HomeMy WebLinkAboutMiscellaneous - 109 CORTLAND DRIVE 4/30/2018 U L 0
109 Cortland Dr Unit 22
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BUILDING S LE
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PERMIE
BOARD OF HEALTH
Food/Kitchen
THIS CERTIFIES THAT / • Y ,
septi system
4W 40/ BUILDING has permission ""' C G IN E OR
ere ����� ��
Foun
t0 be OCCU ie - ..... .... ......ebeOe ap dcion
Provided that t p n acce............ . ............ ........... r►j gh
this office pting this permit shall —
and every respect conform to the terms of the application on file in c
Buildings in the Town of North AndOVe Codes and -r. Laws relating to the Inspection, Alteration an
d Construction of Final
VIOLATION of the Zoning
or Build' g .ulations Voids this Permit
PLUMB IN INSPECTOR
° 312.J1- C 01-1
P EXPIRES
IN 6 MONTHS
UNLESS CONSTRU ON START' ELECTRICAL MSP
RoughECT'OR
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..............
UII-DING INSPECTOR Service
Occupancy Permit Required to OCCjjpy BuildingFinal
Display in a Conspicuous Pt GAS INSPECTOR
ace on the Premises. — Do Not Remove f L r
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE
DEPAIZTM..
Burner f
- - - - -- - - - - SEE REVERSE SIDE - - - - -- - -- - - Street No. t �-
�1 /��
Smoke Det._;
Date....C .... o.-4g
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�Ss�cNusE� -�
This certifies that .................!V `�. .......... � '................
has permission to perform �6�f� �mv v�b.)...............
......................................... ............
wiring in the building of........r -A..........4n!t��!/.............................
at tl/�................... .North Andover,Mass. '
j Fee�.J ®` Lic.No.M JR..Pb
EucriuCAL INSPECTOR
$ Check # /6 —� O
6754
Commonwealth of Massachusetts
7a
Department of Fire Services
Occuranc\
triBOARD OF FIRE PREVENTION REGULATIONS tint Fie Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL Wo I RK �
MI to i,e I%01(,iw,-1 A lile
\11:( 517 \,IR 12.,,1)
I'LL INE P.m r/.N 1.1k OR TYPE.ILL 1VOR.It I Tl().\',, Date:
Ch or Town of:
Ily this the ullidersiklyicd n,1y0 llolicc ofhis or her uItclitioll to j%I-fl,irin ille Ject"cal
Location(Street& Number) o
()ivnerorTenant_1W,\-A �j" roe)hone No.
Owner's address vt Ir UU A,
Is this permit in conjunction wittha building permit? Yes 0 No '
(Check Appropriate—Box) -
Purpose of Building YAN-4n, $ _1E—/'T't,kL Ltility Authorization NO. �ZZl 67
Existing Service— Alaps i Volts Overhead '❑ Undgrd❑ NO. of Meters
New_,service 1012 amps L19 /_110VOIts Overhead ❑ Undgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: M
M,
IV/pit
il, ��V
No.o
No.of Recessed Luminaires No.Of Ceil.-Sus'p.(Paddle)Fans Tolul
KV,V
0.of Transformers
No.of Luminaire Outlets No.of Hot'rubsGenerators KVA
No.or Liminaires Swimming Pool ,—kbove0.0 mergen
�11,nd. [Ell rilid. Battery Units
No.of Receptacle outlets No.of Oil Burners
FIRE ALARNIS ["No.of Zones
No. of switches No.of Gas Burners NO.of Detection and
No.of Ranges No.of Air Cond. TotalInitiating Devices
roes No.of alerting Devices
No.of Waste Disposers eat Pump Number funs Kw. NO.—of—Seff—Contained
Totals: DelectioniAlerting Devices
No.-of Dishwashers Space/Area Heating KWLocalEl "u'lleW I F-1 Other
Connection
S
No. of Dryers Heating Appliances S steins:
KW
No. of Water No.on. -No.of Co ices or Equivalent
Walters K Ballasts Data Wiring:
No.of Devices or Eciulivalent
:No. Hydromassage Hathtilibs NO.of Motors Total tip ifellecommunications W i r!ng:
0.of Devices Or Eq l 'alent
OTHER:
timatA VJuc(,I Fluctrical %Vt,rk:
rcL:tions to be ;n LIC1:(,RI;IIILC with �IEC Rule'!(). 111d Upon Collipletioll.
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INSHIANCECO"VLRk u Ilur. I() Iel Hilt tur I lie -k
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
i
Building Permit Number 'S Date s''3
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THIS CERTIFIES THAT
THE BUILDING LOCATED ON 1 D 9 C
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MAY BE OCCUPIED AS �wrilt, 11aIN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY. j
MORTq
CERTIFICATE ISSUED TOA,4Jk1!U
6L44e, CV*14101141
ADDRESS
""s Building Inspector
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NoRTfy .q_ - o Andover
No. _
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T �O LAKE dover, Mass., /.0 -
_ COCNIC ME WICK y�
S RATED
BOARD OF HEALTH
PERMIT . T Food/Kitchen
Septic System .
THIS CERTIFIES THAT.......... �!! ' il� •Nt �I•I�1 C INSPECTOR;,
BUILDING
' ......... • Foundation r.>
has permission ore0 ,., f F,
to be occupied ..................... ........................
provided that t p n accepting this permit shall ' every respect conform to the terms of the application on file in Final �� 6
this office, and a provisions of the Codes and -Laws relating to the Inspection, Alteration and Construction of '
Buildings in the Town of North Andover. - PLUMB IN INSPECTOR
VIOLATION of the Zoning or Buildi fYgulations Voids this Permit. o 0 312 31• C ^
P EXPIRES IN 6 MONTHS
'O�UNLESS CONSTRU ON START ELECTRICAL INSPECTOR.
4' Rough:'.. ,r,, _
. ..... ...... ... . ......
---------------------
Service
BUILDING INSPECTOR -
'Final >y
Occupancy Permit Required to Occupy Building GAS INSPECTOR
3
Display in a Conspicuous Place on the Premises. — Do Not Remove S �,
No Lathing- or Dry Wall To Be Done FIRE DEPARTM
Until Inspected and Approved by the Building Inspector. Burner
- - - -Street No. -1�,j
- _ SEE REVERSE SIDE Smoke Det
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Town of North Andover.
Building DepartmentpF NO RT#1
400 Osgood Street �2 y��,+ », 'a O L
North Andover Ma 01845 p r,
ti 70
(978) 688-9545 Fax (978) 688-9542 ? y
0,Are N^Teo ° (�
�SSACHUS��
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
-------
LOT NUMBER 7-11 SUBDIVISION Xl''\ffyA�
DATE REQUEST FILED
DATE READY FOR INSPECTION `���316
TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED 1
i
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITH THIS TIME
FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) '11LARS WILL BE
CHARGED IF THE STRUCTURE D ES NOT MEET ALL P .CABLE CODES. I
SIGNATURE
OFFICIAL USE ONLY
ROUTING '
1
. I
D.P.W. —WATER METER ,L '
H-W DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE. 1
Q '
1
IGNATURE/DPW AUTHORIZATION '
. I
-- NORT►y �- ---
Andover
No.j - 13
T �O -- LAK E dover, Mass., ZO
If, COC HI C HICK
A.
RATED
BOARD OF HEALTH
Food/KitchenPERM IT . D
Septic System N /A
.
BUILDING INSPECTOR
THIS CERTIFIES THAT
�........... ......... ...t...
................................ ........... 0 o
�� ' �/. Fondan
has permission ere �
tobe occupied ............................................... :......:................................................ ............... ................... ....
provided that t p n accepting this permit shall ' every respect conform to the terms of the application on file in
this office, and a provisions of the Codes and -Laws relating to the Inspection, Alteration and Construction of Fine
Buildings in the Town of North Andover. - PLUMBININSPECTOR
VIOLATION of the Zoning or Buildi gulations Voids this Permit. o6 0 312 3/. ^
n
P ENPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRU ON START
Rough.. ,C,' C .. <; -c Y✓L`.
BUILDING INSPECTOR !
.. ............ ......
"Final A,,
Occupancy Permit Required to Occicpy Building GAS INSPECTOR
Displayin a Conspicuous Place on the Premises. — -� 3 f Lr Q
P Do Not Remove
�=-
No Lathing._ or Dry Wall To Be Done FIRE R,I,
Until Inspected and approved by the Building Inspector._ -1 DEPARTM
BumexRE
— — — — Street No.
SEE REVERSE SIDE Smoke Det,
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Town of North Andover. poRTH
Building Department
400 Osgood Street
North Andover Ma 01845 0 L
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- (978) 688-9545 Fax (978) 688-9542
O •why . .�
A coc.wc.nwK•
�SSaCHUS i
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION 1
I 1
A-DDRES-S--co-q- -
LOT NUMBER �� SUBDIVISION (Y'VA�
DATE REQUEST FILED S
1
DATE READY FOR INSPECTION —/6 3
TEN 10 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED i
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITH THIS TIME I
FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) O ARS WILL BE
CHARGED IF THE STRUCTURE D ES NOT MEET ALL P CABLE CODES. '
SIGNATURE
l I
OFFICIAL USE ONLY I
ROUTING
I
D.P.W. -WATER METER_�l W'�I- DATE D
I
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
IGNATURE/DPW AUTHORIZATION
w '
P
Town of North Andover NORTH 1
Building Department1
400 Osgood Street O �'` '°* O
North Andover Ma 01845 O - O.
(978) 688-9545 Fax (978) 688-9542 ,^
ATeo rP�y�y j
�SSACHUS��
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
ADDRESS (O l C a I GOI YWS
LOT NUMBER ZZ SUBDIVISION
DATE REQUEST FILED
DATE READY FOR INSPECTION ` i9 316
_TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITH THIS TIME
FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) O ARS WILL BE
CHARGED IF THE STRUCTURED ES NOT MEET ALL P .CABLE CODES.
SIGNATURE i
OFFICIAL USE ONLY
ROUTING
D.P.W. —WATER METER ` (� 1-- DATE U 6
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
16NATURE/DPW AUTHORIZATION
Date. .
NORTPq
TOWN OF NORTH ANDOVER
- PERMIT FOR GAS INSTALLATION
r a
,SSACMUSEI � `
This certifies that . .'. .. . . . . . . . . .
. . / . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . . . . . . .
in the buildings of _! -rim?. . --�. . --��"'
at ��'.9 x--!#-�- r�. . .J. , North Andover, Mass.
Fee%. ." Lic. No�9gy,3.! �._./!- � . . . .. . . .
GAS INe��R
Check# �' elf 7
5487
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N1tLSSACHLSETTS
UNIFORM APMCATON FOR PERNU TO DO GAS FfrMG
(Type or print) Date 31) Al a.
:NORTH ANDOVER,MASSACHUSETTS
Building Locations 617 Wm44 Permit# ��
Amount$ /0z o�
Owner's Name
New❑ Renovation ❑ Replacement ® Plans Submitted ❑
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SUB -BASEM ENT i
B A S E M ENT
1ST. FLOOR \
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR I
7TH . FLOOR
8TH . FLOOR
(Print or type) G / ( s /` C e one: Certificate Installing Company
Name (V b Corp.
Address Partner.
U 18-
Business Telephone (d Firm/Co.
Name of Licensed Plumber or Gas Fitter
* :
INSURANCE COVERAGE Check on
I have a current liability Insurance policy or it's substantial equivalent. Yes NoD,
If you have checked yes,please indicate the type coverage by checking the appropriate box.
!I Liability insurance policy Other type of indemnity Bond
i
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
li Mass. General Laws,and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent 1 1
t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate'to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusett Stat Gas de a a 142 of the General Laws. i
T
i
Signature of Licensed Plumber Or Gas Fitter
By: I
Title Plumber t-�6 f )..
CitylTown Gas Fitteric�N Number. I
Master
�\PPROVED rOFRCE USE ONLY) Journeyman
I
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Date.` -��! nG
NOR7M TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUS� 12�
This certifies that . .� "' Y . . . . . . . . . . . . . . .
��
has permission to perform . . :�. : . .
plumbing in the buildings of '. . . . . . . -s-°-s .4�-►.�.. . .
atjl�.�. . . —� . . . . . . ., North Andover, Mass.
Fee'`3. Lic. Nom .(�/. � .c..... . . . . . . . . . . .
lj PLU N INSPECTOR
Check # UOS
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
� ✓�'
Building Location A6 eo
T �y Date
/ri r, Owners Name /�t6�(44 �f`permit#
Amount
Type of Occupancy
New Renovation Replacement Plans Submitted YesD No ❑
FIXTURES
NCf Cr z
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W x z z
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w 3
O 3 W z rz
x a w w w
co� z to w o U
SLBR4V�
RASEVJM
isr 11"
ZL1FLOCIR
4IH HJOCIR
SII3 HJDM
8IH FIIOc[2
7M FIfM
SIH FI�t
(Print or type) e
Check one: Certificate
`Installing Company Name !!i /r s /C ' ' Corp.
❑
Address El Partner,
Business a ep one -- , / ❑ Firm/Co. I
Name of Licensed Plumber: I le L�& fid.
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy, Other type of indemnity Bond
❑ ❑
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the labove
threeinsurance
Signature Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in'
compliance with all ertinen
t provisions of the Stat Massachus t
vel, lum ng Cod ter 142 of the General Laws. i
By: Signature Or 1-1censea Flumner
Title Type of Plumbing License
i
City/Town 1cense er Master Journeyman 1 T I
APPROVED(OFFICE USE ONLY LJ
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
1 Building Permit Number 1 Date 1::'. '2 1
j
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 0 q_c!
4
MAY BE OCCUPIED AS5L 4SIO IN ACCORDANCE
WITH THE PROVISIONS OF THE .MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
0
CERTIFICATE ISSUED TO
" ADDRESS
41
z .. •
Building Inspectnr—\ _ _
- - - - - - - - C- VAORTIy '9 - -- - -
ONM Of _ AndoverNo. 3
3t _
�_'+F-
over
1! O _ C A K E _ dOV�rl' Mass., er
`
7 � COC.":.."ICK y
ADRATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT.......................�1 404 A doo/�'
BUILDING INSPECTOR
BUI
......
Foundation
has permissio0'ere
A... ... .............. 10
,' ... .... . �1� j gh
to be occupied Chimney
provided that tcepting this permit shall ' eve res ect conform to the terms of the application on file in Final
this office, andsions of the Codes and -Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Buildi gulations Voids this Permit. Rough
Final
P EXPIRES IN 6 MONTHS
UNLESS CONSTRU ON START ELECTRICAL INSPECTOR
Rough
. Service
.. ..... ............
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Bu _.
_ildingInspector. - — — — — — - — FIRE DEPARTMENT
- - — --— ——— ——-- — —— -- - - _ Burner
Street No.
SEE REVERSE SIDE smoke Det.
i
CERTIFICATE OF USE & OCCUPANCY
� Own Of oNot-th Andover
Building Permit Number ��l Date
THIS CERTIFIES THAT
THE BUILDING LOCATED ON
r
MAY BE OCCUPIED AS M;` '
IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
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�jc. Th1� CERTIFICATE ISSUED TO
O
ADDRESS I
E
Building Inspector i
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Location
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No. _ 0 Date !!nd
No*T� TOWN OF NORTH ANDOVER
41 f ' 9
1406 ' Certificate of Occupancy $
�ss�cMustt Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # _
187 '13
Building Inspector
,
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT RLP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner r of Buildings Date , Z
SECTION 1-SITE INFORMATION j O
1.1 Property Address: 1.2 Assessors Map and Parcel Number: i
A,- n� Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area Fronto ft
1.6 BUILDING SETBACKS ft i
Front Yard Side Yard Rear Yard
R 'red Provide Reppired Provided Required Provided
v
1.7 water Supply M.GJ,.C.40. 34) 1.5. Flood Zone Infomntion: 1.8 Sewerage Disposal System:
Public ._ Pm,ate ❑ Zone Outside Flood lune Municipal K On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M
2.1 Owner of Record j \
q4 IV, ✓ ) "Jy/7w/ ///� ✓,
Name(Print) Address for Service
i
atu;e Telephone Q
2.2 Owner of Record:
t I
c O
Name Print Address for Service: Z
I m
Signature Telephone i
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:�1. Not Applicable ❑ i
.lam �p
LtcTensedConstruction Supervi r.
