' o _
Any alteration or deviation from the above specifications involving extra costs will be executed
only upon written order,and will become an extra charge over and above the estimate. All
agreements contingent upon accidents,or delays beyond our control.
Note-This proposal may be
withdrawn if not accepted within 10 days.
Proposal Date 07/03/09
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payments will be e as tlined above.
Date: Signature:
KEALLER RESIDENCE
Specifications Sheet
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PERMITS
DM Construction will obtain a building permit and dumpster permit j
GUTTERS
Remove existing gutters on the back of the upper area of the main house Remove the
existing gutters on the left and right side of the upper area of the main house from the back up
until the chimneys. Installation of new white aluminum gutters and downspouts where
removed This estimate does not include any other gutters other than those mentioned above.
DM Construction will clean out the remaining gutters and downspouts.
DEBRIS REMOVAL
A container will be placed on site to ensure a clean work site DM Construction is
responsible for all debris generated
CLEAN UP
Debris will be cleaned up and loaded into a container. Tarps will be installed in an
effort to protect the building and landscaping.
MAINHOUSE
The existing shingles*Y caps,drip edge, and felt paper will be removed Installation of
new white aluminum drip edge around perimeter of roof. Installation of Y of Grace ice and
water shield along the perimeter of the roof and in all roof valleys. Cut in and install a ridge
vent. Installation of 30 year I%O Cambridge architectural shingles on felt paper.(Color to be
determined)
*Note: This estimate includes stripping one laver of shingles only, if there is more than one
laver of shingles this will incur extra cost.
SUNROOM ROOF
The existing caps will be removed Installation of 30 year I%O Cambridge
architectural shingles over the existing shingles. (Color to be determined)
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MASTER SUITE ROOF
The existing caps and ridge vent will be removed Installation of 30 year ISO
Cambridge architectural shingles over the existing shingles.(Color to be determined)
AITCHEN ROOF
Installation of high density substrate over existing roof. Installation of a new rubber
roof. New rubber roof will terminate under the siding on the rear wall of the house.
Note: This estimate does not include the removal or replacement of any wall sheathing,roof
sheathing, or any other framing members that are damaged and may need to be replaced If
deemed necessary replacement will incur extra cost
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The Commonwealth of Massachusetts
ks ! Department of Industrial Accidents
1It Office of Investigations
>a 60 T
iiii0 Tf ashin n Street
1
Boston, MA 02111
c;
www_massgov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A-130licant Information
Please Print Legibly
Name (Business/Orgaoization/Individual): DAZr(E/U m ZI—M/J
Address: /SAD/f`6N irU:r t=�c7-
City/<State/Zip: /)Y_'17�VFJu 1n4 ()1 h'� Phone ----------------
Are you an employer?Check.the appropriate box:
1.❑ I am a employer with 4 F7. Re
oject(required):
❑ i am a general contractor and I
�playees(full and/or part-time).* have hired the sub-contractors []New construction
2 I am.a.sole proprietor or partner- listed on the attached sheet Remodeling
ship and have no employees These sub-contractors have
working for me."in an aci workers' comp,insurance. olition
y� tY i[No workers'comp,insurance 5. ❑ We are a corporation and itsng addition
3.❑ requ red.] officers have exercised their ical repairs oradditions
I am a homeowner doing a.il workright of exemption per MoL
myself. [No-workers comp, C. 152, §1(4),and we have no Plumbing or additions
insurance ired. t 12�oof repairs
] .employees. [No workers'
camp. insurance mquired.] 13-0 Other
Any appiicatit That checks bo>#I must also fill out the section below showing their workers'oompensation policy information.
r Homeowners who submit this affidavit indicating they are daring all work and then hire outside coniractars must submit a new affidavit indicating such
4Canttactors that check this box must attached sn addc"banal shoe;s,`,owir
the creme of the sub-contractus and the rk ers'r,T„
their wo ,..potic;:ntasrmstion.
I fo an employer that isprovrdtng:workers'compensation insurance or a to em Below is the o '
infor»urtion. f Y p kcy andjob site
Insurance Company Name:
Policy#or Self-ins. Lie.#:
Expiration Date:
Job Site Address:
City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the infarmadon provided above a true and correct
St tures.
-
Phone#:
OffiEDepartment
only. Do not write in this area,to be completed by city or town official
n; Pet mit/License#
ority(circle one):
ealth 2 Bnildi De rtment 3.Ci /Town Clerk 4.Electrical Ins ector 5. Plumbin Ins p g pector
on: Phone#: f
Information and Instructions
Massachusetts General Laws chapter 152 requires all emp 3 oyers 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'fore in engaged in a joint ente rise,and including the legal entatives of a deceased employer,or the
So S SaS J rP S Sa reptes
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 apa--ttnents and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work m such dweiling 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 compiem—tely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)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.. Aiso 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,not1he 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 numberlisted below. Self-insured comoaniPs should enter their
self imurancelicense number on the•appropriate fine.
