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Miscellaneous - 157 WEBSTER WOODS 4/30/2018
(� "i M C:W M h c a a Cl) m m C/) 0 m CA 10 0. Z Cl) O ar O W 'O O 00 44 CL cr CD O to -1-12.. _a o to CD CA CD rr-F O :7 CD y. CD CA O CCD O CD 0 R i I r �J J n 0 cn C�n �J cn cn d O z. O —• N O C N aOSm „c ti m CC2 m ON O a O a m Z �-• cA o� = °: m N rL a. o-0-1�CDy -30 CmA O .+ 10 , O ? m m = _ _CD 0 Cl)O �G O• C =P -o 0, PIN O ZS 0.40 O N C9 m = 75 EL _cam cao=2:: zo CD m N :� CD 0 m {_ c n " m o �Np _ C �m �c r.L coo cc_ H 101CaQW ca 0 � D Z m : G •.�' ton,,.: �=r CD CID c= 3 o >o m = D O N ` v 0 d O m , CU m Q•D: nC7 2 n = :� o = ti Ejn O w O O ?j!? n G Gp C/) ro pp bC/) zC] r y Q CIt CL td Cj Cy Pd cn x y O 0 Q Q omq 0 Location 1'4 g� ;#I-ff/ /, / No. 5—e Date ld � 0/ TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ "" Building/Frame Permit Fee $ :5 s�cnus • Foundation Permit Fee $ Other (Permit Fee $ TOTAL $ k� Check # 1 4564 /Building Inspector CER TIRED A O T PLAN S,E. CUMM/NGS & A SSOC/A TES P.O. BOX 1337 PLA/STOW, N.H. 03865 ivar•��l 3-�'�TELEPHONE (603)-382-5065 FAX (603)-382-5216 oI yjN OF �Aff9 may. ALBERT T. TRUDEL N No. °6669 N 68'21'10" E 28.22' t4j521385p„E N�t �l4 r � _BU D/iyG=E�AC/f 261.28. co O � f,111, JI J v TT —3 — N J J j j J LOT 8A J Z 71,300 SF a�1. l (CBA=39, 470 SF)I!1 �N d11. 1.64 ACRES ,111, all, T-2 111, � ,111, IL ,111, �O. FT -3T all, 111, — T-4 1,11, ` T-5 AI, N 20;3520” 18726. EDGE OF FLAGGED — WETLANDS SCALE 1" = 60' / HEREBY CERTIFY TO TOWN OF NORTH ANDOVER, MA BUILDING DEPARTMENT THA T THE EX/STING FOUNDA TION DRA WN ON THIS PLAN /S L OCA TED AS SHOWN AND THA T /T DOES COMPL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES. DA TE- MARCH 8, 2001 TAX MAP 109—A / LOT 8A CAMPBELL FOREST NORTH ANDOVER, MA. MINIMUM SETBACKS.- FRONT — 30 FEET SIDE — 30 FEET REAR — 30 FEET 754CPPSA .DN NORTH O ` ' Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT 'S SC) L PERMIT NO.: S� PROJECT: �� `� a�'` � �C�/ *% DATE: C_'o—ao^o/ UNIT NO.: FLOOR: WWG BUILDING NO.: /S 17 to 6,5Z W 00 P -S z1w REMARKS: �6 Od 4- Sl Q© 0 f Q, (I Excavation - depth and soil conditions Framing - Other: Date: 2-- 15 — 0' Date: O ( Date: Inspector ,/i^ At CC--- Inspector AWC6 " Inspector Footings and foundations and drains - Insulation - Other: Date: Date: y'" Date: Inspectorl�t Inspector—/d%/y K Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: A 0=4 Date: Inspector Inspector Inspector Electrical - final Plumbing and / or gas -in Other: Date: ��O Date: .� ' � Date: AA_ Pk c Inspector Inspector Inspector -ire Dept - A burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: c `a f Q C of O# 0� Inspector Inspector In pector Form #Wb Action Press, 685-7000 1 3 \ '',tiJ �,t ksn i � 's ... - .�`,y �. {• { ,,. , 'k f NORTM 7 O CERTIFICATE OF USE & OCCUPANCY Building Permit Number THIS CERTIFIES THAT THE BUILDING LOCATED ON. MAYBE OCCUPIED AS WITH THE PROVISIONS OFT E MASSA OTHER REGULATIONS AS MAY APPLY. Datej-: �,� w000�-5 La. / / / IN ACCORDANCE CH SETTS ST_ A BUILDING CODE AND SUCH I D ®P ri <<SL3,gi� �3 .f// CERTIFICATE ISSUED TO ADDRESS&LZ C: Building Inspector lka Cl) M M M M M M C/) M Cl) 0 M Seamus, 10 to CD co 7 Eil Cl) 0 C) c 0 CD 0 CD CD a CO) CD CO) 0 -ca 0 cr ca oc CD Co.) co to— M in Z co co mated 0 Fn - =r CD -.40 0 —4 CD N 0 '." = & CD' 0 4; CD —t-4CD > CA co 0 z:5. cl co 5"CD co CL C/) CD CD CD wz :cr CD"!- CO C<D W W - C/) CD 4% CS 'CO2 CD =r C2 -4n- CD p -*.: CD cn CD CD cm CD' O C3 M 0 0 cn cn 3 P-1 0 w ij (ID �d 03 'w cp 1 r. ( OQ tz p'. : CL cn (ID ri r4 1� 0 > cn 0 N-.. Town of forth Andover Building Department �? 27 Charles Street o North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax (978) 688-9542 O �« . Acocwa .w,c. 1•G '1 �A�ggTED �SSACHUS�� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS /57 weksa--or caadc/S 4a', e LOT NUMBER SUBDIVISION (�r?� DATE REQUEST FILED DATE READY FOR INSPECTION I - /y l FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTIO�OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE S%UCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE lLI-WW ICIAL USE ONLY ROUTING CONSERV PLANNING D.P.W. — W AT �lJ ION DATE /(j DATE Z l ATER METE DATE lJ (� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED Location dspky//lw4r/Varx No. �F) Date C12`aQ^0 40PTh TOWN OF NORTH ANDOVER i 1 • 0. 9 %ri Certificate of Occupancy $ (� Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ /60 Other Permit Fee $ TOTAL $i Check # Q4p,�v 145'9 7 186ilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Thi9 lM/H #Or [Ch BUILDING PERMIT NUMBER: �8 DATE ISSiTED: SIGNATURE. l C Building Commissioner/16ctor of Buildings Date SECTION 1- SITE INFORMATION /] 1.1 Property Address: y 0 _ C.ca�ytc�6r�?,�/ ��t9.5/y�JE�xllii 5.0'at 1.2 Assessors Map and Parcel Number: Map Number Parcel Number l5'7 Welbr�r woods Lri, 1.3 Zoning Information: R".?