HomeMy WebLinkAboutMiscellaneous - 114 CORTLAND DRIVE 4/30/2018 114 Cortland Drive
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
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APPLICATION TO CONSTRUCr REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING '.
BUELDING PERMIT NUMBER.
woo t� 'Mum DATE ISSUED:
t!r
SIGNATURE:
BuildingConinssioner/Ins for of Buildings
SECTION t-SITE INFORMATION Date
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
(6RAAMD
V 14 N 1/Oy AAA Map Number Parcel Number
1.3 Zoning lafor nation.
1.4
� Property Dimensions:
_ Fir .�rr�c�
Zarin IastridUse
G SET — I
1.6 BUII.DINBACKS R wed Frontaep.fill
Front Yard Side Yard I
Reqtlired Provide Rear Yard �
N Provided Re ' ed Provided I
1.7Waw SnpplyM.GL.C.40. 34) 1.3. Flood ZoneInformstion:Public 1.8 Se I I
Privuo ❑ Zow Outside Flood Zone �+I System:
SECTION 2-PROPERTY OWNERSIiIP/AUTHORIZED AGENT Mei �l On Site Disposal System ❑ s
i t�,:�;l u; <+ ,.. �, •
2.1 Owner of Record
Name(Print) �S C - 2 1 4.4—ee
Address for Service
Si re
Telephone I
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2.2 Owner of Record: i
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Name Print
Address for Service: C
Si aturo
Telephone , n
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
` / �� Not Applicable 0
Licensed Construction Supervisor.
License Number +
Address �/
SignTeleph eon Expiration Date 4�
��i•1
3.2 Registered Home Improvement Contractors
Not Applicable U I,
Company Name � -------
Address Registration Number
. _ I
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Signature _ Telephone Expiration Date
I
Date..
,ORTH
pf Sao ,4'O
TOWN OF NORT A OVER
• PERMIT FOR G STALLATION
ACHUSEt•(
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This certifies that . .1//!J. Vit^ . . . . . . . . . . . . . . . . . .
has permission for gas installation . . AP S". . 4 w . . . . . . . . . .
in the buildings of . . Ag.,
. .� :. . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . . . . .. North Andover, Mass.
Fee. . .j4 6! . Lic. No.2.G5.`.'.�. . . :�� `,.�.. . . . . . . .
GASINSPECTOR
Check#
5666
MASSACHUSEIIS UNNORMAPPUCATONFDR PERM ID DO GAS FIT1 NG
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations ��y An- ezt-4 Permit# �`CC
Amount$
Owner's Name ( _/,_• 1� 41 i
New Renovation ❑ Replacement ❑ Plans Submitted ❑
x w
w a o x H
z 0 F a
] O z w
Lnc7 w o v� a a F
w a U z x ° A
w x a w 9 w F F
z WW� z 5 a a 0 z o �w�.O 0 O W F
3
A C7 ,a U C4 ;> A a F O
SUB -BASEMENT
B.ASEM ENT 1
1
1'S T. FLOOR
i
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR !
6TH . FLOOR
7T'H . FLOOR All 8T'�IH F L O O R
(Print or type) /� / Check one: Certificate Installing Company
Name 1/l / f
❑ Corp.
Address 11-e �i �/ 1«- l���I� ❑ Partner.
>3o Y
Business Telephone -7777 – �/a > — /S U e, ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
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INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes Cr . No I
If you have checked yes,please in icate the type coverage by checking the appropriate box.
Liability'insurance policy Other type of indemnity ❑ Bond '
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required b Chapter 142 of
g q y P the I
Mass.General Laws,and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent 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 �I
compliance;with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. ,
By; Signature of Licensed Plumber Or Gas Fitter
Title Plumber ,,2( S4
City/Town ❑ Gas Fitter License Number
aster
APPROVED(OFFICE USE ONLY) IJlJourneyman
Aindover
No. `•S' O
�= A o �` dover, Mass.,_
-wyCOC
HIC HE WICK
,B AERATED PPa` �5
S BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D THIS CERTIFIES THAT... BUILDING INSPECTOR
d �....C.. *1 ..,.1A- .,rw
. ..... . .............. .
' Foundation
has permission to erect.....0.11.*....................... build' gs on . �.�.. '.....6MOA-) ��1/'�. i*) Rough
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to be occupied as....��.�.�.,�.. � �� �,� Chimney
provided that the person a--cp�pting this perm d s II in every respe nform to the terms of the application on file in
...........................................................................
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Final
Y 9 p Alteration and Construction of
Buildings in the Town of North Andover. 10V G,3 1 -&e� 6IA33
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Re ulations Voids this Permit.
Regulations Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUC N STARTS ELECTRICAL INSPECTOR
1 Rough
......... .... pe#f'aWL:....;..;............ 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 BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner- - - - - -
- - - - - - - - - Street No.
ESEE REVERSE SIDE Smoke Det.
Date
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBIN
1
i o �•
,SSAC14US�
This certifies that ... .!?r.l.tit,.�. . . .���. . . . . . . . . . . .
has permission to perform . .X!� . ` . . . . . . . . . . . . . . . . . .
11
plumbing in the buildings of . . ' 'e' ' h.'9 .f. . .`1.T. . . . . . . . . . . . . . . . .
at . ./l.`/ . . . °��.��!-. . . . . . . . . . . . .—Nor(h Andover, Mass.
Fee. '. . . .Lic. No 3G 9 �. t. . . . . . . . . . . .. . . . . . . . .
T + PLUMBING INS
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Check #
7042
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1
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Building Locationy f 4Date L>/V
�r Owners Name 1 , ��/��t UC1o�Permit# ?uY L
Type of Occupancy Q /` r IV Amount
New Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No
FIXTURES
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a w
W a, i
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U Z j
3 A a
y ray
v Q p � I
a �
-%R
RASEVM
2ru;Hl�xt 1
3M11" I
4IH FLOM I
5M 11" 1
sai it" I
M11"
SIH FLOCK
(Print or type) eCheck one: Certificate
Installing Company Name p �!n t ❑ Corp.
Address
6 ❑ Partner. I
Business Telephone — e14 3 ❑ Firm/Co. i
s
Name of Licensed Plumber: 1�
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy ❑— Other type of indemnity El
Bond
Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
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 pertinent provisions of the Massachuse�Stateftlmb' Cr Command f' ipter 142 of the General.Laws.
By: ignawre/u► LiCensea r►um er
' Title
Type of Plumbing License 1
City/Towni
icense um er Master ❑ Journeyman 1
APPROVED(OFFICE liSE ONLY I
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Aga-
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 550 (2/27/06) Date: November 17, 2006
THIS CERTIFIES THAT
I
THE BUILDING LOCATED ON 114 Cortland Drive Unit#37
MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY. j
Certificate Issued to: Meeting House Commons
121 Carterfield Road
North Andover MA 01845
Building Inspector
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Town of North Andover
Building Department
400 Osgood Street pF ��pTH -1 ,�,
North Andover Ma 0 1845 `` 2 g�<,�- •+'e6*a Op
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lvvitii ruiuvvct,iviabaatuuacu.a v101rJ _
(978) 688-9545 Fax (978) 688-9542
to
�9sSACHusti��y
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
ADDRESS
LOT NUMBER S DIVISION ) �1j/}� (n MLS
DATE REQUEST FRED b i
DATE READY FOR INSPECTION
I
TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE CO LETED WITHIN THIS TIME I
FRAME. A RE-INSPECTION FEE OF TWE Y- ($25.)DOLLARS WILL BE
CHARGED IF THE STRUCTU DOES N T M ALL APPLICABLE CODES.
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SIGNATURE
1i
OFFICIAL USE ONLY
ROUTING
D.P.W. —WATER METER -S DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE/DPW AUTHORIZATION
N0RTH
4Andover
--- -------
No. Z'S Q
o �` dover, Mass., • Vna
0 1.
