HomeMy WebLinkAboutBuilding Permit #849-12 - 42 EMPIRE DRIVE 5/31/2010Permit NO:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
Date Issued: S %r
ORTANT: A plicant must complete all items on this naize
9 __�-e7--M"
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PROPERTY OWNER D.fZCNAK19 V iLL A(�e- LZ -c- Unit #
Print
MAP N01Q7C_ PARCELj/902ZONING DISTRICT T Historic District yes
Machine Shop Village yes
100 year-old structure yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
ne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
• �IpTrtic ®W ll u
_
®,Fticip iii fOWetlandsJ .w,diDs..R-
.-
.
I�?"Wate
r/Sewer`'
lir aUKW HUN UP' WORK TO BE PERFORMED:
2'/2- Q —5 141_L ('- 4 Y LI e, ir-, PA r, i—
(Identification Please Type or Print Clearly)
OWNER: Name:►2 c �� I QL 14�� c L c Phone: �'Zfz f /-300
Address: -01 tkM9P)Nq N s1frP4_ (QCCUsc,�qNn M4 I AC3C/
CONTRACTOR Name: �f Phone:
Address:1ij(Z;g f--k_Pcr goo 67 t1 N12
Supervisor's Construction License: Exp. Date: 3�
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Dmk) Phone:
Address: I9�'� T� l41 �1ree"F�- r I� b �' 3Reg. No. � % 7
FEE SCHEDULE. BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F.
Total Project Cost: $--REFEE: $
Check No.: `;19
Receipt No.:
NOTE: Persons contracting with unregistered contractors Flo not have access to the guaranty fund
IJD
Location r CoPN
No. F '/�� / 2- Date
-�)9/
Check #
25343
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
building Inspector
Plans Submitted U/ Plans Waived ❑ Certified Plot Plan M Stamped Plans
TYPE OF SEWERAGE DISPOSAL,
Public Sewer �L►�J
Tanning/MassageBody 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
PLANNING & DEVELOPMENT
COMMENTS
DATE REJECTED
■❑
DATE APPROVED
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
S -31-1Z o/
Water & Sewer Connection/si natu Drivewa Permit
DPW Town Engineer: Signature:
Located 84 Osgood Street
FIRE DEPARTMENT - Temp Dump r on sit yes no
Located at 124 Main Street
Fire Department signature/date2—
nnr ,rn ,r�rrro
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 servicedroprequires approval of
Electrical Inspector Yes
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21 A —F and G min.$100-$1000 fine
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
❑ 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
m ust be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
01 NO pT��1,y
r
SSA[HUSE
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 849-12 on 5/31/12 Date: August 22, 2012
THIS CERTIFIES THAT
Orchard Village LLC
THE BUILDING LOCATED ON 42 Empire Drive (Lot 9)
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: Orchard Village LLC
277 Washington Street
Groveland, MA
01834
Building Inspector
Fee: PrePaid
Receipt: 25343
Check: 2959
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EMPIRE DR.
L
LOT 10 ---1 13
ti
3 � QS
34'
28'
622'
1 — — — — — — i
I LOT 9 I
L
FOUNDA TION L OCA TION
CLIENT- ORCHARD VILLAGE, LLC
THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT
LOCATION: 42 EMPIRE DR. NORTHANDOVER,MA.
DATE -5125112 SCALE.• 1 "30'
EASEMENT
12'
w
LOTS
OF S
S
MICHAEL 9�'S
J. G
SERGI rn
No.33191 h
�OFESSlo�P
SURVO��
THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY
PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH
THE WRITTEN PERMISSION OFCHRIST14NSEN & SERGI INC.
FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY
OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS
PROHIBITED. CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY
FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY
INFORMATION CONTAINED HEREON.
BASED ON SCALED DATA ONLY THE PRIMAR Y S TRUC TURE
SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS SHOWN
ONFEMA FLOODINSURANCERATEMAP.COMMUNITYNO.:250096
0008C DATE&W19932ONE.'X
PROFESSIONAL ENGINEERS & LAND SURVEYORS
CHRISTIANSEN & SERGI, INC.
160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830
WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960
D WG. NO.: 06029.001.047
00,
3`� vt ti°•6 OL
APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION
K y eya �
�'9S`r�rEn ^pP`�gy BUILDING PERMIT #
SACHUS
2/YI
ADDRESS/LOCATION OF PROPERTY: X4Jn%�� QlOfJC
MapQ Parcel /2- Lot Number �/
SUBDIVISION:
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY: �o� 8 /
71
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to: (}%2(fV149D FI a LLA6.e Z_ Z_
ROUTING
TOWN ENGINEER, SITE PLAN - RIVE -WAY REVIEW]
e"I'D
CONSERVATION z
PLANNING
DPW -WATER METER
SEWER CONNECTION
4A
7 42 V11 _; z
C�
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
SIGNATt•�
File: Application for OC form revised Tan 2007/2011
APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION ..