- s/�� ZoningDistrict Pr osedThe T 1.4 Property Dimensions: '7/,306 2 ` Lot Area's Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Required Provided 3(D,' 3 ' '33, 3d' �iv. 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record a31 Name (Pri� Address for Service �a, g�-���� Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Conrvuction Supervisor: Licensed ConstrucAin Supervisor: Address _ /x/�o 7 —. � 4300 Signature Telephone Not Applicable ❑ License Number _ 11 /O r L Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Tele hone �L 10, 4 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 rmit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Descri tion of Proposed Work check all applicable New Construction R I Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: 6,4era�is�- � % y d rd, 4y_/�'O�'�z� Y f 6, 27 /710, �c-e,/,2 x /6 /P.cjoa �rs%t I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by perrnit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier to K 2 Electrical (b) Estimated Total Cost of Construction `ODD/ _ / 3 Plumbing Building Permit fee tat x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) b d 900 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION /� a,& &Ems! as Cir/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print of Owner/, '7 /r-f©v x D NO. OF STORIES SIZE _3D'2 IoS BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 3 SPAN fro "L7 DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 1EIGI-IT OF FOUNDATION THICKNESS a SIZE OF FOOTING lei le X z7 MATERIAL OF CHEVVINEY �d RIS BUILDING ON SOLID OR FILLED LAND i IS BUILDING CONNECTED TO NATURAL GAS LINE 1A-) -).- i -o ( ti e w 4 vK,,k- 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. FILLS OUT THIS SEC T lON*****************"`{ APPLICANTLLC PHONE LOCATION: Assessor's iNlap Number JOD !7 PARC`L SUBDIVISION e/ or�s f LOT (S) zs n STREET lije ry'P✓ 4)0oals LST. NUMBER /S7 USE RE MENDATION OF TOWN AGENTS: CONSVRVATION ADMINISTRAT R DATE APPROVED —//1 l DATE REJECTED COMMENTS &6 TOWN PDANNER COMMENTS DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED_ INSPE K-t'1EALTH DATE APPROVED DATE REJECTED_ COMMENTS PUBLIC WORKS - SEWERfWATER CONNECTIONS O DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 im 1rT,7Ar,- 5-16 �reFb (;C/V v 1d DAT` Building Value Calculation - for Property at..... Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 24 15 360.00 65 $ 23,400.00 Living Room 14 13 182.00 65 $ 11,830.00 Dining Room 16 13 208.00 65 $ 13,520.00 Family Room 20 16 320.00 65 $ 20,800.00 Study 9 13 117.00 65 $ 7,605.00 Laundry 7 15.5 108.50 65 $ 7,052.50 Garage 25.5 31.5 803.25 35 $ 28,113.75 Entry 19 12 228.00 65 $ 14,820.00 Basement Finished - 65 $ - Deck - 10 $ - Screened Porch - 35 $ - Breakfast Nook 16 12 192.00 65 $ 12,480.00 Bedroom 1 30 16.5 495.00 65 $ 32,175.00 Bedroom 2 15 13 195.00 65 $ 12,675.00 Bedroom 3 15 13 195.00 65 $ 12,675.00 Bedroom 4 15 13 195.00 65 $ 12,675.00 Bedroom 5 - 65 $ - Bathroom 1 13 9 117.00 65 $ 7,605.00 Bathroom 2 15 7 105.00 65 $ 6,825.00 Bathroom 3 10 8 80.00 65 $ 5,200.00 Bathroom 4 10 7 70.00 65 $ 4,550.00 Bathroom 5 - 65 $ - fz The .Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, /Mass. 02111 Workers' Compensation Insurance Affidavit I Name Please Print j Location: Cit\r Phone (-1 I am a homeowner performing all work myself. a1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. ���sf �L� �j�T�sif,. l]�V• C��, Address 23/ S,ftcv7 St Sc- o;2 ._City: Alli r y'4 /�W,9y ell- lk Phone #� 0,7S) 6 $ % - 5-30 0 Pd 190 i /is .Yi7s � ; N �c�19� 1/:3 4i y� –0o Insurance Co C%/7/ � �- � D Polic,� Comoanv name: Address Citv: Phone #: Insurance Co. Policv Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,SOO.CO and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the Signatu of perjury that the information provided above is true and ccrrec,. _Date v�+ b5 -S76v Print name �%��,� /��sS c�/% Phone #� Official use only do not write in this area to be completed by city or town official' City or Town Permithicensino ❑ Building Dept ❑Check if immediate response is required ❑ licensing Board ❑ Selectman's Office Contact person: Phone #: Cl Health Department ❑ Other -4 BUILDING DEPARTMENT' DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: U0a Orlfhh, ZF:?S-� .,R ec-x 15�41<1 sai2 Location of Facility Si6air= ofPerrnit Applicant %Z/�d�y Date NOTE: Demolition . permit t iiorn the Town of North Andover must be obtained for this project through the Office of the Building Inspector Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. Tile building applicant shall provide all of the necessary information as requested below. Name of Applicant on nuilding Permit (below) Address of Property for Permit (below) GAG Map and Parcel : Purpose of Application (check below) Phone Number of Applicant: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the E<EMPTiON section 8.7.6 of the North Andaver Growth Management Bylaw. I also understand providing this form does not absolve me cr env party to this permit from the requirements of obtaining other permits required prior to the issuance of the-uiiding Permit. Further I understand that my interpretation of the E<EMPTi0N status is subject to revi6w by the Building Department and is only officially accepted when the Building Permit irk issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of 'his Sec:icn a. 7 of the Zoning yiaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.r are met and/or represents Owelling units for senior residents, where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior•' shalt mean persons over the age of 55. �I This application is a part of a development project which voluntarily agreed to a minimum 4011, permanent reauction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable aces and permanently designated as open space and/or farmland. The land to be preserved shall be protected from deve!coment by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parte! on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Oevelopment scheduling provisions for the purpose of constructing one single family dwe!ling unit an the Parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such Ume as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTiONS. By signing below I attest to the accuracy of the information provided and that the attac.'.ed building permit is allowed an EXEMPTION ase e. Further I understand that the submittal of misleading and or inaccurate information, a th checking ff of anabove item which does not comply, whether done to my knowledge or no is grown for refusal y the Building Department to issue a Building Permit. —177 za o ignature of Owner or Aut zed Aberrwria signed the Attached Building Permit Date This form must be attached to the Building Permit upon application for such permit 1521 APPLICATION FOR SEWER SERVICE CONNECTION / y North Andover, Mass. `� 1-5^ Application by the undersigned is hereby made to connect with the town sewer main in (N_��` '� �, d r/Gl Sheet, . subject to the rules and regulations of the Division of Public Works. The premises are known as No. Street or subdivision lot no.y 15W e �.- Owner Address Address Applicant's Signature Contractor PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to 1>v �o `/ to make a connection with the sewer main at L/" � f ��" � t Street subject to the rules and regulations of the Division of Public Works.. Div' 'on of Public Works By W)MA& Inspected by Date See back for rules and regulations � seg A)c4`44nf,'11 `N2 976 APPLICATION FOR WATER SERVICE CONNECTION North Andover, jMass. 4+ -- Application -Application by the undersigned is hereby made to connect with the town water main in /�� Street, subject to the rules and regulations of the Division of Public Works.. / The premises are known as No. �S w � %/� Street or subdivision lot no. t-20) �7"-p 7- 3( Owner Address Contractor Address Applicant's SignS64"'' PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at t1y(f subject to the rules and regulations of the Division of Public Works. Inspected by Date f FjJ 1,47 Street Board of�Pu�b°flic WorksBy See back for rules and regulations ---;r- 15e�2 All"141, j _ TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak, Director Timothy J. Willett Telephone (978) 685-0950 Staff Engineer Fax (978) 688-9573 Additional conditions for lot 8� Campbell Forest May 16, 2000 This Division agrees to sign the Form U, and issue water and sewer permits, for lot An the Campbell Forest Subdivision subject to the following conditions. We agree to sign the Form U for this lot so that the construction of the home can begin at this time. The conditions are as follows. 1. No sewer service shall be installed into the residence until all off site sewer facilities are declared "active" by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. 2. No water service. shall be,, installed into the residence until all off site sewer facilities are approved by this office. Any violation of the: ab conditions will granted. 