COCMICKEWICK V
7 A0RATE0 P'Pa` �5
'4S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System A
i BUILDING INSPECTOR/
THIS CERTIFIES THAT...110fiflobhovo....C. .... ... . ............ c ,3
` ....... .....� .. ounda ' J�
has permission to erect.....&VP g �.�.. ' Cor l�►r� � !e,• .tV ��
.!t....................... build son ...... ......
to be occupied as....��.%A *nj%t�=spermit
'11 .��'�...I.rl
provided that the person sell in every resp'e!M- . orm to the terms of the application on file in 'nal
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of �' 7
Buildings in the Town of North Andover. 10"0131
� G,�' -:#A �d 6/&3
PLUMBING INSPECTOR
3a"
VIOLATION of the Zoning or Building Regulations Voids this Permit. o P�; L/O Ar
PERMIT EXPIRES IN 6 MONTHS V9 I
�`��L L`�J
UNLESS CONSTRUC N STARTS ELECTRICAL INSP To
........� Service
. . . ... ..............
BUILDING INSPECTOR incl
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough /
Display in a Conspicuous Place on the Premises — Do Not Remove F.
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector-.- BurnerFIRE DEPrz
AR
Street No.
t
SEE REVERSE SIDE Smoke Det.
I '
Location
)aIJ -Da!�-
No. _ i Date
NORTFr TOWN OF NORTH ANDOVER
3? oAL
Certificate of Occupancy $
^O'Eck' Building/Frame Permit Fee $ +
ACNUS
Foundation Permit Fee $ f
Other Permit Fee $
TOTAL $
Check # _
18994 A//J&I 4271M
B'Cl6ng Inspector
I
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: Nis DATE ISSUED:
VISION
SIGNATURE: --I
Building Commissioneffl for of Buildings Date Z
SECTION 1-SITE INFORMATION IO
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
/<y CbKTtAAZ bR1 3-7l C 3 1
N
MapNumber Parcel Number i
• ��R nna�! I
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Area rants R
Lot F
I
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
R red Provide R ed Provided R ed Provided
N - o
1.7 Water Sappfy M.G.L.C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System D
Zoos Outside Flood Zone Mmicipal On Site Disposal System ❑ J
P.M. ' Private ❑ —1
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
Lc )214� r ,� rM
hot
b
Name(Print) Address for Service
Y
Sig re Telephone
2.2 Owner of Record:
_ � Q
Name,Print Address for Service:
Signature Telephone 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor: �SI 0
License Number
Address / -/A
/a
>F 7_7 //Expiration Date
Sign --�Telephone r
� <
3.2 Registered Home Improvement Contractor Not Applicable ❑ 0
j �
Company Name
Registration Number71
r
Address
I
Expiration Date Z
Si nature, _ Telephone
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6)
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.
Signed affidavit Attached Yes.....Jh No.......0
SECTION 5 Description of Proposed Work check a0 a ble
New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑
` Accessory Bldg m ;;, ` Detnolttio6: ❑ Other ❑ Specify
Brief Description of Proposed Work:
SED C01-00
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
1. Building (a) Building Permit Fee
ZU Multiplier
2 Electrical 1 Z (b) Estimated Total Cost of
Construction
3 Plumbing /Z &e_0 Building Permit fee(a)x(b)
4 Mechanical HVAC 'Z.a-
5 Fire Protection S 0&0
6 Total 1+2+3+4+5 3 (,) 0 eD Check Number
*t SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, 1�
i ,as Owner/Authorized Agent of subject property
' Hereby authorize !/GL n o to act on
My behalf,in al afters rela 'v o k authorized by this building permit applicationZl f �
Si a of Owner Date m
CTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, Zi �'-,6, 7�./zeYl1N 6 ,as Owner/Authorized Agent of subject
property
Hereby decl'aze that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
S' a of Owner/Agent Date
NO. OF STORIES SIZE
BASENIENT OR SLAB
SIZE OF FLOOR TIMBERS
SPAN L—
DIMENSIONS OF SILLS 1,16Z 4
DMNSIONS OF POSTS S/.(,
L G
DIlvMNSIONS OF GIRDERS Ze& )d
HEIGHT OF FOUNDATION THICKNESS .01)
SIZE OF FOOTING —
MATERIAL OF CHIIbINEY 8R l K
1S BUILDING ON SOLID OR FILLED LAND aGJ�j
IS BUILDING CONNECTED TO NATURAL GAS LINE
� �OK7jy 'g
o 0 4 L over
0 10
No. k.4'S Q - - _ = - - - - -
;-_ L.CA o y dover, Mass.,
COC MIC HE WICK 1
ORATED PPS "♦y
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT. #14.119t6.0"g....C..V"M.JM,s .... . . .
