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Building Permit #62 - 415 SALEM STREET 8/1/2006
f NORTH 1 ° - TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SSACHU`+t'i n Permit NO: Date Received: Date Issued: / IMPORTANT: Applicant must complete all items on this page LOCATION / SO r v� 1 Print PROPERTY OWNER_ d� osT c L W Q14 Print MAP NO.: R 9 A PARCEL: ?Z,_ ZONING DISTRICT: 9rV13 ANn 1rCF nF III III BING HISTORIC DISTRICT YES ❑ a ■ a u n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential XNew Building XOne family E Addition ❑ Two or more family E Industrial ❑ Alteration No. of units: _ ;� Repair, replacement 0 Assessory Bldg Commercial Demolition J Moving (relocation) ❑ Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED gouJr- Identification Please Type or Print Clearly) I*f - OWNER: N Sig�4dFare Address: / S `;r ,r► c - Lf cA `� v /c a., � � � c+ �yt i9 ®' l CONTRACTOR Name: �',� �.� Phone: Address Supervisor's Construction License: 0c) 19 a,Exp. Date: « .a Home Improvement License: / d d2 Exp. Date:21,2a ARCHITECT,'ENGINFER Ja\) ) 1 JLA LIVA" Nanie: Phone X71 3TZ /0 7 �, y o / Address: ✓ Reg. No. 71J FEE SCHEDULE: BULDING PERMIT. PER $1000. 00 OF VIE TOTAL EST1,41AT D-fa&TWASED ON ,5125.00 PER S.F. Total Project Cost :$ =FEE:$ Check No.: _ Receipt No.:_ 501y1,Sv TYPE OF SEA ERAGE DISPOSAL Public Se1Ner �t�al Private (septic tank. etc. Tanning, Massage Body art _ Swimming Pools Tobacco Sales -- Food Packaging Sales Pernlanent Dunlpster on Site Electric \leter location to project ,M) 1 L: Pervons contracting with ruse,giveretl conlraclor.v th) not have access /U the guaranty �I it Signature of.Agent O��ner_© Signature of contractor Plans Submitted Plans WaiNed — Certified Plot Plan Stamped Plans THE FOLLONING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - L FORM PLANNING & DEVELOPMENT CO%MIN(ENTS DA TE REJECTED '—A'ater Shed Special Permit Site Plan Special Permit - Other DATE APPROVED DATE REJECTED DATE APPROVED CONS ERVATIO i COMMENTS DATE REJECTED DATE APPROVED 11EALTH ' ©� . r CO'N(MEN TS r'C1 ZV;7, c.3 S � toning Board of appeals: ariance. Petition \o: '.nine L`�'ri'•i,m r:r•_ipt : ul�n-I[ted `'- _-- I;Innin . 13r.ard Dccisi;�n: - ---- -- -----. -r- .murlent: .'Ito'ion .._'gnature & Date �'I'rllit 7i?1 tllll 'Cr -n 51te. .10 r7jjC :�uF.a"[I71CI1I :1`,;l;,t[;re.dL[�• �i f I BUildinv Setback Front Ward Side Yard Rear Yard Required Pro\ idc d Required ProN ides R.eq aired ProN ided F ' J y Dimension Number of Stories: __,z Total square feet of floor area, based on Exterior dimensions. T:2 Total land area, ,q. 11.: %—f ®- !Z/ 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 4 ❑ Building Permit Application ❑ Debris Removal Form ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses u- Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Form U ❑ 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 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 SER1'ICES DEPARTMENTM!"OR\105 Location wr JY - No. Date TOWN OF NORTH ANDOVEOf Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # f 19299 uilding Inspector PREPARED BY: SCOTT GILES, PLS 50 DEER MEADOW ROAD NORTH ANDOVER, MA 01845 =n WON '4M n UILT PLAN #415 SALEM EET R9� M A 01845 SCALE: 1 "=40' DATE: 8/17/2006 19.4y DRI ND Nag ,26 »w L OOS f STON f WgCC �r0 N co et Q WF#A7 3 AL W O H N vWi 7 O O OW io. 50.8' �N O00 :rN N co It N 25.1 ' 16.. TAX MAP 37B LOT 36 LOT AREA 1.426 AC. t 62,124 S.F. f C.B.A.=34,448 SF.f I CERTIFY THAT THE FOUNDATION SHOWN COMPLIES WITH THE ZONING SETBACK REQUIREMENTS. 