HomeMy WebLinkAboutBuilding Permit #805 - 91 BOSTON STREET 6/15/2006Of HO oTM •�N a i • 1 7 �SS�cHuset TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Issueii:_ -- --- IMPORTANT: A Date Received: icant must complete all items on this LOCATION aT. _A. Print PROPERTY OVvNER Donald F & Nand A Johnston Print NMAP NO PARCEL: An ZONING DISTRICT: R 2 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT I PROPOSED USE Residential Non- Residential �.. X New Building One family -Industrial :_- Addition _ Two or more family _ Alteration No. of units: Repair, replacement - Assessory Bldg _ ;_ Commercial Demolition L1oving (relocation) r` Other =, Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED Bili 1 d new 34'X54' Gi nr•rtl a Family y C of oni a 1Nni�cc - With fni,r bedrooms, Kitchhen, Dining Room, Living Room & 2 1/2 Bathsa wood construction with Red Brick gRQ*1AtWqjqLQ4qr4y car garage. OWNER: Name:Dmaln__ r R nTa„�, r Tol inn rnonc ^1619 Signature Address: 114 Boston Street No Andover_, MA 01845 CONTRACTOR Nanle: Donald F rahnston Phone: (9781 moi, 2-1619 Address: 114 Boston Street No- Andcmp—Mr, MA 0184-5 Supervisor's Construction License: CS 012428 _Exp, Date: 0111812008 1 Horne Iniprw cment Liccnse: Exp. Date: ARC'I11TECT: FINGINVIFR Jose h a;a Jit N;-7nlc: Phone: � (R7R) ti6a 3 :address: 61 Haverhill Street Rei;. bio. NO. Reading, MA FEE SCHEDULE: BLLDLN`G PER 111T:.SIO '0 PER $1000.00 OF THE TOTAL EST1;11ATED COST .LSE S12S.00 PER S.F. / Total Project Cost . x10.00 FEES Check No.: Rcccipt No.: _ _r-7 2,eo C_ ►■ O z rA s? � U $ U0. N a c°h' o a C "E o a4 .c U G u. a a o a ii. a w o rx w a w°' `° w w cA Cl) o C/) c_ c C ++ »ACDN p, C cog CCU �Z O r EQ y c CD a N O m Nc, O cm `mm o 0 3N O> m eo y Ll N AmCD o a" ` N O � . Z O r � .gym IS vs o v Z . c � o CL O = = m m=o !- p -a*mw� ON W CO �jz=Z � •N dt O C � r LLJCJ o W ND d m O;s = W = ` N �- 4- M4 O J CD ci z 0 U id a DO O c• ZCL O CO G C CD CM I C CD E 4! 'E m m CD H= CD 3� L � 'oa Q rm c ce as Q �v CD CD C Z CD V CL V0 c C C C _c h uj ch N LLI Y/ W W ce W N 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 J Building Permit Application u Debris Removal Form Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Addition Or Decks j Building Pen -nit Application ❑ Form U ❑ Surveyed Plot Plan o Debris Removal Form a 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) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Form U ❑ Certified Proposed Plot Plan a ❑ 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 Hydrauli Calculations (If Applicable) • Copy of Contract ❑ N,,Iass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must :;tamp 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: I\SPECIION [_ SERN I( ES DEPARTVEIT:WTORM05 TYPE OF SE\NARGE DISPOSAL � Tannin- Massage Bod} Art Swintmim-, Pools Public Sewer Well -- Tobacco Sales -- I Food Packaging, Sales Permanent Dempster on Site Private (septic tank, etc. I i NOTE: Personiv contracting with unregistered contractors do not htme access to the i; narant)' fend SHmature of Agent/Owner Signature of Contractor Plans Submitted 'L/1 Plans Waived IJ Certified Plot Plan F-1 Stamped Plans !! THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED 6 6 Water Shed Special Permit 01 Site Plan Special Permit ❑ Other DATE REJECTED DATE APPROVED i '' 1111 �,/CONSERVATI ��� — cyrrj �v�i/L� DATE REJEC HEALTH n COININIENTS C <__onin�o Board of Appcals: Variance_ Petition No: /Zoning Decision. receipt submitted yes Planning. Board Decision: Cimunents ConsQrvation Decision: Comments \,dater & Seiler connection siunature & date Temp Dumpster on site yes___no__ Fire Department signature.'date Building Permit ,approved and Issued by: 1 vel RON 0 r '��te n0 iti tK,p,I2lAfQ(,�it• ��`� BUILDING REGULAT►ONS BOA CDONSTRUGTION SUPERVISOR License: ()12428 Number: CS Birthdate: 0111811934 Tr. no: 14148 Expires: 0111812008 ' * Restricted: 00 DONALD F joO jNSTON 114 BOSTON ST 01845 comrnissioner N ANDOVER NIA TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING f Section for Official Use Oral - y BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buddin Commissioner/I or of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number. 91 Bosom Street Al t7B0040-0000.0 Map Number Parcel Number 107.B 1.3 Zoning Information: ".1.4 Property Dimensions: Zoning District Proposed Use iso -O Lot ea Frontage fl 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide R Provided Required Pr6vided 30ft T-65ft- ft- 500 ft —10 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone CX Municipal On Site Disposal System z5 istoric �strtct: Yes No 2.1 Owner of Record t0 O 91 Roston St -Pt Name (Print Address for Service : : - 79-0552 ignature` Telephone Donald F _ .Tohnston 2.2 Authorized Agent Nancy A. Johnston 91 Boston Street Name Print Address for Service: office 978 682-1619 Cell (603) 479-0552 Signatuee ,,/,_�V�hone 3.1 Licensed Construction Supervisor Not Applicable ❑ Donald F. Johnston 012428 Address License Number 114 Boston Street, No. Andover, MA Licensed Construction Supervisor. 01/18/08 Expiration Date gign'ature Telephone _ 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone v n M 0 M Z 0 M 90 0 "n r sv M r r P1 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. I Signed affidavit Attached Yea ....... 