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HomeMy WebLinkAboutMiscellaneous - 21 WALNUT AVENUE 4/30/2018t_ N I O ro O W �2 OZ '� � m; o c o "' /� Date ..!•..,.,./ .....,1.: TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... fig has permission to performv i .... ........... n ........ . ............ wiring in the building of ........... at ........C? .........��r�....... A.�J........ ..0� North Andover Mas qq C�ie Fee..)......*... Lic. No.��. , �<...... . ....+'...'' ��� ELECTRICAL INSP Check # 4929 7ws e&baw7mgi,w?w +gyp �ll..SSLLS�r%�%S voq" 4 P-&- Sart' BOARD OF FIRE PReVENTION REGULATIONS 527 CMR 12:00 U111LAadl Ube Permit No. <� 1 10? Occupancy & Fee Che( APPLICATION F 'R ePERMIT TO PERFORM ELECTRICAL WORK All work to be perfo in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all informtion) Date Z 0 To the Inspector of Wires: Town of North And:y/ The undersigned applies for a permit torform the electrical work described below./ Location (Street & Number oP / W +4AJV' e!�h� �9 Owner or Tenant -E-ff Al C PinOwner's Address ' %3 Q f (' go a 43M jj d V- Is this permit in conjunction with a building permit Yes No 0 (Check Appropriate Box) Purpose of Building // Utility Authorization No. Existing Service (8 Amps 120 4/OVoits Overhead 6-/ Undgrnd 0 ' No. of Metl New Service 00 Amps �Overhead 0 Undgmd 0 2— No. of Metl Number of Feeders and Ampacity (✓Q�7 � � U)` / 0?1-4J 6- Location •and Nature of Proposed Electrical Work INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO - have submitted valid proof of same to the Office YES = NO If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND - OTHER - (Please Specify) a e� QQI Y Estimated Value Electrical Work (Expiration Date) Work to Start Inspection Date Resquested Rough Lr Final Signed under the Pies of erlury- FIRM NAME LIC. NO. Licensee ) Signature LIC. NOF O / l Address/ �i �t/l�rq /vl! Att Tel No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance cove age or its substantial equivalent as required by Masst General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) fit✓ (Signature of Owner or Agent) 4POs Telephone No. PERMIT FEE $ Total No. cri'Lighting Outlets No. of Hot fuse No. of TransformersKVA No. of Lighting Factures Above 0 Swimming Pool gmd ➢ In ➢ Smd 0 Generators KVA No. of Receptacles Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone _ No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices _ Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices _ NoJ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices _ No. of Dryers Heating Devices KW ➢ Municipal 0 Other Local Connection No. of Water Heaters KW No. of Signs No. of Sailases Low Voltage Wiri No. Hydro Massage Tuds No. of Nabors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO - have submitted valid proof of same to the Office YES = NO If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND - OTHER - (Please Specify) a e� QQI Y Estimated Value Electrical Work (Expiration Date) Work to Start Inspection Date Resquested Rough Lr Final Signed under the Pies of erlury- FIRM NAME LIC. NO. Licensee ) Signature LIC. NOF O / l Address/ �i �t/l�rq /vl! Att Tel No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance cove age or its substantial equivalent as required by Masst General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) fit✓ (Signature of Owner or Agent) 4POs Telephone No. PERMIT FEE $ RE SU b�„�p.e.P an JNS� P -r( C(pN� AV� showN (9 / - 6Z�3 , 0// Date..................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................. ........... t--7- �-, %. "� has permission for g installation ....... <. in the buildings of ................................. t7 at Al... 4! "` t ........ North Apdover, Mass. Fee. ... Lic. No! /A,..... -&/ . e, ............. ;� ........ GAS INSPECTOR Check # /�/z 0& v ell 4604 �� �,t.asss.�.., :�:C,= � � s uNlF�i,��t ` c,a-•c, -��, 4 V 9uiICi%^y ;---cat;,cn mat . VV I iype zf :;cc::FancY Si New Rencvaticn r: ReYlac!-ert 7?Ions Sut miffed: Yesf N; — to altuag Company Name �UPC ��E" U��� �'/�/%f'p Check one: -0g41r(ate Mzss_ C�TCarpccation 14 o/f 5� _ ;b*m ss Tdephone & ysa 25z Z9-909= p � a Firmic;a: fta�ae of lipensed Aurpher.or. Gas Fitter T4,v6'S 14URANGE 00V 'G'E: (hive a ewTefttit tib' Inscirarace policy cr its Subsw-:al .equivalent whach meet$ the requirements of MQL Ch. ' ' Yes Na r` !Ou have checked yes, please Indicate the typo :: enge.6y ahecWng the appropriate box. rdblpty insurance policy Q ---^Other tyre =dem*) Bond ❑ tF,A*'$.INSUR-ANCE'NAIVER:Iamgwuc*t�.at7a-:ic-eds ee does +n.tiaX.e the insurance coverage regvir:c.142 of the Mass. General taws.. and that' .;:; �gnature on Zi Komi zPplieation waives this requiremer-Check one: o Owner of (iwner's 1itj�nt CwnerC] Agent0 i:c.rtily that ap of :he details end infcmnatio� I have2=:-;— .9.0y ad for entered) in above aPgicatbn are true and accurate to the tes::: l 'and that at plumbing Vift and installations;.er'cM' Xdar the cermit ed lar this application `�itl compfianca �iLh :� =9e teat•timWons of the Massachusetts State Gas Cade arc -:er 142 -.1, e erol t sws. ?j Tyke of � - rcer Signa re ct lJcensea ?!um r r Gas titter . ense `lumber til l �1PPt§CrEJ .0 rico y Q C V N h- 11 :1 r fax fa a U< .. w ylO CIC > W .< .., ?. i..i.. U K < sa vl > s w C..F,. < ..Oy..3_ < _ C ' . ,�.., .Q . �..... . to . BASEMENT I 1 1ST.Ft .o.ca:.. ti ( ! ZAO FLOOD I I 4TH S�HFL-Ot�A ( I I GTH FLOOR 7TH FLOOR 8TH FLOOR to altuag Company Name �UPC ��E" U��� �'/�/%f'p Check one: -0g41r(ate Mzss_ C�TCarpccation 14 o/f 5� _ ;b*m ss Tdephone & ysa 25z Z9-909= p � a Firmic;a: fta�ae of lipensed Aurpher.or. Gas Fitter T4,v6'S 14URANGE 00V 'G'E: (hive a ewTefttit tib' Inscirarace policy cr its Subsw-:al .equivalent whach meet$ the requirements of MQL Ch. ' ' Yes Na r` !Ou have checked yes, please Indicate the typo :: enge.6y ahecWng the appropriate box. rdblpty insurance policy Q ---^Other tyre =dem*) Bond ❑ tF,A*'$.INSUR-ANCE'NAIVER:Iamgwuc*t�.at7a-:ic-eds ee does +n.tiaX.e the insurance coverage regvir:c.142 of the Mass. General taws.. and that' .;:; �gnature on Zi Komi zPplieation waives this requiremer-Check one: o Owner of (iwner's 1itj�nt CwnerC] Agent0 i:c.rtily that ap of :he details end infcmnatio� I have2=:-;— .9.0y ad for entered) in above aPgicatbn are true and accurate to the tes::: l 'and that at plumbing Vift and installations;.er'cM' Xdar the cermit ed lar this application `�itl compfianca �iLh :� =9e teat•timWons of the Massachusetts State Gas Cade arc -:er 142 -.1, e erol t sws. ?j Tyke of � - rcer Signa re ct lJcensea ?!um r r Gas titter . ense `lumber til l �1PPt§CrEJ .0 rico Date.'— TOWN ate.'— TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...... 7 has permission to perform t . - .. _� •... . plumbing in the buildings ofd ..1�....P.�........................ . at/....`.A 4-,..✓,_u�- C/.�� ,North Andover, Mass. Fee r', 171... Lic. No......... . PLUMBI GI,i�SPECTOR Check 5577 I I & MASSACHUSETTS UNIFORM APPLICATION FOR (Print or Type) Mass. Date �i 3 Building New COY^ Renovation ❑ V �-RMIT TO DO PLUMBING t4o= 910 Permit # all - Owner's Name Ic)c G Q _ Type of Occupancy S q ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name- /���� J%gL �7�p v Check one: Certificate Address ❑ Corporation •�©uJ�`'/� ` ��c) , D ��-' ❑Partnership Business Telephone_g� 5/S' �aSSS/L� �p866J- 0 Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current