HomeMy WebLinkAboutBuilding Permit #653-2011 - 53 MAYFLOWER DRIVE 3/30/2011TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
PermitNO: —.201f
Date Issued:
IMPORTANT:
Date Received
must complete all items on this
LOCATION -Zd OU r6*1 �F�w�K �ili��, 4�Jo�%4 �kt�OI/eJC URN -
Print
PROPERTY OWNER K �/ ����, Tr G
/67,d Print
MAP NO: o1/0 PARCEL: /(o ZONING DISTRICT: VK. Historic District yes r1M
Machine Shop Village yes MO
TYPE OF IMPROVEMENT
PROPOSED USE
Resid ntial
Non- Residential
ew Building
ne family
❑ Addition
❑ Two or more family
❑ Industrial
0 Alteration
No. of units:
0 Commercial
❑ Repair, replacement
0 Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
Septra ®�yVell'
_ y
t®Floodplain i_®Wetlancls
,� >Wateishect]District; '
--
{
G®Water//Sewer:
1 DESCRIPTION OF WORK TO BE PI
o,tsTevcA%P,c, mF # FAw%LY .fie
, o, 3 -&ab Qoawt, A G°we-
Identification Please Type or Print Clearly)
OWNER: Name: K & V Lme- X.c . Phone: `171P-�83 -3163
Address: !o ��Pa�� -b ei vor . ljoe K 4,41 wve. rytl9 mt�ys
CONTRACTOR Name: �.i `., r. Q.00 t,� Phone: So$
Address: 44WOO. kbd-4- % Aw.LPOe MA. 918g5e,
Supervisor's Construction License: C& 7.530 2-- Exp. Date: /y /.7 -47/a -
Home Improvement License:
Exp. Date:
ARCHITECT/ENGINEER Assac, c. Phone: 7P-,14(o-/!0lo7
Address: 91 M4I #' S�• �IMI Reg. No. &010
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ ���%1 FEE: $
Check No.: �6 y Receipt No.:
NOTE: Persons contracting with unregistered contrgAtors do not have access to the guaranty fund
Plans Submitted e Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSSALL
Public Sewer E 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
COMMENTS
HEALTH '
COMMENTS
DATE REJECTED
El
DATE APPROVED
El
Reviewed on Signature
Reviewed on Signature -
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water �c Sewer Connection/signature &Dae Driveway P
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories: X Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: GDo•v Do 56 ra-
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.$10041000 fine
NOTES and DATA — For department use
LJ Notified for pickup - Date
Doc:.Building Permit Revised 2008
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
❑ Floor Plan Or Proposed Interior Work
o 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
o'Workers Comp Affidavit
u'Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
o 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
o Engineering Affidavits for Engineered products
VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
oust be submitted with the building application
Doc: Doc.Building permit Revised 2008mi
r
Location w 2�
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ /00
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL s
Check # 41
2 4 L Uu 02$1121'uilding Inspector
t MO °Th
�SS7CHU`+E4
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 653-2011 on 3/30/2011 Date: May 8, 2012
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 53 Mayflower Drive_
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: Key Lime Inc.
10 Hepatica Drive
North Andover, MA
01845
Building Inspector
Fee: Prepaid
Receipt: 24008
Check :5641
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # a0
ADDRESSILOCATION OF PROPERTY: )3 MckHRYLjmy �1
Map.20110 i Parcel 0&/(o Lot Number -1 J
SUBDIVISION O A ,�Le'wx V,`i
DATE REQUESTED FILEDIREADY FOR INSPECTION 7 /
CLOSING DATE ON PROPERTY:�2-
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.
�v : a �__� _-� -• �� �1644e ill.
1 GI II IR IJJ\./GV U0
Address
ROM,NG
[71m Qll�
CONSERVATION
PLANNING M5��/
DPW . WATER METER Eab-194ia-
SEWER/WATER
CONNECTION E]a'
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST
DPW 10k A ( r :__-4 v f �4
Signature
Fife: Application for OC form revised Jan 2007
146
-�- wrightsoit* Load Short Form
Entire House
J&J Heating & Air Conditioning
17 Arlington St, Dracut. MA 01828 Phone: 978-454-8197 Fax: 978454-8615 Email. ofliceftheatac com Web: www.iiheatac oom
Job: Lot 14 E style
Date: Dec 10, 2010
By:
f -or. teen Osgood, Key Lime Const
10 Hepatica, North Andover, MA 01845 oZ
Htg Clg Infiltration
Outside db (°F) 9 88 Method Simplified
Inside db (°F) 70 75 Construction quality Semi -tight .
Design TD (OF) 61 13 Fireplaces 0
Daily range - M
Inside humidity (%) 50 50
Moisture difference (gr/lb) 48 31
HEATING EQUIPMENT
Make
Amana
Trade
Amana
Model
AMVC951155DX
GAMA ID
2012280
Efficiency
Heating input
Heating output
Temperature rise
Actual air flow
Air flow factor
Static pressure
Space thermostat
95.8 AFUE
115000 Btuh
109000 Btuh
65 OF
1533 dm
0.026 cfm/Btuh
0 in H2O
COOLING EQUIPMENT
Make Amana
Trade ASX13 SERIES
Cond ASX130481B*
Coil CT*F4860*6A*+A" V91155D**+TXV
ARI ref no. 3513887
Efficlency
11.5 EER, 14 SEER
Htg load
Sensible cooling
32200
Btuh
Latent cooling
13800
Btuh
Total cooling
46000
Btuh
Actual air flow
1533
cfm
Air flow factor
0.046
cfm/Btuh
Static pressure
0
in H20
Load sensible heat
ratio 0.95
468
ROOM NAME
Area
Htg load
Clg load
Htg AVF
Clg AVF
(ftp
(Btuh)
(Btuh)
(cfm)
(cfm) .