City or Town Officinis
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
gown)."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 Mod out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e• a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
TeL# 617-727-4900 ext 406 or 1-8.77-MASSAFE
Revised 5-26-05 Fax#617-727-7744
www.mass.gov/dia
xAORThi
0 0 tAndover .
0%
No. 3a -
dover, Mass.,
T O
GOC HIC NE WICK
A
dRATED
`s BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
/ BUILDING INSPECTOR
THISCERTIFIES THAT...................wa'��;49...... ... .t�'C.�C. er"..................................... .................................... Foundation
k r
has permission to erect... .......... buildings on ..... .. ' j..........`ta........................... Rough
.......4............... ......................
to be occupied as.......3.7� . .... .........A. ...........!Q�.X.............................................................................
Chimney
provided that the person acceptin is permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions f the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough.
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONST I ST TS Rough
0
...... ........................................................................................................ Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
-Display in a Conspicuous Place. on the Premises — .Do Not Remove Final
No-Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
tocation �
Nb. L� 3 Date R-
NORT0y TOWN OF NORTH ANDOVER
O
41
f 9
+ ; Certificate of Occupancy $
Ar.o A Building/Frame Permit Fee $ ty
-1 C"Ust
Foundation Permit Fee $
f Other Permit Fee $
n� rr1
TOTAL $ -J,,
1
Check # L1 r Z
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`I4. 75
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
- , •r= „x,. ,.. �. ,: #i ":'Y�r:°_ .>..`n. .,....,,,. N zi;;,""'Yk° x Yva,xis'. "`;�,, „«.'.
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Buildin Commissioner/I7-r of Buildings Date - Q
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
(0 V
050 Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: ( -
Zoning Dis—Vic—t Proposed Use Lot Areas Frontage ft W
1.6 BUILDING SETBACKS ft
Front Yard. Side Yard Rear Yard
Required Provide Required Provided R red Provided
1.5. Flood Information: e on: 1.8 Sew
1.7 Water SnpplyM.GL.C.40. 54) d ZIf �8 l System:
Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑
—] >
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
j0.41110 p ^44449-r MO�JC ?Sa Z31�� p fd- \
a nnt) Address for Service
AA
P-103
re Telephone
2.2 Owner of Record:
AI
Name Print Address for Service:
��
z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
RTIAX
Licensed Constructton Supervisor: 0443V. 0
r Mid—Mew License Number
ddress 0 > i
3034? Expiration Date ic
Si re Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
.4AAfN
Company Name y M
Q UA1066
' AW MtMV&PO Registration Number
Add; rm
jwgwowunAMC fozo;- PX? Expiration Date ppyy t
Si Tele hone Y/
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SECTION 4-WORKERS COMPENSATION(XG.L. C 152 § 25c(6) '
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes......X No.......❑
SECTION 5 Descri tion of Proposed Work check all a llcable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Aherations(s) ❑ Addition
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
fig fW Mftat-' DSCanyiRXO"oEp
Ad
/Ylifc
Mr. XCAWj AWJ
r
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFjICIAL USE{3NL� ,
Completed by permit applicant
1. Building *//y� eA (a) Building Permit Fee
/�/fI At Multiplier C�
2 Electrical (b) Estimated Total Cost of
Construction / v
3 Plumbing Building Permit fee(a)x (b)
4 Mechanical HVAC
5 Fire Protection i
6 Total1+2+3+4+5 ec Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, b000i J"Aot"" as Owner/Authorized Agent of subject property
Hereby authorize 21*1�� /y1 r�/VD to act on
,. alf,in all matters re tiv authorized by this building permit application.
a
Si na caner Date
ION 7b OWNE AUTHORIZED AGENT DECLARATION
I, Aq"Ify ����,/�/� ,as Owner/Authorized iwent of subject
property i
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
PtIff ft
Ve. 11/3 ! 0
S' of Owner/ ent Date
NO. OF STORIES SIZE
R SLAB
SIZE OF FLOOR THVMERS lST Arl
2 3 RD
SPAN \
DUVIENSIONS OF SILLS
DINIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS lose
SIZE OF FOOTING X
Y
IS BUILDING O OLID R FILLED LAND
IS BUILDING CONNFUTED TO NATURAL GAS LINE AJO
NORTH
E
Town of
o
No. AR ql"?,&'0
A dover, Mass.,
Ab
S H �
BOARD OF HEALTH
Food/Kitchen
. PERMIT T Septic System
Q
oe THIS CERTIFIES THAT...... V�. ...' ..��'IA.lQ�6.o7I �E'f....... d�/fir............................. BUILDING INSPECTOR
Foundation
has permission to erect... 3.Q..�.y.3.I....� buildings on ... Z-1....aMIDI.E.....to—A.-j................ Rough
to be occupied as...X..� ....: .... 1� �........�I7I ..... / ICl/ ..... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By- ws 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
PERMIT EXPIRES IN 6 MONTHS Fina'
UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR
CRough
..... ..
