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HomeMy WebLinkAboutBuilding Permit #137 - 65 MAYFLOWER DRIVE 8/21/2007 BUILDING PERMIT ° <�``° "o E 9 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit N0: S 7 Date Received �9p�RATlD wP`�y �SSACHUs�t Date Issued d 7 IMPORTANT Applicant must complete all items on this page 2 T h "'k-wa Seat n„`""y,. R31fl l rK TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building R<ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: El Commercial ❑ Repair, replacement ElAssessory Bldg El Others: ❑ Demolition ❑ Other 77 77 4'004e3ii b-ARi #� ' . ip ew -'' a... � _._ DESCRIPTION OF WORK TO BE PREFORMED: �o�s����.; Z111- mws :w��+�� ��.y �a �� ' ��� fid -►, ..;(/'Ab, Rao A, `,TI 1%-90 elc Identification Please Type or Print Clearly) OWNER: Name: "Pi-c- . Phone: Address: 10 14eP '4y�eovl� a¢�.�c�vere (M 4- o/$Y; h� w � Sd r N %s �T3�'itlta � � 1t7� ;! ` � �' EXIc 5 £ NiVP � �n. ARCHITECT/ENGINEER ©So�L' va #e.Ab' �cfs, �G Phone: ?81 -a`��o - 1&6-7 O/88O Address:,;?d/ &"+tga og I . 10* Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Z?/O FEE: Check No.: . 7/do" Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature of A en0atur : of contract Y Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPO�S�A/L Public Sewer u Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ n THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DAT APPROVED PLANNING & DEVELOPM NT COMMENTS D TE REJECTED DATE APPROVED CONSERVATION ❑ 2[ 2� COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Located at 384 Osgood Street Drivewa Permit °FIRE IEP I� 'MENTem ' C osite yes no Locatecat 12A Main Street n par�r�en�srgnatureldate -� a 17 4 'Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: C,ph b© S;4 ar— 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.s100-s1000 fine NOTES and DATA– (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Certified Surveyed Plot Plan L3 Workers Comp Affidavit o 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) a' Building Permit Application ❑ Certified Proposed Plot Plan V Photo of H.I.C. And C.S.L. Licenses V'Workers Comp Affidavit w, TWO Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location No. Date Z G7 MORTh TOWN OF NORTH ANDOVER + ; , Certificate of Occupancy $ �d p ,SSACMUSEt� Building/Frame Permit Fee $ 6 �- Foundation Permit Fee $ �y U Other Permit Fee $ TOTAL $ Check # 20514 Building Inspector A, O Permit# Permit Date f REScheck Software Version 3.7.3 Compliance Certificate Project Title: Old Salem Village Report Date:11/01/06 Data filename:Untitled.rdc Energy Code: Massachusetts Energy Code Location, Lowell,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage; 13% Heating Degree Days: 6339 Construction Site: Owner/Agent: Designer/Contractor. Unit F Kay Lime Inc J&J Heating&Air Cond North Andover,MA 1538 Turnpike Street 17 Arlington St North Andover,MA 01845 t1racut,MA 01826 978-454-8197 Wsw%�Uuaum= IT Ceiling 1:Flat Calling or Scissor Truss: 1251 30.0 0.0 44 Ceiling 2:Cathedral Ceiling(no attic): 195 30.0 0.0 7 Wall 1:Wood Frame,16"ox,; 2326 13.0 0.0 163 Window 1:Wood Frame;Double Pane: 297 0.320 95 Door 1:Solid: 39 0.460 18 Floor 1;All-Wood JoiistlTruss-Over Unconditioned space: 1446 19.0 0.0 68 Furnace 1;Forced Hot Air.96 AFUE Air Conditioner 1:Electric Central Air.13 SEER Compliance Statement.The proposed building design described here Is consistent With the building plans,specifications,and other calculations submitted with the permit appication.The proposed building has been designed to mast the Uessachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist-The heating load for fats bukling,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 thedes load as speq in Sections 780CMR,1(33110 and J4A. Buf !Designer Comps me Date Old Salam Village Page 1 of 4 l 'd Wz '°N ONI 'D/d 19NI03H Ir NVto:S 9001 '8 'A ON NOREScheck Software Version 3.7.3 Inspection Checklist Date: 11/01/06 Collings: ❑ Ceiling 1:Flat Ceiling or SdssorTruss,R-30.0 cavity insulation Comments_ Q Ceiling 2:Cathedral Collins(no attic),R-3o.