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HomeMy WebLinkAboutBuilding Permit #550-2011 - 44 EMPIRE DRIVE 2/3/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Slro " .2dll Date Received Date Issued: -2 3 ,[ IMPORTANT:Applicant must complete all items on this age LOCATION" y `q �l1il�/� �1` u e- TT Print PROPERTY OWNER (D" g °j-) LL-C- Print MAP NO: D C- PARCEL/ f� //7-7-ONING DISTRICT Historic District yes no Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 1RrOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District )94 Water/Sewer L10 Id DESCRIPTION OF WORK TO BE PERFORMED: �'�__ r•� S �c' I 4D lL U btv<--[( WG - &oMs g-117911 &C f� /I ) 4L p-4-tr,A L- 015 P /rU K- Ide tification Please Type or Print Clearly) OWNER: Name: � -UJB� LLC-- Phone 97 7�3 Na Address:�qu&dtrI U e- e—P ,A,/1 0 1�Z1 CONTRACTOR Name: �,� I- !�y t S�/(/l Phone:q ?� Address: Q aAt22 i '� A Q92, Supervisor's Construction License: —Exp. Date: K/ Z— Home Improvement License/� ✓� Exp. Date: L �� ARCHITECT/ENGINEER �A rn4 (0,10CAJ P L . Phone. 352 0,3/ Address: , �6qe a A Reg. No.�'77(, FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED J� ON$125.00 PER S.F. Total Project Cost: $ o� ��� .� FEE: $ I f 7r u�?S Check No.: la �� Receipt No.: ,"9Y NOTE: Persons contracting with unregistered contractors do not have access to the guarana fund Signatureof Agent/Owner Signature of contracto ,- Location c/y �'/•h �%"r ���� of ��af # �� No. ,fib - 2aii Date MORTN TOWN OF NORTH ANDOVER 00 w s 44L Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 230 0 a Building 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Si nature COMMENTS _ r L2_ — HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments -.Conservation Decision: Comments Water & Sewer Connection/signature Drivewa Permit DPW Town Engineer: Signature: ocated 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at-124 Main Street c�Q Fire Department signature/date _,Z: .1 COMMENTS L 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 o Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use i i I i ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 i I 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 f Electrical Inspector Yes No f f DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine / i ! NOTES and DATA— For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 I soh fFge\ReCe,ptpFRS�y — �o n No . Sigh othave a.2 of oot�ao�o� to fh�g4r2� a 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 Doe: Doc.Building Permit Revised 2008mi Building Department The following is a list of the required forms to be filled out for the an" . _-- so Roofing, Siding, Interior Rehabilitation- " ,O'ledP\ar S ❑ Building Permit Applir,- `01k?0x ❑ Workers Comr e �f�edP ❑ Photo r- .soots ❑ f- ved� S,Ni�'"'� pars ody o �0 0 64acka keaO OSAL �Massa�ef$ o o P�a�s S O��IS4 o Za baGco Saes stet olc � VgE ONL z� a e�ti�uznp O�OV v �M O\j ec o Ye 4ub�'G Sew �GiXON G OFF - OPE P,PP eU tax'k'etc ��NG SNS PL 5 O 4z��ate<septiic N�FOS.Ep PRIME ����G�E o 't�N�ERO OP�(E 0 ELOpM0N1 NTNG&D�v e NOTE: New GoMM�N�s Rev`e�e �}v; ❑ LX 01, SERV P.��ON ' ; ra�uCe ❑ Ph GON S ❑ Wol ❑ Two MMEN�s dor Hydra Go ReV` '416 ed yes ❑ Copy G eee�ptsua�,�ct ❑ Mass cf ��N ec\s\Orlc o Engineei Z°n�r9� NOTE: All dumpster �S � MEN In all cases if a variance or spec coo that the appeal period is over. 1 t\�e ?eti�t�°� R\e\ks must be submitted with the build, eats vaC�a G010 O�Ne.Na 6°aCd°�ppP °�c\trerts °od Sheet Doc: Doc.Building Permit Revise G J O d 3464069' 464 Os9 Z°r��9 aCd O ' °Gaffe o nr1r9 go ri tune Pia Oe°\s\O t`0r1S� as G°t\SeNat�°r met Ger�eG a�U�e, site yes e V ori ,tel &S iV eov.Sid pstex SOWN"% �� -�ezrip� �Y Ago Street ate F1��� 4�aa�t s grield L°°ate ati12a�,rien p Vlze� QTS cows Tit ERTIFICATE OF USE & OCCUPAI NCY TOWN OF NORTH ANDOVER Building Permit Number 330-2011 Date: May 25, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 44 Empire Drive, Lot 10, Forth. Andover, 0184-5, 40B Orchard Village, LLC MAY BE OCCUPIED AS singlejamilv__IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate issued to; Orchard Village,LLC 44 Great Pond Road Drive Boxford,MA 0192.1 Ouilding Inspector Fee: 100.00 previously paid Receipt: 23873 t LAWRENCE H.OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978 352-2858 