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HomeMy WebLinkAboutBuilding Permit #480-2011 - 60 EMPIRE DRIVE 12/13/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 — Date Issued: Date Received ANT: Applicant must complete alll' items on this Print MAP NO: ,O7C PARCEL %%ZONING DISTRICT: Historic District yes n Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential "ew Building Kbne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ,,-.g.� ® peptic.j?Vell❑Floodplain r _ : Wetlands, ,� Wat� e� rshedlD'�str ct� Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: � SAL Identification Please Type or Print Clearly) „ M 62-� OWNER: Address: Supervisor's Construction License: %©2 '73 1 Exp. Dater 2 Home Improvement License: 16 q ? 2—T Exp. Date: ( f ARCHITECT/ENGINEER L kQat') Phone:92;F'3!;2- iS 31 S _ Addressfit�{'UiAI til�,Ca e��� l6L"N - Ci f X33 Reg. No. r i FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S F. Total Project Cost: $ FEE: $ 3 2 / 7 � � Check No.: ��/ 2 Receipt No.: __.g 5 7,F e° NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund &-Zgr-4" CONTRACTOR .m- ' on- E 1. 0 Address: Supervisor's Construction License: %©2 '73 1 Exp. Dater 2 Home Improvement License: 16 q ? 2—T Exp. Date: ( f ARCHITECT/ENGINEER L kQat') Phone:92;F'3!;2- iS 31 S _ Addressfit�{'UiAI til�,Ca e��� l6L"N - Ci f X33 Reg. No. r i FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S F. Total Project Cost: $ FEE: $ 3 2 / 7 � � Check No.: ��/ 2 Receipt No.: __.g 5 7,F e° NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund &-Zgr-4" Location No. y�� - ? o ii, Date / /? i , NORTq TOWN OF NORTH ANDOVER 1p. A 9 Certificate of Occupancy $ CHUs t� Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S Check # A�1? 2 " /6'/'Building Inspector Plans Submitted N- Plans Waived ❑ Certified Plot Plan W Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer A Tauning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receiptsubmitted yes Planning Board Decision: Com Conservation Decision: Comments 12-13-149 Water & Sewer Connection/Signature & Da Driveway Permit 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 %r-%% O COMMENTS 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 Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine I NOTES and DATA — (For department use U 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 ❑ 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 o 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 40TE: 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 that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi z. I R.1 w o E 0 A `uCM ti c � 0 o � c CJ* a. o � w aa I O cm G G a �y ce V V � w A. m .F. cm O as 8 w CO v cn a a p w c4 v U c w" a a�' w U w ►� W L imp c9i is w O m is w w x w v P:Ql 0 z cn Q o cn v h _W _ LL H W V C* o E me `uCM ti c � Z o � c CJ* L O y I O cm G G O ce V V y m .F. cm m p O� O O h _W _ LL H W V C* E O m `uCM ti E a Z :.s c c CJ* CD o I O cm G G o Q ce h E y m .F. cm m 0 h _W _ LL H W V C* co O E `uCM ti c Z c CJ* L I O cm G G O ce coM y 0 3 .F. cm m y O� O.0 3.0 O y V! C O ea 'E" 4 O •v �Q L imp C a� m N m OCD G O C.) CL y O G G •� CL O p m CLy evv•�Z O V O O. O cm C m L -mc .o CD a:53o N yp+ y ms~ O t CL= A O Cl* E c ci -0 � .y O L p g mC a G. 44 m p L y •� J O =�a4m� co O E L O Z O 0 y G I O cm G G 'O ■— Q C co h O O •E m m CD c 0 CD � »-� O.0 3.0 O 0 . a' O O CL �Q y G cc O. OCD G ZZ O C.) CL y O G G •� C c CLy 0 0 uj Y/ w W w W N 10.5' 811 LOT 15 Qo, LOT 14 EXIST. FND EL.=280.53 LOT 13 30.0' 79' 1 / it -4l /J - 0 J. 20.3' FOUNDA TION LOCA TION CLIENT' ORCHARD VILLAGE, LLC THIS CER77F/C4T7ONIS MADEAND LIMITED TO THEABOVECLIENT LOCA TION: NOR TH ANDO VER, MA. DATE. 12/6/10 SCALE. 1 =30' 191 1 CERTIFY THAT THE PR/MARYS7RUCTUI*VWWN CONFORMS TO THE HORLZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLEZON/NG BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANYOTHER RESTRICTIONS SUCH AS COVENANTS, WETLANDS.EASSUENM ORDERS OFCONDITIONS ,EIC) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN 7X4 OUTLINED ABOVE EXCEPT WITH THE WRITTEN PERMISSION OF CHRIST74NSEN A SERG✓ INC FURTNERMORE THIS DRi4W/NG IS THE COPYRIGHTED PROPERTY OFCHRISTANSEN6 SERGI INC. AND ANY UNAUTHORUED USE IS PROHIBITED CHRISTWASEN 6 SERGI TADS NO RESPONSIBLUTYFOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MAT70N CONTAINED HEREON. PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW. CSI-ENGR.COM TEL. 978-073-0310 FAX 978-372-3960 D WG. NO..06029. 001.047 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 12-10-2010 DATE OF PLANS: 7/30/09 TITLE: The Willow PROJECT INFORMATION: Orchard Village, Lot 14, #60 Empire Drive COMPANY INFORMATION: Orchard Village, LLC COMPLIANCE: PASSES Required UA = 450 Your Home = 233 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value --------------------------------------------------------------------------- CEILINGS 1258 38.0 0.0 WALLS: Wood Frame, 16" O.C. 2115 21.0 0.0 1 BSMT: Conc. 8.0' ht/7.0' bg/0.0' insul 0 0.0 0.0 GLAZING: Windows or Doors 140 0.350 DOORS 79 0.000 FLOORS: Over Unconditioned Space 768 30.0 0.0 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: 12-10-2010 Bldg.1 Dept.i Use I CEILINGS: [ ] I 1. R-38 Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C.,•R-21 I Comments/Location BASEMENT WALLS: [ ] I 1. Conc. 8.0' ht/7.0' bg/0.0' insul, R-0 (uninsulated) I Comments/Location 1 WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.35 I For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break? [ j Yes [ ] No i Comments/Location I DOORS: [ ] I 1. U -value: 0 I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location I I HVAC EQUIPMENT: [ ] ► 1. Furnace, 96.0 AFUE or higher I Make and Model Number [ ] I 2. Air Conditioner, 13.0 SEER or higher Make and Model Number 1 AIR LEAKAGE: [ l I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I .1. Type IC rated, manufactured.with no penetrations between the I 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 I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUT HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+ 170-180 0.5 1 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 1 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- The Commonwealth of Massachusetts Department of Industrial.Acculents Office o fInvestigations 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectricians/JPlumbers Applicant Information ]Please Print Legibly Name (Business/Organization/Individual): Address: G City/State/Zip: Phone Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.) employees. [No workers' comp. insurance required.) Type of project (required): 6. XNew construction 7. ❑ Remodeling . 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. E] Plumbing repairs or additions 12.0 Roof repairs 13. ❑ Other !Any applicant that checks box #Z must also fill out the section below showing their workers' compensation policy information. 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 and their workers' comp. policy information. lam 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. #: Job Site Address: Expiration Date: 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 certify under the pains andpenaldes ofperjury that the information provided above is true and correct. �-�A_ i tit - , --, - ,fn/ ,-� 1,_V Official use only. Do not write in this area, to he completed by city or town official City or Town: PermibUcense Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town CIerk 4. EIectrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: