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Miscellaneous - 119 CORTLAND DRIVE 4/30/2018
119COJJRTLAND DRIVE, UNIT 15 i I i I l� 4 i I l I I h f IIS ,10RT1� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 1SSACHUSES I Permit NO: Date Received: Date Issued: IMPORTANT: Applicant must complete all items ms on this page LOCATION rint PROPERTY OWNER ,rye L C L MAP NO.: /d Print I' C PARCEL: 31 ZONING DISTRICT: IQ � TYPE AND USE OF BUIIL,DING HISTORIC DISTRICT YES ❑ . i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential )ZNew Building XOne family ❑ Addition ``I wo or more family i] Industrial n Alteration No.of units: E Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: i ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED s Identification Please Type or Print Clearly ell OWNER: Name: Si ture 'Z Address: i N �(,l Sig CONTRACTOR Name: �e Phone:978-1�97 Z6Y n , Address: 1 Z l CG�� �►el.�Q�. �. 'PJY' M Supervisor's Construction License: Exp. Date:_I /s Home Improvement License: A-/4 Exp. Date: ARCHITECT/ENGINEER 2 /Uri' Name: Phone: r\' ress: I ddReg. No. FEE SCHEDULE:B ULDLVG PERMIT. 4'10.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON S125.00 PER S.F. Total Project Cost :$ 117 Sf )tIZS � 1 60 7% xI0.00—FEE:$ 2397.s0 Check No.: I C? kAA ti w Receipt No.: P:Qe hof l I NORT►y — - - S , 4Town of Andover 0 No. A o dover, Mass. 7' �. > COCMICHEWICK �A�RATED P°P�y�y '4S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System % THIS CERTIFIES THAT. . ... .. .. . ± ................ BUILDING INSPECTOR ........�� ............. Foundation has permission to erect....... .......... buildings on..'.� � ....................... .....�r�. ...... .r...,.�....t���s Rough _ to be occupied as..5.f A%....U'64t, _ Chimney provided that the person accepting this ermit shall i .....��1�.......5. p n 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, Afterati and Construction of Buildings in the Town of North Andover.y * 13 2001w ,033 00' w O 3 3 rn`®V ICA PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PEB.MIT EXPIRES IN b MONTHS Final UNLESS CONSTRUCTION STAUS 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 No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street.No. - - – – — i- SEE REVERSE SIDE Smoke Det. Date. . . .3 0.�".. .. J MORTM pf t,.ao ,°1ti0 of y` TOWNOF NORTH ANDOVER f 9 • PERMIT FOR GAS INSTALLATION /^ �'ISS ACHU5Et `• This certifies that . S.% /..t. . . . . . . . . . . . . . . has permission for gas installation . . . .!4. .S. . ,f//? in the buildings of . . . :f: . . . . . . . . . . . . . . . . . . . . . . . . . . at . . /l.cY. . .fir.� c,. .(.t� r. �. . . 1. . . .I North Andover, Mass. Fee. r ?r' . : Lic. No.. `�L.Li. . . . . . . . .C- �. �� . . . . . INSPECTOR 1 Check# 3 6536 { . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING Cityrrown:l ZA RIVD0440t, Date: 101/2012 Permit# i BuildingLocad a� Owners NamedUA/E rrkRus7fl n I ndustnaln Inshtutlonaln Resldenaal1g;TYpe of Occupancy: Commercial Educab'oI t New: Alteration-❑ Renovatloon Replacement: Plans Submitted: Yes Noo j FIXTURES ' i to 1 O , 9 0. �a VW O a N ; w z 9 m �O .Q� a ; ;l- w , W ~ Q W W Z N Z 'W 'O _ `� V W 2 'J H F 0 Z J O -ti. Z j ca J m ' 0 Z N C W ;Z F` _ SUB BSMT. .BASEMENT 1 FLOOR tmu FLOOR 41H FLOOR 14 T—FLOOR 6111 FLOOR 7 FLOOR 8 1 H FLOOR Installin J. r Check One Only. Cerdfi to# gmparry Name: KL� - ; + Corporation I Address: S��N / C lTown State: ❑ J �Q ny �,bd ,. partnership 1 Business Tel: Fax: -777 a6 aFirm/Company Name of Licensed Plumber/Gas Fitter. I C INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 Yes&]NQ If you have,checked Y",please indicate the type of coverage by checking the appropriate box below. A liability Insurance policy Other type of indemnity F ' Bond j- , OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have t w insurance coverage required by Chapter 142 of the Massachusetb General Laws and that my signature on thJa L permit application waives this requiremerrt. i - ! Check One Only Owner Agent Signature i of Owneror Owner's Agent R#- f d 1 ` a I By checkingthis box U;I hereby,Certify that all of.the dsbils and I fiftnpialI -1 jrtiw aubmlaed(oc enbrad)regarding this application're true and, accurate to the best of my Knowbdge and that all plumbing work.ar�d lrlsfalletio m.piKomred_under the,permit htsued for this appl n rr l be In. compliance vvitlt all Pertinent provfabn of the M chusetb Stab Plumbing,("and Chapter 142 of the General Laws., } �---� gyr Type of Lk ense: 1 Plumber Tfflei — Gas Fir ig ature of Licensed'Plumber/pof Fitter Cityffom Joumeyman License Number: O APPROVED OFFICE USE ONL LP Installer +i r 3 MTM CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 603 (3/28/2006) Date: February 7. 