HomeMy WebLinkAboutBuilding Permit #101 - 546 SHARPNERS POND ROAD 7/12/2006 OORTH
° ; p TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
,SSACHU`'Et
Permit NO: � Date Received:
Date Issued:
IMPORTANT: Appli ant complete all items on this page
LOCATION
Print
PROPERTY OWNER Zokw Dc�w, Re L0 Zz�
Print �
MAP NO.: . 10' PARCEL: 1)(5095 ZONING DISTRICT: ,Z
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑New Building jCOne family
{(Addition [ITwo or more family 11 Industrial
aG Alteration No. of units:
❑ Repair, replacement 11Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving(relocation) ❑Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED(ov s f/y Jr off ® a,AI'�1 t Com- 'U' S*�se"'-f rao
�. (oruj WN 60
Tr.�rc w•%l1 also Ve a r Idqenti�fionlllease Type or Print Clearly)
� ec j"1g)1eA +t J-kc S Y--t-ft&e o1esSneJ, Phone:
OWNER: Name:'Sol�r Cb%..7y 'fir��o22 cam,
' Address: MI6
CONTRACTOR Name�,Q(y ��lbl ��t E25 Phone
,NMA° i �� t e A
`AAdress:
Supervisor's Construction License: `1 Y Exp. Date:
Home Improvement License Exp. Date:
ARCHITECT/ GINEEe: Phone: '� �� �C
_ No. --ofo a
FEE SCHEDULE:BULDING PER IT:$10.00 PER SI000.00 OF THE TOTAL ESTIMATED COST BASED OIV�0 PER S.F.
Total Project Cost :$ x1000--FLEE:$
` Receipt No.:
Check No.:
Page l of 4
TYPE OF SEWARGE DISPOSAL Swimming Pools ❑
Tanning/Massage/Body Art Elg
Public Sewer El
Well 4 ❑ Tobacco Sales ❑ Food Packaging/Sales
Permanent Dumpster on Site ❑ N r i k
Private(septic tank, etc. �'`y Electric Meter location to
project
NOTE: Persons contracts unregistere&pntracidsdo nott have access to the guaranty nd
Signature of Agent/Ow er ;!! Signature of Contractor
Plans Submitted X Plans Waived ❑ Certified Plot Plan Stamp Pans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE, APPROVED
PLANNING & D VEL" HENT
[]Water Shed Special Permit
❑ Site Plan Special Permit
R
❑ Other
COMMENTS
TE REJECTED DATE APPROVED
CONSERVATIT 14
'.
COMMENTS Ila d..'M &)t 4- 1 A� i —
a Aow prqa-r' `
DATE REJECTED D PPROVED
HEALTH a
COMMENTS_
[- — -C>. '
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Deciision: 1 Comments..t'- *, -a
Conservation Decision: Comments t
Cer connection signature&date
ter on site yesXno_ • Fire Department signature/date_
Building Perm-i-t-A-pproare-d and-1°ssued7 y:
Page 2 ot'4
T L
Building Setback (ft.)
Front Yard ii Side Yard Rear Yard
Required Provided Required Provides Required Provided
Vic.)' ' 3�r � 3�f ' ' '' � 3v r (319 '
DIMENSION l
Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. —73 �
Total land area,sq. ft.:
9 o �j
NOTES and DATA—(For department use)
I
I
I
i
Pa-e 3 ot'4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BKORM05
Created IMC.Jnn?006
i
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
I
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
s, Floor Plan Or Proposed Interior Work
Addition Or Decks
Building Permit Application
Surveyed Plot Plan
❑ Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
,,yCopy Of Contract
Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic
Calculations (If Applicable)
�k Mass check Energy Compliance Report (If Applicable)
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
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
i
Doc:INSPECTIONAL SERVICES DF:PARTN9F.N"1':131'FORN105
1
Page 4 of'4
fi
Location _
' No. Date
f N°RrM 1
TOWN OF NORTH ANDOVER
" Certificate of Occupancy $
is # � +'� •
�'�S'•^'• co' Building/Frame Permit Fee $ /
S CMUSE
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
i�
Check #
s
19342 A
Building Inspector
NORTH
Town of L Andover
No. 10
?,, dover, Mass.,
COCHICHEWICK ��
SATED p'P� �y
BOARD OF HEALTH
PERMIT . T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT��'•®•I�M......�....OiR�14.....P� �� Foundation
. . ....................... ..................... .
f
has permission to erect.q.Q��l...f�' .1.. ... build ge ��►..1v�.�.b...........�i !.6. 5 �y Rough
to be occupied as..... .�.kl ��,...... .�.. ;... �� .'..(..... .. Chimney
provided that the Afson act tin thpermit sh in eve res ct confoiMto the terms of the application on file in
P P P g P rll PP Final
this office, and to the provisions of the Codes and ly-Laws relatin to he Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
91
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO STARTS Rough
... ... ..... .........