Zi License Number aan
Address 1' G/ J"• W� lj\J I
`
?F-68 06� Expiration Date
1 tore Telephone �.
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name m
Registration Number r
Address I r
jMINES
Z
1
Expiration Date /
Signature Telephone � �1
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary PP P a rovals/ ermits fr Im
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
******'t**********************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT M 1 - Q . �p7)S L L C PHONE g 7 8-
LOCATION: Assessor's Map Number /d�� PARCEL 3
SUBDIVISION 1*4' 06C, COM,14074f LOT (S)
STREET Cor f IQ JD r� ST. NUMBER O
1
***************************OFFICIAL USE ONLY
REC ENDATIONS OF TOWN AGENTS:
i
CONtERVATION ADMINISfi TOR DATE APPROVED S� i
DATE REJECTED I
COMMENTS AP7Sda^4�e44-1 !�I
TOWN PLANNER, DATE APPROVED _
DATE REJECTED
tt 1 i
COMMENTS C n • ,`1 be
I
Wy
FOOD IN ECTOR-HEALTH DATE APPROVED
i
N DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS 0" `i E
PUBLIC WORKS - SEWERJWATER CONNECTIONS <- -
DRIVEWAY PERMIT
FIRE DEPARTMENT �` /�_ �'jG� _ /41��63�
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
Permit Number
MECcheck Compliance Report Checked By/Date
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb i
Data filename:Untitled
TITLE:The Hampton at Meetinghouse Commons
CITY:North Andover
STATE:Massachusetts
HDD:6322
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE:Other(Non-Electric Resistance)
i
DATE: 10/13/05
DATE OF PLANS:09/01/05
PROJECT INFORMATION:
Meetinghouse Commons Unit 22
COMPANY INFORMATION:
Meetinghouse Commons LLC
COMPLIANCE:Passes
Maximum UA=304
Your Home=277
8.9%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1086 0.0 30.0 34
Wall 1:Wood Frame, 16"o.c. 1467 0.0 13.0 119
Window 1:Vinyl Frame,Double Pane with Low-E 198 0.340 67
Door 1:Solid 30 0.340 10
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1086 0.0 19.0 47
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
1
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 Massachusetts Energy Code requirements in MECcheck Version 3.3 Release Ib and to comply with the
mandatory requirements listed in the MECcheck Inspection Checklist.
The heating load for this building,aIthheoling to ' appropriate,has been determined using the applicable Standard
Design Conditions found in the CodVAC qu' ment selected to heat or cool the building shall be no greater
than 125%of the design load as speSec ' ns 80CMR 1310 and J4.4.
Builder/Designer Date U�
i
i
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.3 Release Ib
DATE: 10/13/05
TITLE:The Hampton at Meetinghouse Commons i
Bldg.
Dept. ( i
,Use {
(
( Ceilings:
[ ] { 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation
{ Comments:
{
( Above-Grade Walls:
[ ] { 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 continuous insulation
{ Comments:
{
{ Windows:
[ ] ( 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
( For windows without labeled U-factors,describe features:
{ #Panes Frame Type Thermal Break? [ ]Yes[ ]No
( Comments:
{
Doors:
[ ] { 1. Door 1:Solid,U-factor:0.340
{ Comments:
{ Floors:
] { 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation
{ Comments:
(
( Heating and Cooling Equipment:
[ ] { 1. Furnace 1:Forced Hot Air,90 AFUE or higher
{ Make and Model Number
2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
{ Make and Model Number
{
( Air Leakage:
[ ] { Joints,penetrations,and all other such openings in the building 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:
{ 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture
( and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space.