2007 THIS CERTIFIES THAT i I I THE BUILDING LOCATED ON 119 Cortland Drive i 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. I Certificate Issued to: Meetinghouse Commons 121 Carterfield Rd North Andover MA 01845 Building Inspector I � i � I III i I I I I I • f NpRTF! I O ,TLtD .6 6 D*q f y1• '1' °Rgrao 4SS1CHU5�t i APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildinsa Permit# ADDRESS/LOCATION OF PROPERTY : //� C'aIaP Jn�V4e., I; Map 09 C Parcel 3 Lot Number SUBDIVISION 1 cros i DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: / D� FIVE (6) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMP ED ITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00) W L BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLIC LE CODES. 1 SIGNED i ,1 ROUTING CONSco",/ATIO J F-1 NCJ+gURkS_Vc T10JJAL 0 PLANNING 4013j DPW -WATER METER ® o'�� I0-7 SEWER/WATER CONNECTION NOTE j i DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW ' Signature File: OC form revised 2006 ' i i i i V4ORTH Town - oof F ,9: s._ _ � 4Andover 0 �- 0 No. 403 ix • ' IS U' *' C% == dover, Mass., oLA COCMIC NE WICK AERATED PQa` � `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System A ING N EC THIS CERTIFIES THAT.Aft. fXV4 .. 41se... ...... c•• Foundatio S�.F'r7 96 has permission to erect........................................ buildin . .. ...� )f.1. ....C« 1 ,f-` 12 to be occupied as...5.f..�...�.l,' r,,.�t,�... ./!y!!► rlM..1�.......stmik�/f................. ...... ey �`'1 ` �1 61t i .s/_,�4 provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ina '11i� this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alterati and Construction of Buildings in the Town of North Andover.y 0 15 200 • 0'3 3 YK 16V rC1031 PLUMBING IN l3PC E�6R VIOLATION of the Zoning or Building Regulations Voids this Permit. '- - PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST S o - 7-e)e. .�� F......:.... ;Service ............................................................... �.,.. BUILDING INSPECTOR .7 ina ALI Occupancy Permit Required to- Occupy Building GAS INSPECTOR Display in Conspicuous on the Premises — Do Not Remove Rough P Y a P _ No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector._ -_ _- - Burner - T - - - - - - - - - - Street No. - -- - - SEE REVERSE SIDE Smoke Det. 1616 Date. �'h 7. ..... .. � j NORTH o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION . 9 .y SAC'MUSEtS This certifies that . . . I-. . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . S. ^. . 66o .�z in the buildings of . . . . . . . . . . . . . . . . . . . . at . . . . . . . . .. North Andover, Mass. Fee. . ..?.O Lic. No.. . . . .. . . ; GAS INSPECTOR Check# 5902 I NIASSAMSE1'fS UNUMM APMCATON FOR ARM TO DO GAS FfrMG (Type or print) Date l//ty /(j(^ NORTH ANDOVER,MASSACHUSETTS Building Locations 1/J-? Permit# Amount$ Owner's Name ` New ` {/ Renovation Replacement Plans Submitted/ ,WWW ❑ o z z o H w Gn E~ o H a (~ Er �' 0 o z o Z a d o o w o w U a > a a F C SUB -BASEM ENT BAS;EM ENT 1ST. FLOOR 2ND : FLOOR ! 3RD : FLOOR 4TH ! FLOOR 5TH . FLOOR I ?� 6TH . FLOOR 7TH .. FLOOR 8TH . FLOOR { (Print ort e yp ) S C e one: Certificate Installing Company Name Corp. Address, Partner. ��3u7 G Business Telephone --� } � Fir m/Co. i Name of'Licensed Plumber or Gas Fitter INSURANCE COVERAGE I Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked Les, 13 please in irate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity Bond 1 13 I, Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the 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 compliance with all pertinent provisions of the!Massachusetts State as Co e and Chapter 14'_'of the General Laws. By; Signature of Licensed Plumber Or Gas Fitter i 'Title. ® Plumber /2S 2 ' City/Town Gas Fitter License Number [1 Master ,APPROVED(OFFICE USE ONLY) � Journeyman I I . I Date. l�. .7 O,`NORT TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • o� ''a SACMUS� This certifies that .,i* . ./l. . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . �co. t"!C; . . . . . . . . . . . . plumbing in the buildings of . XfAoo.�!'. at . . l`? . . ,/. �.�.,. .?'���' . . . . . . . . . North Andover, Mass. Fee.�A Lic. No../ /).?. . . . . . . . . ... — .. . . . . . . . PLUMBING INSPECTOR Check # 7279 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / f Date Building Location ` toe, A, � . Owners Name Permit# Amount � Type of Occupancy i , New Ey Renovation 1:1 Replacement El Plans Submitted Yes No FIXTURES a Ur. Cr Er Gn Ln w a E~ a a a04 as SMEM 13A9EMM M RM ?rD FIDQt 3t FIOCR 4 41H FIDIR 51H RDM 611 FIDM 71H RDM S[H FLOOR (Print or type) Check one: Certificate Installing Company Name i f f1 /. Corp. Address AV/, Partner. � / n Business Telephone 9 yds —%S� (o Firm/Co. i Name of Licensed Plumber 'Iil� Insurance Coverage: Indicate the tVI3.1e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 1-1 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 � I Signature Owner Agent El 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 Massachusetts State Plumbi g C and Cepa 14 of the General Laws. By: S►gna�fof LTcens um er Title Type of Plumbing License 'I City/Town License um e7 Master �Joumeyman APPROVED(OFFICE USE ONLY i a Date.... ........................... NoarM °t'"`°:•�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING C14U This certifies that ..........................................