cell:978-502-5921 April 2,2011 Mr.Robert Messina Orchard Village LLC. Empire Drive North Andover,Ma 01845 RE: THE WILLOW GB#6213 Lot 10 Empire Drive,North Andover,Ma.01845 Dear Mr.Messina As you requested I visited the site 3/31/11 to review the installation of the Engineered Materials consisting of LVLs and Engineered Joist utilized in the framing of the above project.These are shown on plans prepared by G.J.Bruno and Associates A- 1 to A-5 Dated 7/30/09 with the framing sheets certified by me 6/15/10. The following items require additional work. 1. Insure that the 3-16d nails from thelate to between een the studs as shown on the Braced Wall Additional Connection Detail are in place.As 1 discussed with Mr.Jeff Horne many times this nailing should be from the plate to the rim board. 2. Revise column cap and add straps at the 2-9.25 LVLs second floor framing plan at the front of the garage as shown in sketch SK-1 dated 2/15/11 was not followed I have attached a revised sketch SK-I dated 4/JJ11 showing additional work required for Lot 10.The original SK-1 should be followed for future Willow Units. 3. Insure girder bearings at beam pockets conform to code requirements. In addition Mr.Home showed me another revision to this condition used at Lot 26 he said he would replace the Springfield plate with the Simpson LCC cap.I also need to issue a sketch with diagonal bracing at this condition and adding additional connectors.Could you please have Mr.Horne send me a dimensioned sketch showing the existing as built conditions.As Built this condition could be unstable under unbalanced loading conditions therefore this area should not be covered until the additional work is complete. NORTy And O 0 of 6 over 0 _ ?;.,«. 6 5-4 - ;�o // y Z A o lover, Mass. 1 1 COCHICHEWICK 7�ADRATED p'P�,��� S BOARD OF HEALTH Food/Kitchen .PERMI.T T D Septic System / BUILDINGINSPECTOR THIS CERTIFIES THAT r' �.. l� / f /'� �� f'. ............^.!'�...�..�.............................................................. F a has permission to erect...................... buildings on .� ,............................................. ough to be occupied as.................... © f. .? 1L......... !, ,r . . ..5 . .... . . .. . 1 y provided that the person accepting this permit shall in every respbGt conf..orm to the terfis..of....th...e a..pplication. ........ ......on......file...in.. incl this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rou hG Fin 1 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPE R' ....... ...................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Ocatpy Building GAS INSPECTOR Ro gh Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner. Street No. -�—' SEE REVERSE SIDE Smoke Det. ✓ '-�f pORTH O`ttao .�? •„;d �.r s pL . � x M cmu APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit# yo _aat I ADDRESS/LOCATION OF PROPERTY : Map /C)7G Parcel /S-,Lr/2. Lot Number SUBDIVISION r) \j 1 Ll A-6,c DATE REQUESTED FILED/READY FOR INSPECTION 7 ll CLOSING DATE ON PROPERTY:_ 2�J/ 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. t Pe�F it I 3Mi%A til. (fp�PMAL12 1�0 I J ��1�`�` Z, c Address — = /'- SIGNED C2 � ROUTING CONSERVATION PLANNING DPW.-WATER METER it SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPWcr•. Signature - File: Application for OC form revised Jan 2007 EMPIRE DR. 42' _ N� 25.5' 1 10.3' 10.5' T.O.F. 269.2' w ,, .,NOFASS 02� M HA G J. N � R m I - N 191 66' ` O 38\O�P� P SO 21.2 L I LOT 10 44 EMPIRE DRIVE FOUNDA TION LOCA TION THIS DRAMNG SHALL NOTBE USED BY THECUENTFORANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN&SERGI INC. CLIENT ORCHARD VILLAGE, LLC FURTHERMORE THIS DRAW/NGISTHE COPYRIGHTED PROPERTY OF CHRISTTANSEN&SERGI INC.AM MY UNAUTHORIZED USE IS THIS CERTIFICATION IS MADE AND LIMITED TO THEABOVECLIENT PROHIBITED.CHRIST IANSEN&SERGI TAKES NO RESPON&BILITY LOCATION.•NORTH ANDOVER,MA. FOR THE uNAUTHORIZFD USE OFTHIS DRAWING OR ANY INFORMA7TON CONTAINED HEREON. DATE: 114111 SCALE.-l!--30' BASED ONSCALED DATAOft YTHE PRIMARY STRUCTURE SHOWN IS NOT LOCATED INA FLOOD HAL4RD ZONE AS SHOWN ON FEMA FLOOD INSURANCE RATE MAP.COMMUNITYNO.:250098 00080 DATES01993ZONEX PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRIS TIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.NO.:06029.001.04 7 NORTH ONNM of � r 6 over 0 No. 3-0 o over, Mass.,. /�O COCMICNEWICK A0 A T E D P'PCl 7S BOARD OF HEALTH Food/Kitchen -PERMI.T T Septic System /� BUILDING INSPECTOR THIS CERTIFIES THAT..........