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HomeMy WebLinkAboutBuilding Permit #801 - 42 MOLLY TOWNE ROAD 5/31/2011Permit NO: &/ Date Issued: "7 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this pate Al_p?' 101 MAP NO: _PARCEL: ZONING DISTRICT: K04 Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi ential Non- Residential New Building VOne family ❑ Addition ❑ Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Qpmolition ❑ Other eptic 0 Well' D Floodplain ❑ Wetlands 0 Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: t,u T-4- (-1 XvA ro^,,, C'.-- s1 A.Qn4 i OWNER: Name: No Address: CONTRACTOR Name: :e Q c qs Oct -<A f= - Please Type or Print Clearly) a7? JA nrn.,o_ s CA C U3 l I Phone: c17eA Q )9 `;? 7% Address: 'Z ( _��1-,� 9 a A F 10: if AJ 6 r t-11 11661 ov22 016 `t �S � S �350�Supervisor's Construction License: Exp. Date: j 1 Home Improvement License: S� 3 Exp. Date: -7 ARCHITECT/ENGINEER '5CONO 95,�,oe-�,9l�S Phone: !' '7 R x$31 I S 3 Address: I"U (� 57- Reg. No. FEE SCHEDULE. BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ .� O FEE: $_ Check No.: Receipt No.: 6-01 NOTE: Persons contracting with unregistered contractors doanave accXtoe uaranty fund ;Signature -of Agent/Ownerr _.._ _ _._ _ _ __. Signature or Plans Submitted ❑ Plans Waived ❑ . Certified Plot Plan ❑ Stamped Plans V 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed DATE REJECTED DATE APPROVED ❑( / COMMENTS}`f HEALTH COMMENTS Reviewed on Signature Zoning Boardcof Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board'Decision: Conservation Decision: Water & Sewer Con DPW Town Engineer: Signature: Comments Comments 5 -17 - no -/r- Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes Located at 124 Main Street Fire Department signature/date COMMENTS no 1150-- COMMENTS 150- Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. "C 500 Total land area, sq. ft.:i, 38(0 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 LJ Notified for pickup - Date Doc:.Building Permit Revised 2008mi 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 must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location / y h _ No. Date 1 Check # 2416 TOWN OF NORTH ANDOVER Certificate of Occupancy $ li'—IU Building/Frame Permit Fee $, 6, 9 (- Foundation Foundation Permit Fee $ -0 - Other Permit Fee TOTAL Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 580,000.00 m $ - $ 6,960.00 Plumbing Fee $ 870.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 870.00 Total fees collected $ 8,800.00 42 Molly Towne Road 801 on 5/31/2011 New Home r OE AO eIH 1ti • y SSACHUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 801-13 on 5/31/2011 Date: September 24, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 42 Molly Towne Road — Lot 10 Autumn Chase 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: North Andover Realty Corporation 459 East Broadway Haverhill, MA 01830 Fee: PrePaid Receipt: 24196 Check :18938 Building Inspector i o�N•°r.�h ,SSACH�`'ft CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 801-13 on 5/31/2011 Date: September 24, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 42 Molly Towne Road — Lot 10 Autumn Chase 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: North Andover Realty Corporation 459 East Broadway Haverhill, MA 01830 Fee: PrePaid Receipt: 24196 Check :18938 Building Inspector r ' o� Mo °rh �y w v + ° a w `r .° ✓"•519 SS,yCHIISE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 801-13 on 5/31/2011 Date: September 24, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 42 Molly Towne Road — Lot 10 Autumn Chase 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: North Andover Realty Corporation 459 East Broadway Haverhill, MA 01830 Building Inspdctor Fee: PrePaid Receipt: 24196 Check :18938 1r,718R ~z�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION BUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY: "Voll Map S Parcel 6? 3 Lot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: C,127 1 / f14P_ FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED 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 Address: CONSERVATION PLANNING APPLICANT SIGNATURE 104r-6.,tkovea DPW -WATER METER SEWER CONNECTION ROUTING 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 24 - a APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION BUILDING PERMIT it �� l ADDRESS/LOCATION OF PROPERTY: L� I 1 X01 IV �i w 0.0- Map J Parcel dq 3 Lot Number. SUBDIVISION: DATE REQUESTED FILED/READY FOR c� ON: 9%31 , 1 CLOSING DATE ON PROPERTY: f// 2711 / 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 Address: CONSERVATION PLANNING APPLICANT SIGNATURE 0—Ne-4 N, (_�� C9 r< -&, k 0 V e,2- 50CL00h,(I V� DPW -WATER METER SEWER CONNECTION N, ROUTING DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW File: Application for OC form revised Jan 2007 SIGNATURE 24 - ❑ ok ❑ b DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW File: Application for OC form revised Jan 2007 SIGNATURE 24 - 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION BUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY: ZY d - Map S Parcel 2? 