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HomeMy WebLinkAboutBuilding Permit #320-12 - 75 EMPIRE DRIVE 10/13/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ©�— 12— Date Received Date Issued: /0 / ORTANT:Amolicant must com l . e all items on this page LOCATION#�76 ICX 8- r I U e ( !o--t 20> Print PROPERTY OWNER 0)?C-Aj4jW U I --1 A C?67: LI–C Print MAP NO:&7C C PARCEL f orf/12ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential . Non- Residential ew Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ LOESept c�t�`Well 40}Floodplain .10w ettand's ® Watershed+Dlstrictt: Water/Sew e DESCRIPTION OF WORK TO BE PERFORMED: �o�us LCI' S1 SLE F MILS Ntoc(IINC 3 - BED Qoaals 2%2 (3 ,4414-S 2- S-+ALL 9 A6 E :�,J W#7&,A -C � (kizxL GAS IdentificatioV}� Please Type or Print Clearly) OWNER: Name:�� A 17 l LL AGE LLC PhoneC!9R-9!Tj`3�qd Address:97 714-qt4) k 'RQ U S+Iwf CQlid UE 4-A uv M4. 01? CONTRACTOR Name: F` 10t` FSst�� Phone:gM- -3190 Address:27-7VJAs •IIhLGTbA) S+ree OUL-LAw A L 0 Supervisor's Construction License: Exp. Date: SLI362, Home Improvement License: Date: ARCHITECT/ENGINEER Phone:g7g'Z�S2' 73 1 3 Address: ?8• Reg. No.--o Z 7 765- FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. -ORNMININE=.3 Total-Project Cost: $ /- FEE: $ O Check No.: Receipt No.: J, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �Sig.nature of Agent/Owner :.... S :Signature of;contractor.: c Location 7.S" . �,�r�f �' No. mac '"' �Z- Date N�RTM TOWN OF NORTH ANDOVER f O ���° ? ��' •�'y�0 AL 9 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �6 s,�cMuse 9 Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ �� Check # I 4 2 4 7 ` 3 Building Inspector Plans Submitted UI Plans Waived ❑ Certified Plot Plan V Stamped Plans [Public PE OF SEWERAGE DISPOSSA/L LN Sewer Tanning/MassageBody Art ❑ Swimming Poolsll ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ate(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 /a J! / 1 Signature COMMENTS HEALTH - Reviewed on Sibnature COMMENTS Zoning Board of Appeals:'Variance, Petition No: Zoning'Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments • Water & Sewer Connection/si nature to Driveway Permit DPW Town Engineer: Signature: D 11111 L cat d 384 Osgood Street =FIRE DEPARTMENT - Tem Dum ster on site es no Temp Y -1,ocated at 124 Main Street Fire Department signature/date /b/7/j/ COMMENTS 1 II 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 LJ Notified for pickup - Date L - i Doc:.Building Permit Revised 2008 i 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 ❑ 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 ❑ 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 MOTE: 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: Doc.Building Permit Revised 2008mi t AC CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 320- 2 `Date:January''0,1012 THIS CERTIFIES THAT THE BUILDING LOCATED ON _ 75 Empire Drive. North Andover. MA 01845 MAY BE OCCUPIED AS new single-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 Ins ector Fee: 100.00 previously paid Receipt: 24703 AORTH �- 6 To," of : Andover 0 _W AARWK ko , dover, Mass.,���� 1TkC0CHiCHEW1CK y�. �B ,DRATED p'p�,�-`� 77`� u BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR C% �. THIS CERTIFIES THAT................... � �.... ..................1,%E............................................................................................ Foundation has permission to erect........................................ buildings on .. .--- ?f�/.� ...... rl ...........A q.�:i�Zz.. Rough tobe occupied as.............. 67`o'r� ..... l. %�'��..... *. ?.1: ..........:......................:.......:................... Chimney provided that the person accepting this permit shall in ev6ry respect conformn 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 STARTS Rough ,/� Service N `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-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. E I F SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leg>!bly Hanle(Business/Organization/Individual): Qt��>Q Q t LLC Address: 91410 T4AJ ee c4 City/State/Zip���tl U6�1U D ,0 0311 Phone#:V�'' Are you an employer?Check the appropriate box: _ 1.❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): (full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2. I am a sole proprietor or partner- listed on the attached shget. # �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. [No workers'comp.insurance 5. ❑ We are a corporation and its 9 ❑Building addition required.] .officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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.D Roof repairsinsurance 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. 