Service
BUILDING ...CTOR
Final
Occupancy Permit Required to Ocmpy 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 jj Smoke Det.
C
DINING ROOM
LIVING ROOM
OFFICE
FAMILY ROOM
KITCHEN
CLOSET
BAT OM
KITCHEN/EATING
I ST FLOOR PROPOSED
DINING ROOM
LIVING ROOM
OFFICE
� FAMILY ROOM
KITCHEN
CLOSET
BAT OM
KITCPEN/EATING
I ST FLOOQ EXISTING
BEDROOM BEDROOM
BEDROOM
101
BEDROOM'.
CLOSET BATPPOOM
BATHROOM
2ND FLOOP-2 P�,)OPOSED
BEDROOM BEDROOM
BEDROOM
BEDROOM
CLOSET BATHROOM BATT-11200M
2ND FLOOD EXISTING
BOtSE� Single 16" BCI® 60s-2.0 SP Joist1JO1
BC CALL®9.3 Design Report-US 1 span I No cantilevers 0/12 slope Wednesday, June 28, 2006 16:12
Build 047 16"OCS Repetitive I Glued&nailed construction
File Name: Joists
Job Name: Description: J01
Address: ��"{ D�� Specifier:
City, State, Zip: , O'Q fir--^ Designer:
Customer: Company:
Code reports: ESR-1336 Misc..
3
1 2 4
'A 18-00-00
Jccr
LL 991 lbs ''� LL 991 lbs
DL 406 lbs �'l�(', ,S DL 194 lbs
SL 406 lbs .� { SL 194 lbs
Total Horizontal Product Length=18-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCs
1 Standard Load One Unf. Area(psf) Left 00-00-00 06-00-00 40 10 16"
2 Whirl pool Unf. Area(psf) Left 06-00-00 12-00-00 85 30 16"
3 Roof Loads Conc. Lin. (plf) Left 06-00-00 06-00-00 180 450 315 16"
4 Standard Floor Load 2 Unf. Area(psf) Left 12-00-00 18-00-00 40 20 16"
Controls Summary Value %Allowable Duration Load Case Span Location Disclosure
Pos. Moment 8035 ft-lbs 82.0% 115% 77 1 -internal Completeness and accuracy of input must
End Reaction 1738 lbs 86.3% 115% 76 1 -Left be verified by anyone who would rely on
Total Load Defl. U439(0.48") 54.6% 77 1 output as evidence of suitability for particular
Live Load Defl. U588(0.359") 81.6% 77 1 application.Output here based on building
Max Defl. 0.48" 48.0% 77 1 code-accepted design properties and
Span/Depth 13.2 n/a 1 analysis methods.Installation of BOISE
engineered wood products must be in
accordance with current Installation Guide
%Allow %Allow and applicable building codes.To obtain
Bearing Supports Dim.(L x M Value Support Member Material Installation Guide or ask questions,please
BO Wall/Plate 4-1/2"x 2-5/16" 1774 lbs 30.2% n/a Southern Pine call(800)232-0788 before installation.
B1 Wall/Plate 2-1/4"x 2-5/16" 1528 lbs 69.1% n/a Spruce-Pine-Fir BC CALCO,BC FRAMER®,AJS-,
ALUOISTO,BC RIM BOARD- BCI®,
Cautions BOISE GLULAMTm,SIMPLE FRAMING
Web stiffeners required at bearing B1. SYSTEM®,VERSA-LAM®,VERSA-RIM
Web stiffeners are always required under concentrated loads that exceed 1000 lbs. Install PLUS®,VERSA-RIM®,
the web stiffeners snug to the top of the flange. Follow the nailing schedule for intermediate VERSA-STRAND®,VERSA-STUD®are
bearings. trademarks of Boise Wood Products,L.L.C.
Notes
Design meets Code minimum (U240)Total load deflection criteria.
Design meets Userspecified
g U480 Live load deflection criteria.
Design meets arbitrary(1") Maximum load deflection criteria.
Composite EI value based on 23/32"thick sheathing glued and nailed to joist. -,
SL Load Case was generated by Office Safe Loading Analysis
Design Passes Office Safe Loading
ED /
I
C BO TOP1
Page 1 of 1 TH 0
FROM :ULTIMATE GLASS SERVICES FAX NO. :603 382 3376 Jul. 07 2006 03:10PM P2
Corey COA
Steven Dalola C & S BUILDERS 978-479-9979
978 804 8219 MA lric# 085044
MA LIc a 085048
Building and Remodeling
John and Dawn Petrozza JULY 7,2006
546 Sharpness Pond Rd.
N.Andover MA,01845
The following contract is for the work to be completed,at the address above,according to
the print we have been supplied with.