11 No ....... ❑ 1 5.1 Registered Architect: Joseph Sa i a,�fR Name: (978) 664-3393 Signature Telephone Donald F. Johnston & Co _ , Inc- Not Applicable ❑ Company Name: Donald F Jcbn--t-on Responsible in Charge of Construction Area of Responsibility ' Registration Number Expiration Date ill 603 Salem Street Kakefield, MA 01880 Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Gordan Rogerson Address ( 781!) 246-2800 Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Donald F. Johnston & Co _ , Inc- Not Applicable ❑ Company Name: Donald F Jcbn--t-on Responsible in Charge of Construction AGOR - CERTIFICATE OF LIABILITY INSURANCE DATE 1 03/06/2006) PRODUCER (603)669-0704 FAX (603)669-6831 Infantine Insurance, Inc. P.O. Box 5125 Manchester, NH 03108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Donald F. Johnston & Co. Inc. 114 Boston St. North Andover, MA 01845 INSURERA: Acadia Insurance Co. 31325 INSURERB: CotlYllerce & Industry Insurance INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE MMIMYYI POLICY EXPIRATION LIMITS GENERAL LIABILITY CPA007969813 07/01/2005 07/01/2006 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE [__i] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY n JPECTRO- LOC AUTOMOBILE LIABILITY CAA009545112 07/01/2005 07/01/2006 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY $ ALL OWNED AUTOS X SCHEDULED AUTOS (Per person) A r BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CUA007970213 07/01/2005 07/01/2006 EACH OCCURRENCE $ 1,000,000 X OCCUR FICLAIMS MADE AGGREGATE $ 1,000,000 $ A $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC6642777 02/01/2006 02/01/2007 X WcsTA Uu 16TH - EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ SOO, OOO B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ 500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS E: Evidence of. Coverages SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of Andover, MA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Att : Building Dept. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 400 Osgood St. OF ANY KIND UP E SURER, ITS AGENY OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZEDRE1fRES IVE '�� ACORD 25 (2001/08) ©ACORD•C_QRRPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) MAScheck COMPLIANCE REPORT I l I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I i I I Checked by/Date I CITY: North Ahdover I I STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 2-16-2006 DATE OF PLANS: 11/30/05 TITLE: Colonial, Four Bedroom, two & 1/2 bath, with two Car Attached Garage. PROJECT INFORMATION: 91 Boston Street North Andover, MA 01845 COMPANY INFORMATION: Donald F. Johnston & Co., Inc. 114 Boston Street North Andover, MA 01845 NOTES: Office (978) 682-1619 Fax (978) 682-1083 Don Cell (603) 479-0552 Donna Cell (508) 574-7756 COMPLIANCE: PASSES Required UA = 504 Your Home = 326 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1308 30.0 30.0 22 WALLS: Wood Frame, 16" O.C. 2673 15.0 0.0 206 GLAZING: Windows or Doors 272 0.060 16 DOORS 81 0.290 23 FLOORS: Over Unconditioned Space 1066 19.0 0.0 51 FLOORS: Over Outside Air 226 30.0 0.0 7 HVAC EQUIPMENT: Furnace, 85.0 AFUE ------------------------------------------------------------------------------- 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 an J44 .. 25� Builder/Designer Date_-L�-/ 70�/ D MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Colonial, Four Bedroom, two & 1/2 bath, with two Car Attached Garage. DATE: 2-16-2006 Bldg.l Dept.i Use I 1 CEILINGS: [ ] I 1. R-30 + R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-15 I Comments/Location I I WINDOWS AND GLASS DOORS: ( ] I 1. U -value: 0.06 I For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break? [ ) Yes I Comments/Location I I DOORS: [ j 1 1. U -value: 0.29 1 Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location [ ] 1 2. Over Outside Air, R-30 I Comments/Location I I HVAC EQUIPMENT: [ j I 1. Furnace, 85.0 AFUE or higher i Make and Model Number I 1 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: 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. 1 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. [ j No VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. 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 I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ) I Ducts shall be insulated per Table J4.4.7.1. I I 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 mastic and fibrous backing tape installed according to the i manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ 1 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: [ J 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 [ ) I SKIMMING 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. I [ ] 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 1 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 I PIPE SIZES (in.) I NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 I 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- 9 DINIENSION Number of Stories: d, Total square feet of floor area., based on Exterior dimensions. Total land area, sq. ft.:; ;�w o� I to -k, , " gag .......... INK 1,1