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HomeMy WebLinkAboutBuilding Permit #909-12 - 358 DALE STREET 6/18/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received '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 `Sepic— 'Si. e �ri�zcaan ain *, ,, e an t0 e8tlr'd OWNER: Name: PTION OF WORK TO BE PREFORMED: /-- - 1/11 or rint Clearly) E Phone: ARCHITECT/ENGINEER 06Ln �fllqCr5' — Phone: Address .40 .No. 15 � q 1 FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ?I 00e) FEE: $ Check No.: 107 Receipt No.: 6 27 NOTE: Persons contracting with uIregiisteread co tr ctors do not have access to t guaranty fund a Signature ofAaen-ii -V-"n1-,E`t- Signature:of contractor -ocation No. Date &Ahz Check # /07� 25427 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ /00— Other Permit Fee $— TOTAL KtAlding Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer +' Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM LANNING & DEVELOPMENT COMMENTS �j/j reau, ye* C NSERVATION COMMENTS s HEALTH COMMENTS DATE REJECTED Reviewed on (/ - r s ��--�•IVA Q I/ -/s Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Conservation Decisi Nater & Sewer Connection/sic a VPW Town Engineer: Signature: Comments Com Zoning Decision/receipt submitted yes 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 Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building'Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products d OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products DOTE: 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 CO) m m m X m m Lmmm�jl U) 10 OD � Z C Cr Q > co .a o 00 CD CL c cr 2) CD O CD . O 5"= CO CD CD O JWi 10 n U) y CD CD CD N� U) v Z CD O CD � co I C (D (p 0PN '* C T � 3• O d C 0000 3 N O N ;2. (p O C T �' N Z7 O C OG S T _ OO CQ QU (7 Ttl-D T (D m � r, m C ^ c , CD N N0 O O - CD d•cZi m su 00 m fm1 v 0 3 _rt C1 O z� _ y Cl) a v �v Cl) n O � � Z r �Q Z Z m O 70 . < — 0= 10 r -N =_ < C Cl) - 5 O n CD � m O C CL C-) Z U U) � O O a" ,Of FD' TI CD CD CD CD 2 O D Q O � O � co NCL O n O =CD CD O CD .a Q —4 � C O O co:� to CD C 7 y -� _ O G CD s p =r Q CD (n_ . < Qco Q (A O < U) �. O 0. CDN CD O :J rt =; H 0.� 7 CD C r- cft CD rt N C) \' • 49 Ln p (D co I C (D (p 0PN '* T � 3• O d C 0000 3 N O N ;2. (p O C T �' N Z7 O C OG S T _ OO CQ QU (7 Ttl-D T (D CD C=D' r, m C ^ c , CD N N0 O O - CD d•cZi m su r•� � � fm1 v 0 3 _rt C1 O w / H ©m _ y v Ln p (D co I C (D (p 0PN '* T � 3• O d C 0000 3 N O N ;2. (p O C T �' N Z7 O C OG S T _ OO CQ QU (7 Ttl-D T (D 5 r, m '9 R 0 W n `\� d•cZi v fm1 H w / H ©m _ y ,qm GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations '/Y " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. '/z of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 4" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 909-12 on 6/18/2012 Date: November 30, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 358 Dale 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: Stephen Smolak 762 Dale Street North Andover, MA 01845 Fee: Pre Paid Receipt: 25427 Check :1079 19 Building Inspector O1, r... '•' •• •. APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION "r`° CHUBUILDING PERMIT # d A`�+ ADDRESS/LOCATION OF PROPERTY: J D �S�` Map L 4 Parcel Lot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: 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 DOkS NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued Address: 76 - Q, /(g J Ian KO UT1NG TOWN ENGINEER, SITE PLAN — DRIVE -WAY REVIEW 7J L/ CONSERVATION �m ll — _ �" PLANNING DPW -WATER METER SEWER CONNECTION [I (gv- DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW_ SI File: Application for OC form revised Jan 2007/2011 TURE M PERFORMANCE AIR LEAK TESTING, LLC 100 MCINTOSH LANE HAMPSTEAD, NH 03841 Duct Leakage Test Form for M► (;We, Compliance Cli l ff EM90n Name: u Address: City/State/Zip//, v Phone: Email: Mon Location: X5 C L W Type of Test: 0 Tot-aT" to Outside Approx. Floor Area Served: I CIL, J CFM Leakage at 25pa: (o Approx. % leakage for single system*: Svstem g a Location: Type of Test: 0 Total / 0 to Outside Approx. Floor Area Served: CFM Leakage at 25pa: Approx. % leakage for single stern*: Location: Type of Test: 0 Total / 0 to Outside Approx. Floor Area Served: CFM Leakage at 25pa: Approx. % leakage for single system*: 6- juiltling,laformoo Address: 5�3 p� sT City/State/Zip: (..Nd M5 Test Date: 1 1- z v — Test Time: -10 - I 5 - Point Point of Construction: 0 Rough Final Location: . ►! K _v Type of Test: O Total /)0 to Outside Approx. Floor Area Served: CFM Leakage at 25pa: Approx. % leakage for single system*: SMOSM# Location: Type of Test; 0 Total / 0 to Outside Approx. Floor Area Served: CFM Leakage at 25pm Approx. % leakage for single system*: QMbined Total Conditioned floor area: Leakage limit: 0 6% 08% 12% _ Leakage limit: $ cfm@25 . Combined leakage**; a cfm 25 2009 IECC Compliance: Pass 0 Fail ;Approximations for single systems are for diagnostic use only. **Total combined duct leakage is required for 20091ECC Compliance. s that this test was performed in compliance with applicable standards: /'L0—/ Z— P9,RFORMANCE AIR LEAK TESTING, LLC 100 MCINTOSH LANE HAMPSTEAD, NH 03641 S Post -Wt Base&m insure:_ {Pa} Fan Modd/sk. that the tem r sperformed in comphance with a li ab* sundards: 1Z_ ` Date t Name: Address: City: � �oV�� UatQ State/Zip: 6119 Phone: `l' 7 7 10 .' 'rime: ill Email: jVjgftUkt.& (if dlfferent from above) 2 Floor Area (ft): J �� Street: City/State: Ga�x�s�s• S Post -Wt Base&m insure:_ {Pa} Fan Modd/sk. that the tem r sperformed in comphance with a li ab* sundards: 1Z_ ` Date t ill S Post -Wt Base&m insure:_ {Pa} Fan Modd/sk. that the tem r sperformed in comphance with a li ab* sundards: 1Z_ ` Date t APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION 'Qq tOtNK twKw � ` T ` oaP't 9SS CALUI � 5 BUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY: S LA- JS - Map L 4 Parcel Lot Number —216 SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: 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 D0�S NOT MEET ALL APBLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: � /` e 5�)4,� (� Address:_ 76 c / a, /o— SI ROUTING TOWN ENGINEER, SITE PLAN —DRI—VE-WAY REVIEW C%r J V CONSERVATION PLANNING DPW -WATER METER �� O- 19z SEWER CONNECTION off. DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST SI File: Application for OC form revised Jan 2007/2011 TURE I P�WORMANCE AIR LEAK TESTING, LLC 100 MCINTOSH LANE HAMPSTEAD, NH 03841 ftgr-Thdibms 12g EM es Press. Basekne swoPress Fri (ft)Insuted &L ftft Primo Fhm (pa) (dm) so D3 Am pan pre" buta-tod Name, Address: Date: City: state/zip. XI .Phone: Time: Email: %dkgra-Adgan (if different from above) post -W, Bawipe Pressure:-- Fan ModeVSW. CFMW-t ACH50: (Ra) Fir Area M. City/State: es Press. Basekne swoPress Fri (ft)Insuted &L ftft Primo Fhm (pa) (dm) so D3 Am pan pre" buta-tod Am (chn) post-test Basei'me Pressure-` 'b . tva) FanMOW/SN: ICOL) ftaft CFM50; lqc)5— ACHSO:— 5 - --- 'that tbt- .,41, D2 Owess'. -- Press: - To Pre-test 8ml e Pressure: Ble3pfes& Am pan pre" buta-tod Am (chn) post -W, Bawipe Pressure:-- Fan ModeVSW. CFMW-t ACH50: (Ra) Date a r PERFORMANCE AIR LEAK TESTING, LLC 100 MCINTOSH LANE �}HAMPSTEAD, NH 03841 Duct Leakage Test Form for MA