PERMITS:All necessary permits will be pulled at building department.Cost of building
permit is not included in contract price.
EXCAVATION:Allow for new 30'x18' foundation according to print.We have allowed
for the removal of 1 truck load of fill,all extra fill will be spread on site.Any additional
fill removed from site will be an extra cost of$600/per truck load.
FOUNDATION: Irx24"footings with key ways to tie in walls. Walls will be 10"thick
and approx. 8' tall.Exterior of walls will be water plugged and tarred below grade.3
vinyl sliding windows will be installed for ventilation.We have allowed for 1. cut through
into existing basement,location to be determined.
CEMENT FLOOR:4"concrete with fiberglass mesh,or equal,will be poured over stone
and finished troweled for a smooth finish.
FRAMING: We will remove existing rear addition.All framing will be according to print
and building codes.Tie ins to existing house include,removing existing sliding door into
kitchen,cut through into existing closet upstairs,and removing 4 windows total. I
window will be relocated and a new double window will be installed into upstairs bath.
Second floor of new addition will be unfinished except for insulation.
DECK:We will remove existing deck.New deck will be 1.6'x4'built completely of
treated lumber materials with concrete footings 4' below grade.
SIDING: Tyvck house wrap will be installed on all walls under new primed cedar siding.
New siding will be nailed with stainless steel nails.New trim boards will be primed pine.
ROOFING: lee and water shield will be installed 6'up on allroof edges as well as in all
valleys. 8"aluminum drip edge installed on all edges. 151b felt installed under new
asphalt shingles matching existing as close as possible.New roofing will tie in to
existing.
FROM :ULTIMATE GLASS SERVICES FAX NO. :603 362 3376 Jul. 07 2006 03:10PM P3
Steven DaloiaC 8�t S BUILDERS Corey Cook
978-479-9979
978-804-8219 MA Lic#085044
MA Lic x 085048
Building and Remodeling
WINDOWS:All new windows will be Harvey Ind vinyl double hung windows with low-
0
owe argon filled glass.There are a total of 16 new windows.
DOORS: One 8' Iiarvey vinyl sliding door with low-e glass.One 36"fiberglass six panel
door(this door is between new and old basements.)
INSULATION:R-19 fiberglass insulation with 3 mil poly in all new walls.R-38 in
ceilings and R-30 in first floor.
ELECTRICAL: install new sub panel and wire addition to code.We have allowed for 10
recessed cans in fust floor.Speaker wire will also be nu►on this floor_Basement will
have single bulb lighting where needed.Second floor will not be wired at this time.
PLUMBING:New base board heat will be installed where needed and tied into existing
heat No ptuinbing or heat on second floor at this time.
WALLBOARD: Ys"blue board with skim coat plaster on first floor walls and ceiling
only.
FINISH TRIM: Flooring will be hardwood.Base moldings and window moldings will be
primed and match existing trim.Columns with shelve units will also be built.No trim on
second floor except for a new door into existing house.
GUTTERS: Seamless white gutters installed where needed on new addition with
downspouts to grade.
PAINTING:Not included.
All trash will be removed by contractor as well as a clean as possible job site daily.As a
convenience for the homeowner as well as for all contractors a portable toilet will be on
site at all times and cleaned weekly.CBIS Builders will perform all work in a safe and
timely fashion,as well as abide by all state and local building codes.
