HomeMy WebLinkAboutBuilding Permit #671 - 305 BOSTON STREET 3/21/2012 (3)TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: `a / "
EWPORTANT• Applicant must complete all items on this
LOCATION �d�� &OJ 0-J -S,;7-
Print JPrint
PROPERTY OWNER
Print
MAP NO: /e7_/)PARCEL: _r ZONING DISTRICT:
TYPE OF IMPROVEMENT
JA New Building
❑ Addition
❑ Alteration
❑ Repair, replacement
❑ Demolition
PROPOSED USE
Residential
KOne family
❑ Two or more family
No. of units:
❑ Assessory Bldg
❑ Other
Historic District yes
Machine Shop Village yes
100 year-old structure 4�p no
DESCRIPTION OF WORK TO BE PERFORMED:
,�'U.�4Q ���W 51'•,>�Gc:� �/�-iyr.Z�'1� �.�/�zG.c'yJ`.c,
Non- Residential
❑ Industrial
❑ Commercial
❑ Others:
(Identification Please Type or Print Clearly)
OWNER:Name: s �t ® �� �� ES/ - G Phone: 6 0.?— 9W -e, 85-8
Address: 17 74flcve,,
CONTRACTOR Name:
Phone:��-
Address:
Supervisor's Construction License: d S w 6S J d3 (.
)Exp. Date:
1713
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEERh c rvS =L
Phonc:_ _17
Address: del6"* &-7.Ib F>cU.b 51�1_nf3uny MA_ Reg
FEE SCHEDULE: BULDING PERMIT. $92.00 PER $100d.o0 OF THE TOTAL ESTIMATED COST BASED ON.$125.00 PER S.F. =
Total Project Cost: �elvo �SOFE& $
Check No.: Receipt No.:j��
NOTE: Persons contracting wit nregistered co Tactors do not have access t�,*e guaranty fund
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well J Iiovp
Tobacco Sales ❑
Food Packaging/sales ❑
Private (septic tank, etc.
Permanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENT
CONSERVATION
COMMENTS
HEALTH
Reviewed
Reviewed
DATE REJECTED DATE APPROVED -17
on A
COMMENTS���_
a Z -f -2:>
'2-.
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: q/ Comments
Conservation Decision:
Water & Sewer Connectio
DPW Town Engineer:
FIRE DEPARTMENT - Temp
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions. d�3
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$1o0-$1000 fine
NU I tS and UA I A (t -or department use
❑ Notified for pickup - Date
Doc:.Building Permit Revised 2011 June/mi
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
u Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations. (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted'with the building application
Doc: Doc.Building Permit Revised 2008mi
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECT ON
n
OQ cocwrc ivrrcw 9-
BUILDING PERMIT # ( 091-13
acHus j
ADDRESS/LOCATION OF PROPERTY:_ Soo -604-on norc-ro
Map .D Parcell Lot Number 000 5
SUBDIVISION:
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY: OdAeuz_
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.
Permit Issued to:
TOWN ENGINEER,
CONSERVATION
- P--ANNINg-
APPLICANT SIGNATURE
7fro jazz � 'e�,5 K
_0rtV'_,e1 14,qrnr,1i0r7
ROUTING
SITE PLAN -DRIVE-WAY REVIEW Ci
DPW -WATER METER �' ' �" / �"
ln/k
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
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 671-12 on 3/21/2012 Date: October 9, 2012
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 305 Boston 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: King's Oak Properties, Inc.
17 Hillcrest Drive
Hampion Fall, NH 03844
Building Inspector
Fee: Pre Paid
Receipt: 25118
Cheek: 3139&31.40
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Gel ina5 5tructural �ngineerinq I LC Phone 978.465.6436
Daniel L. Gelinas, P.E. Fax Line 1: 978.465.5160
579A North End Blvd.
Salisbury, MA 01952-1738 email danlgelinas@comcast.net
LVL's per code
June 19, 2012
King's Oak Properties, LLCM?, Iq i 7j
Copy: Pat O'Grady, Jackson Lumber
—A L
Subject: 305 Boston:Street, North Andover 4
Dear Sir: �A��
ik
Gelinas Structural Engineering LLC (GSE) has been out to the site to observe the framing
It is GSE's opinion the LVL framing, as modified by the Jackson Lumber calculations, is substantially
complete and satisfies the intent of the design drawings and the IRC 2009 as amended by the
Massachusetts State Residential Code 8`h edition amendment
Please call with any questions
Very Truly Yours,
Daniel L. Gelinas, P.E.
V LVL's per code
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Heating Degree Days:
Climate Zone:
Construction Site:
305 Boston
North Andover, MA
REScheck Software Version 4.4.3
Compliance Certificate
2009 IECC
North Andover, Massachusetts
Single Family
17%
6322
5
Owner/Agent:
Tony Franciosa
Kings Oak Props, LLC
17 Hillcrest Dr
Hampton Falls, NH 03844
603-944-6858
afprops@yahoo.com
•MOM.
Compliance: 6.2% Better Than Code Maximum UA: 417 Your UA: 391
The % Better or Worse Than code index reflects how close to compliance the house is based on code tradeoff rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home.
