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HomeMy WebLinkAboutBuilding Permit #836-14 - 72 MAYFLOWER DRIVE 5/19/2014L Permit N0: Issued: LOCATIO \CAII TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION RTANT: Applicant must Date Received all items on this _ Print. PROPERTY OWNER /-�eY �i � r-'�c Print / 100 Year Old Structure yes MAP NO: 1d7_6 PARCEL: ZONING DISTRICT: i' Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ew Building ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer f ( DES RIPTION OF WORK TO tat NtKI-U t tU: 7' a vCT 40 _L v F : K r.L w FA -"1-'i-,4 L? > ML 1'* W : ;; e a oe Cr-+e*e,Xj;_' 3'Beg 1eoom-s , 1=oo*.ok 'o,,. 7 -Pts *LLeth Uttee f*i?m'�- (p` '" OWNER: Name: Address: IOTA-�'�c� cation Please Type or Print Clearly) yrs -e,- .L,z c . ib 2f vim 00 44 L le e, 4Yj CONTRACTOR Namedos� Phone: S0S--V-8 - lcay Address: Cal 0�1 V'"CL a G#P. 9 -it I Supervisor's Construction License:K?S - O? -s ©;L Exp. Date: Home Improvement License: Exp. Date: �C��%WV'!,v f F- ©��LO (I� • �• �. O�tT��K�1 ARCHITECT/ENGINEER ICV Phone: Address: &a 14 G- . iM 0, 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: $ -3,50, FEE: $ as Check No.: �O�y Receipt No.: 2��eE1 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu ....__/ Signature of Agent/Own nature of contrac Plans Submitted L.J 6aWaived ❑ Certified Plot Plan ❑ amped Plans ❑ - - Plans Submitted ❑ Plans Waived ❑ ,;.Certified Plot Plan ❑ Stamped Plans ❑ :TYPE:OF_;SEWERAGED3Si'D,S�A/L" Public Sewer r"1 Tanning/MassageBodyArt ❑ ... .Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private. (septic tank, etc_. ❑ --- _ . ------------ -permanent D"ster ori -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/receipt submitted yes - Planning Board Decision: Comments Conservation Decision: :Comments Water & Sewer Con nectionisignature & Date Driveway Permit n I)PW 'lbw;! Engineer: Signature: LOcaiea -Jb4 US ooa Street FIRE DEPARTML-'NT. - Temp Dumpster on site yes no Located-at'124 Mair, Street - Fire Departineiit signature/date`"` 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 NOTES and DATA — (For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 I Building Department -'The fol'-3wing W`aIi'st oUthe required forms to be -filled out -for the appropriate:permit to .be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or G. S. L: Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o 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 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) a 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 Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 apw• al 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.Buil ling Permit Revised 2012 Location 6ej,-- - Date No. Check # I r, - I r, ,-_, / � U ., P, TOWN OF NORTH ANDOVER Certificate of Occupancy $ /,� � Building/Frame Permit Fee S141L-2-� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4� U ,,B ilding Inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER ,Building Permit Number 836-14 on 5/19/2014_Date: April 7, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 72 Mayflower Drive — Lot 10 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Benjamin Osgood 69 Old Village Lane North Andover, MA 01845 B ilding I pector Fee: PrePaid $100.00 Receipt: 27589 Check: 6830 00R, H . F 2 s o r ^4n..r�"49 ,SSACH�7�+ES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER ,Building Permit Number 836-14 on 5/19/2014_Date: April 7, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 72 Mayflower Drive — Lot 10 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Benjamin Osgood 69 Old Village Lane North Andover, MA 01845 B ilding I pector Fee: PrePaid $100.00 Receipt: 27589 Check: 6830 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION -:J BUILDING i %' / Pvr 6 ADDRESS/LOCATION OF PROPERTY: 7A eiS�S 6eyevorP Map OZ Parcel /(. Lot Number. /D SUBDIVISION: ni d( Si Loot !', 11#o�g, DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED 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. 