TOTAL PRICE:$113,990.00
HOMEOWNER: CONTRACTOR
l�Jl►�TI-Zx�J
NOTriple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor HeadeAF1304
BC CALC®9.3 Design Report-US 1 span I No cantilevers 0/12 slope Wednesday, June 28, 2006 16:32
Build 047
File Name: Joists
Job Name: Description: FB04
Address: � '-� _'�-'`�'Y�� Specifier:
City, State, Zip: , Designer:
Customer: Ilk Company:
Code reports: ESR-1040 I< Misc:
1
12-00-00
B0,41/2" B1,41/2"
LL 6000 lbsLL 6000 lbs
DL 3844 Ibs(�` ?j " L KG - 2 DL 3844 lbs
SL 2460 lbs SL 24W lbs
Total Horizontal Product Length=12-00-00
Load Summary Live Dead Snow wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 116% 133% 126% Tribe
2 Roof&Sewcond Floor Loads Unf. Lin. (plf) Left 00-00-00 12-00-00 1000 620 410 n/a
Controls Summary Value %Allowable Duration Load Case Span Location Disclosure
Pos. Moment 33167 ft-lbs 66.2% 115% 13 1 - Internal Completeness and accuracy of input must
End Shear 9143 lbs 56.9% 115% 2 1 -Left be verified by anyone who would rely on
Total Load Defl. 0424(0.322") 84.9% 2 1 output as evidence of suitability for particular
Live Load Defl. 0617(0.221") 77.8% 2 1 application.Output here based on building
Max Defl. 0.322" 64.3% 2 1 code-accepted design properties and
Span/Depth 9.8 n/a 1 analysis methods.Installation of BOISE
engineered wood products must be in
accordance with current Installation Guide
%Allow %Allow and applicable building codes.To obtain
Bearing Supports Dim.(L x W) Value Support Member Material Installation Guide or ask questions,please
BO Wall/Plate 4-1/2"x 5-1/4" 12304 lbs n/a 69.4% Unspecified call(800)232-0788 before installation.
B1 Wall/Plate 4-1/2"x 5-1/4" 12304 lbs 92.2% 69.4% Southern Pine BC CALC®,BC FRAMER®,AJS-,
ALLJOISTO,BC RIM BOARD- BCI®,
Notes BOISE GLULAMTm,SIMPLE FRAMING
Design meets User specified(U360)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM
Design meets User specified(U480)Live load deflection criteria. PLUS@,VERSA-RIM®,
Design meets arbitrary(0.5") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUD®are
trademarks of Boise Wood Products,L.L.C.
Connection Diagram( �!P
a minimum— - "
— 1 1/2"c_ 11
b minimum=4" d =6"
e minimum = 1"
o
'gyp ¢R
Fq�T 0 1A
Page 1 of 1
FROM :ULTIMATE GLASS SERVICES FAX ND. :603 362 3376 Jul. 07 2006 03:11PM P4
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�a•rcwxa.w3tit�lwnwaaiPai�f,{,tNlbYa'Q�'Ast� .`dI/rX't�VM4�iRyttA((:d+ttx�iinu...r± eY�•_ � .o ' ���� •�.:%�d
p• Bea+YEot ft9fAft agasom eN[d Standar
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COSY COOCIK
t.� k�1l�Ni1r. Tek (�`�; ,$•. r
The Commonwealth of Massachusetts
Department.of Fire Services
O
ffice of the State Fire Marshal
P.O.Box 1025 State Road,.Stow,MA 01775
PERMIT Date:
North Andover Permit No
(City of Town) (If Applicable) Dig Sja/Jfely ,ber
In accordance with the provisions of M.G_L_l 4 8 Chapter 7 0 as provided in section 5?7 (MR 34 SUMt Date J'!�
This Permit is granted to:
Full name ofperson,Firm or Corporation
Pecmissionto locate dumpster for construction/renovation/demolition of building.
Comments: dumpster must be 25' from structure if unable to place with required
Restrictions:clearance dumpster must be covered with plywood or tarp end of work day
at
(Give location by street and no.,or describe in such neer as to provied adequate identification of location)fit, d
Fee Paid$ 50.00 Fire Chief
This Permit will expire �� k ( tgnature of offical granting permit) Offical granting peanit (Title)
COMMONWEALTH OF MASSACHUSETTS
42) EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
R M
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
M
yC
1 Seo
TITLE 5
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:_546 Sharpners Pond Road_
_North Andover_
Owner's Name:John Petrozza
Owner's Address:_546 Sharpners Pond Road
_North Andover,MA 01845
Date of Inspection: 6/14/2006_
Name of Inspector: Neil J Bateson_
Company Name: Bateson Enterprises Inc._
Mailing Address:_111 Argilla Road_
_Andover,Ma.01810_
Telephone Number: (978)475-4786_
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
_X Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
F
Inspector's Signature: Date: 6/14/2006_
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving
authority.
Notes and Comments:
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 546 Sharpners Pond Road_
_North Andover_
Owner:_Petrozza_
Date of Inspection: 6/14/2006_
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X I have not found any information which indicates that any of the
failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"
section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by
the Board of Health,will pass.Answer yes,no or not determined(Y,N,ND)in the for the following statements.
If"not determined"please explain.
