HomeMy WebLinkAboutBuilding Permit #263-12 - 64 EMPIRE DRIVE 9/27/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: � `�2 Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION'10 46- PAD l i U e ( a f �
Print
PROPERTY OWNER(,
Print
MAP NO: 07G PARCEL/ f//2ZONING DISTRICT:-EI Historic District yes rio
Machine Shop Village yes n
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
blew Building Noone family•
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic p We1TFloodplain ❑ Wetlands; (] Watersfi'ed?Dastrictj
Water/Sewer,
DESCRIPTION OF WORK TO BE PERFORMED:
GN�gac4 Ti Air,6c- a m i L y D W eI(!A4- 3- 15Eb germ s
V/Z 13A+14s 2-:S ►It GAL&C 7`(x��J CcJ/ die. ��AAJev '
�1 A+ug$L_ C 45 id Parr'IA4
(Identification Please Type or Print Clearly)
OWNER: Name:('D12Cq AkD ��i LL&E+ LLC Phond-2&W nS/94
Address: ')2 llJ1 N smit� 5&4��o(J �N1� /�/�� Ot 8'3q
CONTRACTOR Name: � b JVI �SSi�uf1 Phone:12$� -31'76
Address272WAZ&h'M 4rce--f G 1E yQjuy - AA• 01 7
Supervisor's Construction License: ' 102'?,3 Exp. Date: 3 f Z
Home Improvement License: j y�2�f Exp. Date: q 11
ARCHITECT/ENGINEERL
Phone:g2ff-352-F3 F
AddReg. No 9-776 S
FEE SCHEDULE.BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ � d� FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
5gnafureofAgent/Owne Sigriature.of contractor, Vic.
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h
t Location LW1214c
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No. "` - Date
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y TOWN OF NORTH ANDOVER
� NORTH 1
O'' �•e .�•+O
Iii 3? e - - _ • OL
a s
+ ; , Certificate of Occupancy $ BOO
�ssuN�st<� Building/Frame Permit Fee $
E Foundation Permit Fee $ zo D
k Other Permit Fee $
F
TOTAL $ .�
r.
Check # Y-30 r
r
24662 Building Inspector
Plans Submitted Lel Plans Waived ❑ Certified Plot Plan Stamped Plans L�
TYPE OF SEWERAGE DISPOSAL f
Public Sewer Tanning/MassageBody Art ❑ Swimming Pools ❑•
Well ❑ Tobacco Sales El� Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ j
' I
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM '
II
I. DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
i
CONSERVATION Reviewed on 1 Signature `
COMMENTS
HEALTH f �' Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Cokservation Decision: Com nts
Water& Sewer Connection/sJtQ 1ez1A4P1hdA* Drivewa Permit
1_
t DPW Town Engineer: Signatur �h
Located 384 Osgoo Str et
FIRE DEPARTMENT - Temp Dite yes no
Located at 124 Main Street
Fire Department signature/dateowl
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 service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use
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Notified for pickup - Date
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Doc:.Building Permit Revised 2008mi
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
o Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses M
❑ Copy of Contract i
o 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
o Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp
Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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
o 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)
o Copy of Contract
o Mass check Energy Compliance Report
o Engineering g ng Affidavits for Engineered products
I90TE: All dumpster permits require sign off from Fire Department prior to issuance ®f Bldg .Permit
in all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
•
. t 3.sE1E3•
C
CERTIFICATE OF USE & OCCU FANCY
TOWN OF NORTH ANDOVER
Building Permit Number 263-12 Date! February 15;2012
THIS CERTIFIES THAT
THS RUILDING LOCATED ON 64 Bake Nve,North Andover,MA 01845
MAY BE OCCUPIED AS a Single Family
Family in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE.
BUILDING CODE AND SUCH OTHER REGULATI€3NSASMAY APPLY.