Code. Compliance Client Information Name: �, l Address: 7Gz l � 7' City/state/Zip•�— cfm@25, Phone: 2 / Email: 0 Fail 7 Siem #1 Location: T ype of Test: 0 Total`�-O to Outside Approx. Floor Area Served: 41 /1 CFM Leakage at 25pa: �o Approx. % leakage for single system*: §Wem#3 Location: Type of Test: 0 Total / O to Outside Approx. Floor Area Served: CFM Leakage at 25pa: Approx. % leakage for single system*: S ste � Location. Type of Test: 0 Total / 0 to Outside Approx. Floor Area Served: CfM Leakage at 25pa: Approx. % leakage for single system*: 09 Building Information Address: Sia pALZ- sT City/State/Zip: t!d ov % )714x5 Test Date: - Test'Time: (? • j j Point of Construction: 0 Rough Final jI tEm�2 Location:\T)-; C Type of'Test: 0 Total0to Outside Approx. Floor Area Served: 1 CFM Leakage at 25pa: Approx. % teakage for single system*: j Srrstem # 4 Location: Type of Test: 0 Total / 0 to Outside Approx. Floor Area Served: CFM Leakage at 2'5pa: Approx. % leakage for single system*: Combined Results Total Conditioned floor area: s . ft. Leakage limit: 0 6% 08% V 12% Leakage limit: -5 u cfm@25, Combined Leakage". aq cfrn 25 2009 IEC00ompliance: Pass 0 Fail 7 Approximations for single systems are for diagnostic use only. `*Total combined duct leakage is required for 2009 IECC Compliance. s that this test was performed in compliance with applicable standards: /.LO -/Z - Date I ii m m m m y m m v 0 C - � N 0 10 0 CD 0 z N m 0 � CLo ca U' �0�, vCD �p O CL C � � — CD, M o ca CDCD - CL v U CO0 cn CD � v O 10 0 O 0rmq70 CD 0 CD Q N W m v T W O R N OO < T ::0 T T O ao CD O tipj m m 11�,rD - N cn m v M DW ��� p D T O M ^} M `�� z b cnz 0 m 0 O c _ co 10 o O a� z � cn z O z: co) : O u P -A 0 0 _ vOi = CDD •a < CO c �•CD � CD M CL o' c v: s -0 vi v U)N °r CD c O O '" =- O CO) W � CD r -IL y O CD D e. O N O. O O 0 c0 CL O N G O O O S 0 CD ID 'a — Rr o0(a cn CD =r Q D m cn ,. r.0 CD N O � = .,, as < rL �CD �» CD D , •� o (0 O Com. D 'D �. CD -0 O ci � O Q O t N N W m T W O R N OO < T ::0 T T O ao CD O tipj m m 11�,rD N j� m v M DW ��� p D T M ^} `�� z b m 0 m 0 O c _ CI C P -I Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: Climate Zone: Construction Site: Dale Street North Andover, MA REScheck Software Version 4.4.3 Compliance Certificate 2009 IECC North Andover, Massachusetts Single Family 14% 6322 5 Owner/Agent: Compliance: 6.5% Better Than Code Maximum UA: 387 Your UA: 362 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: Ceiling 1: Flat Ceiling or Scissor Truss 1696 38.0 0.0 51 Wall 1: Wood Frame, 16" o.c. 2784 21.0 0.0 135 Window 1: Vinyl Frame:Double Pane with Low -E 316 0.300 95 Door 1: Solid 38 0.190 7 Door 2: Glass 60 0.300 18 Floor 1: All -Wood JOist/Truss:Over Unconditioned Space 1696 30.0 0.0 56 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 Insyd6ibn Checklist. Name - Title Project Title: Data filename: Untitled.rck Signature Date Report date: 06/15/12 Page 1 of 4 REScheck Software Version 4.4.3 Inspection Checklist Energy Code: 20091ECC Location: North Andover, Massachusetts Construction Type: Single Family Glazing Area Percentage: 14% 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/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated (without insulation compression or damage) to at least the level of insulation ori 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: 06/15/12 Data filename: Untitled.rck Page 2 of 4 S (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. (9 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: Q 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. F-1 Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R -values and glazing