r ....... ....... ............... Foundation
has permission to erect..... �1!l....................... build' gs on. . ...�.�.. '..... �N�.� 4PA/..#.-t*3 Rough
� 1
to be occupied as...... �. A
.�d� '� ........... Chimney
provided that the pe'on ac piing this perms.0ll in every resp, form 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. 104 G131
Z eA *Ndp��Q3 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PEB vffT EXPIRES IN 6 MONTHS
UNLESS CONSTRUC N STARTS ELECTRICAL INSPECTOR
Rough
...... ... ........#fl ... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocmpy Building GAS INSPECTOR
Rough
Display in a Conspicuous -Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
- t
FORM U - LOT RELEASE FORM f
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*******-**********************APPLICANT FILLS OUT THIS SECTION
APPLICANT_M S moons LLC, PHONE-?6-C87-ZCk5
LOCATION: Assessor's Map Number PARCEL 3 f
SUBDIVISION !" CeA �06, -, /��
'�- m LOT Isl 3�
n 1 '
STREET_ (`�(a 'Do Ux ST. NUMBER I�
OFFICIAL USE ONLY ** * **
RECO ENDATION OFS, GENTS: '
r
CO ERVATION ADMINISTRATO DATE APPROVED
DATE REJECTED
COMMENTS
A
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS Gh . Ho'a
IV
FOOD IN ECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS ONJ Si!\NE '\
PUBLIC WORKS - SEWER/WATER CONNECTIONS ^2
DRIVEWAY PERMIT _ 2-
FIRE
_FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECT _ DATE__ _
Revised 9\97jm
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BOARD OF BUILDING REGULATIONS I
i License: CONSTRUCTION SUPERVISOR
Number: CS' 055417
{ /
Birthdate:04105�1960
- EXp;res:,04/0512006 Tr.no: 21033
Restricted: DO.
THOMAS D ZAHORUIKO
'121 CARTERMELD RD
N ANDOVER, MA 01845 ActingCc mis over
The Commonwealth of Massachusetts
�.= 9 Department of Industrial Accidents
Office of Investigations
.rr tL 600 Washington Street
r urr
Boston, MA 02111
t ' www.mass.gov/dia
s Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print,LeLribl
Name (Business/Organization/individual): ` i
Address:
r
City/State/Zip: 'Phone #: —4 SR ?—R
Are you an employer?Check the appropriate box:
❑ I am a employer with 4. Type of project(required):
❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6 New construction
2. 1 am a sole proprietor or partner- listed on the attached sheet. * 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers'comp. insurance.
Now naddition'
[ workers'comp. insurance 5. ❑ We are a corporation and its 9 � Buildingo
required.] officers have exercised their 10•0 Electrical repairs or additions
3.F_11 am a homeowner doing all work right of exemption per MGL 1 I.[] Plumbing repairs of.additions
myself. [No workers' comp. c. 152, §1(4),and we have no
insurance required.] t employees. [No workers' 12.[:] Roof repairs
comp. insurance required.] 13.❑ Other
*Any applicant that checks box#1 mu
t st also fill out the section below showing their workerscompensation policy information.
Homeowners who submit this affidavit indicating they are doing all work 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'comp.policy information.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company p y 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 covera rification.
I
1 do hereby certify under th ams and pe alties �f perjury that the information providedabove is true and correct.
Z 1
Si nature: ,/
Date:
Phone#: _ 3Sr
I
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.Cit /T
own Clerk 4
Electrical Inspector 5.