The septic tank is metal and over 20 years old*or the septic
tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is
imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by
the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static
water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven
distribution box. System will pass inspection if(with approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to
broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
Page 3 of 11
OFFICIAL, INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:_546 Sharpners Pond Road-
-
North Andover—
Owner:_Petrozza_
Date of Inspection: 6/14/2006_
C. Further Evaluation is Required by the Board of health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(6)that the
system is not functioning in a manner which will protect public health,safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
_ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well".Method used to determine distance—
"This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 546 Sharpners Pond Road_
_North Andover
Owner:_Petrozza_
Date of Inspection: 6/14/2006_
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
_No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_No Liquid depth in cesspool is less than 6"below invert or available volume is 1/2 day flow.
No Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
_No Any portion of the SAS,cesspool or privy is below high ground water elevation.
No Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
_No Any portion of a cesspool or privy is within a Zone 1 of a public well.
_No_ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
—No Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this form.]
_No_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described
in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to
determine what will be necessary to correct the failure
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
You must indicate either`yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
Page 5 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:_546 Sharpuers Pond Road_
_North Andover_
Owner:_Petrozza_
Date of Inspection 6/14/2006
Check if the following have been done.You mast indicate"yes"or"no"as to each of the following:
Yes No
Yes _ Pumping information was provided by the owner,occupant,or Board of Health
No Were any of the system components pumped out in the previous two weeks?
Yes_ — Has the system received normal flows in the previous two week period?
No Have large volumes of water been introduced to the system recently or as part of this inspection?
N/A — Were as built plans of the system obtained and examined?
Yes ____ Was the facility or dwelling inspected for signs of sewage back up?
Yes_ _ Was the site inspected for signs of break out?
_Yes_ _ Were all system components,excluding the SAS,located on site?
_Yes_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the
condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of
scum ?
_Yes_ _ Was the facility owner(and occupants if different from owner)provided with information on the
proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes No
_Yes_ — Existing information.Old Title 5 Report.
_Yes_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable)[3 10 CMR 15.302(3)(b)]
Page 6 of I 1
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:_546 Sharpners Pond Road_
_North Andover–
Owner:_Petrozza_
Date of Inspection: 6/14/2006_
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): N/A Number of bedrooms(actual):_4
DESIGN flow based on 310 CMR 15.203_N/A_
Number of current residents:_5
Does residence have a garbage grinder(yes or no):_No
Is laundry on a separate sewage system(yes or no): No
Laundry system inspected(yes or no): _
Seasonal use:(yes or no): No
Water meter reading:_On well Water_
Sump pump(yes or no):_No
Last date of occupancy:_Current_
COMMERCIALJINDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203):_gpd
Basis of design flow(seats/persons/sgfft,etc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):—
Water meter readings,if available:—
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Pumped 2004,owner_
Was system pumped as part of the inspection(yes or no): Yes_
If yes,volume pumped:_1500 gallons--How was quantity pumped determined?_Measured tank
Reason for pumping: _Inspect tank&tees&baffle_
TYPE OF SYSTEM
_X Septic tank,distribution box,soil absorption system
Single cesspool_Overflow cesspool
_Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
_
Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
_Tight tank _Attach a copy of the DEP approval
—Other(describe):_
Approximate age of all components,date installed(if known)and source of information:_Unknown_
Were sewage odors detected when arriving at the site(yes or no):No
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_546 Sharpners Pond Road_
North Andover_
Owner:_Petrozza_^
Date of Inspection:_6/14/2006_
BUH DING SEWER_X_ (locate on site plan)
Depth below grade:_18"
Materials of construction: __cast iron _X_40 PVC other
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.) _4"PVC thru wall,3"PVC in house with
no leaks visible_
I
SEPTIC TANKS: X
I
Depth below grade:_6"
Material of construction: X_concrete—metal_fiberglass_polyethylene
—other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of
certificate)
Dimensions: 10'x 5'x 4'
Sludge depth 6"_
Distance from top of sludge to bottom of outlet tee or baffle: 25"_
Scum thickness:_6"
Distance from to of scum to to of outlet tee or baffle: 8"
P P _
Distance from bottom of scum to bottom of outlet tee or baffle:_9"_
How were dimensions determined:_Tape Measure_
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc Pumped septic tank.Inlet tee ok. Outlet tee ok.Depth of
liquid at outlet invert.No evidence of septic tank leaking in or out.