Cerlilmale Issued Io: Orchard village LLC
277 Washington Street
Oraveland,MA
Fee: 3 100.00
Reeeipt 24632
Oi xORTFt
�8S4Cf1Ust'�
CERTIFICATE. OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 263-12 Date: February 15,2012
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 64 Empire Drive, North Andover, MA 01845
MAY BE OCCUPIED AS a Single Family
Family in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE
BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Orchard Village LLC
277 Washington Street
Groveland,MA
01834
Building Inspector
ector
Fee: $100.00
Receipt 24632
9/27/11
f �iORTi♦ q
O �t LEO tb
- ' APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
T °'P t0(NiC1H Kw 7' T
�9S q,TE°'pt�5 BUILDING PERMIT # 63`��
SAEmu !�
ADDRESS/LOCATION OF PROPERTY:
Ma-P/07(2 Parcel P-112i Lot Number /
SUBDIVISION: jecg i f—P ()t LL 14
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY: :9,12-6
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to:
&,i r--#,q o 0 L LL l4 zi—c
Addresst �� ^�To1l� TPc1�1 b O ? ?
ROUTING
TOWN ENGINEER, SITE PLAN—DRI -WAY REVIEW ,
vs�la
CONSERVATION
PLANNING
DPW-WATER METER
SEWER CONNECTION
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW . - C� ?r- '1 `�
SIGNATURE
File:Application for OC form revised Jan 2007/2011
LAW1tENCE$.QGDEN P.E.
198 EAST MAIN SMUT
978-352:831$;fax 978_--352-2858
cel1:978=Sn2`59Z1
November 22,20.11
Mt Robert Messina
Orchard Village LLC:
277 Washington Street
Groveland Ma x1834
RE: :WMLOW GM 6213
"t.16:.Empire Drive;North Andover;Ma:01845
Dear NIr,Messing
As you requested-1 visited the,site 11./22111 to review the installation of the
Engineered
Material
&:Cons
ishn
g of LULs and Engineered Joist utilized in the fraznmg
of the above project Theseare shownon plans prepared,by G.J Bruno and Assoeia#es:A
I WA-5.D,D, 7/30A 9 with the framing shecertified by me 6115/1.0.
The following i#ems require additional work as discussed at the site with Mr. Jeff
Home:
1. The Sunpson I.TS 18 twist:'straps as shown in sketch:SK-1 dated 2115/11 need.:
16.be installed..
I . Insure that 3 16d nails from the pla#e to`the rin are installed I noticed these
were not in placeat some:walls:
3. Headers.at game end walls should be installedas shown on the plans.
4. Nailing of shea#hing;at the Garage Doors is to be detail on the dr
awin
Based on the above site:visit and based on what I could visibly see provided the
above additional work is`
completed I:can certify that to the best of my knowledge the
LVLs members and Engineered Joist utilized in the-framing-as shown on the drawings
are installed properly and'meet the iQading conditions of the7th.Edition of the
Massachusetts Sta#e Building o q for I&2 Fanuly Residences. All other framYng
requirements of the drawings and code,including l ut not limited to materials,nailing
schedules blocking,connections another details are the responsibility of the.licensed
construction;.sulsery sor responsible for the.project:
sl2auld you.have:ari questions,: lease do not hesitate y q . P: .
to to call:
YoursIWOF 4f
truly,
z� �ss9c
Lawrence1 D
den P E
g ..Structural 27765 ZF
Cc:Mr.berry Bruno Mr:Jeff Home y
-Copy mailed to Mr'Robert Messina- 27763 0
�sS/avAC:ENv�
NORTH
® of
0 ...... t1n
No.
o , dover, Mass., �/2-r
1.
COCHICHEWICK
SRATED �
U BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT................. ....../1....r....! . ....../....v6........... 11:::�.................................................. ....... Fo da 'on
h �
has permission to erect........................................ buildings on�J�'.' t. ....... 1�f1�:................... ...... � ugf. " `7
to be occupied as.......:........... l�f ... 7 '`............................................... ............................................... ey
le
provided that the person accepting ttfis permit shall in e�(ery respect conform to the terms of.the application on file in in
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 SECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Roughf, /i�a
tin4Z/� f, �/11 Z
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECRough
To
�M1
........................................... Service
BUILDING INSPECTOR
Fina
Occupancy Permit Required to Occupy Building GAS INSPECTOR
- Rough
Display in a Conspicuous Place on the Premises — Do Not RemoveF al
No Lathing or Dry (Mall To BeDone FIRE-DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No. �
SEE REVERSE SIDE Smoke Det.