IiaW insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A Ilability insurance policy �- Other type of Indemnity ❑ Bond ❑ 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. t . Check one: Signature of Owner or Owner's Aaent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above knowledge and that all plumbing work and installations pert med .under the permit issued fopplr'ss application will be ation are true and in compliance with all urate to the best of my pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 o the G oral ws. BY Title Si ature of censed lumber City/Town Type of License: Master Journeyman ❑ APPROVED OFFICE USE ONLY) License Number /✓J -- O S0 V i rn z N F- m rn J of z O X Z a h y of W 'n X Z N J Q N Z > Q V Q F- N O O N W W ¢ O; W h W a: Xrt N Z O Z d V tr Z W M O W O a W N d W y 2 d 2 �- Q N W 2 C G d Q N O Z Q a .. n Q rr 3 O X a W h < X V< F- I� Q< h i � s O a p z= 7 N � r J X N� a O O � h N J Q Z X Z a Q e W h a LL .� X w 3 X J m Z N pl O y O Q J < 3 O S Z Q �, J rn O J u. Q V it W Q 3¢ O V X J < OI O SUB—BSMT, BASEMENT j ' IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name- /���� J%gL �7�p v Check one: Certificate Address ❑ Corporation •�©uJ�`'/� ` ��c) , D ��-' ❑Partnership Business Telephone_g� 5/S' �aSSS/L� �p866J- 0 Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current IiaW insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A Ilability insurance policy �- Other type of Indemnity ❑ Bond ❑ 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. t . Check one: Signature of Owner or Owner's Aaent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above knowledge and that all plumbing work and installations pert med .under the permit issued fopplr'ss application will be ation are true and in compliance with all urate to the best of my pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 o the G oral ws. BY Title Si ature of censed lumber City/Town Type of License: Master Journeyman ❑ APPROVED OFFICE USE ONLY) License Number /✓J -- O S0 V ,3 Location 21 tv A I A) U? - S t 6q) No. _ o ? Date 1.1-11-03 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ s�» Building/Frame Permit Fee $ Foundation Permit Fee $� r— Other Permit Fee TOTAL a Check # S (0 -�6,ZIL U 1 t J] rte—--- / Building Inspector • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING e7. BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: % Building Commissioner/InSwor of Buildings Date SECTION 1 -SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 33 aq Map Number Parcel Number 1.3 Zoning Information: i Zoning 'strict Proposed Use 1.4 Property Dimensions: I I VU Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2- PROPERTY OWNERSHWIAUTHORIZEDAGENT Historic District: Yes NOS 2.1 Owner of Record eco Nc, G, is vy &C4 /* N (Print) Address for Service: L\, -a". -Y�Y-im Signature Telephone 2.2 Owner of Record: rName Print — Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: -bDUr.[As Licensed Constriction Supervisor: nn q n , I � Addr s if �. ' V � lJ Signature Telephone Not Applicable ❑ License Number Expiration Date A%-7 t 1(19so 0//-7 3.2 Registered Home Improvement Contractor r Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone M R.1 O Z M O Mn ic r M r r a Z P1 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 4 2506) 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 it. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Descrliption of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg, ❑ Demolition q Other ❑ Specify B ®f 37rlptisn of Proposed Work: I� a�L 4o FA i bl I d r 84- s UA) SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be; Completed b rmit a licant* v . (U Ma.2V` (a) Building Permit Fee Multiplier VI N r 2 Electrical (o U U O, G U (b) Estimated Total Cost of Construction p o �� 5 3 Plumbin U v- Ou Building Permit fee (a) x (b) 4 Mechanical HVAC '. G U 5 Fire Protection 2 CV.