Plumbing Inspector6.Other
Contact Person:
Phone#:
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Permit Number
MECcheck Compliance Report Checked By/Date
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb
Data filename:Untitled
TITLE:The Nantucket at Meetinghouse.Commons
CITY:North Andover
STATE:Massachusetts
HDD: 6322 +
CONSTRUCTION TYPE: 1 or 2 Family,Detached i
HEATING SYSTEM TYPE:Other(Non-Electric Resistance)
DATE:02/23/06
DATE OF PLANS:2/07/06
PROJECT INFORMATION: '
Meetinghouse Commons
North Andover,MA 01845
COMPANY INFORMATION:
Meetinghouse Commons LLC
COMPLIANCE:Passes
Maximum UA=477
Your Home=447
6.3%Better Than Code
Gross Glazing i
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA i
Ceiling 1:Flat Ceiling or Scissor Truss 1628 0.0 30.0 50
Wall 1:Wood Frame, 16"o.c. 2356 0.0 13.0 186
Window 1:Vinyl Frame,Double Pane with Low-E 379 0.340 129
Door 1: Solid 35 0.340 12
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1628 0.0 19.0 70 +
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 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 Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the
mandatory requirements listed in the MECcheck Inspection Checklist.
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
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MECcheck Inspection Checklist ;
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb
DATE:02/23/06
TITLE:The Nantucket at Meetinghouse Commons
i
Bldg. i
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
[ J ( 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
Make and Model Number
Air Leakage: i
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air I
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 1.571bs/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 i
equipment must be provided.
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1
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] 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.
[ ) The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] 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:
[ ] 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.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
{ of the heating energy is from non-depletable sources. Pool pumps require a time clock. I
Heating and Cooling Piping Insulation:
I
[ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the
levels in Table 2. ;
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Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up 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 i
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Rang 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
Cooling 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
1
1
NOTES TO FIELD(Building Department Use Only)
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Date.....�..
Nor+rti
" TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
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has permission to perform .............Ng:.
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APPUCATION FOR PERNtTI''TO PERFORM EUC,TR M WORK
ALL WOAK To BE FMVORMED Rif ACCORDANCE WrrH THE MASSACHUSM UEMICAL CODE,527 CMR 12:00
(PLEASE PRINT IN PM OR TYPE ALL NMRMATiQN)
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Town of North Andover To the Inspector of Wires:
"lite undersigned applies for a permit to perforrn the electrical work described below.
Location(Street dt Number)
Owner or Tenant .vt E� �z
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is Ibis permit in conjunction with a building permit: Yes Callo a (Check Appropriate Bos)
Purpose of Building S t GN"11 • f Utility Authorization No.
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Number of Feeders and Ampaciry
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Tose
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Tom KW reidaft Devices
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BASE PRINT IN INK OR TYPE ALL 1NFORMA710N)
Town of North Andover To the inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location(Street&Number)
Owner of Tenant , .til 6'tir tz f
Owner's Addre Z Lit w'�! NO A
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WINDOW & DOOR SCHEDULE
Interior Doors, 2-8 X 6-8 unless specified 34 1/2X 82 1/2
D-1 Entry Door, Twin Sidelights 68 1/2 X 83
D-2 Entry Door 381/2X 83
- - - M11
- - - - - 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 34 1/4 X 65 1/4
B Double-hung twin mull 68 X 65 1/4
r �_ _: C Double-hung triple mull 1011/2X 65 1/4
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D Double-hung single 34 1/4 X 57 1/4
E Double-hung twin mull 68 X 57 1/4
F Double-hung triple mull 101 1/2 X 57 1/4
G Double-hung single 22 1/4 X 65 1/4
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I Double-hung twin mull 68 X 53 1/4
L Double-hung w/transom 34 1/4 X 79
M Glider 60 1/4 X 42 1/4
iN Double-hung twin mull w/transom 68 X 79
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P Transom 34 1/4 X 30 1/4
Q Transom twin mull 68 X 30 1/4
S Double-hung 3 0 1/4 X 49 1/4
T Double-hung triple mull w/transom 1011/2X 79
U Double-hung twin mull 68 X 49 1/4
Rod' FRN. X Round stationary 24 X 24
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- --- - WINDOW & DOOR SCHEDIJLE
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2-8 X 6-8 unless specified 34 1/2 X 82 1/2
68 1/2 X 83
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D-2 Entry Door 72 X 96 4 -
D-3 Slider w/transom 72 X 821/2
D-4 Slider 53 '/2 X 83
D-5 Entry Door, Single Sidelight
3 4 1/4 X 6 5 1/4
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sin le 34 1/4 X 57 1/4
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P Transom
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T Do 6
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