1-8 WF#A6 WF#A5 2 ��PNVWF#A OF AL EOG KF#A3 209.8' AIL WF#A4 AIL '� WF#84 WF#B3 WF#BI EDGE OF WETLANDS WF#B2 WF#B1-A WF181-8 W05 0 28.5' k 8.0' h EX. CONCRETE FOUNDATION 22.5' 44.0' lo 63.0' _ S53'39'12"E 168.20 S A L E M S T R E E T 48.4' C �0) r1- 2 ZONING DISTRICT. R3 MIN. LOT FRONTAGE: 125 FEET MIN. LOT AREA: 25,000 S.F. MIN. SETBACKS _ FRONT: 30 FEET SIDE: 20 FEET REAR: 30 FEET t TOWN OF NORTH ANDOVER a4 0, Certific f r. --4 ccupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /1�00pl 19 9 4 0 bu—HdAg Inspector c u'. F CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Temporary Permit Building Permit Number 62(8/l/06 Date: January 18 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 415 Salem Street MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Robert DeLuca 415 Salem St North Andover MA 01845 BuildingIn pector Z-1 ti l S: VV v v 0 c N O C t,1 � C -T_ R m C p •CD ire m a uoCE N O w 0 d y E� ,� � c m I a� E y �O 3 = y � Ql32 o LlO y V m O w� m � Z O cm W Cos m' g. m -Ing C ce o c CL CLS a � E = m mS o � $ �mo� m t W H at "S Z �E w w tW.3 m a OD c g CO2 a mO� = N .0 = a -O f- r arm � Mry�� O CA Ci C43 0 as a CIO 0 v .CL y O cc C cc h CM c o aC co m 3 .o 0 0 oa cc a c Q � c CD Z CD CL y c a x W o u) 0 a ° d w ir. ca cn cn v v 0 c N O C t,1 � C -T_ R m C p •CD ire m a uoCE N O w 0 d y E� ,� � c m I a� E y �O 3 = y � Ql32 o LlO y V m O w� m � Z O cm W Cos m' g. m -Ing C ce o c CL CLS a � E = m mS o � $ �mo� m t W H at "S Z �E w w tW.3 m a OD c g CO2 a mO� = N .0 = a -O f- r arm � Mry�� O CA Ci C43 0 as a CIO 0 v .CL y O cc C cc h CM c o aC co m 3 .o 0 0 oa cc a c Q � c CD Z CD CL y c APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildin Peffni# # ADDRESS/LOCATION OF PROPERTY. LI(5 Map 37 8 Parcel 36 Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS RggUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION a PLANNING DPW - WATER METER FVI SEWERIWATER CONNECTION i'D "COTE ,PW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST Signature .=''e: �; *Oim revised 2006 04 Gerald A. Brown Inspector of Buildings Telephone (978) 688-95454 Fax (978)688-9542 CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCffiTECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I, JO ��/ %,L' HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED ATyl,�fAt&h J &E DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: DATE: 11107A7 7A REGISTRATION: InAAj-�, MOTE: ENGINEER "WET ST. ►:1 1 1. 1111. 1 C ll �"1\JUL%YJV III Vimll11UN"%j V Ju lm l./ i OFFICE OF BUILDING DEPARTMENT .. 1600 Osgood Street North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone (978) 688-95454 Fax (978)688-9542 CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCffiTECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I, JO ��/ %,L' HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED ATyl,�fAt&h J &E DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: DATE: 11107A7 7A REGISTRATION: InAAj-�, MOTE: ENGINEER "WET ST. ►:1 1 1. 1111. 1 C ll PREPARED BY: SCOTT GILES, PLS 50 DEER MEADOW ROAD NORTH ANDOVER, MA 01845 3 co F Vi0 ie N Lo rn t0 A 3 1 .8' 0 co[2--5-15'0:tNNIt 63.0' FOUNDATION AS -BUILT PLAN I CERTIFY THAT THE FOUNDATION SHOWN COMPLIES WITH THE ZONING #415 SALEM STREET SETBACK REQUIREMENTS. NORTH ANDOVER, MA 01845 SCALE: 1"=40' DATE: 8/17/2006 —DRILL HOLE 38-58, 8' 43, FND i'26„� C STS f w� TAX MAP 37B LOT 36 LOT AREA 1.426 AC.f 62,124 SF.f C.B.A.=34,448 SF.+ WF#A6 I WF#A5�D Y� OfWF�A3 19 WF#A4 WF�4 WF�3 \ WFjyIBi EDGE OF WENDS WFP2 WF,�S EX. CONCRETE FOUNDA77ON S53'39'12"E 168.20' SALEM STREET WF#A 1-B AL ,,4A2 WFiTA WF#A1-1 JdL 209.8' JdL WF#191-A WF#B1-B lct O c co _O N M O) v- 2 48.4' ZONING DISTRICT: R3 MIN. LOT FRONTAGE: 125 FEET MIN. LOT AREA: 25,000 S.F. MIN. SETBACKS _ FRONT. 30 FEET SIDE: 20 FEET REAR: 30 FEET w 1��RTM S '�/7SS4no CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Temporary Permit Building Permit Number 62(8/l/06 Date: Januga 18, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 415 Salem Street MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Robert DeLuca 415 Salem St North Andover MA 01845 Building In pector 0 .. 9 villp �o�w i T; APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Euildina .Permit # !