GREASE TRAP: (locate on site plan)
Depth below grade:_
Material of construction:_concrete_metal_fiberglass_polyethylene_other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8 of 11
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_546 Sharpners Pond Road_
_North Andover
-
Owner:_Petrozza_
Date of Inspection:_6/14/2006_
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX:_X_
Depth below grade _121
`
Depth of liquid level above outlet invert: 0"
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):_D-Boz level&distribution equal.Evidence of carryover,pumped d-boa to
clean.No evidence of leakage._
PUMP CHAMBER:_(locate on site plan)
Pump in working order(yes or no):_
Alarm in working order(yes or no):_
Comments(note condition of pump chamber,condition of pumps and appurtenances etc.):
Page 9 of I I
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 546 Sharpners Pond Road_
_North Andover_
Owner:_Petrozza_
Date of Inspection: 6/14/2006_
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
'i If SAS not located explain why:
I
Type
_X leaching pits,number: 2_
leaching chambers,number:_
leaching galleries,number:
— leaching trenches,number,length:
leaching field,number,dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.):_Soil ok.Vegetation ok.No sign of ponding to surface.Camera inside of pits,both pits holding no
liquid_
CESSPOOLS:
Number and configuration:
Depth—top of liquid to inlet invert:
Depth of sludge layer:—
Depth of scum layer:_
Dimensions of cesspool:_
Materials of construction: _
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
I
i
PRIVY: (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
Page 10 of 11
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_546 Sharpners Pond Road
_North Andover—
Owner: Petrozza—
Date of Inspection:_6/14/2006
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building.
Driveway
Pit#1
A To Well
Septic Tank House
D- 2 1
Box B
Pit#2
Ato1=16'3"
Ato2=23'
A to D-Box=3'5"
Bto1=13'
Bto2=20'8"
B to D-Sox=3115"
Page 11 of 11
0
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:_546 Sharpners Pond Road_
_North Andover
—
Owner:_Petrozza_
Date of Inspection:_6/14/2006_
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water _>6'_
i
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:_
Checked with local excavators,installers-(attach documentation)
X Accessed USGS database-explain: Essex County Soil Map_
You must describe how you established the high ground water elevation:_Essex County Soil Map,Sheet#37,
Canton Soil,Water>6'Deep_
Tel: (978) 475-4786
Fax: (978) 475-5451
BATESON ENTERPRISES, INC.
Excavating-Water.& Sewer Lines-Septic Systems&Pumping Service
I 11 Argilla Road Andover, Mass. 01810
Title 5 Inspection Report
Property Address: 546 Sharpners Pond Road,North Andover
Owner: Petrozza
Date of Inspection: 6/14/2006
My report contained herein does not constitute a guarantee of future usage and the functionality of the existing
septic system. Such report issued herewith is merely based upon my observations,and I hereby disclaim any further
operation of your current septic system.
Neil J. Bateson
Bateson Enterprises,Inc.
• i
' ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: ;Bh% j 0�&,v. jPe}ro Z2G, Site Address:Applicant*ddi ass. — City/I (;
own:
�Shc,.snn tis OovJ"Use Group:
Xarb- jivio45 Date of Application:
Applicant Phone: TC172) 1qH– g331 Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only)
Package(A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.1 a:
(For items d.through i., fill in all values that apply from Table J5.2.Ib:)
a. Gross Wall Area sq.ft f. Wall R-value R-
b. Glazing Areal sq.ft. g. Floor R-value R-
c.. Glazing%000 x b_a) % h. Basement wall R-
d. Glazing U-value U- i. Slab Perimeter R-
e. Ceiling R-value R- j. Heating AFVE
❑ Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only)
Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable]
AL4&heck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall +Ceiling Area sq.ft. b. Glazing Areal sq.ft. c. Glazing % (100 x b=a) %
❑ ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM L1-value MINIMUM R-Values
I .l'enestration2 I Ceilina3 iall Floor Basement Wall I SlabPerimeter T)e th
0.39 R-37 I R-13 R-1 R-10 R-10.4 ft
I Glazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC Iisting. Applies either to every unit,or to area-weighted average of all units.
3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full P.-value over the entire ceiling area
(i.e.-not compressed over exterior walls, and including any access openings.)
❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area)
Attach "Consumer Information Form"from 780 CARR Appendix B.
Official's Name: Official's Signature:
Permit#
I �
i
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: Petrozza Residence Addition
Report Date:06/28/06
Data filename:C:\Documents and Settings\Administratorft Documents\2006-06-30-Petrozza.rck
Energy Code: Massachusetts Energy Code
Location: North Andover,Massachusetts
Construction Type: 1 or 2 Family,Detached
Heating Type: Other(Non-Electric Resistance)
Glazing Area Percentage: 13%
Heating Degree Days: 6322
Construction Site: Owner/Agent: Designer/Contractor:
546 Sharpners Pond Road John&Dawn Petrozza Robert Atwood
North Andover,MAO 1845 546 SHarpners Pond Road Architectural Energies
North Andover,MA 01845 200 Sutton Street
(978)794-9331 North Andover,MA 01845
jpetrozza@comcastnet (978)681-0055
AEArchitect@verizon.net
As sembly
�..