3 Lot Number. SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: 971271, co 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: cg C Address: CONSERVATION PLANNING DPW -WATER METER SEWER CONNECTION APPLICANT SIGNATURE Ll.ko1LP1Z-av� ROUTING ne-, �19 6 le Y� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW File: Application for OC form revised Jan 2007 SIGNATURE 1-2.4- File: --Z.4- i 1 ui am c c as c lul � v m, QD FHIHII as o o a U o C O ca cni ui am C/) z O U 2 :0, O c• L O Z o. O CO) Q C cm O•- ca Q O LA O O �Eco m m CD t O.a yr 3 O G � O O d �Q h MM CJ J •O •O. O CD c Z C-1 y O C CLC � c CO) Q� 0 U) U) V9 W 19 W N c c as c •; O � a •r : C yam„ +: O V� O vV •pn, �. C O ca �.. m G O i H � s o. o zI 'Ec m o Cc* � m a CD _ m y o R :.." H W V l Q� L m O Cf O ya2 M �� W Amor P -4m , `o �Z C2 .� tioc c o � os c _ o mz 3 N ar CD COD W 0 = •r m w CCD3 .y O V m p ® C CO) a m o m c 0 C i- C/) z O U 2 :0, O c• L O Z o. O CO) Q C cm O•- ca Q O LA O O �Eco m m CD t O.a yr 3 O G � O O d �Q h MM CJ J •O •O. O CD c Z C-1 y O C CLC � c CO) Q� 0 U) U) V9 W 19 W N //Y GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY 0K)..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 '/ " 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. 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 5" on center. Over 8' above grade, use 6x6 posts whateral 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. 1 1 z 0 W .s O ai ■ L O Z' a O CO) � C co cm ' C C ca p� H m m 0 co CL ♦... .0 O � O O p O Q o C- c. y C c c Ccc v J .0 0. O W ca zCD CL C.3 CO) Ccc CL C CO2 p d O �RG` - 0-,z d C - w 44 c IN c A t7 Ae- O v .3 �• w CQ � cn v C 0-4 o 'aj L2 C/) 9° cd W p vi Cf)o z 0 W .s O ai ■ L O Z' a O CO) � C co cm ' C C ca p� H m m 0 co CL ♦... .0 O � O O p O Q o C- c. y C c c Ccc v J .0 0. O W ca zCD CL C.3 CO) Ccc CL C CO2 p d O d C c IN c O N C C3 C :.Q O CO CD o (� E a V :'m o :_;_„ *'' y o a � c CD :cam O o y � urn -S E E CL CD -3 L a N y = _m C N O O N mCOD co N_ m �c- O O� a y . CD m 2 y N � O y .� z v' O Ow O O C" c = m ,a�0 N N m ~ m COD NJ y0+ c ev =_ m O — c .N OC !-- ;_.+ m •N Z co ui E Q v y o, ® g V� = d O 'O O N O N Q C._ �CL,-m z 0 W .s O ai ■ L O Z' a O CO) � C co cm ' C C ca p� H m m 0 co CL ♦... .0 O � O O p O Q o C- c. y C c c Ccc v J .0 0. O W ca zCD CL C.3 CO) Ccc CL C CO2 p d 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 '/ " 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. '/ 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 5" 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 reguired prior to occupying structure. ♦- r La -r l6 o� ftlbl (Yl n_-?_ 2A No?'. Lo r -10 0 _ ZONING DISTRICT R-2 MIN. AREA = 21,780 S.F. MIN. LOT WIDTH = 100' MIN. FRONTAGE = 100' MIN. FRONT SETBACK = 20' MIN. SIDE SETBACK* = 20' MIN. REAR SETBACK = 20' (* - THE STRUCTURE MAY BE PLACED UPON A SIDE LOT LINE WITHOUT A SIDE SETBACK, PROVIDED THAT THE ADJACENT LOT TO WHICH THE ZERO SETBACK IS LOCATED HAS THE REQUIRED SIDE YARD SETBACK.) FOUNDATION LOCATION PLAN CLIENT: NORTH ANDOVER REALTY THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION:. MOLLY TOWN RD, NORTH ANDOVER, MA. SCALE: I" = 60' DATE: 6/11/11 I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY --LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS.EASEMENTS, ORDERS OF CQNDITIONS,£TC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EKCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING 1S THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIB/TED.CHRISTIANSEN S.RGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED DRAWING OR ANY INFOR- MATION CONTAINED H nr CHRISTIANSENY' SERGI PRO LANDSURVEYORS££RS ISO SUMMER ST HAVERHILL,MA. 01830 TEL. 978-373-0310 @2008 BY CHRISTIANSEN & SERGI INC. MICHAEL ly`AAI NO. 97066010 O z. i t x O co L O V Goa a O Q o. w ICO CCM WQ CD y •— O O w m m co CL0 oto GQ -10 a w° cn C/)w° ,rj w r. � v U co w a� o a w W w o rx cn rs. J .� z w w v a. o z I". q o cn O = � C C 0= `r O y O v C.3 �C� C • `� O ea :Z G O Cc 0� c� E Q V o `r o c, CD C3 C.) Fr cm CDC ECD cc �O ® 4 c O _ 'O N • CO) O O Em c w m o CD GO m m �c W y � 'D m P-4 CO3 y Z o o •«. CD • .. c o. o c COD ~ Z LLJ =0 Coo 0 •N C. Z O c Z Cr- E v .0 v �y O U m 0.0== COD O' O O 'O f- r CL 0= F--. U z O U fi U O S 4-j �1 O co L O V Z a O Q H O ICO CCM WQ CD y •— O O •FE m m co CL0 oto CD 0 O O O M d �Q C4 C �c Cc Cc C.3 J .