................................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
NO � 037
•3
� �
APPLICANT A � N �A&TI PHONEje4a(
LOCATION: Assessor's Map Number PARCEL_?,
SUBDIVISION LOT (S)
STREET �iie//OG� �� ST. NUMBER ZS7
USE ONLY *****
V
ONS OF TOWN A2 TS:
�;P,�RVAON ADMINI ;TRATOR I DATE APPROVED C
afwvDATE REJECTED
COMMENTS d
opURI dvy/
.
TOrKMN& V DATE APPROVED
DATE REJECTED !M `
COMMENTS IUL)
blih
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED f
SEPTIC INSPECTOR-HEALTH DATE APPROVED 4
DATE REJECTED
COMMENTS O'3Z
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
08/11/01 15:58 FAX 978474 0148 PARK STREET TRAVEL X002
'down of North Andover �►�*�
Office of the Planning Department
F
Community Development and Services Division }
Nortih Andovex,Massacl=etts 01M
Heidi Griffin Teleplhorm(978)-688445M
Piartrxing Director
Fax(978)688-9542
Notice Of Decision a a
Any appeal shall be filed MM
Within (20)days after the
Date of filing this Notice . o' >:z
OM rn
In the Office of the Town.
p M.
Clerk . �o
Date: June 6,2001
Date of Hearing:April 17,2001 &
June 5,2001
Petition of: David and Margaret Scalier 257 Bridle Patti„North Andover,MA 01845
Premises Affected: 257 Bridle Path North'Andover,MA 01845
R.efcirring-to•the above petition for it special permit from the requirements of the'North..
Andover Zoning Bylaw Section 4.136,
So as to ilQow: ti>c co traction of a 6'x V deck and a 1,126 square£aot additiw,n to fife
first floor of the wdstiag dwelling;.and the�s of an existing shed witbn the Nora-Dasturlgmce
Zone of the watershed Protection District
After a public bearing given on the above date,the Planning Board voted to APPROVE,
the Special Permit for Watershed Protection District,based niton the-following conditions:
Signed•
,Alison Yescarbeau,Chairman
Cc: Applicant John Simonss Vice Chairman
Engineer Alberto Angles,Clerk
Abutters,,.; Rickard Rowen
DPW Richard Nardella
Building Department
Conservation Department
Health Department
ZBA
BOARD OF APFEALS bis-9541 BUILM240 686-9545 CONMVATION688-9S30 E ALTH M-9540 PLAla W06M9535
08/11/01 15:57 FAX 978 474 0148 PARK STREET TRAVEL 2003
257 Bridle Path
Special Permit-Wattashed Protection District
The Pla=in Board makes the (Allowing findings regarding the application of David and
Margaret KmUe3r, 257 Bridle Path, North Andover, MA, 01845, sWxnktcd on March 16,
2001, requesting a Special Permit unlet Section-4.136 of the Zoning By-Law to allow the
construction of a 16' x 31' deck and a 1,126 square foot addition to the first floor of the
odsting dwcft; and the rang of an existing shed within the Non-Disturbance Zone of
the Wataskd Panted ion District.
ENDINGS OF FACS':
In accordance with 4,133 the Pkaning Board makes the&d*that the intent of the Bylaw,
as well as.its specific atteaia,are met. Specdballytire Pig Board finds:
1. That as a reidt of the proposed consUwdon in ootoimct o-With other uses nearby,
there wM mt be my significant demon of the-quality or quantity of water in or
entmW Take Coc�ewick The Planning Board -bases its frndings on the
followirft facts:
a) 'The=istmig dvvclbng is NOT cont=ted to thv Tovm sewer system;however, as
part of this proposal the 1 wM be connected to the town sewer system
priorto the issuance of any hddingpermits.
b) A deed restrkft wM be placed limiting the types of£erdzers that can be used
on the site..
c) The topography o£tbe site wM not be altoered substantially.
d) The limit of daring.is restricted to the minimim =mary to construct the
In'opoW de*
e) Cert ation has been provided by a registered professional mincer t1Et the
installation of the deck will not have an effect on the quality or quantity of runoff
entering thewxat*d.protection,district.
fl The consWiction of the deck and the addition has been reviewed,by the town's
outside enoxa* consubm4 VHB, and with the application of the erosion
control use of organic lore nitrogen h rbTocm and codon of tbe.dwelling to
the mmiaipal sower, there wM be no degradation to the quality of q=* of
water in or eutcdc g Lake Cochi hew:i&
2. There is no reasonable alterative locawn outside the Xon-Mturbance Buffer Zone
for any discharge, structure or a,cth*,' associated with the proposed project as
almost the entre, lot is boated within the Non-DLftbe nce Zone and the Nora
Dimbuge Zom.