� � �l ................................................... has permission to perform P D S V 7-.,1 r wiring in the building of.......1..,r. /�. ........ ............................... at.........I l gL a 2:r�Kr ).......�..!............. North Andover,Mass. Fee.'.-�......�... Lic.No.1. `5.��'.............. .t ... ELECTRICAL INSPECTOR Check # b �� 6906 DEM9MMT0FPUXKS4Fl3tY Lmm: BQ400FFIRREPREI�IIKIMRBOUL47Xi�1�S5Va Rizigo e��.Coed —�j APP11C ZION FOR PERMIT T O PERFORM EL mucAL WORK ALLWM To BE PERFORMP.D IN AcCORDANCB waH TIM MASSACHUSM ELECTRICAL cone 527 CMR 12:0, 2:Da (pL;.AsE PAINT IN INK OR TYPE ALL IIMRMATION) Tovrtit of North Andover :. To the`Inspector of Wires: hes for nnit to perforin she electrical work dextibed below. f The undeisigbaed app� 1� I location(Sheet At Nutttber) 1, L 1� � , ► Owner_or Tenant l I Owner's Address i Is this permit in conjunction with it building permit: Yes No (Check Appropriate Hoa) 12,1 LI, 9 Purpose of Building Vt&-S t D r�Al1 Utility Authorization No, �y Existing Service.ir, Amp I....Volta. Ovtrhead a Underground Q No.of Meters New Serves Arnpe f Yolta Overhead =1 Underground No.of Meters Number of Feeders and Ampacitlr Location and Nature of Pto trical Work Na o[Lim Onllel. No.of Hat Tub. No.of Twofonnere .Taw KV No of Liaptit�lrittttta 5winuttiar Pool Above Below Oeunum l(VA Na o[Receptacle Outlets No,of on Btuaen No.of Eme merry Li#d%Beltm7 Units No:of Switch Oud t. No.of Qes Bontera No.of ROWS No.of Air Coad Told FARE ALARMS No.of Zotms TOM b W of Dii jma No.of Nee► Total Told No.d Deiecfim aid _ PUMP Toro Kw Watina Da hm No.of Diahwro6er. Space AtesNca ty KW No.of Davlw { No.of SeltCordatued DeWdmdSoandbaf Devices No.of Dr)Wi Hestina Dkvicm Kw LastlYtwdcipd Ostler . � Catneclforn No,of watu Heelers Rw No.d Na Of 3 Bdboie No,Hydro Maur TOO No.of Motors Told HP �� AralieRbbefe�lernsBtafMbl�cll�dllGQiaell8we ��/ Q Itiateeaaet�tliel,T[Yhamtel�ibYlodadrHC�b►4 aribis rtileyiirrtatt YIN NO Ittavcsiiniatiedvafdpanfcf Y� )FyatthatiedtaraoedxEkpteaaeirdQtetypeafaottbY OPP u u > VAmW& WadctuStat %pcimD*Raz*d RD* aw Stodttrt�r P� +kWJ�Y El�tMNAI� Qkt"'��-r'_ - TyL-t. pi.vtGQQ lkmrra Bus =TtjNm AkTdNa C1W1�R'SlNS[1RANCEWAN&tIan thetlileLiat��l dbeirs>mlaeanaagear�s�iedbivatobtasaeiriedbye�alLawe ` I Xnaaletn,W*m ae,mftQeaaYapj7i mQ bhale t (Please chexir ora) Owner `. Agent w Telephone No. PmtwT FEE���% I z �ri` arf � J i J i R l t i Commonwealth of Massachusetts Department of Fire Services ; l)t emit No. � q Occupanc% and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev, t) o-fl cleave Kink APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR' Ali :\urk to he pertormed in accur�lanU%\iih the\la>sachusetts HCOl'ic'[I C'otleEIEC'). i_"(AIR 12A i TLE.ISE HIAT IN INK O)R TYPE.ILL INFORMATION Date: y I Ctty or Town of: f� ®� ,� -W TO t/lc I►r:�I�t.'001'uJ 66'trc!s: BY this applir.Uion the undersigned "No notice of his or her lett noon to pertilrm the electrical \uork descrihcd below. Location(Street& Number) `�`� w��y�'� ►� Owner or TenantL& LU'4 Ey ,t•�k x-' l � Telephone No. 7-2b�� Owner'g'Address tik cAk_ifk r1. t Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ("E$ Utility Authorization No. ..-H 71 r \Existing Service Aups / Volts Overhead ❑ Undgrd❑ No.of Meters u . New Service Ams / Volts Overhead Amps Lndg rd No. of Meters ❑ Number of Feeders and Ampac.ity Location and Nature of Proposed"Electrical Work: 6'"4 S v lC (omplclion(J/Ihc'11"Ib a im"luhle ntuv h.e No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets :.No.of Hot Tubs Generators KVA lbore I No.of Luminaires Swimming Pool ;,r nd ❑ n-d. ❑ ' o.o Emergency Lighting nBattery l nits ONo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Cas Burners :No of Detection and Initiating Devices No.of Ranges No.of Air C'ond' Total No.of Alerting Devices No. of Waste Disposers Heat Pum ns Number ToKW I:'No.of. elf-Ctintaine ... . ......... ...... ... .. Totals: Detection/Alerting Devices No. of Dishwashers S .ice/Area Heating KW Municipal P' g Local❑ ❑ ether Connection No.of Drycrs Heating Appliances KW Security Systems:* Vo.of Devices or Equivalent � o,of Water No.o No.u Heaters KW Data Wiring: Si ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Tutors Total IIP Telecommunications Wiring: Nu.of Devices or Equivalent 7R,OTHE J� lilt' Fr,timatt:'d Vidue of Electrical Work: �. i 41 hrn required by municipal policy.) \b urk to Start: Inspections to be requested in accordance with \IEC Rule I0, and upon eumplution. INSLRANCE CCA ERAGE: L-illess waived by the owner. no permit fur the perlormance of electrical Murk may i':Aue rhe licensee prt:vides proof of liability insurance includinv,",.ompleted operation-'cont rate of,its'sul�slantia) equivalent. ' aidur•i.,n�.i certitie: chat :uch cocci,'„ i:. in I�:rct. :mkl I;as e .hihited prom t:f :ar,t it: the permit 1:..uirr; olficc. IIhI:KU\L': ANSI t�• )3t AP (] )It!I.R ❑ t`;pccily:; :'Nl'll�ti, /:Y(lCf.,hei'71/;I1.S..:!