� a r ADDRESS/LOCATION OF PROPERTY: „ /l Map Q Parcel 26 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 RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE -CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address SIGNED ROUTING 6ONSERVATION PLANNING 0 DPW - WATER METER NOTE ,��� �. DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 rA t Cm%1 LJJ v z o :a C V O C v Cr�� C= .�. ev m c = o h -12 C E c � L , ` V ! o m V � 0 O y �... cmei \0 sUS= E US co O y y vJ •� 0 OI m yN v) ►+r m USz C IS ^ CD w U CD0 y CD 4:D = C/) :5 0 '0 Cf COQ Cy CO m V! O O y Z m O :Cco c Q In o c .o = m ; = fV H COD W C F- .Lo C=o.. W *E S=C -13 ID 0 may O Vi cm a moo= g = s CLO. Cc ::IN O O v C. O H o c CD W I O Ma O O �E m m CD CD Q CD �a W O. C* J O. O � C CD ci y cc c c cc CL C CO2 D w a U yTj A ,---� odOa � U L.)w �� w z Q O aait =, :3i O G w p q \,'') S cn cn rA t Cm%1 LJJ v z o :a C V O C v Cr�� C= .�. ev m c = o h -12 C E c � L , ` V ! o m V � 0 O y �... cmei \0 sUS= E US co O y y vJ •� 0 OI m yN v) ►+r m USz C IS ^ CD w U CD0 y CD 4:D = C/) :5 0 '0 Cf COQ Cy CO m V! O O y Z m O :Cco c Q In o c .o = m ; = fV H COD W C F- .Lo C=o.. W *E S=C -13 ID 0 may O Vi cm a moo= g = s CLO. Cc ::IN O O v C. O H o c CD W I O Ma O O �E m m CD CD Q CD �a W O. C* J O. O � C CD ci y cc c c cc CL C CO2 D fA rA tv A v 0 0 U u A O m p H o a W •H 0 c a O E dt .v* W A CD 0.0 4m,, ti d v u° C/)w° Cc: z a°G U w a RP w�' w a W m 2 cY w c� o cs: w a w v C m� o z cn cn c r- 0 �m c c ts goo c H O C ;vV .•0•o C0 LO :=c O O L- CDs a o0 c0 CD � O C a 42 m C z� y � m J=m � c H m m 0 C.3 Ce o O h �nOt" C `w H 0 = O m p H CL CLO„ , o$~ c ++ •H 0 c W E dt .v* C.3 CD 0.0 4m,, ti d O 0 0: _ ` Co.) F Z +0+ d_.+ m E cr _H t N h c O ch omc cm m 0 cm c �C N m Z O Z O N y co .y CLO L CD C Q co ca cc C+* O ca CL h C O V O Of NORTII Ati TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 9SSACHO`'Et Permit NO: Date Issued: LOCATION IMPORTANT: Applicant must i vy J)qLk-r) Ae Date Received: all items on this _ t int ORPROPERTY OWNER 0� r i "� 5 c L44, Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Phone: Signature Address: CONTRACTOR Name: Address: Supervisor's Construction License: Home Improvement License: Phone: Exp. Date: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ x10.00=FEE:$ Check No.: Receipt No.: TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ F1Tobacco Sales ElFood Packaging/Sales 11 Well F1 Permanent Dumpster on Site El Private (septic tank, etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Plans Submitted ❑ Signature of Contractor. Plans Waived ❑ Certified Plot Plan ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM Stamped Plans ❑ DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED ❑ ❑ DATE REJECTED DATE APPROVED ❑ ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Water & Sewer connection signature & date Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: him- 1 1999_ Revised 06-01-02 DATE: 7 / , 06 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Telephone (978) 685-0950 Fax (978) 688-9573 DRIVEWAY PERMIT (Please Print) STREET & NUMBER: 4LIS f LOT NUMBER: CONTRACTOR: DG /ocS �� �O'!il TEL: 7( /�¢ -2705 OWNER: 4 C �L1�` 1�1!CC Y1 TEL: 70 - 3/7Z - 7cp7tl ADDRESS: 2Z W PROPOSED PLAN OF DRIVEWAY ATTACHED: PROPOSED SITE DISTANCE: DIG SAFE NUMBER: dA SITE INSPECTION IS REQUIRED BEFORE FINAL SURFACE IS INSTALLED AND A FINAL INSPECTION WILL BE MADE WITHIN 48 HOURS OF NOTIFICATION OF COMPLETION. INITIAL INSPECTION FINAL INSPECTION DATE: BY: DATE: BY: FAIL URE TO COMPLY WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT. APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROM MEETING ALL OF THE REQUIREMENTS FOR SAFETYAND DRAINAGE. A SEPARATE STREET OPINING PERMIT IS REQUIRED FOR WORK PERFORMED WITHIN THE STREET PA VEMENT. .ttachments made a part of this permit: morin U & Driveway Application Req irements Sketch "A" Proposed Driveway Plan,/+t 06-01-99 Sketch "B" Typical Drivew '1, 06-01-99))66 APPLICANT SIGNATURE: DATE: Ir DIVISION OF PUBLIC WORD SIGNATURE: DATE: !Form C' &- i)ri i,en,m, ,4pplicatioirs Rev 6-7-02 BOARD OF BUILDIN REGUU1T10N5 671 License: CONSTRUCTION`SUPERVISOR Number`tS 004429 Birthdate* - 944 ;Y, _ .Ec'p-3res•/1TJ t3U7 Tr. no: 839.0 ROBERT J DE 18 SYMONDS i READING, MA �aezw and standards Board of Building RtgCONTRACTOR HOME IMPROVEMENT Re9cstrati°n 102482 Exl►1 On 7128006 lugTYPB-Individual PT ROBERT) DELUCA RONA Deluca � ..