�r^ . ��� . /s i, l� .c .. .........� Foundation has permission to erect........................................ buildings on.....��r .. ,r'�:^�:.:..�&A'�.........left Rough to be occu pied as .........t'i a�,� � Chimney .. . . . . .. provided that the person accepting this permit shall in every resp G conform to the ter s..of....the.......application...... ..... ......on.....file. ....in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR' Rough ,rr "7..... ...................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT, Until Inspected and Approved by the Building Inspector. Burner. Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i 600 Washington Street —lit V Boston,MA 02111 wq www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information > Please Print'Legibly Name (Business/Organization/Individual):Q !tcI� 11 LLA G U— C— Address: 4/4 6 AJ V 1)r—(U C City/State/Zip�6 � . M o t Phone/#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ lam a employer with 4. El am a general contractor and I * have hired the sub-contractors 6. E]New construction 2. I atn employees(full and/or part-time).* sole proprietor or partner- listed on the attached sheet. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 ain a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]i employees. [No workers' comp. insurance required.] 1311 Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners 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: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required 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 maybe forwarded to the Office of Investigations of the DIA for insurance-coverage verification. I do hereby cerci y under the pains andpenalties ofpeijury that the information provided above is true and correct.* Si nature: Date: z Q Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License.4 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 a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or.on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in.any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen-nits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: 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-MASSAFB Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I I 1 Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-3-2011 DATE OF PLANS: 7/30/09 TITLE: The Willow PROJECT INFORMATION: Orchard Village, Lot 10, #44 Empire Drive COMPANY INFORMATION: Orchard Village, LLC COMPLIANCE: PASSES Required UA = 450 Your Home = 233 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 125% 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: 2-3-2011 Bldg. ) Dept. I Use I I CEILINGS: [ ] J 1. R-38 J Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-21 Comments/Location I J BASEMENT WALLS: [ ] J 1. Conc. 8.0' ht/7.0' bg/0.0' insul, R-0 (uninsulated) J Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No J Comments/Location I DOORS: [ ] I 1. U-value: 0 Comments/Location I FLOORS: [ ] ► 1. Over Unconditioned Space, R-30 Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 96.0 AFUE or higher J Make and Model Number [ ] i 2. Air Conditioner, 13.0 SEER or higher Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When I 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 I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture J shall have been tested at 75 PA or 1.57 lbs/ft2 pressure i difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building I plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 .4.7.1 . I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780 MR 131 C 0 and J4 .4 . I I SWIMMING POOLS: [ l I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. i I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP - " - - " I E (F) 2 RUNOUTS 0 1 1.25 2 2.5 4 I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I CIRCULATING HOT WATER SYSTEMS: [ l I Insulate circulating hot water pipes to the following levels (in. ) : i I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I --- -NOTES TO FIELD (Building Department Use Only) -------------------------