(I/)r.7NJfli!•:C 1,/IC'1'/1//a', ;!f!J/{/1!'11YfU/' .111!R// :/7.h!J' r�J/7t'lCtl/.'IiYI:J;/'.!.!C' i_icensee: �� � ��-'��t� _ • ': ir:,rurr'.— _dC. ti(it.kr�2'? r•I/.X L,r,!•: uii, ]c• `�try O \ — Sus. Te . No.:L Address: 3 -� {'S4 O��/ +- ti r�_��t t,.�i�t1t All. T0. Nn.:.Vk_32 z ' Seeurity Sy,teln Conti-actor Lit en nyun'cd for this v,oi-k; ilapplicable.enter the license number IICI•t.: OWNER'S INSURANCE 14AIVER: I am u•e that ill,: I.i:uisec.:(,. ]n:i havc the Ii-ability insurance .;!•:r_e tequirud by low. fay my ci,'naturc bcloyv.. I hercPy `.vuive this, rcquiremcnt. I ;I'll the((-heck on-C)❑ .lyvnt r ❑ uvaner':, Owner/Agent :„;'liatui•e . -'�li�'i ,a:�, . - ?�F'.IT.L/IT I'F'S,. +`�'^` ��v d� y - � g � a,� � �� �P �� �� �� �� ,� Date...l�'...Z` .... NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SACHUS� � ZFZe/ � This-certifes that . . ........ ............................. ......... ......................... ll has permission to perform ... ©� ... 2v�c c t n�� f........ ..... ........................... . wik ing in the building of............ ... ... �5 ...... ................ at' - L ,North Andover,Mass. r.................................... ........................... Fee.—J-45.......... Lic.No. .A N:. 4.......... 6LZE�I-�C-T'RrICAL- INSP$CTOR Check # (Nor 6985 Commonwealth of Massachusetts Official Use Only i • � 1 Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co707 C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: do. To the Inspector V Wires: By this application the undersigned gives notice of his or her inte tion to perform the electrical work described below. Location(Street&Number) Owner or Tenant r/� ,���' Telephone No. Owner's Address AJ0A oV i Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) i I 1 Purpose of Building Utility Authorization No. f q I-1 I Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service _IjL"1 Amps t Jo / 'L�fDVolts Overhead ❑ Undgrd L?'-- No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: J E�LcE Completion of the ollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In ❑ o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and InitiatingDevices No.of Ranges No.of Air Cond. Total g No.of Alerting Devices Tons " No.of Waste Disposers Heat Pum Number Tons KW No.oSelf-Contained Totals Detection/Alerting Devices f, leo.of Dishwashers Space/Area Heating KW Local❑ Conne P oln F] Other " No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent Heaters No.of ea KW No.o o.o Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP elecommumcations Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: I ,y 0 d _ (When required by municipal policy.) SII Work to Start: -L p b Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 1 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: �jh LIC. NO.: Licensee: ^�,C._ A-C, j�'leA;a t f) Signature LIC. NO.: &L,1-Yp .-- (If applicabl enter "exempt"in the license Aumber line.) Bus.Tel. N0.' Address: 1�-�-5 Qv kS r1�� Alt.Tel. No.: <-09'16'2 *Security System Contractor Licen e required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature PERMIT FEE. $ Telephone No. Date....�. '� ..e' .... • a? TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,ss�CMUSE� Thiscertifies that ... ........................................................................ has permission to perform ......��- ..... .................................................. •wiring in the building of.... - ' y........ .......- "!! ....................... at...f�. ...... fir . ,North Andover,Mass. Fee..................... Lic.No..... ..... ........,�,... .......�t.:...........:..:��-............... ELECTRICALINSPE M Check # J 6 7 Commonwealth of Massachusetts Permit N 0. Department of Fire Services OCCUraw and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 051' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . Nil .\,irk to he Performed in accordance with the\h"Sachusetts 1.1t:01,101('0de \11"(') 527(AIR 12.00 I'LL ISE PRLN T/.N--INK OR TYPE.I LL INFOR1 L I-FloN) Da 14 t' o to Ch or Town of: tj 0, 0-k To Ilse 117spec-lor of 11'71-e.y: By this application the undersigned gives notice ot'his or her intention to rel-forill the electrical work described below. Location(Street& Number)- Owner or Tenant L& L(g,4 Telephone No. 7-263 Owner's Address tZ� CA)LTzfK 147 tzz) Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ("Es 1-,(*--)F-A71N-t1— Utility Authorization No. L-rl Existing Service Amps Volts Overhead [I UndgrdE] No.of Meters New Service Amps Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6-0—V L 66- Completion(J/111t "idlolt ab/v MCI V he I tal I L t0l;the hispec 101,0/ 1 f" No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tolall Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above