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame;Double Pane.U-factor.0.320 For windows without labeled U#actors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,1.1-factor,0.460 Comments: Floors: ❑ Floor 1:All-Wood Jolst/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 0 Furnace 1:FoN d Hot Air.96 AFUE or higher Make and Model Number. ❑ Alr Conditioner 1:Electric Central Air:13 SEER or higher Make and Model Number Air[_Leakage: ❑ Joints,penehations,and all other such openings in the building envelope that are sources of air leakage must be sealod_ ❑When installed in the building envelope,reused lighting fbduras shall meet one of the following requirements 1. Typo IC rated,manufactured with no penetrations between tho inside of the recessed f)dure and ceiling cavity and sealed or gasketed to prevent air leakage into the uncondidoned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 20 cfrn(0.944 us)air movement from the the Conditioned space to the calling cavity,The fighting 6xwre shag have been tasted at 75 PA or 1.57 lbsV pressure difference and shall be labeled. Vapor Retarder. ❑ Requiraq on the wart-In-Wruar side of all non-vented framed ceilings,walls,and floors. Mat*Ula klentilicattan: ❑ 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-factors,and heating equipment efficiency must be dearly marked on the building plans or specifiCad". Old Salem Village Page 2 of 4 £ 'd titiSZ "N ONI '3/d 19NIld3H PIP NVL0:8 9002 '8 'AON 0 o Table f:Minimum lasuladon Thickness!hr Circulating Not Water Pipes Insulation Thlcknaas 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 Systema Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Law Temperature 120-200 0.5 1.0 1.0 1.5 Staam Condensate(for feed water) ' Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water.Refrigerant and 4"5 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) Old Salem Village Page 4 of 4 5 'd titiSZ '°N ONI 'O/b '8 9NI1d3H PIr NV80:8 9002 '8 '^0N o 0 Duct Insulation: Ducts shall be insulated per Table 34.4.7.1_ Duct Construction: ❑ All acoesslble joints,learns,and connections of euppty and return ductwork located outside conditioned space,induding stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic ano fibrous bactcing tape installed according to the manufacturer's installation instructions.Mesa 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 Conte-ole: (� Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the healing 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 34.4, Circulating Hot Water Systema: ❑ 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 hearing energy is from non-depletable sources.Pod pumps require a time clock. Heating and Cooling Piping lnsulatlon: [7 HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Old Salem Viliage Page 3 of 4 ti d titiSl '°N ONI '0/d 19NI1b3H W NV80:8 9001 '8 'AON ��ie Voonmca�uueall� a�,/�aaoac/u�ae�la �1 Board of Building Regulations and Standards Const ruction Supervisor License y ice- el�,CS :15302 iiia ^ ., J= ffl Tr# 6950 rt��n 12/x}/2008 Ret�cri, tio��4 BftNJAN}1N'C, OSGQ����.�Y� r 69 OLD VILLAGE , NO ANDOVER,MA 01845 Commissioner WORKERS COMPENSATION AND EMPLOYERS LIABILITI ASURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company Burlington, Massachusetts NCCI NO 26158 (800) 876-2765 t POLICY NO. AWC 7013446012006 PRIOR NO. AWC 7013446012005 ITEM 1. The Insured Keylime Inc Mailing Address: 1538 Turnpike Street North Andover MA 01845 i i (No. Street Town or City County State Zip Code ❑ Individual ElPartnership ® Corporation ❑ Other FEIN 04-3311218 .c 3 ' Other workplaces not shown above: r 2. The policy period is from09/15/2006 to 09/15/2007 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident$ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 eachemployee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A f D. This policy includes these endorsements and schedules: SEE SCHEDULE :i 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans. X All information required below is subject to verification and change by audit. Classifications Premium