1
08/11/01 15:57 FAX 978 474 0148 PARK-a= TRAVEL 10004
In accordance with Swfion 10.31 of the North Andover Zoning Bylaw,the Planning Board
makes the ibIIowiDg findings:
a) The Specific site is an appropd& location for the proposed use as all £easUe
storm water and erosion controls have been placed on the site;
b) The use va not advemly pct the neighborhood as the lot is located in a
i
residential zone;
c) Tyre will be no mximm or serious hazard to vehicles or pedestrians;
I
d) .Adp#u to and appropriate,'AcHWn I ate.pta!vided the:pwper..aperation,eaf the
proposed use;
e) The Phmig Board also makes a q=ik fixiing-that the use is in harmony with
the general purpose rad intent of the North Andover Zubg Bylaw.
Upon rwebing the above kgs, ft planning Board approves this SpecW permit based
upon the following conditions:
SPECIAL CONDITIONS:
1) This decision must be filed withft North Essex.Rey of Deeds. The follow4
infivrmatian is inchxW as part of this decision:
a) Plan tkk& Watershed Special Permit Plan
257 Bridle Path
North Andover,MA
Prepared by: New England ring Servuxs
60 Beechwood Drive
North Andover,MA 01845
Scale: A"=20'
Date: March 15, 2001,revised April 19,2001,May 9,2001,May 25, 2001
&Jum 4,2001
r
b) The Town Phmoea shaIl approve any changes made to these plass. Aw changes
deemed sub tandd by the Town Plan= would require 4 pubhc Marin- and
modWeatian by the Planning-Board.
2) Prior to issuance of a building permit»
a) A performance guarantee of one thousand (51000) doAars in the form of a check
made out to tbs'Town of North Andover must be posted to in=*that constzuction
2
08111/01 15:58 FAX 878 474 0148 PARK STREET TRAVEL f�U05
WM take place in accozda= with the plans and the conditions of this decision and
to em-ae that the as-bunt plans%Q be submitted.
I
b) All erosion control yes as shown on the plan mit be in place and reviewed by
the Town Player.
e) No pestn&4 fell om or cbedcals smell be used m lawn care or m amtenance.
The applicant 01128 irtcorpomte tbh condition as a deed restriction, a copy of
the deed shah be submitted to the Town Planner and incWded in the file. �
d) The septic spm must .be abandoned and connection of the dwelling to the
mainicipal sewer must occur.'
e) The Board otualth M. st.insod-the site to-as=rtahrAU-contaminated-sbfi-has
been removed from the site.
3) Prior to release of the Performance Bond:
a) The appkent dwl submit an wbufft plan, stunped by a Registered PrAssional
Erngk= in Nfassacb efts that slows all constructioi6 including storms water
mitigation tr=bes and other pudud site ftturm This.es-bulk plan shall be
subwiited to the Town Plahner for approval Tbc apphomt must submit a
cion from the design engn w that the stile was constr i as sbovM on the
Wroved pk&
b) The Pluning BoW must by a majority vote make a finding-that the site is m
confozm=with the approved plan
4) In no bswm shall the applicard"s proposed constnution be allowed to finther i 4wA
the she than as proposed on flu plan read in Condition#1.
5) No open buniag shall be done cwt as is permitted during burning season under the
Fine Department regalakiom
6) The Contractor shall coWad Dig Safe at least 72 bourn prior to coming excavation.
7) The provisions of this conditional approval stall apply to and be bmdmg upon the t
appficaut,it's employees and all successors and assigns in interest or control
8) ills permit sbaD be doomed to hwx lapsed.alcor a.two- (2) year=padod from the date
June 6, 2043 on wbkh the Spinus Penoirt was gra Cued uulass substantial use or
cotometion bas commenced.