Nol'ELntEl 21-nd. 4rnd ❑ '�Ijaiomergency Ig ing Battery No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS, [No6 of Zones No. of Switches No.of Gas Burners 'No.of Detection and Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pum Number Tons No. of Waste Disposers p No.of Self-Contained rotals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW j Lf ocal 11 " CotinlinieciptiaOther oin 0 No. of Dryers Heating Appliances KW Security Svstems:* No.of Walter No. of No.of No.of Devices or Equivalent "caters KW S, Ballasts Data Wiring: igns No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP telecommunications Wiring: No.of Devices or Equiv alent OTHER: cd, -xas rc,/1111-cdrill' 17,,tfinatvd Vilue of Electrical Work: �00 (4k lien required by municipal policy.) \k ork to Start: Inspectionstobe requested in accurdafte`with N,1EC RUIL 10, and Upon completion. INSLRANCE CO' ERAGE: L-nlcss waived by the owner. no permit for the perlorniance Of CICUriLA work may i'.:sLle uIlir- flit: licensee provides proof of liability insurance includirm,-,.oniplctcd operation-coveraue .)I-its ,ubs(antiad cquivalvnt. I lic 1!IIdcl-:1i!jled Cel-tiric'. than'LlCh Co Qr i" ill force, :111d ll�ls proof ct:��Irlc to [lie purillit ol rice. I 11::(-K E: I I'I'S( R,\X C I 1;��l I) .-jF -_] I, iader iftePains ?1'pe1 jm:j% /till Yfie I)I)ficalinn lj.!!e eli'd co,q#ele. W6— i. "A-6 3us. el. 0.: by Adilres-s: 0�"E)'I �J ' T Alt. Ttl. Security Sy,tcjn Contractor l,iccn-V-I-Qt.11.111-cd for this wLxk; If qplicablc.enter the IiLOISC 11LI111bel.11cru: 0\V*NFR'S INSURANCE 14AIVER: I ;irnmy;Irt:that llle l'i":cncee nol have the liability insurmice :r:he MA"111,11h, icquircd by law. 13N,my :",-,naturc below. I IICNI-N waive this I-CL11,111-Ulkilt. 1 ;1111 the(Lllcck one) Owner/Agent FRUIT f, NORTH OF NORTH ANDOVN kTION OE'4t�au„a Ta OO 'VON" OF PLA L' I, 0 APPLICATION FOR Date Received: �9SSACV& O permit NO '� tete all items on this page Date Issued: T. applicant must comp IMpORTAN n TION �_�� l.odr�r/► rint �� L C LOCA ER Print G DISTRICT' PROPERTY O� ZONII`1 � C PARCEL: 3 C DISTRICT YES ❑ MAP NO.' /Pd h HISTORI USE OF BUILDINPROPOSED USE Non-Residential G TYPE ANPUSE TYPE OF IMPR Residential ❑Industrial ¢One familore family New Building wo or m ❑Commercial No,of units: ❑ Addition Bldg ❑Alteration ❑Assessory 0 Others: 0 Repair,replacement ❑Other ❑Demolition �cMoving(relocation) K TO BE PREFORMED , WOR OF ION 5� DESC s!F R ' e or Print Clearly 1��3 Identification Please TY le phone: I LC tore OWNER; Name. s'g N phone:97�_6g?-Z63 Address: CONTRACTOR Name: 1�l i E.P. Date. Address: Z� �"� S� f� Construction License: Date: rd of Supervisor's Exp• ��L/+ y and Home Improvement License: Name:phone: �. ARCHITECTIENGINEER Reg.N° ON$125.00 PER S.F 2397-so �g s OF THE TOTAL ESTIMAFEE$ST BASED Address: x10.40 a G�Q ��SO 10.00 PER$1000.0 FEE SCHED ULE:B oLDIN fPERMIT:x, project Cost :� t� Receipt No•• � T= Proj d� � •� r Check No.: page lof4 TYPE OF SEWARGE DISPOSAL Public Sewer Tanning/Massage/Bora, " Well Tna Private(septi�- tIT1 e •� �epac ent a permit to b obta'�ne . Bu;1d1 g °re approprkat the required fo rms to be filled out f oW in9 a list°f permits the fo11 is Y RehabcUtatcOn Interco Rooft,ft?" Applicatlon eriit r C.S.L•Licenses Buildingp Affidavit ° �Orkevs COOf�l C dl O ° photo COO tract ork ° °f Con °sed interior W ° Copy plan Or prop ° Floor dd;t►on OC pecus •cation A erlrit Apple Andi�ydraL ° Buildin aplOtplaa ler plan ° Survey Coop Afflda"ltaC.SL•Lleenses kWithSprink ° °rkers °f�l,C• An f proposedWor ° Photo Coo f Contraet legation plan O llcable) c ° COO rOssectlOnl� licable) ;pep°rt(If App ° FlO°r�C s elf App fiance Calculation ergy COn1p • Mass check Erl Tw o F aYnily) — ° d Singe an 5tCuct;on ( HES New Coo tion d it NP es 'sip ruler plan An COM, ° Buildingp r posedplOtpL Licenses to include p ° Ceifled pill C And as t o Be iZetutned� photo of Afid One T Zoning B ° �orkers C°Building PlansApplicable) e 6° Zoning De. ° Two Sets °Calculations �I ort the decisioeero one col i�ydrauli Contract ols nce ReP us office const t Registry °f Planning Bo of C iia n Cler cded at Coo Energy eToW reco ° check aired th et this Conservation ° MasS pecial perm t as fue regCautmgust lhca on Water&Sewer f a varianee or'.er°d is over•,,tb the bu�1d app In all cases�t the appeal p e submitted Temp Dumpster Appeals tha the must b proof of rec C�SpEeARTMENT:6eFORM05 Building Permi Doc 1 NSVVCTjoT4x,- v► Page 2 of 4 page 4 of 4 i TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer , Well ❑ Tobacco Sales ❑ Food Packng/Sales 11 ❑ Permanent Dumpster on Site ❑ - tV Private(septic tank,etc; tCC�te cation to p je NOTE: Persons contracting with un egistered n ractors do not have access to the guarantyfu d Signature of Agent/Owner Signature of Contractor Plans Submitted Plans Waived ❑ 'Certified Plot Plan. 0tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGNFF- O U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS r 41 DATE REJECTED• 'DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection signature&date Temp Dumpster onsite, yes no_ Fire Department signature/date / Building Permit Approved and Issued by: Page 2 of 4 _ I Building Setback( tv ,�- , Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 01,E 1v 4 DIMENSION Number of Stories: 1 Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: 30•Z Ac. NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i Building Setback(ft.) N - 0 Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided NSA N, 4 i DIMENSION �) ' Number of Stories: 7 /G Total square feet of floor area,based on Exterior dimensions. I Total land area,sq.ft.: NOTES and DATA—(For department use I I i I i I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFOR M05 Created JMC.Jan.2006 ❑ TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art Swimming Pools ❑ ❑ Food Packang/Sales Public Sewer Tobacco Sales ❑ 'a` ❑ ster on Site o t, at1on to Well Permanent Dump F�j e tic tank,etc. ❑ p Private(septic uarantyfu d tin with un egistered n ractors do not have access to the g NOTE: Persons contracting Signature of Contractor ❑ Signature of Ag Certified Plot Plan ent/Owner ❑ tamped Plans Plans Submitted Plans Waived ❑ THE FOLLOWING SECTIO INTERDEPARTMENTAL S N OFF OR OFFICE U p ipNLY DATE REJECTED DATE APPROVED PLANNING &DEVELOPMENT ❑water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION t COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Comments Planning Board Decision: Comments Conservation Decision: Pag Water&Sewer connection signature&date Fire Department signature/date Temp Dumpster on site yes—no— Building Permit Approved and Issued by: Page 2 of 4 1 Y 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 Addition Or Decks ❑ Building Permit Application ❑ 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) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or specialermit was required the Town Clerks office mus P q t stampthe decision from the Board f o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 f I Page 4 of 4 I s E yORTH O ATao sa ti0 OL TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION •O+Arlo Pr`A9 ACMUr�F� Permit NO: 0 Date Received: Date Issued: r �04 IMPORTANT: Applicant must complete all items on this page LOCATION < !q Cb Ilv► rr 1S iwttr rint PROPERTY OWNER M 00fi LL C Print MAP NO.: PARCEL: 3) ZONING DISTRICT: R TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential YNew Building AOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly OWNER: Name: Phone: qW- Sig ture Address: Z -6�0 1U.JIL, Aj�" AA CONTRACTOR Name: Tgly& ►,1 Phone:97g497'Z63� Address: )Z l c!c--Q,o of a dhktT M A J. Supervisor's Construction License: � 'yl Exp. Date: 7/ s 146 Home Improvement License: '�/ Exp. Date: ARCHITECT/ENGINEER lk% Ahs Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ i9)g 5Ex1ZS / 160a x10.00=FEE:$ Z397-SO -t lot, Check No.: y Receipt No.: I C10&I SO Page I of 4 Location 60-,)r-+ )e�q ��rl!! n 7 !0 No. 0 Date 3 r��'Qlb �ORTM TOWN OF NORTH ANDOVER 9 + y Certificate of Occupancy $ Building/Frame Permit Fee $ 3 CMUS Foundation Permit Fee $ /opt OD Other Permit Fee $ TOTAL $ Check # boy.-' a3 ( � Building Inspector +41 Z-- NORTH Town - of _ 4 _ - - - ®ver - - -N0 o. 403 - o o i dover, Mass., ' COCMICMEWICK 7�ADRATED PPa� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR .......................THIS CERTIFIES THAT AvictX4 Foundation - 1 has permission to erect........................................ buildings on ..�.1 .....CAW"t.`A4. i�Opt 01....�.+I� Rough to be occupied as..�!51A...UU*IM ,� .... ��� .......5 ........................... Chimney Ch' 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, Alterati and Construction of Buildings in the Town of North Andover. Joe '2®0' .. 0'3 3 !m PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR I., Rough ..........................................:......... ....... ..... .tr� ....... Service 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 (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. - - - -- - - - SEE-REVERSE SIDE - _ Smoke Det. — The Commonwealth of Massaeh usetts 1 1 Departrnent of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ^ , t www.mass.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl L Name (Business/organization/Individual): _774 Address: 2. J�/, .✓A City/State/Zip: Phone #: Are you an employer?Check the appropriate box: Type of project(required): ].❑ 1 am a employer with 4. ❑ f am a general contractor and f 6. New construction 2.14 employees(full and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet. : ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. q. ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL i 1.