Ceiling 1:Flat Ceiling or Scissor Truss: 500 38.0 0.0 15
Wall-First Floor.Wood Frame,16"o.c.: 1056 19.0 0.0 52
Windows-First Floor:Vinyl Frame:Double Pane with Low-E: 135 0.370 50
Doors-First Floor.Glass: 54 0.410 22
Floor-Total:All-Wood Joist/Truss:Over Unconditioned Space: 732 30.0 0.0 24
Wall-Second Floor:Wood Frame,16"o.c.: 504 19.0 0.0 29
Windows-Second Floor.Vinyl Frame:Double Pane with Low-E: 20 0.370 7
Basement Wall:Solid Concrete or Masonry: 736 19.0 0.0 33
Floor-Basement:Slab-On-Grade:Unheated:,Insulation Depth: 91 0.0 95
0.0'
Compliance proposed b ' design described here is consistent with the building plans,specifications,and other
Calc ons submitted the i p'pli tion.The proposed building has been designed to meet the Massachusetts Energy
ode requirements' ES ck rsi n .7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checklist.The ting d for it ' g,and the cooling load if appropriate,has been determined using the applicable Standard
d in a HVA ipment selected to heat or cool the building shall be no greater than 125%of
the desig ns 78 310 and J4.4.
uilder/Designer Company Name D e
Petrozza Residence Addition Page 1 of 4
REScheck Software Version 3.7.3
Inspection Checklist
Date:06/28/06
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall-First Floor.Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
❑ Wall-Second Floor:Wood Frame,16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,R-19.0 cavity insulation
Comments:
Windows:
❑ Windows-First Floor:Vinyl Frame:Double Pane with Low-E,U factor.0.370
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑Windows-Second Floor.Vinyl Frame:Double Pane with Low-E,U factor:0.370
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Doors-First Floor:Glass,U-factor:0.410
Comments:
Floors:
❑ Floor-Total:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
❑ Floor-Basement:Slab-On-Grade:Unheated,R-0(uninsulated)
Comments:
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 Us)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:
Petrozza Residence Addition Page 2 of 4
• ❑ 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 dearly 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.
Heating and Cooling 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.
I
Circulating Hot Water Systems:
❑ Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
❑ All heated swimming pools must have an ontoff 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 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
i
i
i
Petrozza Residence Addition Page 3 of 4
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness In Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
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
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range("F) 2"Runouts. 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Petrozza Residence Addition Page 4 of 4
1 '
Permit#
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: Petrozza Residence Addition
Report Date:06/28/06
Data filename:C:\Documents and Settings\Administrator\My Documents\2006-06-30-Petrozza.rck
Energy Code: Massachusetts Energy Code
Location: North Andover,Massachusetts
Construction Type: 1 or 2 Family,Detached
Heating Type: Other(Non-Electric Resistance)
Glazing Area Percentage: 13%
Heating Degree Days: 6322
Construction Site: Owner/Agent: Designer/Contractor:
546 Sharpners Pond Road John&Dawn Petrozza Robert Atwood
North Andover,MA 01845 546 SHarpners Pond Road Architectural Energies
North Andover,MA 01845 200 Sutton Street
(978)794-9331 North Andover,MA 01845
jpetrozza@comcast.net (978)681-0055
AEArchitect@verizon.net
Assembly
• • �••
Ceiling 1:Flat Ceiling or Scissor Truss: 500 38.0 0.0 15
Wall-First Floor:Wood Frame,16"o.c.: 1056 19.0 0.0 52
Windows-First Floor:Vinyl Frame:Double Pane with Low-E: 135 0.370 50
Doors-First Floor.Glass: 54 0.410 22
Floor-Total:AII--Wood Joistlrruss:Over Unconditioned Space: 732 30.0 0.0 24
Wall-Second Floor:Wood Frame,16"o.c.: 504 19.0 0.0 29
Windows-Second Floor.Vinyl Frame:Double Pane with Low-E: 20 0.370 7
Basement Wall:Solid Concrete or Masonry: 736 19.0 0.0 33
Floor-Basement:Slab-On-Grade:Unheated:,Insulation Depth: 91 0.0 95
0.0'
Compliance Sta The proposed bui ' design described here is consistent with the building plans,specifications,and other
cal s submitted th it plica n.The proposed building has been designed to meet the Massachusetts Energy
e r uirements i check i .3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checklist.The h ad for s b and t cooling load if appropriate,has been determined using the applicable Standard
Design Co ' ons nd in a HVA uipment selected to heat or cool the building shall be no 4De
r than 1 5%of
the des' I a specifi in S 0 1310 and J4.4.