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: I Job-Site Address: I 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. fP > I do hereb under the pains and penalties o er'u that the information provided above is true and correct. , Si nature: Date: G- Phone#: ' 9'T/ " 3 1 506 Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other 1 Contact Person: Phone#: AO R Tk 0" , o _ Andover 0. 3)LO CON o dover, Mass.,LA y%ice I� COCHICNEMCK y� ✓d ORATED 9? .1) 7 V u ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ✓ 0 BUILDING INSPECTOR ff BUI - CY� 4/ //l THIS CERTIFIES THAT................ .................................... . .... �'.......................................................................... Foundation f on ..;? ...... oughas permission toerect........................................ buildings �6 /'�G to-be occupied as........................ ........ ...,5'!. ��C.... ?.r:' ...... .. ........................................ 'Chimney provided that the person accepting this permit shall in ev6ry respect conformo the terms of the application on file in inal 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. PL77 S CTO VIOLATION of the Zoningor Building Regulations Voids this Permit. Rough G� 9 .� C•Final If", r� z PERMIT EXPIRES IN b MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL IIVSPECTO E72 -� 11......................... ............................BUILDING INSPECTOR Occupancy Permit Required to Occupy Building _ _ GnAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove .Fina, °X � , Jiz No Lathing or Dry Wall To Be Done FIREDEPARTMENT.Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I Checked by/Date I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-11-2011 DATE OF PLANS: 7/30/09 TITLE: The Willow PROJECT INFORMATION: Orchard Village, Lot 20, #75 Empire Drive COMPANY INFORMATION: Orchard Village, LLC COMPLIANCE: PASSES 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 Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Willow DATE: 10-11-2011 Bldg. 1 Dept. 1 Use i CEILINGS: [ ] I 1. R-38 Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-21 Comments/Location I BASEMENT WALLS: [ ] I 1. Conc. 8 .0' ht/7.0' bg/0.0' insul, R-0 (uninsulated) Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I DOORS: [ ] I 1. U-value: 0 Comments/Location i FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location 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 AIR LEAKAGE: [ ] i Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures 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 I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] ( Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building I plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using masti.c 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 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 I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified I in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 200 of the heating energy is from I 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. ) I 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 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I 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 I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" ► 170-180 0.51.0 1.5 2.0 I ► 140-160 0:5 ( 0.5 1.0 1.5 ► 100-130 0.5 ► 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- i a2s, LOT20 EXIST FND. 90.5' TOF=290.2' EASEMENT ! 37.0' A s \ jr10FQ�yS O I. s 02 MJICHAEL 9�S � . N o SERGI Lo) No.33191 ti~ A�OFESSID�P� SURVV�'� FOUNDATION L OCA TION 1 CERTIFY THAT THE PRIMA R Y S TRUC TURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPL ICA BL E ZONING 8 Y-LA WS IN EFFECT WHEN CONS CLIENT.' ORCHARD VILLAGE, LLC (THIS CER TIFICATION DOES NOTCONSIDERANY0THER UC77 THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDITIONS,ETC)THIS DRAWING SHALL NOT BE USED BY THECLIENTFORANY PURPOSE OTHER THAN THAT LOCATION:#75 EMPIRE DRIVE,NORTH ANDOVER,MA. OUTLINED ABOVE.EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN&SERGI INC FURTHERMORE THIS DRAWING IS Ii THE COPYRIGHTED PROPERTYOFCHRISTIANSEN&SERGI INC . AND ANY UNAUTHORIZED USE 1S PROHISITED.CHRIS77ANSEN& DA TE:5/22/99 SCALE:19 30' SERGI TAKES NO RESPONSIBILITYFOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANYINFOR-MATION CONTAINED HEREON. PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRISTIANSEN & SERGI, INC, 960 SUMMER STREET, HAVERHILL, MASSACHUSETTS 09830 WWW.CSl-ENGR.COM TEL. 978-373-0310 FAX. 978-372-3960