✓ 18 SYMONDS WAY Adml�tOr READING, MA 01867 Commissioter License or registration valid for individui use only before the expiration dnlations soate. If d return Standards Board of Building Reg one Asbbup2place Rm 1301 Boston, Ms. a • 4v-afi 7 ..ro0411 iguaaNofll�ut s _-- j?C,1.' `P P' f.-�«w i'�ew+� Permit # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: 4599 Report Date: 07/11/06 Data filename: C:\Program Files\Check\REScheck\PL8721.rck Energy Code: 2000 IECC Location: North Andover, Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: Permit Date: 7-11-06 Compliance: Passes Maximum UA: 562 Your HomeSUA: 448 -> 2'03°/Better Than Code(UA`!, MENMEMEMEMMU Assembly Gross Area or Cavity R -Value Cont. Glaazing UA R -Value or Door 3136 13.0 13.0 PerimeterON ,) Window 1: Vinyl Frame:Triple Pane with Low -E: U -Factor Ceiling 1: Flat Ceiling or Scissor Truss: 2040 30.0 30.0 35 Wall 1: Wood Frame, 16" o.c.: 3136 13.0 13.0 126 Window 1: Vinyl Frame:Triple Pane with Low -E: 468 0.330 154 Door 1: Glass: 39 0.330 13 Basement Wall 1: Solid Concrete or Masonry: 2040 19.0 19.0 120 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 2000 IECC requirements in RESchheeck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designe Company Name Date Project Notes: Previously saved project information: COLONIAL HOUSE BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 4599 Pagel of 4 REScheck Software Version 3.7.3 Inspection Checklist Date: 07/11/06 Ceilings: ❑ Ceiling 1: Fiat Ceiling or Scissor Truss, R-30.0 cavity + R-30.0 continuous insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R-13.0 cavity + R-13.0 continuous insulation Comments: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/7.0' bg/4.0' insul, R-19.0 cavity + R-19.0 continuous insulation Comments: Exterior insulation must have a rigid, opaque, weather -resistant protective covering that covers the exposed (above -grade) insulation and extends at least 6 in. below grade. Windows: ❑ Window 1: Vinyl Frame:Triple Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1: Glass, U -factor: 0.330 Comments: Air Leakage: ❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: ❑ Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can 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 -factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: ❑ All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastio-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181 A or UL 181 B. Exception: Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. 4599 Page 2 of 4 Temperature Controls: ❑ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ❑ Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ 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 clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. 4599 Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Range("F) Heating Systems Non -Circulating Runouts Circulating Mains and Runouts Heated Water Low Temperature 120-200 Steam Condensate (for feed water) Any Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes NOTES TO FIELD: (Building Department Use Only) Insulation Thickness in Inches by Pipe Sizes 2" Runouts Fluid Temp. Piping System Types Range("F) Heating Systems Low Pressure/Temperature 201-250 Low Temperature 120-200 Steam Condensate (for feed water) Any Cooling Systems 1.0 Chilled Water, Refrigerant and 40-55 Brine Below 40 NOTES TO FIELD: (Building Department Use Only) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 4599 Page 4 of 4