(, ( U 6 Total 1+2+3+4+5 ()OU,VJ I Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, t e vN as Owner/Authorized Agent of subject property Hereby authorize .J its C to act on My beha in al att r ative to work authorized by this building permit application. Signature of &Je Date SECTION 7Y O R/AUT ORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare t the s tements and information on the foregoing application are true and accurate, to the best of my knowledge and belief he V.,J Print Nam Si ature *ofOw)(er/,4e_nt DateNO. OF SS SIZE 15VO S o BASEMENT OR SLAB S•P VneA.I SIZE OF FLOOR TIMBERS 1 j_ 2 1! cV 3KuX SPAN DIMENSIONS OF SELLS DIMENSIONS OF POSTS S DIMENSIONS OF GIRDERS 3 5 HEIGHT OF FOUNDATION STHICKNESS SIZE OF FOOTING ' X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE e N I)C''V-1I I"' uN(� FORM U - LOT RELEASE FO R1�1 f `a`' INSTRUCTIONS: .This form is used to verify that all necessary, approvals/permits frc Boards and Departments having jurisdiction have been obtained. This does not retie the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION ******.tit*yt***ntiE**yt*nty APPLICANT FCU/(, C, PHONE LOCATION: Assessor's Map Number _ PARCEL i SUBDIVISION LOT (S) STREET A I /b u+ �5 � ST. NUMBER � ° 1 `*********OFFICIAL USE ONLY****************** TOWN AGENTS: ATION ADMIN} TOR DATE APPROVED _ DATE REJECTED TOWN PLANNER ' COMMENTS `sl / z 5-o© 4-- -t- DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT 2 e713 . ZFIREEPARTMENT A�`� �/inc�rS o% a�ei'eL �S , ��n �� r� �f� ��� `w7.el.2jj RECEIVED BY BUILDING INSPECTOR DATE -------- Revised 9197 jm GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 3.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address fap /Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this forth is complexed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw, I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on 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 bylaw, provided that no additional residential unit is created. The lot(s) was I were created prior to Ivlay 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of theconditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of development project which voluntarily agreed to a minimum 40 %permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriwon, Conservation Restriction, dedication to the Town. or other similar mechanism approved by the planning board that will ensure its protection. Ines application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( 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 time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this E.NM- MPTION. PLEASE PROVIDE ANY AND ALL INFORNIATION THAT WOULD ASSIST THE BUILDING DEPARTNIENT IN MAKING A DETERNtINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF TIIE .ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE fNFOR-%IATION PROVIDED AND THAT THE :> I-FACHED BUILDING PER -MIT IS ALLOWED ANN' E.U- %fPTION AS CITED ABOVE. FURTHER 1 UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INTORIMATION OR THE CHECKING OFF OF A ABOVE E`.'EMPTION WHICH DOES NOT COMPLY, WHETHER DONT; TO MY KNOWLEDGE OR NOT IS GROUNDS 'OR •USAL. BY THE BUILDING DEPARTMENT TO ISSLT A BUL.DING PERMIT. V APPLIC 'NA'IIJFZE DA"IT.. THIS FO i T 3E ATTACHED TO THE BUILDING PERMIT APPLICATION `275 APPLICATION FOR WATER SERVICE CONNECTION* n North Andover, Mass. 67 --� Application by the undersigned is hereby made to connect with the town water main in C�jt- �Co,' Street subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. 