AORTH
ndown O Over ..
No.
=== LAK O lover, Mass., ��7
4
CoCMICKEWICK V'
7S V BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
/ BUILDING INSPECTOR
THIS CERTIFIES THAT............... '� 'i!!lG . ...h/...�.... Jl6.........h`!`.. .......................................................... Foundation
' JJ' F .
has permission to erect........................................ buildings on ��..��..'�-r.: .......� ...............................°,��6 Rough
t0 be occupied as................... 1^f /.... 7l.'.%.�-..........................:.............................................................. ......... Chimney
Ch'
provided that the person accepting t is permit shall in e7 respect conform to the terms 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
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TARTSRough
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.DEPARTMEN'T
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
i I
MAScheck COMPLIANCE REPORT ( i
Massachusetts Energy Code I Permit # I
MAScheck Software Version 2.01 Release 2
I I
Checked by/Date
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 9-26-2011
DATE OF PLANS: 7/30/09
TITLE: The Willow
PROJECT INFORMATION:
Orchard Village, Lot 16, #64 Empire Drive
COMPANY INFORMATION:
Orchard Village, LLC
COMPLIANCE: PASSES
I
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 1250 of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
i
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
The Willow
DATE: 9-26-2011
Bldg. 1
Dept. 1
Use
I
CEILINGS:
[ l I 1. R-38
I Comments/Location
I
WALLS:
[ ] 1 1. Wood Frame, 16" O.C. , R-21
I Comments/Location
I
BASEMENT WALLS:
[ ] I 1. Conc. 8.0' ht/7.0' bg/0.0' insul, R-0 (uninsulated)
I Comments/Location
I
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? [ ] Yes [ ] No
I Comments/Location
I
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:
[ ] I 1. Furnace, 96.0 AFUE or higher
I Make and Model Number
[ ] 1 2 . Air Conditioner, 13.0 SEER or higher
I 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
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
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
difference and shall be labeled. .
I
I VAPOR RETARDER:
[ ] I Required on the warm-in-winter side of all non-vented framed
1 ceilings, walls, and floors.
I
MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
1 and cooling equipment and service water heating equipment must be
1 provided. Insulation R-values, glazing U-values, and heating and
cooling equipment efficiency must be clearly marked on the building
1 plans or specifications.
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
1 ductwork located outside conditioned space, including stud bays or
1 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
TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
1 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
1 not greater than 125% of the design load as specified
I in Sections 780CMR 1310 and J4 .4 .
I
SWIMMING POOLS:
[ ] ( 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
1 non-depletable sources. Pool pumps require a time clock.
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
I PIPE SIZES (in. )
1 HEATING SYSTEMS: TEMP (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
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
I
CIRCULATING HOT WATER SYSTEMS:
[ ] I Insulate circulating hot water pipes to the following levels (in. ) :
I
PIPE SIZES (in. )
I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+"
1 170-180 0.5 ( 1.0 1.5 2.0
1 140-160 0.5 1 0.5 1.0 1.5
100-130 0.5 1 0.5 0.5 1.0
I
----NOTES TO FIELD (Building Department Use Only) -------------------------
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance nsurance Affidav><t: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/OrganizatiorAndividual):De
LL
2 ��.� ( AC & LLc
Address:
an? WAM A) Sf reef
City/State/Zip1 kp(JF( &11?, _AAA. 0� phone
Are you an employer?Check the appropriate box:
Type of project(required):
1.❑ I am a employer with 4. ElI am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. [ Tew construction
2.❑ I am a sole proprietor or partner- listed on the attached sh%et.# 7• ❑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 am 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.]f employees. [No workers'
comp.insurance required.] 13.❑ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
I 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.
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.Lie.#: 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 may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
la
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si nature: S 9 a� i
Q Q� Date:
Phone#: %7��0
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person:
Phone M
II