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.n Other comp. insurance required.] Any applicant that checks box A!1 must also fill out the section below showing their workers'compensation 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 inlormation i ant 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 covera rification. I do hereby certify under th gins and pe alties perjury that the information provided hove is trice and correct. Si nature: Z Date: �U6 _-bon _-['hone_#, Offc•ial use only. Do not write in this area,to be completed by city or town official. Cit Town: Y or Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing inspector b.Other Contact Person: PI tylle - FORM U - LOT RELEASE FORM 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*********************** i f APPLICANT C j . (nm S LLC. PHONE q?6-07-Z 6 kj LOCATION: Assessor's Map Number /dye PARCEL 3 f SUBDIVISION l" teeA( �o6S2 rm/1)/)g0 j LOT (S STREET rJ`)14 D?-1 V2, ST. NUMBER- OFFICIAL USE ONLY ******* ** i I ENDATIONS OE TO N ENTS: RVATION ADMINISTRATOR DATE APPROVED c? DATE REJECTED COMMENTS `u�K icrt/ i i TOWN PLANNER DATE APPROVED DATE REJECTED , COMMENTS L� • Q B I ry - FOODIIN PhC T OR-HEALTH DATE APPROVED f DATE REJECTED SEPTIC' JINSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS SKI IS' �/� '\ I PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT N r- � zz oG i FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE- --- Revised ATE. _Revised 9197 jm Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:The Hampton at Meetinghouse Commons I CITY:North.Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:03/24/06 DATE OF PLANS:09/01/05 PROJECT INFORMATION: i Meetinghouse Commons North Andover,MA COMPANY INFORMATION: Meetinghouse Commons LLC North Andover,MA i COMPLIANCE:Passes Maximum UA=296 Your Home=271 8.4%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 998 0.0 30.0 31 Wall 1:Wood Frame, 16"o.c. 1467 0.0 13.0 118 Window 1:Vinyl Frame,Double Pane with Low-E 198 0.340 67 Door 1:Solid 35 0.340 12 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 998 0.0 19.0 43 Furnace is 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, ecifications,-and other.calculationssubmitted.with the permitapplication. 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. i 3 � Builder/Designer Date � I i I i i i r MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb i DATE:03/24/06 TITLE:The Hampton at Meetinghouse Commons Bldg. Dept. Use I Ceilings: { ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation Comments: Above-Grade Walls: [ ] l.. Wall 1:Wood Frame, 16"o.c.,R-13.0 continuous insulation Comments: I Windows: [ ] I 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: I Doors: { ) I 1. Door 1: Solid,U-factor:0.340 Comments: I ' Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: { Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number Electric Central Air, 10 SEER or 2. Air Conditioner 1. higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ building envelope,recessed lighting fixtures] I When installed in the b g p , shall meet one of the following requirements: L Type IC rated,manufactured with no penetrations between the inside of the recessed fixture s and ceiling cavity and sealed or gasketed to prevent air leakage g into the unconditioned space. 12. 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: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I . Materials Identification: [ Materials and equipment must be identified so that compliance can be determined.) I . [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water1eating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and beating 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: [ ] I 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. I 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 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% 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 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. i Y 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) U to 1„ Upto 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 Tempbrature 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 NOTES TO.FIELD(Building Department Use Only) i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR number:'CS 055417 Birthdate: 04105/1960 Expires:0410512006 Tr.no: 21033 Restricted: 00 THOMAS D ZAHORUIKO 121 CARTERFIELD RD N ANDOVER, MA 01845 Acting Cc - .,e, I I� I i 1 F{ r - E:I 11 iLl L 11 C- OM �-LEv hT l oA The Hampton at Meetinghouse Commons, North Andover, MA O1 845 nit #:(-S' Scale: 1/4" = 1'0" Date: 0,910112005 Skeet 1 Meetinghouse Commons LLC, North Andover, MA • A MXSTOz Wit is EDRooM 4 �tp'al2' o a D-�{ g j1- o tZ-o C9 e a ircucA Q btntttil0 L�VtNt� tZ-o O UD S $E�tt00 LOST T I cr �r \' RA\L Q T ovtR cif v� � fl 4 co 2� cAr{ X C,,AV- - A ,4 - Z-5 c ov'<R�D O PoRc t{ I -D 0 N : 2-0 cl 0 r-0 6LR- Iqg S.F. -- - - - P-«rRS �Ca f�-PCS 6 L Ar. SF � ¢ The Hampton at Meetinghouse Commons, North Andover, MA o 18+5 Unit #:(s. CRo� PoRcb{� � 12 s.F_ - jcale: 1/8" = Po" Date: 09/01/2005 Sheet 2 3�stk � 120 ..S.F. Meetinghouse Commons LLC, North Andover, MA TOTVkL "CoL �l� GNR l 9 1 a $5. ------------- y�o ZZ-c) ONS Vie - O P Lt CoocktTE 3000 ?ST- C>" SI-rE SIc>" sliE TR1cK t 841.'t- ji. OR STR,,A I� I O ` o cv, d ?' s � A INtkv �R�►1� su a[ N t4 P.C, Sl..