First Floor
1734
37181
26833
983
1240
Second Floor
1086
20796
10125
550
468
Entire House
2820
57977
33168
1533
1533
Other equip loads
0
0
Equip. @ 0.93 RSM
30780
Latent cooling
1927
TOTA1 S
9fYX1
r.7o77
097A7
A e"In
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9 Load Short Form Job: Lot 14 E style
wri htsoft� Date: Dec 10, 2010
First Floor By:
J&J Heating & Air Conditioning
17 Arlington St, Dram, MA 01826 Phone: 97&454.8187 Fwc 878.454-8615 Email: officeftheataacom Web: wwwitlestac,com
For: Ben Osgood, Key Lime Const
10 Hepatica, North Andover, MA 01845
Design Infibrmation
Htg Clg Infiltration
Outside db (°F) 9 88 Method Simplified
Inside db (°F) 70 75 Construction quality Semi -tight
Design TD (°F) 61 13 Fireplaces 0
Daily range - M
Inside humidity (%) 50 50
Moisture difference (gr/ib) 48 31
HEATING EQUIPMENT
Make
n/a
Trade
n/a
Model
n/a
GAMA ID
n/a
Efficiency
n/a
Heating input
0 Btuh
Heating output
0 Btuh
Temperature rise
0 OF
Actual air flow
0 cfm
Air flow factor
0 cfm/Btuh
Static pressure
0 in H2O
Space thermostat
n/a
COOLING EQUIPMENT
Make n/a
Trade n/a
Cond n/a
Coil n/a
ARI ref no. n/a
Efficiency
n/a
Sensible cooling
0 Btuh
Latent cooling
0 Btuh
Total cooling
0 Btuh
Actual airflow
0 cfm
Air flow factor
0 cfmlRCuh
Static pressure
0 in H2O
Load sensible heat ratio
0
ROOM NAME
Area
(ft=)
Htg load
(Btuh)
Cig load
(Btuh)
Htg AVF
Wm)
Clg AVF
(cfrn)
Dining Room
323
7848
5016
208
232
Kitchen
380
7020
5078
186
:235
Laundry
42
1876
2484
50
115
Mud Room
78
2547
1198
67
55
Living Room
323
3856
2031
102
94
Master Bedroom
224
4517
3296
119
152
Master Bath
112
2655
2499
70
116
Master Closet
112
2149
1244
57
57
Studv
1AA
A71A
-2007
.nr
•n.
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First Floor
1734
37181
26833
983
1240
Other equip loads
0
0
Equip. @ 0.93 RSM
24901
Latent cooling
1155
TOTAI S
47'AA
47404
Hence
non
A^.n
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,a
Load Short Form Job: Lot 14 8 style
- wrightsoft° DaW. Dee 10, 2010
Second Floor By:
J&J Heating & Air Conditioning
17 Arlington St, Dracut, MA 01826 Phone: 978-45448197 Fax 9784545815 Email: droeC lheatac corn Web: www.j'jheatamcom
For. Ben Osgood, Key Lime Const
10 Hepatica, North Andover, MA 01845
HEATING EQUIPMENT
Make
n/a
Trade
n/a
Model
Design Information
GAMA ID
Htg
Clg Infiltration
Outside db (°F)
9
88 Method Simplified
Inside db (°F)
70
75 Construction quality Semi tight
Design TD (°F)
61
13 Fireplaces 0
Daily range
-
M
Inside humidity (%)
50
50
Moisture difference (gdlb)
48
31
3174
139
147
HEATING EQUIPMENT
Make
n/a
Trade
n/a
Model
n/a
GAMA ID
n/a
Efficiency
n/a
Heating input
0 Btuh .
Heating output
0 Btuh
Temperature rise
0 OF
Actual air flow
0 cfm
Air flow factor
0 cfm/Btuh
Static pressure
0 in H2O
Space thermostat
n/a
COOLING EQUIPMENT
Make n/a
Trade n/a
Cond n/a
Coil n/a
ARI ref no. n/a
Efficiency
n/a
Sensible cooling
0 Btuh .
Latent doling
0 Btuh
Total doling
0 Btuh
Actual air flow
0 cfm
Air flow factor
0 cffrl/Btuh
Static pressure
0 in H2O
Load sensible heat ratio
0
ROOM NAME
Area
Htg load
Clg load
Htg AVF
Clg AVF
(ftZ)
(Btuh)
(Btuh)
(cfm)
(cfm):
Upper Hall
80
1398
295
37
14
Loft
240
5090
2698
135
125
Sitting Area
266
5252
3174
139
147
Bedroom 2
322
5830
3282
154
152
Bath 2
80
1229
269
32
12
WIC
98
1999
407
53
19
Second Floor
1086
20796
10125
550
468
Other equip loads
0
0
Equip. @ 0.93 RSM
9396
Latent cooling
772
50
468
TOTALS
86 2
100796 10168 5
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
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Construction Supervisor License
!; License: Cs 75302
BENJAMIN C OSGOOD
a 69 OLD VILLAGE LANE «'
NO ANDOVER, MA 01845
Expiration: 12/4/2012
Commissioner Tr#: 6267
08/09/2010 13:10 9786833147 If~
PAGE 05/05
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