HomeMy WebLinkAboutBuilding Permit #430-13 - 7 EMPIRE DRIVE 11/29/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 3 Date Received
Date Issued/ -
IMPORTANT:Applicant must complete all items on this page
LOCATION '# 457/n P1
Pr n� t,
PROPERTY OWNER C�RCA�ren ``� t (--L C7 �-
Print 100 Year Old Structure yes Ano
MAP NOID7CPARCEL/�7!ZONING DISTRICT:�Historic District yesMachine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Resi ential Non- Residential
New Building Vbne family
❑Addition 0 Two or more family 0 Industrial
0 Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic 0 Well ❑ Floodplain ❑Wetlands 0 Watershed District
Water/Sewer
DES RIPTION OF WORK TO BE PERFORMED:
s L.C+
Identification Ple a Ty a or Print Clearly)
OWNER: Name:
�leC_ L Phone: -3
Address: l T e bLE4-A 0 1 83`f
CONTRACTOR Name ! '�lS Sl N I� Phone978'g9s/`319
Address. 9 �N e+ 60EL PIU 0 - C
�Z'7 �s t NC � ITTq
Supervisor's Construction License: �� G _Exp. Date: 1.7
Home Improvement License:. '7 Exp. Date-.II/, / j3
ARCHITECT/ENGINEER L Ar ro Phone:V2-3Sz' g,3)
Address/ - ? Reg. No
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 00 v FEE: $ 3 9-
Check
Check No.: 2 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner iC� Signature of contracto (i'✓h6�
Plans Submitted Plans Waived ❑ Certified Plot Plan W Stamped Plans
Location /r1 10�/l..l OT
No.
Dat&— C�-
• • TOWN OF NORTH ANDOVER
•
Certificate of Occupancy
Building/Frame Permit Fee $�� 8
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Z
Check#� '?�
i
25991 Building Inspector
Plans Submitted Plans Waived ❑ Certified Plot Plan R'4 Stamped Plans
TYPE OF SEWERAGE DISPOSAL
4
Public Sewer 12 Tanning/Massage/Body Art ❑ Swimming Pools _ ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
d
COMMENTS
HEALTH Reviewed on Signature
C I
COMMENTS
4
�I
I
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments U
i(-Z9 �2
Water & Sewer Connection/si nature& D4 Drivewa Permit
DPW Town Engineer: Signature: -
'
Located 384 Osgood Street
`FIRE DEPARTMENT.- Temp Dumpster sit ye no
Located at-124 Main Street
Fire Departinerit�signature/date
COMMENTS
i
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
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The i obtained.
T e folt�owin is a list of the required forms to be filled out for the appropriate permit to be o t
9 q pp P p
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
❑ 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
o 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
❑ 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
I
i
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 appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submated with the building application
Doc: Doc.Building Permit Revised 2012
LAWRENCE H. OGDEN,P.E.
198 EAST MAIN STREET
978-352-8318 fax 978—352-2858
cell: 978-502-5921
January 14,2013
Mr. Robert Messina
Orchard Village LLC.
277 Washington Street
Groveland,Ma 01834
RE: THE PARSONS REVISED PLAN GB#R6314
Lot 31 Empire Drive,North Andover,Ma. 01845
Dear.Mr. Messina
As you requested I visited the site 1/11/13 to review the installation of the
Engineered Materials consisting of LVLs and Engineered.Joist utilized in the framing
of the above project. These are shown on plans prepared by G.J. Bruno and Associates A-
1 to A-5 Dated 12/28/11 with the framing sheets certified by me 1/20/12.
The following items require completion:
1.0 Nailing of the garage door sheathing per detail sheet A-5
2.0 Installation of the deck lateral load connection shhet A-5
3.0 Installation of Simpson ACE caps at post to beam at porch.
4.0 Connection together of second floor LVLs "
Based on the above site visit and based on what I could visibly see 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 loading conditions
of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences.
All other framing requirements of the drawings and code, including but not limited to
materials, nailing schedules, blocking, connections and other details are the responsibility
of the licensed construction supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
Yours truly,
/ " OF
6 wpiNa Py
Lawrence H. Ogden P.E. Structural 27765 o
GM
� es p ti l�i4�i,j
Cc:Mr. Gerry Bruno Mr. Jeff Horne
Copy mailed to Mr. Robert Messina slona�£NG��
LAWRENCE H. OGDEN,P.E.