Basis Rates t Code Estimated Per$100 Estimated Total Annual of Annual No. Remuneration Remuneration Premium INTRA 285896 SEE EXT NSION OF INFORI AATION PAGE i iMinimum premium$ 500.00 Total Estimated Annual Premium $ 1,128.00 As indicated,interim adjustments of premium shall be made: Deposit Premium $ 1,160.00 ® Annually, ❑ Semi Annually ❑ Quarterly ❑ Monthly MA Assessment Chg. $768.55 x 4.1920% $32.00 .I C: t� This policy,including all endorsements,is hereby countersigned by 08/03/2006 Authorized Signature Date GOV GO4�n CING CLAIM NAME SAFETY I STATE CLAFICE OFFICE CHECK GROUP M P Roberts Insurance Agency i( MA 15645 Inc 1060 Osgood Street WC 00 00 01 A(11-88) Includes copyrighted material of the National Council on Compensation Insurance, North Andover,MA 01845 I used with its permission. S . W ER APPLICATION . RESTRAINER APPLICATION O WOOD MEMBER `: ::. •. .4 CPUC PIPE O x EX HEAD SELF TAPPING SCREW' SINGLE FASTENER cPvc CPVC PIPE STRAP • HANGER DETAIL NTS )ME FIRE PROTECTION 0 SALEM V www homefp@comcast. net RT. 114 29 HUNTER DR NORTH ANDOVER, MA EPPING, NH 03042 603-2441245 CONTRACTOR: KEY-LIME GENERAL NOTES ALL WORKMANSHIP & MATERIALS TO CONFORM TO NFPA 13D ALL PIPING TO CPVC WITH CPUC FITTINGS PER NFPA 13D WATER SUPPLY INFORMATION 81 PSI STATIC 74 PSI RESIDUAL 1300 GPM FLOW TEST CONDUCTED BY HOME FIRE PROTECTION _.............................................................. ._. ...c� �;t.. ...... ................... 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Lli 1 u'-Y x 19'— both _ 191.5 6 O 324.0 1 �4 td-i'shit'—ICS' i i is ii STUDY 1Y l 1.............._............................................. 1 ST FLOOR PLAN -UNIT E BEDROOM TI 427*3 j .................................................................................................... upper m. bedroom /Opr to ........................ .................................................................... ........................................ .............. ..................... ................... ............ 324.0 1 I IH, l I 11111 Ial loft — C SITTING AREA GD bedroom ly-w x Ir-r Is. bal 324.0 1 k 0 Nlrff.7 w 3lu For ............. .............................. .... ................................... T Ll t........._......................... ......................... ........................................... ....................... NORTIy Town of 0 No. _= = o dover, Mass., 0 1. COCMICKEWICK V 40 ED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System b BUILDING INSPECTOR THIS CERTIFIES THAT ..........1.re?.F.0G.*. Ye.:7o:vnt................................................... ............................... Foundation has permission to erect........................................ buildings 4%r...'Ma. ..4F/ft�, -r?.................... Rough to be occupied as.................... � .A......��•��!I�.. . .. Chimney provided that the person accepting this mit shall in every respect con m to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to a 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 <*q*0 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI STARTS ELECTRICAL INSPECTOR Rough Wzam ..................... Service .......... ......4-4 BUILDIN SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH Town of . _ . Andover No. / 3 ­ 0 C, o over, Mass. D -, LAK 1 COC NIC EWICK A- V ADRATED BOARD OF HEALTH Food/Kitchen P. ERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........../rtr. ... .mE' r'................................................... ............................... Foundation has permission to erect........................................ buildings 4%r.../w/lar.. ,/�... !.................... Rough / �• !!!10 ....� .......................... Chimney be occupied as.................... ....... provided that the person accepting this permit shall in every respect con m to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to a 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 <0q*0 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough Service BUILDIN SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.