LI -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: F1 Building framing cavities are not used as supply ducts. rl 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). Lj 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 225.3 cfm (8 cfm per 100 ft2 of conditioned floor area). (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 337.9 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 169.0 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 112.6 cfm (4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: ❑ Where the primary heating system is a forced air-fumace, at least one programmable thermostat is installed to control the primary heating system and has set -points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Ll 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: Ll Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. F1 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. F1 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: 06/15/12 Data filename: Untitled.rck Page 3 of 4 4 ❑ 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. L) Pool heaters operating on natural gas or LPG have an electronic pilot light. rl 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. F1 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: Li 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: Lj 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: Report date: 06/15/12 Data filename: Untitled.rck Page 4 of 4 Q(2009 IECC Energy j Efficiency Certificate CeiiiFig i ROOf 36.06 Wall 21.00 Floor / Foundation 30.00 Ductwork (unconditioned spaces): Window 0.30 0.70 Door 0.30 0.70 Heating System: Cooling System: Water Heater: 71 Name: Date: Comments: o xXXX � �ooQo Z UUvfa = � Z _ � z Q m U p (V VJ OL 0:3 +- � C) z z 61L8-trL�CSL6) VW "ZGAOG ` V HIZ�4O `t o X810 .� I CIc10)CI INAE)ga4 i?G ��A�1(3 A-1'00 R SINNCtVW 'VtliN17W 1�iOII�)R' I1G IOO �1f a I Ga(DO _ lOwl I �J19 N(11b2IQ I `t ✓I ICS ' `l I' I I `t �l C� C�C� 0 4 i Z O C Q U r — p�Z pZ UU UU Op 'ILL Qu 3Z2! QLL 8 o U Q � till U m LU al N3 Usk 7 N � d U — X� i�L oLL r r o� p�0 0 Z Z z •.•� . 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THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED STEPHEN SMOLAK 762 DALE ST INSURERA: PENN -AMERICA INSURANCE CO. INSURER B: INSURER c: NO. ANDOVER, MA 01845 INSURER D: INSURER E: MED EXP (Any one person) $ 5,000.00 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR LTR AU INSULI RD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) EPIN DATE MM/DD/YYI LIMITS A REPRESENTATIVES. GENERAL LIABILITY ✓ COMMERCIAL GENERAL LIABILITY CLAIMS MADE r,/] OCCUR -PAC691 3394 06/08/2011 06/08/2012 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurence $ 50,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000.00 POLICY PROJECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT is ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER NORTH ANDOVER BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1600 OSGOOD ST DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NORTH ANDOVER, MA 01845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A nnen e AUTHORIZED REPRESENTATIVE 0 Af fTO l (VA00n0AT1f%L1 4000 Z > a �z �M c� A a I � 7 \\ \\ \ \\ \/ I 4 4 C> I ov I \ \ \ \ 100 1 �.�. � \� ��g, C\ y � �\ \ � I l l l • � Il 11 11 �i / / 01 i 3 o d coMMO �. SFR Sll�sn Ivzj; / i g/r1H i i /01 z d > � a z bo r d0 z o 4. Of tu Y g W a, 513. y mob z a w a04 01-- O $ _ Ix F ti W �' Ali � N. ,;I il I" i mai Z N K i rS ai n 4i d d f 6 •� Z 6 o n o Sii� a /Nm / ■g // / /�// // ��•// / / W W '01 cr- / Ile V) L. .L. 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