198 EAST MAIN STREET
978-352-8318 fax 978—352-2.858
cell: 978-502-5921
January 14,2013
Mr. Robert Messina
Orchard Village LLC.
277 Washington Street
Groveland,Ma 01834
RE: THE PARSONS REVISED PLAN GB#R6314
Lot 31 Empire Drive,North Andover,Ma. 01845
Dear Mr. Messina.
As ou requested I visited the site 1/11/13 to review the installation of the
Y
Engineered Materials consisting of LVLs and Engineered Joist utilized in the framing
of the above project. These are shown on plans prepared by G.J. Bruno and Associates A-
I to A-5 Dated 12/28/11 with the framing sheets certified by me 1/20/12.
The following items require completion:
1.0 Nailing of the garage door sheathing per detail sheet A-5
2.0 Installation of the deck lateral load connection shhet A-5
3.0 Installation of Simpson ACE caps at post to beam at porch.
4.0 Connection together of second floor LVLs "
Based on the above site visit and based on what I could visibly see 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 loading conditions
of the 8th Edition of the Massachusetts State Building Code for 1&2 Family Residences.
All other framing requirements of the drawings and code, including but not limited to
materials, nailing schedules, blocking,connections and other details are the responsibility
of the licensed construction supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
Yours ly,
TN OF tij,�'r9
WRWa cti
L wren H WO1D
ce . O den P.E. Structural 27765 0
g ocoar
G.1 y
� �t ¢/13
Cc:Mr. Gerry Bruno Mr. Jeff Horne T
Copy mailed to Mr. Robert Messina FS ONAL
i
i
Enter construction cost for fee cal - North Andover Fee Cakulation
Construction Cost
274,000.00 m
$ - $ 3,288.00
Plumbing Fee $ 411.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 411.00
Total fees collected $ 4,210.00
7 Empire Drive
430-13 on 12/5/2012
New Single Family
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
uv� 600 Washington Street
Boston,MA 02111
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): � � I LL tic, L LLQ
Address:9`7'7 W ASA 1k) l arJ
City/State/Zip:cQ,k)aApa 01g,3q phone#:
Are you an employer?Check the appropriate box:
1.El am a employer with 4. El Type of project(required):I am a general contractor and I T6. ❑New construction
1amployees(full and/or part-time).* have hired the sub-contractors
2.[ I am a sole proprietor or partner- listed on the attached sheet. t 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 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs
insurance required.]t 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.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
t am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
?olicy#or Self-ins.Lic.#: Expiration Date:
lob Site Address: City/State/Zip:
attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
ine 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
if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
nvestigations of the DIA for insurance coverage verification.
do liereb under thepains and penalties of perjury that the information provided above is true and correct.
i nature:
W s- Date:
hone#: —
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or.
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax# 617-727-7749
Revised 5-26-05
www.mass.gov/dia
CREScheck Software Version 4.4.3
NJ( Compliance Certificate
Project Title: Orchard Village
Energy Code: 2009 IECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.orientation unspecified
Glazing Area Percentage: 10%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
lot 31 #7 Empire Drive Robert Messina
N.Andover,MA 01845 Messina Development Co.Inc.
Compliance:
Compliance:13.5%Better Than Code Maximum UA:364 Your UA:315
The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Gross •
Assemblyor or D••
Perimeter •
Ceiling 1:Flat Ceiling or Scissor Truss 1232 0.0 38.0 31
Wall 1:Wood Frame, 16"D.C. 2773 0.0 21.0 94
Orientation:Unspecified
Window 1:Vinyl Frame:Double Pane with Low-E 283 0.350 99
SHGC:0.00
Orientation:Unspecified
Door 1:Solid 70 0.350 25
Orientation:Unspecified
Basement Wall 1:Solid Concrete or Masonry 1105 0.0 30.0 66
Orientation:Unspecified
Wall height:8.0'
Depth below grade:7.0'
Insulation depth:4.0'
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 2009 IECC requirements in
REScheck Version 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Title: Orchard Village Report date: 11/29/12
Data filename: C:IMASCHECK\Waverlylot3l.rck Page 1 of 4
REScheck Software Version 4.4.3
Inspection Checklist
Energy Code: 20091ECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.orientation unspecified
Glazing Area Percentage: 10%
Heating Degree Days: 6322
Climate Zone: 5
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 continuous insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 continuous insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul,R-30.0 continuous insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor:0.350
Comments:
Air Leakage:
❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between
window/door jambs and framing.
❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or
damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed
to maintain insulation application.
❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air.
❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts.
Air Sealing and Insulation:
❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7
ACH at 50 pascals OR 2)the following items have been satisfied:
(a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.
(c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
Project Title:Orchard Village Report date: 11/29/12
Data filename:C:\MASCHECK\Waveriylot31.rck Page 2 of 4
(d)Floors:Air barrier is installed at any exposed edge of insulation.
(e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or
sprayed/blown insulation extends behind piping and wiring.
(f) Comers,headers,narrow framing cavities,and rim joists are insulated.
(9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall.
Sunrooms:
❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum
skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Materials Identification and Installation:
Materials and equipment are installed in accordance with the manufacturers installation instructions.
Materials and equipment are identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
Insulation R-values and glazing LI-factors are clearly marked on the building plans or specifications.
Duct Insulation:
Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R-6.
Duct Construction and Testing:
❑ Building framing cavities are not used as supply ducts.
F-1 All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means
of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or
UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically
fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet-metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
C] Duct tightness test has been performed and meets one of the following test criteria:
(1)Postconstruction leakage to outdoors test:Less than or equal to 98.6 cfm(8 cfm per 100 ft2 of conditioned floor area).
(2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 147.8 cfm(12 cfm per 100 ft2 of
conditioned floor area).
(3)Rough-in total leakage test with air handler installed:Less than or equal to 73.9 cfm(6 cfm per 100 ft2 of conditioned floor area).
(4)Rough-in total leakage test without air handler installed:Less than or equal to 49.3 cfm(4 cfm per 100 ft2 of conditioned floor area).
Temperature Controls:
❑ Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary
heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle.
F1 Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the
compressor can meet the heating load.
Heating and Cooling Equipment Sizing:
n Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
F1 For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating(Sections 503 and 504).
Circulating Service Hot Water Systems:
F-1 Circulating service hot water pipes are insulated to R-2.
❑ Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
Ej HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.
Swimming Pools:
Project Title: Orchard Village Report date: 11/29/12
Data filename: C:\MASCHECK\Waverlylot31.rck Page 3 of 4
Ej Heated swimming pools have an on/off heater switch.
Lj Pool heaters operating on natural gas or LPG have an electronic pilot light.
F1 Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar-and/or waste-heat-recovery systems.
❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a
minimum insulation value of R-12.
Exceptions:
Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source.
Lighting Requirements:
FI A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a)Compact fluorescent
(b)T-8 or smaller diameter linear fluorescent
(c)40 lumens per watt for lamp wattage—15
(d)50 lumens per watt for lamp wattage>15 and—40
(e)60 lumens per watt for lamp wattage>40
Other Requirements:
F-1 Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is
above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c').
Certificate:
A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window
U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility
of the circuit directory label,service disconnect label or other required labels.
NOTES TO FIELD:(Building Department Use Only)
Project Title: Orchard Village Report date: 11/29/12
Data filename: C:\MASCHECK\Waverlylot3l.rck Page 4 of 4
IIIJ( 2009 IECC Energy
Efficiency Certificate
Insulation .
Ceiling/Roof 38.00
Wall 21.00
Floor/Foundation 30.00
Ductwork(unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.35
Door 0.35 NA
CoolingHeating &
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments:
.r 7NRT
OH
w: :. . _ ve' 'o
0
No.
h ver, Mass, �� • 1.A
COCNICAWICK y1. -�
�d A�AATED ►'Pa,�,�y
S V
BOARD OF HEALTH
Food/Kitchen
PER MIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.....................I......�....... .................... -. . .... . ...........ter..........
� Foundation
tj1. .
has permission to ere ....................:...... b ' dings on . � .......... .....
Rough
to be occupied as ..... :,. :.... ... . . . �..... .....: � ........ Chimney
provided that the person,accep this permit shall in eve espect conform to the terms o he application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspecti n,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
t
�ON of the Zoning or Building Regulations Voids this Permit. Rough
Final
;3 � PERMIT EXPIRES Ir14NTH ELECTRICAL INSPECTOR
UNLESS CONSTRUCTA Rough
Service
........... ... .................................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
SEE REVERSE SIDE
LOT 32
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