� Z C 0 CL V W C O • C CL h I REScheck Software Version 4.4.0 Compliance Certificate Project Title: COLONIAL HOUSE Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: Climate Zone: Construction Site: LOT 10 MOLLY TOWN 0184 2009 IECC North Andover, Massachusetts Single Family 18% 6322 5 N. ANDOVER Owner/Agent: Compliance: 29.3% Better Than Code Maximum UA: 570 Your UA: 403 The % Better or Worse Than Code index reflects how dose to compliance the house is based on code trade-off 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 2288 38.0 0.0 69 Wall 1: Wood Frame, 16" D.C. 3298 21.0 0.0 153 Window 1: Vinyl Frame:Double Pane with Low -E 525 0.030 16 Door 1: Glass 84 0.030 3 Basement Wall 1: Solid Concrete or Masonry 2288 30.0 0.0 162 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 4.0' 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 4.4.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Title: COLONIAL HOUSE Report date: 05/24/11 Data filename: C:\Users\JERRY\Documents\REScheck\jim carroll.rck Page 1 of 4 C�J( REScheck Software Version 4.4.0 Inspection Checklist 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: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.0' ht / 7.0' bg / 4.0' insul, R-30.0 cavity insulation Comments: Windows: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.030 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1: Glass, U -factor: 0.030 Comments: 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. 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 33.5 psf 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. (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. (f) 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: Project Title: COLONIAL HOUSE Report date: 05/24/11 Data filename: C:\Users\JERRY\Documents\REScheck\jim carroll.rck Page 2 of 4 Sunroqms 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. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R -value. 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. F-1 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: ❑ 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 8 cfm per 100 ft2 of conditioned floor area. (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3) Rough -in total leakage test with air handler installed: Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4) Rough -in total leakage test without air handler installed: Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: 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: F -I Circulating service hot water pipes are insulated to R-2. Lj 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: F1 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. Pool heaters operating on natural gas or LPG have an electronic pilot light. 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: Project Title: COLONIAL HOUSE Report date: 05/24/11 Data filename: C:\Users\JERRY\Documents\REScheck\jim carroll.rck Page 3 of 4 Lj ' 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: u 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: COLONIAL HOUSE Report date: 05/24/11 Data filename: C:\Users\JERRY\Documents\REScheck\jim carroll.rck Page 4 of 4 C2009 I CC Energy J( Efficiency Certificate Ceiling / Roof 38.00 Wall 11 Floor/.. 1 11 Ductwork (unconditioned .. Window0.03 Door 0.03 �Heat�ng�,&�Cooling�Equipment p� �,h Heating System: � Efficiency � ;,,� Cooling System: Water Heater: Date: Comments: Mas-..iachusctis - Department of Public S- Board of Suilding.Re-ulations and Standards' -Construction Supervisor License License: CS 63503 Restricted to: 00 JAMES V CARROLL • 163 HIGHLAND RD 'ANDOVER, MA 01810 C'ummi��ioncr Expiration: 7/19/2011 ir#: 1372 05/24/2011 10:07 9786833147 CERTIFICATE OF LIAS THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND C CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ERTEN BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A C. REPRESENTATIVE 01R PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the paflcypea the terms and conditions of the Polley, Certaln pollcles may require an endorsemc certificate holder In Iiau of such endorsement(s). PRODUCER M P ROBERTS INS AGCY INC 1060 Osgood Street North Andover, MA 01845 ln` Lj ICu NORTH ,ANDOVER REALTY CORP. 459 EAST BROADWAY HAVERHILL, MA 01830 978-556-9834 PAGE 01/01 ILITY INSURANCE 5/24/2011 ` WEIRS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS ) OR ALTER THE COVERAGE AFFORDED BY THE