7" r, Owner Contractor v v C -s r r4 v/ i iy c_ Street 47's -- 400 a2 Address PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at L subject to the rules and regulations of the Division of Public Works. Inspected by Date i� Street See back for rules and regulations .i APPLICATION FOR SEWER SERVICE CONNECTION G� North Andover, Mass. 9 � Z/ Application by the undersigned is hereby made to connect with the town sewer main in I/� f(� [!)qlj'l° — Street subject to the rules and regulations of the Division of Public Works. „ r The premises are known as No. or subdivision lit no. Owner Address Contractor Add pplicant's M PERMIT TO CONNECT 111H EWER MAIN . The Division of Public Works hereby grants permission to � C� �� to make a connection with the sewer main at �� 7 Axe—, Streel subject to the rules and regulations of the Division of Public Works.. Division f P lic Work By Stree Inspected by Date See back for rules and regulations J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 DRIVEWAY PERMIT Telephone (978) 685-0950 Fax (878) 688-9573 DATE /O LOCATION BUILDER phone � rn OWNER hone S D THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-W DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. , �e debriq will be disposed of in: -)U VrhP5�y — jPyOv, �P� b\1 ke (Location of Facility) NOTE: Demolition permit from the Town of North Andover must be obtained for this projec through the Office of the Building Inspector V r r� `✓ite virrmmuozurea�lj of ;. l�na;sar�uvella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 031830 Birthdate: 09/21/1953 Expires: 09121/2005 Tr. no: 3173 Restricted: 00 DOUGLAS J AHERN r PO BOX 802+ ANDOVER, MA 01810 Administrator Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print ' Location: �.. I l l� 6L+; 10 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I an an employer providing workers' compensation for my employees working on this job. Company name: , Address . Phone* Faille to secure coverage as required under Section 2M or MGL 152 can lead tothe ir4we on of cximinis{ penalties. ofart5he uK►°� S'f,5i an and/or e years' imprisorrnent� Nteli.as� es-n2heiarm�aBIDP fna-of_($IQQM}_a�sga� mm. understand that a copy d this statement may be forwarded to the OfSce cf lrywesffgabom of the 6A for co^rerage verification. verification. do hereby cerW ar pffl it pre pa0#'47d pena/heWpkwy that are k#bn fibs MVA*d above ins true orad correct Signature Z�Date % I -):� Print name h e wA Official use only do not write in this area to be completed by city or town diiciaf City at "town Pe<rr>�/Licenstina. ti- BUIUM g Dept [jCh&* Y 6rmaetVate response is required [� ;19m BAaI SelechnaWs O Contact person: Phone # Health Depa ft i E] Other BOISE BC CALL® 2003 DESIGN REPORT - US Wednesday, December 03, 200315:35 Single 13/4" x 14" VERSA -LAM® 3100 SP Job Name: Address: City, State, Zip: , Customer: Code reports: ICBG 5512, NER 629 File Name: BC CALC Project: SH01 Description: Specifier: Designer: collins Company: jackson lumber and millwork Misc: General Data Version: US Imperial Member Type: Simple Hip Number of Spans: 1 Left Cantilever: No Right Cantilever: No Rafter Slope: 10/12 Live Load: 45 psf Dead Load: 15 psf Partition Load: 0 psf Duration: 115 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALCO, BC FRAMER®, BCI®, BC RIM BOARD TM BC OSB RIM BOARD T-, BOISE GLULAMTM VERSA-LAM®, VERSA -RIM®, VERSA -RIM PLUS®, VERSA -STRAND TM, VERSA -STUD®, ALLJOIST® and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 Load Summary ID Description Load Type S Standard Load Simple Hip Controls Summary Control Type Value Moment 10889 ft -lbs Neg. Moment 0 ft -lbs End Shear 2678 lbs