( 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944
( L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture
{ shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled.
{ Vapor Retarder:
[ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
( Materials Identification:
[ ] { Materials and equipment must be identified so that compliance can be determined.
[ ] ( Manufacturer manuals for all installed heating and cooling equipment and service water heating
{ equipment must be provided.
0
.• [ .] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] I Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
[ ] All accessible joints,seams,and connections of supply and return ductwork located outside
conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed
using mastic and fibrous backing tape installed according to the manufacturer's installation
instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted.
[ ] I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
[ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as
specified in Sections 780CMR 1310 and J4.4.
I ,
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
I
Swimming Pools:
[ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
I
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
i
Table 1: Minimum Insulation Thickness for Circulating Hot Rater Pipes.
Insulation Thickness in Inches by Pipe Sizes
Ideated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature()i) Un to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Goofing Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
The Commonwealth of Massachusetts
Depannient of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,41A 02111
Workers' Coln;sensation Insurance Affidavit: Builders/Contractors/Electricians/PluDa hers
At�plicani Information Please Print Legib)V
Name (Business/OrgaruZation/lndividual):,✓�
J
Addl'eSS: /Z/
city/State/zip: Phone W:
Are you an employer?Check the appropriate box: Type of project(required):
1.F1I arrn a employerWith 4. 111 ama general contractor and l
employees(full and/or pari-tune).* have hired the sub-contractors 6. XNew construction
A! arr a sole prapnietor or partner- listed on the attached sheet. t
7. E] Remodeling
and have no employees I lese sub-contractors have 8. E) Demolition
worlang for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' connp.insurance 5. ❑ We are a corporation and its Ifl.� Electrical repairs of additions
required.] officers have exercised their
3-D I am a homeowner doing all work right of exemption per MGL I LEJ Plumbing repairs or additions
myself [No workers' coin. c. 152,§1(4),and ,ve have no 12.Fl Roof repairs
insurance required.]t employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks boa,l must also fill out the section below showing their workers,compensation policy information:
t Homeowners who submit this affidavit indicating they are doing all tivork and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'cornp.policy infoTTiation.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andiob site
in.f ornzation.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date: i
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 tinder 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 eoverag rification.
]do hereby cer7i,under the ins a saltie of perjury that the information provided a ve 's true and correct
Signature: Date:
Phone#:
Oficial 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/ToHm Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
i
f
1&413 0411 411wle-Ill
BOARD OF BUILD114G REGULATIO14S
y License: COIISTRUCTIO14 SUPERVISOR
Number: CS 055417 I
;. Birthdate: 0410511960
Expires:04/05/2006 Tr.no: 29033
Restricted: 00
THOMAS D ZAHORUIKO
921 CARTEREIELD RD w+ ,• uti
N ANDOVER, 3AA 09845 Acting C misVc)ner
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ImCOCMICMEWICK
AERATED PP�\y�Cy
`s BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
• BUILDING INSPECTOR
THIS CERTIFIES THAT A .ier-li � !.... .. .� 5 .... .............
........ ............. ....... .. ....... ....
' • Foundation
•
has permission ere . . A... ... �' .............�� ...... .... . �r1�r �j gh
tobe occupied ....................................................................................................... chimney
... ..................................................
provided that t p n accepting this permit shall ' every respect conform to the terms of the application on file in Final
this office, and a provisions of the Codes and -Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Buildi gulations Voids this Permit. Rough
*a Final
P- EXPIRES IN 6 MONTHS
UNLESS CONSTRU ON START ELECTRICAL INSPECTOR
Rough
..... ...... ...... ....... Service
.. . ..... .. ... .
�l 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
Until Inspected and Approved by the Building Inspector. Burner
FlRE DEPARTMENT
Street No.
SEE REVERSE SIDE Smoke Det.
6274
Date
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
SAcHU
�/�¢CThis certifies that .... ..
................ ..!...... ................... . .............................
has permission to perform ........ ....................A0..........................................
wiring in the building of.....
.. .........
/42.'q
at........ . . . ....... .