POLICIES )NTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED must be endorsed. If SUBROGATION IS WAIVED, subject to nt, A statement on this certificate does not confer rights to the AMC: PHONE {978) 683-8073 AIC Na -xI MAILLAIC No) (978) 683-3147 ADDRESS: sane @mprobertSinsuranCe , Dom INSURSR(SI AFFORDING COVERAGE NAMO INSURER A; TPA INSURANCE INSURER B INSURER 0: INSURER D: INSURER E ' INSUIzER F OVERAGES _ CERTIFICATE NUMBER. REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT14STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 81, ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIE=S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R A130L *UDR TYPE Of INSURANCE INBR wV POLICY NUMBER MM1D01YYYY MMIDDNYYY LIMITS GENERAL LIABILITY EACI4 OCCURRENCE $ COMMERCIAL G[NERAL LIABILITY PREMISE5 Ea aocurrenee S CLAMS -MADE C( OCCUR MED EXP (Any one p 7grs) S PPR60NAL & ADV INJURY I S GEN'L AGGREGATE, L MIT APPLIES PER; POLICY PF p• LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED I SCHEDULED AUTOS _ AUTOB HIRED AUTOS f AUTOS ON -OWNED VmORELLA LIAR OCCUR EXCESS LIAR ....., 13elNCKfu- AGCiREGATE S PRODUCTS - COMP/OP ACID 3 S Ea accident BODILY INJURY (Par pare0n) 3 BODILY INJURY (Par accldent) 3 Per occiTT MMP ETTTAPX1.*E­ dent 3 3 EACW OCCURRENCE, $ r+��Iir.OATE g OED IiFTFNYlON76 WORKERS COMPENSATION g AND EMPLOYERS' IJAPIUTY /� ANY PROPRIETORlMARTNERIEXECUT" YIN NWC C4640949 1 03/]-3/12 8 03/13/1wC�LIMITS oER A OFPICERIMEMBF.R =- LUDED? IIIA E I. EA CHACCIDF (Mandatory ,NT $ 500, 000 M NW) If DESCyes,deeerlbaunder E.L. DISEASE - EA EMPLOYE S 500,000 RIPTION OF OPE;3ATION8 below E.L. DISEASE • POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alteeh ACORD 101, Addilipnar Remark: Schedule, If mera space (S roqulred) TOWN C -F NORTI; ANDOVER NORTH ANDOVER, MA 01845 FAX: 978-655-4760 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N07 -ICE WILL eE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, =RD 25 (2010/05) (D 1988-2010 ACORD The ACORD name grid logo are reglstered mark,$ of ACORC) hts reserved. � The Commonwealth of Massachusetts r ; Department of Industrial Accidents Ii Office of Investigations 600 Washington Street z i .Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Pease Print'LcOblY Name (Business/Organization/Individual): Address: `'151 K-laSi 124"111-pT ,, �-},� C911(E/l— —^bl bP RO City/State/Zip:E A Y.tt' 1, � l �. 01,83 Phone #: cZ7qf 5S6 q $ 3 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. � ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all 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.] Type oroject (required): 6. ew construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition I0.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowneis who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors acid their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:( -fin Policy # or Self -ins. Lie. #: � C_=�j6v'—/©J'q 8 Expiration Date.—oz h d Job Site 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 certifyerunder the pains andpp'enalties ofpeijury that the information provided ab v istrue and cos7=ect Signature: ( V �1..t �� C �.� Date. � vV`l/ 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 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 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 -contractors) 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 cavy 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 confinnation 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 ifyou 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 pennit/Iicense number which will be used as a reference number. In addition, an applicant that must submit multiple,,pen-nit/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 bfficially 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 pen -nit 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: The Commonwealth of Massachusetts ]department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877 MA.SSAFB Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia °<<sLID "o Town of North Andover 40, 0- p Office of the Planning Department Community Development and Services Division Argo '9SSACHUSE1600 Osgood Street North Andover, Massachusetts 01845 To: Phil Christiansen Re: Modification Lot 10 Molly Towne Road Date: May 13, 2011 Phil, I have received your request for a Modification to the dwelling unit on Lot 10 on Molly Towne Road. I have determined that the proposed modification is not substantial and does not require approval by the Planning Board. If you have any questions, please let me know. 3Vdy Tymon, AICP Town Planner m