uilder/Designer Company Name
Petrozza Residence Addition Page 1 of 4
REScheck Software Version 3.7.3
Inspection Checklist
Date:06/28/06
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-08.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall-First Floor:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
❑ Wall-Second Floor:Wood Frame,16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall:Solid Concrete or Masonry,8.0'htt7.0'bg/8.0'insul,R-19.0 cavity insulation
Comments:
Windows:
❑ Windows-First Floor:Vinyl Frame:Double Pane with Low-E,U-factor.0.370
For windows without labeled U factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Windows-Second Floor.Vinyl Frame:Double Pane with Low-E,U-factor:0.370
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Doors-First Floor:Glass,U-factor:0.410
Comments:
Floors:
❑ Floor-Total:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
❑ Floor-Basement:Slab-On-Grade:Unheated,R-0(uninsulated)
Comments:
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 cirri(0.944 Us)air movement from the the
conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/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:
Petrosa Residence Addition Page 2 of 4
tz
❑ 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 dearly 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 manufacturers 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.
Heating and Cooling 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.
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 dock.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
Petrozza Residence Addition Page 3 of 4
b
Table 1:Minimum Insulation Thickness for Circulating Hot Wafer Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water
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
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Petrozza Residence Addition Page 4 of 4
Permit#
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: Petrozza Residence Addition
Report Date:06/28/06
Data filename:C:\Documents and Settings\Administrator\My Documents\2006-06-30-Petrozza.rck
Energy Code: Massachusetts Energy Code
Location: North Andover,Massachusetts
Construction Type: 1 or 2 Family, Detached
Heating Type: Other(Non-Electric Resistance)
Glazing Area Percentage: 13%
Heating Degree Days: 6322
Construction Site: Owner/Agent: Designer/Contractor:
546 Sharpners Pond Road John&Dawn Petrozza Robert Atwood
North Andover,MA 01845 546 SHarpners Pond Road Architectural Energies
North Andover,MA 01845 200 Sutton Street
(978)794-9331 North Andover,MA 01845
jpetrozza@comcastnet (978)681-0055
AEArchitect@verizon.net
Ceiling 1:Flat Ceiling or Scissor Truss: 500 38.0 0.0 15
Wall-First Floor.Wood Frame,16"o.c.: 1056 19.0 0.0 52
Windows-First Floor:Vinyl Frame:Double Pane with Low-E: 135 0.370 50
Doors-First Floor:Glass: 54 0.410 22
Floor-Total:All-Wood Joist/Truss:Over Unconditioned Space: 732 30.0 0.0 24
Wall-Second Floor:Wood Frame,16"o.c.: 504 19.0 0.0 29
Windows-Second Floor:Vinyl Frame:Double Pane with Low-E: 20 0.370 7
Basement Wall:Solid Concrete or Masonry: 736 19.0 0.0 33
Floor-Basement:Slab-On-Grade:Unheated:,Insulation Depth: 91 0.0 95
0.0'
Compliance State proposed building design described here is consistent with the building plans,specifications,and other
calcuA
the it tion.The proposed building has been designed to meet the Massachusetts Energy
e ck rsion .7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checd for g,and the cooling load if appropriate,has been determined using the applicable Standard
Desigin e e HV equipment selected to heat or cool the building shall be no greater than 125%of
the d ons 78 R 1310 and J4.4. L��
lam CktilX/
Builder/Designer Company Name DAle
Petrozza Residence Addition Page 1 of 4
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r .7.
REScheck Software Version i n e s o 3 3
Inspection Checklist
Date:06/28/06
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall-First Floor.Wood Frame,16"o.c.,R-19.0 cavity insulation
Comments:
Q Wall-Second Floor:Wood Frame,16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
Q Basement Wall:Solid Concrete or Masonry,8.0'htt7.0'bg/8.0'insul,R-19.0 cavity insulation
Comments:
Windows:
❑ Windows-First Floor:Vinyl Frame:Double Pane with Low-E,U-factor.0.370
For windows without labeled U factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Q Windows-Second Floor.Vinyl Frame:Double Pane with Low-E,U-factor:0.370
For windows without labeled U factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
Q Doors-First Floor.Glass,U-factor:0.410
Comments:
Floors:
❑ Floor-Total:All-Wood Joist/Truss:Over Unconditioned Space,R-00.0 cavity insulation
Comments:
❑ Floor-Basement:Slab-On-Grade:Unheated,R-0(uninsulated)
Comments:
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 Us)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:
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❑ 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 dearly 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.
I
Heating and Cooling 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.
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 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
it
Petrozza Residence Addition Page 3 of 4
• Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
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
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
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