Co. Applicant
k"1i e
3
06/11/01 15:59 FAX 978 474 11 0148 PARK STREET TRAVEL Cj006
r Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
r�
WDA Form 5 — order of Conditlons 242-1070
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Genera! Information
Important:
When filling From;
out forms on North Andover
the computer, Conservation Commission _
use only the
tab key to This issuance it for(check one),
move your
cursor-do Order of conditions
not use the
return key. ❑ Amended Order of Conditions
To: Applicant
II Property Owner(if different from applicant):
David&Margret Kealler
aro Name Name
257 Bridle Path
Mailing Address Moffing Address
North Andover MA 01845 _
City/Town 'Stele zip Cede CityfTown State zip Code
1. Project Location;
257 Bridle Path North Andover
Street Address CWTouun
64 72
ASSessors Maplftt Number PsrceVLot Number
2, Property recorded at the Registry of Deeds for.
Northern Essex 1432
CPage
-
Book Page
Certificate(ff registered land) -
3. Dates:
_414101 5/16!01 515/01
Deto Notice of Intent Filed Date Public Hearing Closed A Date of Issuance
4. Final Approved Plans and Other Documents(attach additional plan references as needed):
Tii 'f 2Cuntj f-o.A me"V 25-q Brill P,.+k 3 t Ell REVS of
Dete
i itle
Date
Title _
Date
5. Final Plans and Documents Signed end Stamped by:
Richard Tangard
Nerve
6. Totail Fee:
(from Appendix B:Wetland Fee ranamittal Form) -
w'r�iortn5.00c•rBv,Ma
Pep.1 of?
Town of North Andover µaF?rN
Building Department -�� h ' ' y° o
c
27 Charles Street '' Z
North Andover, Massachusetts 01845 ti
(978) 688-9545 Fax.(978) 688-9542 �,�� -0
�•? oR�reo �Pay,t9
SSAC�US��
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and-a condition of
Building permit-# the debris resulting from the work shall.be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, s150a:
The debris will be disposed of in/at:
Facility location
ature of Appl' ant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
The Commonwealth of Massachusetts
Department of Industrial Accidents
d
w Office of investigations
Boston, Mass. 02111
workers'Compensation insurance Affidavit
/�1M Svc v
Name Please Print
Name
Location- ozf7
City AJ. .4 404 00✓tA Phone # t7F- 644C-3027
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers'compensation for my employees working on this job.
Company name: - -
Address
City Phone#
Insurance.Co.. Policy_#
Comp nv name
Address .
Cid Phone*.
Lnsurance.:Co. : - - Policy#
Failureto secure coverage as regUlred under Section 25A or:MGL t52 can lead to the impostpon of cnmmal penalties of Mine up tor$1,�OQ Q0
and/or one years'ittlprisortmerit-as retell_as-cMLpenalties-in-ttiel=-d-a=P WOM ORE)FF3 and:ajine_of�$IADO.W-a-day samnstme. I
understand that a copy of this statement maybe fohivardedto the office of Investigations of the DIA for coverage verification. !
I do hereby certify under the pains and,penalties of pequry that the information provided above is true and correct. f
Signature: Date IVT
Print name ��� N Phone#-�-�' "fs�
Official use only do not write in this area to be completed by city or town official'
City or Town Permit/Licensing
Building Dept
OCheck if immediate response is required E] Licensing Board
p Selectman's ice
Contact person: phone#: E] Health Department
Other
REGULATIONS
ON SUPERVISOR
its 066342
Tr.no: 2955
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jAdministrator
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Estimate Submitted To:
David and Margaret Kealler
257 Bridle Path
N.Andover, MA 01845
We hereby purpose to furnish the materials indicated and perform the labor necessary for the
completion of
Master Suite/kitchen addition/Miscellaneous renovations/sewer tie-in and various other
home improvements.(See specifications sheet)
All material is guaranteed to be as specified, and the above work to be performed in accordance
with the drawings and specifications submitted for above work and completion in a substantial
workmanlike manner for the sum of Two Hundred Fifty-Five Thousand Eight Hundred
Dollars-$255800.00
Payments to be made as follows:
$15000.00 when work begins
Remaining payments as work progresses.
Respectfully submitted: Darren Martino
Any alteration or deviation from the above specifications involving extra costs will be executed
only upon written order, and will become an extra charge over and above the estimate. All
agreements contingent upon accidents, or delays beyond our control.
Note-This proposal may be
withdrawn if not accepted within 10 days.
Proposal Date 6/27/01
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payments ili be made as outl' above.
Date: Signature: Q�
Kealler Addition and Renovation
Scope of work. Construction of an addition for the purpose of a P floor master suite and
an enlarged kitchen. CConsti ration of a new laundry room and relocation of T f loon bathroom.
Permits-The price o,f'the foll6wing permits required are included in this quote: building, electrical,
and plumbing..
Demofition- DNI Construction is responsible for all debris generated. A dumpster will be placed
j on site to assure a clean work site.