4e0siD'ev1opMn'M-6rp void both water and sewer connection permits. No refunds will be A� a's's-eKI Printed Name C) Date Date CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin owom V),44- -S -c>,, Division of P41c Works Printed Name � , Date CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P.01 4 -- ..-:7............ _ ... TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J 91llio t Hmurdak Telephone (978) .685-0950 Director � `�; Far (978) 68&9573 July 14, 2000 Mr. Kenneth Gmndstaf� President Mesiti Development Group 231 Sutton St. Suite 2 F North Andover, Ma. 01845 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station. Dear Mr. Grandstaff- The Division of Public Works has inspected the sewer collection system and sewer pumping station, and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the system and pumping station subject to the following: 1. Completion of items 1 through 15 as listed on the July 10, 2000 letter to Mr Dennis Bedrosian from Maurice Harpin of Mesiti Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisfactory completion of an as -built plan for the Campbell Road sewerage system. 3. Submittal for our review and approval a copy of the preventive maintenance contract for the pumping station 4. A performance guarantee shall be provided in the amount of $25,000.00 to insure the proper maintenance and operation of the pumping station, 5. The Division of Public Works will be allowed access to the Pumping Station and will be allowed to reconstruct, repair, replace, add to, service, inspect and operate the pumping station and related equipment. and facilities in the event __.___ ........... . _... -. _ that Mesid Development or its agents fail to adequately perform maintenance of the pumping station. Mesiti Dev Group • 1 ,1 i Fax : 978-5578160 Jul 17 2000 13:54 P.02 6. Mesiti development shall reimburse the Town upon demand for the reasonable' costs of emergency repairs to the Pumping Station. 7. Mesiti Development Group and its successors or assigns shall indemnify, defend, and save harmless the Town of North Andover and its Division of Public Works and their respective employees, officials and agents against all suits, claims, judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the "Town" or its agents, employees and officials in the performance of the access purposes covered by this grant of conditional use or the More of the developer and its successors or assigns to comply with the terms and conditions of this grant. The undersigned acknowledge the receipt of above grant ofgonditional use. Very TrIq Tr.ours, Lit,/ Lf J.Wiilim Hmurc' .E. Director of Public Works and agrees to the terms and conditions of the • �+��'"� ✓iae �omvrreaacueaCC�i a�✓v(,c�p,�ucJel�6 -BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 069234 Birthdate: 05/09/1954 Expires: 05/09/2002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL 400 MAIN ST C •E.«e h/ . GROVELAND, MA 01834 Administrator I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 1-30-2001 DATE OF PLANS: January 24, 2001 TITLE: Lot 8A Lincoln PROJECT INFORMATION: Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mesiti Dev. Corp. 231 Sutton Street Suite 2F North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 594 Your Home = 591 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1752 30.0 0.0 62 WALLS: Wood Frame, 16" O.C. 2356 11.0 0.0 210 GLAZING: Windows or Doors 542 0.350 190 DOORS 94 0.490 46 FLOORS: Over Unconditioned Space 1752 19.0 0.0 83 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and -the cooling load if appropriate, has been determined using the app ca Standard Design Conditions found in the Code. The HVAC equipment selected o heat or cool the building shall be no greater than 14% o the desig load as specified in Sections 780CMR 1310 d 4.4. Builder/Designer Date �/ a MAScheck INSPECTION CHECKLIST `Massachusetts Energy Code MAScheck Software Version 2.01 Lot 8A Lincoln DATE: 1-30-2001 Bldg.I Dept.I Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.35 I For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U -value: 0.49 I Comments/Location I FLOORS: ( ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] i Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R -values, glazing U -values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the i manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.): I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 ( Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.): I PIPE SIZES (in.) 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