........................................................... North Andover,Mass.
...... Lic.No' '7 ... ..... ...............
'Fee ........ ...
ELECTRICAL JASP
Check #
Perwt Na �7
91 v"PMMRMM � ���
(PLEASE PRIIV'T At INIC OR To TYYM ALL �' p j O L'� � c `rid
Town of Nocdr Andover TION) �+ssAcxttrssrs E f*�!l WOPX
G' 'ODS.5122q77 `"s'j,
The undersigned �
applies for a permit to perforin
Location(Street Nu the electrical work Da
Q abed below.
Owner or To t Wp ctor of Wi
Tenant l � res;
Owner's AddressI iiiii'lllllmm 11112 '111
-41 C.R."— C
18
this permit in con'u
1 mon with a build' f{y
Purpose of Building Ptmut: YesNO
Existing Service (fit Appmpriate a
�ps Voltz it)
Number o ftm �� Amps ZLy O"�ead U Utity goNoezatian
f Feeders and Amps, Xolta �'ed ndergmt. No No,�Qf", g 7
Location and N of Pro UndeWftnd .of Meter
No,of tjs Daae. Electrics!Wort No.of Meters �—
Na of Rscaq SNtami�Pool Aborti No.OfTn�,. � I
lawdSeto*
Wk of switey a+tbr. No.otou Buet�rs Tont wrd res
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No ofRanxq No,of Vis° U
Qu A
B Ham Units
NO-of Dt�ys No.of,Vr Co�
Togr �
No,of Dishwaam of Haat TOa't Po Fft AL,R" 1
Toot
Na of SP+re AM Hem Tom KW No Of D,*tj a�d No.of mea No.
KW f"
No.of W�Heater end Uarice No,of s��"s Dsrtees
KW Coed
Ho.ftydro M,us s°at KW IacdD� M�No.of
Devices 1
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The un `� ►dover Fbi��A j,O�a rr1f ra0�,E"1g0R_ , �+ exolecked �
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Location($tenet nn t2;pp j�
Owner or Te,r�t fir) 0 t'lectcv Wolk
Owner's Ad �. _ �n�d below. Ta the
dress 1, ✓� 'pector
Its this
ofs:
Permit in conjunction �-
wash s
Purpose Of Building buds
� 8 P'a►nit: �l�} j
Existing Sere yes
"' Ames (Check A
Zd 1•�••,'r V PPr'D 80
LoNumber of ceders�A'nPaci ���'`'�r Volts a+ertkDd Prta,Ud •x)
U tY Aa
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Ish°�"rRaco , nro ori �, i t.p���. No. ofMet,rs
KrCevt111IC!IIIIII Ourt�te ..,,rte
ors s��"�p0°t Abo„o
w1 q V No 01
No,�QUBu
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No.°rain No.
Of 9 No.of 8 KLA
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of ° nxrs° U KVA
No.°ft2fegyry� No.of 'rotd
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Ato.of p� SP�ce,4iq Fft
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WINDOW & DOOR SCHEDULE
Interior Doors, 2-8 X 6-8 unless specified 34 1/2 X 82 1/2
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- - - - -D-1 - Entry-Door, Twin Sidelights 68 1/2 X 83
D-2 Entry Door 38 1/2 X 83 - - -
D-3 Slider w/transom 72 X 96 1/4
D-4 Slider 72 X 82 1/2
D-5 Entry Door, Single Sidelight 531/2X 83
A Double-hung single 341/4X 65 1/4
B Double-hung twin mull 68 X 65 1/4
C Double-hung triple mull 1011/2X65 1/4
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i H Double-hung single 34 1/4 X 53 1/4
I Double-hung twin mull 68 X 53 1/4
l L Double-hung w/transom 341/4X 79
_ M Glider 601/4X 42 1/4
N Double-hung twin mull w/transom 68 X 79
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Q - Awning twin mull 68 X 24 1/4
S Double-hung 301/4X 49 1/4
T Double-hung triple mull w/transom 1011/2X 79
U Double-hung twin mull 68 X 49 1/4
ROOT F RAMV X Round stationary 24 X 24
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