Excavation-A sewer line will be brought from the street through the driveway as outlined in
submitted blue print. The driveway will be repaired to match its existing condition. The existing
leach field and septic tank will be removed. The site will be excm�ated for the addition as outlined
on blue prints 3/4"stone will be under the cellar slab.* A temporary roadway will be constructed
to allow for truck access to the rear of the house. A perimeter drain will be installed and tied into
existing perimeter drain system. Erosion control and the infiltration area will be constructed as
outlined in blueprints. Damaged lawn will receive loam and be reseeded Several trees will be
taken down as deemed necessary.
"In the case that ledge is found to be in any area that requires excavation, this will incur
an extra cost, above and beyond that of the estimate.
Foundation-A concrete foundation will be poured as outlined in blueprints.
Driveway- The existing driveivay will be graded and returned to its existing condition.(Crushed
stone).
Cellar Floor-A 4"thick concrete floor will be poured to a smooth finish.
Frame- The addition and interior renovations will be framed according to submitted blueprints.
Changes from the submitted design can incur extra cost.
Siding- The addition will receive new siding to match the existing house.
Roof-Areas noted on plan will be roofed with 25 year shingles to match existing house. Ice and
water shield will be installed as noted on plan. Due to age, the elements, and different lots of
roofing, there will possibly be a difference in color of new to old roof.
Insulation-As rioted on submitted blueprints(Malls and Floors R_-19 Ceilings R-30)
Drywall Walls and ceilings to receive 1/2"sheet rock The ceilings will receive a smooth or
sand swirl finish
Kealler Addition and Renovation
Interior Painting New walls to receive a prime and 2 coats of finish(Benjamin Moore-color to
be determined). New trim to receive a prime and 2 coats of finish(Benjamin Moore-color to be
determined). Existing living room trim to receive a prime and 2 coats of finish and walls to
receive 2 coats of finish.
Exterior Fainting-Addition to receive 2 coats of paint to match existing house color. Decks
not included in this estimate.
Finish-Window and door trim to match existing, new doors to be solid masonite or 6 panel pine,
baseboard to match existing.
Plumbing-?he existing sei°er line exiting the rear of the house to the septic system will be
abandoned A new sewer line shall be run around the interior perimeter of the basement to the
garage and be lied into the new town sewer line. The existing water main will be increased to
accommodate the addition and renovations. Rough plumbing necessary for:Kitchen-sinks(2),
refrigerator ice maker, and dishwashers(2). %Bath-toilet and pedestal sink. Laundry-washing
€ machine. Master bathroom-Shower stall, sinks(2), toilet, and whirlpool jacuzzi. Alt plumbing
fixtures will be installed The cost of all plumbing fixtures is covered under an allowance. A gas
line will be run to the kitchen stove. A propane tank will be supplied and installed at the expense
of the homeownerfgas company. The cost of all appliances and their delivery is the
responsibility of the homeowner.
Heating Removal of existing boiler. Installation of a new Burnham oil-fired cast iron boiler
sufficient for entire house including new addition. New boiler to vent at existing location.
Installation of one 80 gallon super starer(indirect water Treater). New circulators to replace
existing zone setup New baseboard heat as required in new addition and existing sunroom.
Electrical-Demolition of all necessary wiring. Installation of new receptacles, GPI's, and
switches as required by code. Wiring as required for all appliances. Installation of ceiling
fixtures, closet lights, coach lights, vanity lights, and exhaust fans.(The cost of all lighting
fixtures is covered under an allowance) Wiring as required for new boiler,eater heater,
condenser, and air handler. New smoke detectors and upgrading of existing system as required
by code.
Note: Installation:of recess fighting is covered under the electrical f ixture allowance
HVAC-Installation of central air condition system to cover 2 zones(]zone consisting of the
master bedroom suite and the 2"a zone for the kitchen and existing swnroom. An American
Standard 2 112 ton condenser and matching air handler to be installed. Relocation of existing
condenser.
MarblelTile-Installation of marble,`tile in the master bathroom, new '; bath, and laundry room
floors. Installation of marble on the jacuzzi deck.(The cost of the marble,"tile is covered under an
allowance)
KeaHer Addition and Renovation
ALLOWANCES
The following allowances are included in this estimate. The allowances exist to cover the
purchase a f materials only, unless otherwise specified Any amount in excess of an allowance
will incur extra cost Any amount less than the allowance will-warrant a credit. Upon
completion of the project any extra cost or credits will be issued.
Plumbing Fixtures-$9000.00
This allowance includes plumbing fixtures in the kitchen and bathroom, including sinks,
faucets, shower units, shower valves, toiletes, etc.
Electrical Fixtures-$2500.00
This allo-once includes all light fixtures, specialty switches(dimmer, timer, etc.), exhaust
fans, coach lights, and recess lighting. The cost of the installation of recess lighting is also
covered under this allowance.