4', Permit Issued to: Address: APPLICANT SIGNATURE ROUTING TOWN ENGINEER; SITE PLA — to IUVF-WAY REVIEW CONSERVATION1 PLANNING DPW -WATER METER SEWER CONNECTION CY DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW I41 t,.b /1., 1',`! a %&-,L r, - SIGNATURE File: Application for OC form revised Jan 2007/2011 IN WMI 0 Cc 0 .2 Q i CL cD 0 0 U) E CL i. U) W. 0 0 E 0) O CD .0 ca W—j mr— > 0 46 0 CD CL W 0 .2 n cm > o CL (D CL W w 0 0 cc .0 0 <D CL .2 ca AD to C r -L 0 (D O-0 M C) *a CL 0 L) -7. U LU LL Z LU IA CL ul co E cu :Col Lu S. 0 CU io - RU bD sl to - O a) Ne aj 0 E I LL (A '\t—/ �.:� U- L L Cf- U- V) U) 0 Cc 0 .2 Q i CL cD 0 0 U) E CL i. U) W. 0 0 E 0) O CD .0 ca W—j mr— > 0 46 0 CD CL W 0 .2 n cm > o CL (D CL W w 0 0 cc .0 0 <D CL .2 ca AD to C r -L 0 (D O-0 M C) *a CL 0 L) -7. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER .Building Permit Number 836-14 on 5/19/2014_Date: April 7, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 72 Mayflower Drive — Lot 10 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Benjamin Osgood 69 Old Village Lane North Andover, MA 01845 6 B ilding In pector Fee: PrePaid $100.00 Receipt: 27589 Check: 6830 0 APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION y�ssgcHusBUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY:_ 7:2 A#yf=�0 4re, Map D? Parcel /(o . - Lot Number /O SUBDIVISION: SALOof 11,11ifAg, DATE REQUESTED FILED/READY FOR INSPECTION: / A3r CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED 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 47 %'v_ _ , / c _ _ Permit Issued to: Address: ROUTING TOWN ENGINEER; SITE PLArE-WAYREVIEWd- CONSERVATION f PLANNING DPW -WATER METER SEWER CONNECTION CLY DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST File: Application for OC form revised Jan 2007/2011 k, SIGNATURE SIGNATURE "s p Eq__* A D J r �j 4b C O O L d c O cn .E CL N O t C 0 O O 0 v� .Q CL m 0 O Q 0, N V E CLd L. w C E a� 0 C y J� Im m y C Q E%4 --o :^= N Ur) 0 a' .2 r t N c> 0 L : CL o = c CD N Q V O Ln O N O cx t.O , V d ._ O O m.O y- C .- Q 0 C-) 2 z m co z W X LLIG W a 6—I LS I �Iv ti 5 E O O z N O 0 I O •_ M�MM •E W W CL CE .O O d 0 no Q a CL �a O s cu cc .CL O U)z � U CL U) cc a CQ CL U) 0 Q 41, W i.. • v �! O _ W t LL Z Z Z w W oa��- m C E u/\44�W:�� �=. =m iS `ry c _JI _ Mi .=.1 �` �. CC W LU LL uO -O i.+ CL N V)LL C GA t O y, ti.. O .� on — O Ousl 11O — p ,t,, Q W.O OO EALL �!, J�.�!_J LL K LL 0' LL m VI V1 D J r �j 4b C O O L d c O cn .E CL N O t C 0 O O 0 v� .Q CL m 0 O Q 0, N V E CLd L. w C E a� 0 C y J� Im m y C Q E%4 --o :^= N Ur) 0 a' .2 r t N c> 0 L : CL o = c CD N Q V O Ln O N O cx t.O , V d ._ O O m.O y- C .- Q 0 C-) 2 z m co z W X LLIG W a 6—I LS I �Iv ti 5 E O O z N O 0 I O •_ M�MM •E W W CL CE .O O d 0 no Q a CL �a O s cu cc .CL O U)z � U CL U) cc a CQ CL U) 0 "I APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY:_ Map -/0,7d Parcel /G . - Lot Number J4 SUBDIVISION: olid SoLoof DATE REQUESTED FILED/READY FOR INSPECTION:_ CLOSING DATE ON PROPERTY: r► . FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED 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. Permit Issued to: Address: TOWN ENGINEER; CONSERVATION PLANNING APPLICANT SIGNATURE ROUTING SITE PLA -WAY REVIEW 1 01l DPW -WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW IN— File: Application for OC form revised Jan 2007/2011 SIGNATURE �x 0 E a Z-4 ti 0 E 0 0 a 0 0 U O cc CL CL 0 a .2 CL 0 0 C-) U) CL cc cc 0 cc "IN LLJ LLJ t may, LU LL. 0(A 0 j I Z -A Li �Oco CD LU a LU EU, a) cu ro- 0 LL 0 CL O O1 U =3—M 0 0 C ai (U c a, E UlLL �u w 0 00 V) E a Z-4 ti 0 E 0 0 a 0 0 U O cc CL CL 0 a .2 CL 0 0 C-) U) CL cc cc 0 cc CD mr— ro- 0 U) E CL N CD 4) ::E = 0 E cn O 0- c1l, N, CL 0 0 0 > CL U) C (D 0 o tm > 0 r_ CL rL 4) 4) 0 0mo 0 b.. 0 a 0 cc -0 0 CL (D ca tt= 4- :s 0 j.. 0 CL :E .2 r Q 0 0 CD -5: _j 0 r_ 0 0 A- L- A- CL 0 (-) > E a Z-4 ti 0 E 0 0 a 0 0 U O cc CL CL 0 a .2 CL 0 0 C-) U) CL cc cc Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 3`50, 1124. 0,0, m $ - $ 4,201.50 Plumbing Fee $ 525.19 Gas Fee 100 comm. $1 10O OO" Electrical Fee $ 525.19 Total fees collected $ 5,351.88 72 Mayflower Drive 836-14 on 5/19/14 New Home ENERGY STAR Qualified Homes, Vers on 3 (Rev. 05) Thermal Enclosure System Rater Checklist S. Air Seating Must Esuiider Correct i Verified' Rater verified N/A 5.1 Penetrations to unconditioned space fully sealed with solid blocking or flashing as needed and gaps sealed with caulk or foam 5. 1.1 Duct/ flus shaft ❑ ❑ ❑ 5.1.2 Plumbing / piping ❑ ❑ ❑ 5.1.3 Electrical wiring ❑ ❑F.K ❑ 5.1.4 Bathroom and kitchen exhaust fans ❑ p ❑ ❑ 5.1.5 Recessed lighting fixtures adjacent to unconditioned space ICAT labeled and fully gasketed. Also, if in insulated ceiling without attic above, exterior surface of fixture ❑ (❑ y ❑ p insulated to z R-10 in CZ 4 and higher to minimize condensation potential. �--� 5. 