BUILDING PERMIT
ADDRESS/LOCATION OF PROPERTY: Aloc-
Map QParcel %2,— Lot Number
SUBDIVISION:
DATE REQUESTED FILED/READY FOR INSPECTION:_ 9 Id d,_ / Z—
CLOSING DATE ON PROPERTY: (9 /,.,) (5 / ./
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE -
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to:_ RaA-" OILLAC& 41. C
Addressg`27 VJASHW<:6 i e (79a Lim `Ll�� -y AIl4 01 ?3
ROUTING
TOWN ENGINEER, SITE PLAN - RIVE -WAY REVIEW^
D
CONSERVATION e"I
PLANNING
DPW -WATER METER
SEWER CONNECTION
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW fY .Q. �- l �Ir� }1 lx_ 4 1
SIGNATURE
File: Application for OC form revised Jan 2007/2011
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MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2
HEATING SYSTEM TYPE: Other
DATE: 5-29-2012
DATE OF PLANS: 7/30/09
TITLE: The Willow
Family, Detached
(Non -Electric Resistance)
PROJECT INFORMATION:
Orchard Village, Lot 9 # 42 Empire Drive
COMPANY INFORMATION:
Orchard Village, LLC
COMPLIANCE: PASSES
Required UA = 450
Your Home = 233
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R -Value R -Value U -Value UA
-------------------------------------------------------------------------------
CEILINGS 1258 38.0 0.0 38
WALLS: Wood Frame, 16" O.C. 2115 21.0 0.0 121
BSMT: Conc. 8.0' ht/7.0' bg/0.0' insul 0 0.0 0.0 0
GLAZING: Windows or Doors 140 0.350 49
DOORS 79 0.000 0
FLOORS: Over Unconditioned Space 768 30.0 0.0 25
HVAC EQUIPMENT: Furnace, 96.0 AFUE
HVAC EQUIPMENT: Air Conditioner, 13.0 SEER
-------------------------------------------------------------------------------
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 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 1250 of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
The Willow
DATE: 5-29-2012
CEILINGS:
1. R-38
Comments/Location
WALLS:
1. Wood Frame, 16" O.C., R-21
Comments/Location
BASEMENT WALLS:
1. Conc. 8.0' ht/7.0' bg/0.0' insul, R-0 (uninsulated)
Comments/Location
WINDOWS AND GLASS DOORS:
1. U -value: 0.35
For windows without labeled U -values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
1. U -value: 0
Comments/Location
FLOORS:
1. Over Unconditioned Space, R-30
Comments/Location
HVAC EQUIPMENT:
1. Furnace, 96.0 AFUE or higher
Make and Model Number
2. Air Conditioner, 13.0 SEER or higher
Make and Model Number
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.
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
difference and shall be labeled.
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 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, glazing U -values, and heating and
cooling equipment efficiency must be clearly marked on the building
plans or specifications.
DUCT INSULATION:
Ducts shall be insulated per Table J4.4.7.1.
DUCT CONSTRUCTION:
All accessible joints, seams, and connections of supply and return
ductwork located outside conditioned space, including stud bays or
joist cavities/spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the
manufacturer's installation instructions. Mesh tape may be
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.
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.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in Sections 780CMR 1310 and J4.4.
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.
HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in.):
HEATING SYSTEMS:
Low pressure/temp.
Low temperature
Steam condensate
COOLING SYSTEMS:
Chilled water or
refrigerant
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in.):
PIPE SIZES (in.)
NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+"
PIPE
SIZES
(in.)
TEMP (F)
2" RUNOUTS
0-1"
1.25-2"
2.5-4"
201-250
1.0
1.5
1.5
2.0
120-200
0.5
1.0
1.0
1.5
any
1.0
1.0
1.5
2.0
40-55
0.5
0.5
0.75
1.0
below 40
1.0
1.0
1.5
1.5
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in.):
PIPE SIZES (in.)
NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+"
170-180 0.5 I 1.0 1.5 2.0
140-160 0.5 ► 0.5 1.0 1.5
100-130 0.5 I 0.5 0.5 1.0
----NOTES TO FIELD (Building Department Use Only)-------------------------