W1ndow1Door(Exzerior)-$6000.00
This allowance includes all window:s(including screens, hardware, grills, ext.,jambs,
specialty trim, etc)and exterior door units.
Marble/Tile-$3000.00
This allowance includes the cost of all marbleitile.
Carpet-$1000.00
Dim allowance includes the cost of the carpeting and its installation.
Har&P,ood-$8000.00
this allowance includes the cost for materials and labor for the refinishing of existing
floors as desired and the installation of new hardwood floors as desired..
Cabinetry-$25000100
This allowance includes the cost of all kitchen cabinetry, vanities, and their associated
hardware.
Countertop-$10000.00
This allowances includes the cost, template, and installation of all countertops(kitchen
and bathrooms)
Deck-$3500.00
This allowance includes the materials and labor necessary for a deck to be
constructed and preserved or painted.
Basement-$130#0.00
This allowance includes all materials and labor necessmy to repair the basement water
damage.
Kealler Addition and Renovation
Room by Room Specifications
L Kitchen
A. Hardwood flooring(Allowance)
B. Installation of cabinetry(Allowance)
C. Installation of countertops(Allowance)
D. Recess lighting(Allowance)
E. Painted walls and trim.
F. Cable and phone jack(l each)
G. Provisions for sinks(2),dishwashers(2), double oven,cook top,
refrigerator,freezer, and garbage disposal.
IL Master Bedroom
j A. Carpet(Allowance)
B. Installation of white wire closet pole and shelving in closets.
C. Ceiling fixure(Allowance)
D. Painted walls and trim.
E. Cable and phone jack(I each)
III. Master Bathroom
A. Marble flooring(Allowance)
B. Installation of vanity(Allowance)
C. Installation of countertop(Allowance)
D. Provisions for toilet,double sink,shower,and whirl pool.(Allowance)
E. Installation of exhaust fan(Allowance)
F. Recess lightinglvanity lights(Allowance)
G. Painted walls and trim.
H. Phonejack
L Installation of towel racks, robe hooks, toilet paper holders, etc.
Cost of these accessories is the responsibility of the homeowner.
Mirrors cover under plumbing fixture allowance.
IV. Laundry
A. Marble/tile flooring(Allowance)
B. Painted walls and trim.
C. Provisions for washer and electric dryer.
D. Ceiling fixture(Allowance)
Kealler Addition and Renovation
Room by Room Specifications
V. New Yz bath
A. Marble/tile flooring(Allowance)
B. Painted walls and trim.
C. Provisions for toilet and sink(Allowance)
D. If possible reuse existing kitchen countertop.(Allowance)
E. Installation of towel racks, robe hooks, toilet paper holders, etc.
Cost of these accessories is the responsibility of the homeowner.
Mirrors cover under plumbing fixture allowance.
VI. Existing Dining Room
A. Refinish hardwood flooring(Allowance)
B. Repair damaged baseboard and repaint as necessary.
VII. Existing Family Room
A. Refinish hardwood flooring(Allowance)
B. Paint walls and trim.
VIII. Existing Sunroom
A. Add central air
B. Paint new trim.
IX. Existing Foyer
A. Refinish hardwood flooring(Allowance)
B. Repair damaged baseboard and repaint as necessary.
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SECTION 2-2
Y4—1-0
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ROOF CONSTRUCTION NOTES
1. All New Roof Eaves To Be Provided With Continuous Strip Soffit Vents.
2. All Roof Valley Areas To Be Provided With Metal Flashing As Specified.
3. All Roof Shingles To Be Nailed Using Galvanized Roofing Nails.
In No Case Shall Any Areas Of Roofing Be Fastened By The Use Of Staples.
ROOF TYPE: 7
Contractor To Provide#235 Self-Sealing Asphalt Roof Shingles(To Match Existing)On#15 Fiberglass
Reinforced Roof Paper On 5/8"Exterior Grade CDX Plywood As Specified Roof Shingles To Be Fastened
With Galvanized Metal Roof Nails.