�► g 0 Zo"X)O" Fir.. N K�yuo� 0>��153. Nii N b l R 61N r CO.-,xrAcmb $AS£ 9 O to t2�o �o-o F0 v YJ —r i U N �-.A 1�1 EortkAndover, Hamptont Meeting}�o $U e Commons, _ - MA O1 845 nit #15. '0" Date: 09/01/2005 Sheet 5 ommons LLC, Nort�n lover,-MA _,�_- - F �� �� ,� � - - - 2x 10 I y t I l 1 X � 1 N r fi' v V 11c M S « G — — -- The Hampton at Meetingkouse Commons, t�RS V D — -- - North Andover, MA O 1 845 nit #.js Scale: 1/8" = 1'0" Date: 09/01/2005 Sleet 4 Meetingkouse Commons LLC, Norsk Andover, MA - - 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 - - - - -381/2X83 - - - - - - D-3 Slider w/transom 72 X 96 1/4 o D-4 Slider 72 X 82 1/2 N D-5 Entry Door, Single Sidelight 531/2X 83 A Double-hung single 341/4X65 1/4 Double-hung twin mull 68 X 65 1/4 C Double-hung triple mull 101 %2 X 65 1/4 � o D Double-hung single 341/4X 57 1/4 Z x b E Double-hung twin mull 68 X 57 1/4 IF Double-hung triple mull 101 1/2 X 57 i/4 2 1 R b o 0 G Double-hung single 221/4X 65 1/4 J H Double-hung single 341/4X 53 1/4 I Double-hung twin mull 68 X 53 1/4 L Double-hung w/transom 341/4X 79 INA M Glider 601/4X 42 1/4 N Double-hung twin mull w/transom 68 X 79 2 1K t P Awning 341/4X 24 1/4 Q Awning twin mull 68 X 24 1/4 S Double-hung 301/4X 49 1/4 T Double-hung triple mull w/transom 101 1/2 X 79 U Double-hung twin mull 68 X 49 1/4 Roof F RAMV_ X Round stationary 24 X 24 The Hampton at Meetinghouse Commons, North Andover, MA O 18+5 nit #J.S jca�e: 118" = 1'0" Date: 09/01/2005 Sheet 5 Meetinghouse Commons LLC, North Andover, MA td ALC. R&P-fck L° `° - - - - - - - - - - - - - - - - i 4- - �to (3'YPl - - ��VII cE?1-1-qttoa�Z �D sariSZl t f R I-D r— c x�tt PT t i Y PSS7 m AB 6b I Or. ?fir -r Pi--R-•r-� till Pc st_�u TYPICAL SF.CTt01-J TYPICAL �E',J�1'� F mpton at-MeetingkouseC-ommons,Andover, MA O 1845 nit #f5 varies Date: 09/01/2005 Skeet 6 gkouse Commons LLC, Nortti Andover, MA V 7 .2 A u die� • i r - FT il I1IF I Ell r=ISO M l The Hampton at Meetinghouse Commons, Nortk Andover, MA o1845 nit #;J5 _ _ Scale: ]/+" = 110" Date: 09/01/2005 Skeet I Meetingkouse Commons LLC, Nord,Andover, MA 8-0 t 14-6 -o B 160 --O N PAXSIt)R Wit ,, Q EDROoM ' 4 'l o r► D- g • � O f N Q9 lTcutA Q� D1NitJb LtV;NC-s 1Z�O ZZ-00 O O j i ' 3s Zoo LOFT a x \ iZA»r Q �`OYLTt .9 ii O cr1 yp �i ' O 4 � a19 6.AiG� bir N .9 .D u' rte- Qx 8 bL•1 : 2-0 rc-o �i�i-n NoZ�S 6Lqqg S.F. FNort6 mpton at Meetinghouse �ommons _ r Andover, MA O 1845 nit #1 5. tR.a� 'NRC�4 j 7 Z S.F. 118" = PO" ],)ate: 09/01/2005 Sheet 2 ToTVil- r-L..X� GMk tq l8 S5. house Commons LLC, North Andover, MA r 22-0 22-y ON S iZF o p L� LplOckt- E SOW PSI 0i - c>H s,;T E 9_v g'O I 3 q Esc aR B4l-r OR STRA F, sd o, i '� PRo�l136 Q' O 4.1 �Gl��*) $R(:Y TILL d d y r s 1 L" 1lrtRv zR11itJ to b � ltc -\Y I SZOiJ� t 4" P.C• SLA, g c� O x)O" 'FTr.. N K�Yu�A� oP.�1f1_ N � � �11R61�f�Co�fs�tj $yhS1< .9 O CA 1Z_O %b-0 FNortk Hampton at Meetinghouse Commons, FoUW-D k-T10N F'L.AI�I --- _.- Andover, MA 01 845 nit #15. 1/8" = 1O" Date: O9/01/2005 Sheet 5 ouse �ommons LLC North And-over A QZ)2x�O 10 LTi Z c ( t 1 u co J 0 M 1>" 0 10 We m 4-' v s S rr G -�iS�COND �, J The Hampton at Meetinghouse Commons, North Andover, MA 01 845 nit #(L Scale: 1/8" = 1'O" Date: 09/01/2005 5heet 4 Meetinghouse Commons LLC, Nord,Andover, MA v - WINDOW' & DOOR SCHEDULE Interior Doors, 2-8 X 6-8 unless specified 34 i/2 X 82 1/2 r- D-1 Entry Door, Twin Sidelights 68 1/2 X 83 D-2 Entry Door 38 %2 X 83 D-3- Slider w/transom - - - - - 72- X 96-1/4 - - - D-4 Slider 72 X 82 1/2 N D-5 Entry Door, Single Sidelight 531/2X 83 A Double-hung single 341/4X 65 1/4 t I i 1 B Double-hung twin mull 68 X 65 1/4 -�- C Double-hung triple mull 101 %2 X 65 1/4 t� ° o a D Double-hung single 341/4X 57 1/4 G E Double-hung twin mull 68 X 57 1/4 F Double-hung triple mull 101 1/2 X 57 1/4 2 1 R\464 1o G Double-hung single 221/4X 65 1/4 9 H Double-hung single 341/4X 53 1/4 0 I Double-hung twin mull 68 X 53 1/4 1 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 2 Aj be, tK P Awning 341/4X 24 1/4 Q Awning twin mull 68 X 24 1/4 S Double-hung 301/4X 49 1/4 T Double-hung triple mull w/transom 101 1/2 X 79 U Double-hung twin mull 68 X 49 1/4 R o o T F RAMIE X Round stationary 24 X 24 F mpton at Meetinghouse Commons, Anc�over,.MA.._O.1.845 nit1/8" = 1 'O" Date: 09/01/2005 Sheet 5 kouse Commons LLC, North Andover, MA l t ate' • ALT. RRi`rGk i 4-- i CE?1-1 It Loon L 9 I 3 jtl, �t ( � i y_1 t � f GL?�fSa�t�L f� x i �t •� t� f� I i h S (! 2"Zu L R-1-D6i u C � u C i'i ttc t rex6PT o �okti =� pos T m A8 66 It ASE ?V.r Lj Pc sL kTx s2r�Y�8v SosaO TYPICAL SFCTtW-J T%P l C,AL ,�F,��\•L_ ?d P,C h .DEQ 3�\1.__ Tie Hampton at Meetinghouse Commons, - _ North Andover, MA O 18+5 nit #I S y Scale: varies Date: 09/01/2005 Sheet 6 Meetingkouse Commons LLC, North Andover, MA