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HomeMy WebLinkAboutBuilding Permit #239-2011 - 80 EMPIRE DRIVE 9/21/2010 �tNORrkBUILDING PERMIT i •y 0 _ r TOWN OF NORTH ANDOVER 3� ,t ,h ° o APPLICATION FOR PLAN EXAMINATION Permit NO: " ��r i Date Received /� ��SSACHus�t Date Issued: ! a/Ll0 IMPORTANT:Applicant must complete all items on this page AW A s ? ifs ,. W t r 5 - w'..Yn- �€ i r� r 1���" �� ,-',5, `—.r;^"�'rtu�"` 5-'`��.«Y �-.• rr �r;�'a't- ^�' -�tz:�i acs �.T"i-'4*L`'.T, ..1'c.�. 2s •'4 �„s�.}.' ij;93A Y 's",: y tom``'#:..i u4Y ..J`+.`3 F L :. iYl t7l7±1 �1.Y �L7 .ri '} .t4.1' TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New Buildinne fam' A i ion Two or more.family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other olgf �y 3 .. ��'1�7Bj, =� �..,<r�(`�'tr�K.��.r 4u lac-R. ,� i,� "a.��4 u y -�n --..��. .i�.4L�o�y�� _ &�'VS�••c�y, ..,. �i DESCRIPTION OF YVORK TO RE PREFORMED: _ e 6Axsqe MSN"sL W Met- + Sel.A . N��� �QK+ Identification Please Type or Print Clearly) OWNER: Name:. J 1� GLI" Phone:179''4'9 --316 L Address: 40AIP Arly2_f rZ z'' xi-^ins , dktY�i• ro„Gsis. s.F',y �,� -Fn .cee'scK -x £}^' —q- '�,�r c n-c�+Y' rn.' 's.�1k- J �.-.g,y y;� 'c'y �G�J➢1� .• '� int .. � _ i'� '�5r,s�'�'` -r+;-de ��..+� ��"��_-_sss.�',3�'�7,�•��.at wv- -� r � ti� �2y�°,'_ . �.c11S1 �. �'n � �' ��.41�✓ �^k ''rte - r}�gyrs-Yr,S.�`�'7 E .3�- ` .01 .t, y � %� '`8Tv }t+`Y•c�-�i1° ,' x ll�. �4! `mss-'f-� •`5^='.i'�. -f,�,#'��,.i""�r�ys'^-' � '"��Sen"'.]��c'r„3��`c�-�. 'uF3"s�.-s�T}t� �' .moi��.,���+n 1�aj#n. v- „�=` ti�''h. Y,�y'.-rn-_.5 _y_ Yx x�6T-i�v' "t•.tl��.'�iAJ�'i.��'P'. }.� �' �-e- .+.�' �t'�JS`,{�� f����.r`S;h% �F 4.� Y :'.�T31Y`"Str' 0.��l'3 ��-'Se'���qq�����]]::��Gy,J�`��'.�a� 3� �j'C`�-•�}1'�q�±����1ryu�?�,�`" ., a �_ __'.'jfR � ��`"�e���'S}.N�„'��r,� �-c���]�.�,�5j '.`�"z '�,�rrvR�frs�"�'t, a� ARCHfTECT/ENGINEER�.191�tjVPNCP - DGDeAl Phone:�71 3S2" F-319 Address:/?& E- 914W • Ceba oy�lm p eg. 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: $ FEE: s--3, / 7. Check No.: XY06 Receipt No.: �J) 1-1a, NOTE: Persons contracting with unrebgistered contactors do not have access to the guaranty fund Sig atur a_Ag n l0 une - SaghatureU�M ►actor. Location No. 3�I"fie!/ Date �! MORTIy TOWN OF NORTH ANDOVER O + 1 ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cMuse 9 Foundation Permit Fee $ /Op f Other Permit Fee $ TOTAL 317. E Check #�3�� r f r 2 ` 46 ; / Building Inspector J Plans Submitted Plans Waived Certified Plot:Plan <=tamped TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art Swimming Pools Well Tobacco Sales Food Packaging/Sales I 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 on101b)16 Si nature COtviIv�EIvTS-0 DI L-72 �'�a -'1 `� Yr HEALTH Reviewed on Signature r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comme Water & Sewer Connection/si nature Da ^ Permit..� Drivew a ermif P p�cl/ I DPW Town Engineer: Signator . 2� oeated 3840sgood reet °ocafetl f+1�CH in Str r 5 �rE; 3aeisarrnent s� narai eilae /v 4 r tiCOI�IE'I�ITS. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.s1oo-s10oo fine NOTES and DATA— For department use i ❑ Notified for pickup - Date I Doc.Building Permit Revised 2010 r 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 i ❑ 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 Pian ❑ 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 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:Building Permit Revised 2008 NORTH Tomm Of _ _ over 0 No.- I . _=~ l A K E -0 dower, Mass., 11, COCMIC HEWICK V s RATED o'P� 01 CO 1 V BOARD OF HEALTH Food/Kitchen PERMIT T D , Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �/ r` G''!���� .. .1 �.jC' Foundation .................... buildings on .. ?...��" ../ ✓'r ....................... .© ....... Rough has permission to erect.................:. ,�-� •••• to be occupied as. y Chimney provided that the person accepting this permit shall in every 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 f Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS ARTS Rough ................................ .r .../...:/.••-Z-Szr---�.. .. .i.. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy 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 SIDE11 smoke Det. The Commonwealth of Massachusetts I Department of Industrial Accidents '''" Office of Investigations 600 Washington Street MINK;`f Boston,MA 02111 "Mr www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �,ea,191 C&4969 ZZ-C Address: IN'A:�¢r aw Ori Je E tNro g-Q ,M 01 c12- City/State/Zip�— A d icn-1 Phone 7-34�Z Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a with employer 4. ❑ I am a general contractor and I � have hired the sub-contractors 6. '�New construction employees(full and/or part-time). 2.[ I am a sole proprietor or partner- listed on the attached sheet. t 7. E] 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.❑ 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 12.0 Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I 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. Lic.#: 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. I do hereby certify under the thepains and penalties of perjury that the information provided above is true and correct. Signatur;7j t de� Jue suti!t4i 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#: I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I 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: 9-20-2010 DATE OF PLANS: 7/30/09 TITLE: The Willow PROJECT INFORMATION: Orchard Village, Lot 17, #80 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 125% 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: 9-20-2010 B1dg. I Dept. 1 Use I I CEILINGS: [ ] I 1. R-38 Comments/Location 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 WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] i 1. U-value: 0 Comments/Location I FLOORS: [ ) I 1. Over Unconditioned Space, R-30 Comments/Location I HVAC EQUIPMENT: [ ] i 1. Furnace, 96.0 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner, 13.0 SEER or higher Make and Model Number I 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 I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or Basketed to prevent air leakage into the unconditioned space. 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 ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I 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 { plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] { 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 mastic and fibrous backing tape installed according to the { 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 I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4 .4. I SWIMMING POOLS: [ ] I 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 I non-depletable sources. Pool pumps require a time clock. 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 PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 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 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-13.0 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) -------------------------