MATERIAL SPECIFICATIONS
A. NEW ROOF SHEATHING—5/8"CDX Exterior Grade Plywood
B. ROOF PAPER— 15 lb.Fiberglass Reinforced Roofing Paper As Manufactured By
Owens-Coming Or Equal
C. ROOF SHINGLES—235 lb. Self Sealing Asphalt Roof Shingles As Manufactured By
Owens-Corning,Bird,GAF,Or Equal
D. ROOF FLASHING—
1. FLASHING AT SIDING AND ROOF VALLEYS --Aluminum Metal Flashing As
Manufactured By Browning Metal Products Company Or Equal
2. FLASHING AT CHIMNEYS—Lead Flashing As Manufactured By Sandell Manufacturing
Company Or Equal
E. RIDGE VENTS,UNIFLASH VENTS AND SOFFIT VENTS—Continuous Aluminum Vents
As Manufactured By Browning Metal Products,Air Vent Inc.Or Equal
I,
o-
r
I I
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code } Permit # }
MAScheck Software Version 2.01 Release 3
I I
Checked by/Date
I
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 6-11-2001
COMPLIANCE: Passes
Maximum UA = 201
Your Home = 185
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
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CEILINGS 1126 30.0 0.0 39
WALLS: Wood Frame, 16" O.C. 808 19.0 0.0 48
BSMT: Conc. 8.0' ht/6.0' bg/0.0' insul 0 0.0 0.0 0
GLAZING: Windows or Doors 150 0.300 45
FLOORS: Over Unconditioned Space 1126 19.0 0.0 53
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COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with theermit application. The
P PP proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
- i
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
DATE: 6-11-2001
Bldg. (
Dept. (
Lase }
I I
( CEILINGS:
[ ] ( 1. R-30
( Comments/Location
I
( WALLS:
[ ] } 1. Wood Frame, 16" O.C., R-19
( Comments/Location
I
( BASEMENT WALLS:
[ J ( 1. Conc. 8.0' ht/6.0' bg/0.0' insul, R-0 (uninsulated)
( Comments/Location
!
( WINDOWS AND GLASS DOORS:
[ ) I 1. U-value: 0.3
I For windows without labeled U-values, describe features:
I ## Panes Frame Type Thermal Break? ( } Yes [ ) No
( Comments/Location
I
( FLOORS:
[ ) ( 1. Over Unconditioned Space, R-19
I Comments/Location
!
( AIR LEAKAGE:
[ ] ! Joints, penetrations, and all other such openings in the building
( envelope that are sources of air leakage must be sealed. When
( installed in the building envelope, recessed lighting fixtures
( shall meet one of the following requirements:
( 1. Type IC rated, manufactured with no penetrations between the
( inside of the recessed fixture and ceiling cavity and sealed or
( gasketed to prevent air leakage into the unconditioned space.
I 2. Type IC rated, in accordance with Standard ASTM E 283, with no
( more than 2.0 cfm (0.944 L/s) air movement from the the
( conditioned space to the ceiling cavity. The lighting fixture
( shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
}
( VAPOR RETARDER:
[ ) ( Required on the warm-in-winter side of all non-vented framed
I ceilings, walls, and floors.
I
I MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
( provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
I
I DUCT INSULATION:
[ ] ( Ducts shall be insulated per Table J4.4.7.1.
I
( DUCT CONSTRUCTION:
[ ] I All accessible joints, seams, and connections of supply and return
I ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used to transport air, shall be sealed
I using mastic and fibrous backing tape installed according to the
(
manufacturer's installation instructions. Mesh may tape be �
Y
( omitted where gaps are less than 1/8 inch. Duct tape is not
( permitted. The HVAC system must provide a means for balancing
( air and water systems.
i
( TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
( or automatic means to partially restrict or shut off the heating
I and/or cooling input to each zone or floor shall be provided.
I
HVAC EQUIPMENT SIZING:
[ } ( Rated output capacity of the heating/cooling system is
i not greater than 1255 of the design load as specified
I in Sections 780CMR 1310 and J4.4.
(
( SWIMMING POOLS:
[ ] i All heated swimming pools must have an on./off heater switch and
( require a cover unless over 20% of the heating energy is from
( non-depletable sources. Pool pumps require a time clack.
( HVAC PIPING INSULATION:
[ } ( HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in. ) :
I
I PIPE SIZES (in. )
( HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
E Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.0 1.0 1.5
( Steam condensate any 1.0 1.0 1..5 2.0
( COOLING SYSTEMS:
! Chilled water or 40-55 0.5 0.5 0.75 1.0
I refrigerant below 40 1.0 1.0 1.5 1.5
( I
CIRCULATING HOT WATER SYSTEMS:
[ ] ( Insulate circulating hot water pipes to the following levels (in. ) :
l
I PIPE SIZES (in.)
1 NON-CIRCULATING ! CIRCULATING MAINS & RUNOUTS
( HEATED WATER TEMP M : RUNOUTS 0-1" ( 0-1.25" 1.5-2.0" 2.0+"
I 170-180 0.5 I 1.0 1.5 2.0
140-160 0.5 I 0.5 1.0 1.5
( 100-130 0.5 ( 0.5 0.5 1.0
(
----NOTES TO FIELD (Building Department Use Only)-------------------------