1.6 Light tubes adjacent to unconditioned space include lens separating unconditioned and ❑ conditioned space and are fully gasketed 22 ❑ ❑ 5.2 Cracks in the building envelope fully sealed 5.2.1 All sill plates adjacent to conditioned space sealed to foundation or sub -floor with caulk, foam, or equivalent material. Foam gasket also placed beneath sill plate if resting atop ❑ ❑ 0, ❑ concrete or masonry and adjacent to conditioned space. 5.2.2 At top of walls adjoining unconditioned spaces, continuous top plates or sealed blocking ❑ using caulk, foam, or equivalent material ❑ KZ_ ❑ 5.2.3 Drywall sealed to top plate at all unconditioned attic / wall interfaces using caulk, foam, drywall adhesive (but not other construction adhesives), or equivalent material. Either❑ �--� apply sealant directly between drywall and top plate or to the seam between the two from 01: ❑ ❑ the attic above. 5.2.4 Rough opening around windows & exterior doors sealed with caulk or foam 23 ❑ ❑ _13- 5.2.5 5.2.5 Marriage joints between modular home modules at all exterior boundary conditions fully 1 sealed with gasket and foam ❑ ❑ ❑ 01 5.2.6 All seams between Structural Insulated Panels (SIPS) foamed and / or taped per manufacturer's instructions ❑ ❑ ❑ i 5.2.7 In multifamily bulidings, the gap between the drywall shaft wall (i.e. common wall) and the structural framing between units fully sealed at all exterior boundaries ❑ ❑ ❑ 5.3 Other openings 5.3.1 Doors adjacent to unconditioned space (e.g,, attics, garages, basements) or ambient conditions gasketed or made substantially air -tight ❑ ❑ ❑ ❑ 5.3.2 Attic access panels and drop-down stairs equipped with a durable a R-10 insulated cover that is Basketed (I.e., not caulked) to produce continuous air seal when occupant Is not ❑ ElI CD ❑ accessing the attic 24 5.3.3 Whole -house fans equipped with a durable �>_ R-10 insulated over that is gasketed and either installed on the house side or mechanically operatedkill 24 ❑ ❑ ❑ Rater Za ame: ✓�- Rater Pre -Drywall Inspection Date: i f* ( Rater Init6ais: Rater me: Rater Final Inspection Date: Rater Initials: Builder Employee: Builder Inspection Date: Builder Initials: Dotes: At the discretion of the Rater, the builder may verify up to eight items specified in this Chec dist. When exercised, the builder's responsibility will be formally acknowledged by the builder signing off on the checklist for the ite n(s) that they verified. For Prescriptive Path: All windows, doors, and skylights shalt meet or exceed ENERGY STAR Program Requirements for Residential Windows, Doors, and Skylights – Version 5.0 as outlined at www.ener_qvstar.qovA Windows. For Performance Path: All windows; doors and skylights shall meet or exceed the component U -factor and SHGC require vents specified in the 2009 IECC — Table 402.1.1. if no NFRC rating is noted on the window or in product literature (e.g., for site-bi lilt fenestration), select the U -factor and SHGC value from Tables 4 and 14, respectively, in 2005 ASHRAE Fundamentals, Chapter 31. Select the highest U -factor and SHGC value among the values listed for the known window characteristics (e.g., frame type, number of panes., glass color, and presence of low -e coating). Note that the U -factor requirement applies to all fenestration while tl a SHGC only applies to the glazed portion. The following exceptions apply: a. An area -weighted average of fenestration products shall be permitted to satisfy the U -fact :)r requirements; b. An area -weighted average of fenestration products 2 50% glazed shall be permitted to sa isfy the SHGC requirements; c. 15 square feet of glazed fenestration per dwelling unit shall be exempt from the U -factor , ind SHGC requirements, and shall be excluded from area -weighted averages calculated using a) and b), above; d. One side -hinged opaque door assembly up to 24 square feet in area shall be exempt fi Dm the U -factor requirements and shall be excluded from area -weighted averages calculated using a) and b), above; Effective for homes permitted starting 3/15/2012 Revised 1/15/2012 Page 4 of 16 0) cn CD U O O CD CCD rt a CL 5" cm O N Ln W T Z7 T 0 M T, T 77 T " c 3 C r0 = CDD O 3 O O O rt co C� 5. 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