Designer/Contractor:
Same
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Vinyl Frame:Double Pane with Low -E
Door 1: Glass
Door 2: Glass
Floor 1: All -Wood Joist/Truss:Over Unconditioned Space
1468
3024
449
61
12
1468
38.0 0.0 44
21.0 0.0 143
0.300 135
0.300 18
0.290 3
30.0 0.0 48
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
RESc�heck�Version 4.4.3 and to comply with the mandatory requirements liste he RESche�Inspeecldist.
Name - Title f Z--
SIg Date
Project Title:
Data filename: C:\Users\Franciosa\Documents\REScheck\Bungalow\38281624 2 story fr.rck Report date: 03/15/12
Page 1 of 4
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Heating Degree Days:
Climate Zone:
Ceilings:
REScheck Software Version 4.4.3
Inspection Checklist
2009 IECC
North Andover, Massachusetts
Single Family
17%
6322
5
❑ 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: Glass, U -factor: 0.300
Comments:
❑ Door 2: Glass, U -factor: 0.290
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 -burning fireplaces have gasketed doors and outdoor combustion air.
❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts.
Air Sealing and Insulation:
❑ Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7
ACH at 50 pascals OR 2) the following items have been satisfied:
(a) Air barriers and thermal barrier: Installed on outside of air -permeable insulation and breaks or joints in the air barrier are filled or
repaired.
Project Title: Report date: 03/15/12
Data filename: C:\Users\Franciosa\Documents\REScheck\Bungalow\38281624 2 story fr.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.
M Corners, headers, narrow framing cavities, and rim joists are insulated.
(9) Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall.
Sunrooms:
F1 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U -factor of 0.50 and the maximum
skylight LI -factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Materials Identification and Installation:
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:
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:
C] 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 181A or
UL 181 B and are labeled according to the duct construction. Metal duct connections with equipment and/or fittings are mechanically
fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet -metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).
Duct tightness test has been performed and meets one of the following test criteria:
(1) Postconstruction leakage to outdoors test: Less than or equal to 117.4 cfm (8 cfm per 100 ft2 of conditioned floor area).
(2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 176.2 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 88.1 cfm (6 cfm per 100 ft2 of conditioned floor area).
(4) Rough -in total leakage test without air handier installed: Less than or equal to 58.7 cfm (4 cfm per 100 ft2 of conditioned floor area).
Temperature Controls:
F1 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:
F1 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating (Sections 503 and 504).
Circulating Service Hot Water Systems:
Circulating service hot water pipes are insulated to R-2.
Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
Project Title: Report date: 03/15/12
Data filename: C:\Users\Franciosa\Documents\REScheck\Bungalow\38281624 2 story fr.rck Page 3 of 4
I
rJ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.
Swimming Pools:
C] Heated swimming pools have an on/off heater switch.
F1 Pool heaters operating on natural gas or LPG have an electronic pilot light.
C] Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar- and/or waste -heat -recovery systems.
Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a
minimum insulation value of R-12.
Exceptions:
Covers are not required when 60% of the heating energy is from site -recovered energy or solar energy source.
Lighting Requirements:
Ej 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 waft 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's').
Certificate:
A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R -values; window
U -factors; type and efficiency of space -conditioning and water heating equipment. The certificate does not cover or obstruct the visibility
of the circuit directory label, service disconnect label or other required labels.
NOTES TO FIELD: (Building Department Use Only)
Project Title:
Data filename: C:\Users\Franciosa\Documents\REScheck\Bungalow\38281624 2 story fr.rck Report date: 03/15/12
Page 4 of 4
U
Efficiency Certificate
Ceiling / Roof 38.00
Wall 21.00
Floor / Foundation 30.00
Ductwork (unconditioned spaces):
Glass &Door Rating U -Factor SHGG
Window 0.30
Door
0.30 NA
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments:
The Commonwealth ofMassachusetts
Department of lndustrial Accidents
Office oflnvestigations
600 Washington Street
s
Boston, MA 02111
www.massgov/claa
�plicant Tnformatin„
Workers' Compensation Ins
urance Affidavit: Builders/Contractors/Electricians/Plumbers
Name (Business/Organization/lndividual):
Address:_ / 7
City/State/Zip:�,p,...S a38Yy
Phone 3
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
2. KNemployees (full and/or part-time).*
I am a sole proprietor or
have hired the sub -contractors
listed
partner
ship and have no employees
on the attached sheet. t
These sub -contractors have
working for me in any capacity,
[No workers' comp. insurance
workers' comp, insurance.
5. ❑ We are a corporation and its
required.]
3. ❑ I am a homeowner doing all
.officers have exercised their
work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp, insurance required j
L/ --') S'f
Type of project (required): -
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10. ❑ Electrical repairs or additions
11. El Plumbing repairs or additions
12.[] Roofrepairs
13.❑ Other
*Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. I
i Homeowners who submitthis affidavit indicating they are doing all work and then hire outside contractors must submit anew 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.
I am an employer that is providing workers' compensation insurance for my employees Belo w is the policy and job site
information.
Insurance Company
Policy # or Self -ins. Lic.
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 Wider Section 25A ofMGL 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 ofthis statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ido Hereby certif deer• thepains andpenalties ofperjury that the informationprovidedabov is true and correct.
Si nature:
Date:
'none #: G v 3 -
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (circle one):
I. Board of Health 2. Building Department 3. City/Town CIerk 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:
,10 ColammoawealM of Massacltnsetis
Department of zudustxial Accidents
Office of Investigations
600 Washington Street
Boston, .M 0211 X
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