Total Load Defl. U255 (0.929") Live Load Defl. U394 (0.601 ") Ref. Start End Type Left 00-00-00 16-11-10 Live Dead % Allowable Duration 65.2% 115% n/a 100% 49.2% 115% 70.6% 60.9% Value n/a Dur. 45 psf n/a 115% 15 psf n/a 90% Load Case Span Location 2 1 - Internal 2 1 - Right 2 1 2 1 Slope and Cut Length End Condition Slope Facia Depth Horiz. Length Product Length Plumb Cut with Hanger to dbl. top plate 10/12 13" 16-11-10 20-04-10 Notes Design meets Code minimum (U180) Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Minimum bearing length for 60 is 1-1/2". Minimum bearing length for 61 is 2-1/4". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing BOISE BC CALC® 2003 DESIGN REPORT - US Wednesday, December. 03, 2003,15:35 Triple 13/4" X 117/8" VERSA -LAM® 3100 SP File Name: BC CALC Project: FB04 Job Name: Description: Address: Specifier: City, State, Zip: , Designer: collins Customer: Company: jackson lumber and millwork Code reports: ICBO 5512, NER 629 Misc: BO 3360 lbs LL 963 lbs DL General Data Version: US Imperial Member Type: Floor Beam Number of Spans: 1 Left Cantilever: No Right Cantilever: No Slope: 0/12 Tributary: 12-00-00 Live Load: 40 psf Dead Load: 10 psf Partition Load: 0 psf Duration: 100 Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building a- de -accepted design properties c.nd analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARD TM, BC OSB RIM BOARD TM BOISE GLULAMT"' VERSA -LAMS, VERSA -RIM®, VERSA -RIM PLUS®, VERSA -STRAND TM, VERSA -STUD®, ALLJOIST® and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 Standard Load - 40 psf 110 psf Tributary12-00-00 Total Horizontal Length -14-00-00 Load Summary ID Description Load Type Ref. Start End Type S Standard Load Unf. Area Left 00-00-00 14-00-00 Live Dead Controls Summary Control Type Value Moment 15130 ft -lbs Neg. Moment 0 ft -lbs End Shear 3712 lbs Total Load Defl. U461 (0.364") Live Load Defl. U593 (0.283") Max Defl. 0.364" % Allowable Duration 47.4% 100% n/a 100% 30.8% 100% 52.0% 80.9% 36.4% B1 3360 lbs LL 963 lbs DL Value Trib. Dur. 40 psf 12-00-00 100% 10 psf 12-00-00 90% Load Case Span Location 2 1 -Internal 2 1 - Left 2 1 2 1 2 1 Notes Design meets Code minimum (0240) Total load deflection criteria. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary (1 ") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for 61 is 1-1/2". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram Bolts are assumed to be Grade 5 or higher. Member has no side loads. Connectors are: 1/2 in. Staggered Through Bolt a=2" b = 2-1/2" c = 7-7/8" d = 24" Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release I Data filename: Untitled.rck CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11/24/03 PROJECT DESCRIPTION: Jeffco, Inc. 21 Walnut St. No. Andover, MA COMPLIANCE: Passes Maximum UA = 318 Your Home UA = 269 ' 15.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 366 30.0 0.0 13 Ceiling 2: Cathedral Ceiling (no attic) 596 30.0 0.0 20 Wall 1: Wood Frame, 16" o.c. 1671 13.0 0.0 121 Window 1: Vinyl Frame:Double Pane with Low -E 139 0.350 49 Door 1: Solid 20 0.470 9 Door 2: Glass 40 0.370 15 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 897 19.0 0.0 42 Furnace l: Forced Hot Air, 90 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 Massachusetts Energy Code requirements in RES checkVersion 3.5 Release id (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checkInspection 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 gde. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specifie in!Se96o_hs780CMR 1310 and J4.4. Builder/Designer Date "Scheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release ld DATE: 11/24/03 Bldg. Dept. Use j Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above -Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [ ] I 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments: Doors: [ ] I 1. Door 1: Solid, U -factor: 0.470 Comments: [ ] 2. Door 2: Glass, U -factor: 0.370 I Comments: I Floors: [ ] 1. Floor l : All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: ( ] I 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfin (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. j Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on • I 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. 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: [ ) 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. Circulating Hot Water Systems: L ] I Insulate circulating hot water pipes to the levels in Table 1. 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. 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 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) ®l -i < ::r o n CL fD z aj ® °, aj iD m -I N -, o O c > O Q�1 �. C O C ro ga c C V U3 °n c ' cn W a LA ��m c m� m° N E � c O Ul = a tD .* n� a)) a T E cD CL 3 o t� o � c c r� V1 � y y 7d y �z y � � m X. n 0 z O C Z v 0 z m z 0 P A 0 TOS 9 i DSO n m -D ' it ' _. _ mz N sn� � - CD vp'3 1 0 W m m X m m m N m y v m D y d CO) C) CD n Z CO) CD d O �• O d y c v CD CL � O cr %4c d CD CD o CD C CD co) p. v y •O C I v CO) A CD Z CDo 0 C CD C C=r O -11- O Q a+ C0 Sa CO) 0 N 0CL a0 T Cf Z ?-O N '4 ,0 a Er a� m 0 o y y .-► S' :0*mm: a > >� o W -A o Z<,C W � O CD c ?3 d may' aim Nib cc o0 CD C CL CA -3 C2 C4, `,j d :�cr C C2 �W a N it O ?:E� y V! y Q CD C41: c u a _ o 0, 0 3 oi''` D � H 0 1 Zr � o as CD m �D'li O CD O m y I li .... ocar lu c C O C O � . z 0 0 �o iii! qCn Cn a z a1 M z w r ~`moi G C=7 Mr w r c w n PO 171o = b V M Ll O )Mq 0 9 V) Z z O t� Z � < N ~ Z ZZ �0 0 u) 0>- a. CL cn ,00'001 � rn ►� °' tri rn 69W '2c ... LLJ CN w � 69.92 'i 19•ZC . Z � � Q 1 .Q •i. tr) 00 . W p p O w N N _• _ r li N 0 CN U')it 11 3 M '- N N Q .- W Of ,8 �Oi► � ,9'Z� Q 3 r'• O m �. Ow Om l f J w ,00'00 t � W LLJ Z V) Z m LLJ Q .� O t� Location a U-� V l9 No. A9 2 Date TOWN OF NORTH ANDOVER ' Check # JD c )T)b4 — )0190— Building Inspector 9 Certificate of Occupancy $ �+ s"•••° MUS Eta' AC Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # JD c )T)b4 — )0190— Building Inspector Fe 1, un ,+ 4 L4 n '4 rr,4.os� -vd 1 -5-0,3 ,C�uc.�',vcAO P Ex�Sr 4V,4- p FNO .7- LEA 2Y3 - 4 m 1 I HEREBY CERTIFY TO THE BaicoivG iv�PE�roFc' 77v.9r 77s/E IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES COXFORM l 'rH THR op-! ,y,,,� a ��,� BONING REGUTAVIONS REGARDING SE:'B"T-]FROM STRIM A LOT LINES.' " I FURTHER CERTIF T THIS DWELUMO IS X01' _ LOCATED IN T OD HARM ARII'it AS SHOWN ON IFE M ANEL f 2soo 9B eo�3G o JAMES o TO83 SKI cn 3� 03 ✓A J L . ' ori Pc.r, DAT i 72 �2 mmwmm � PLOT PLAN IN i DRA IrM FQR I>Ec Zoo 3 i MEMIMACK MOINERJURC SERVICES BB PARK STREET ANDOVRR, MASSACHUSETTS 01810 REScheck Compliance Certificate Massachusetts Energy Code RES checkSoftware Version 3.5 Release I Data filename: Untitled.rck CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: I or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11/24/03 PROJECT DESCRIPTION: Jeffco, Inc. 21 Walnut St. No. Andover, MA COMPLIANCE: Passes Maximum UA = 318 Your Home UA = 269 15.4% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Ceiling 2: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window l: Vinyl Frame:Double Pane with Low -E Door 1: Solid Door 2: Glass Floor 1: All -Wood Joist/Truss:Over Unconditioned Space Furnace 1: Forced Hot Air, 90 AFUE Gross Area or Cavity Perimeter R -Value Permit Number Checked By/Date Glazing Cont. or Door R -Value U -Factor UA 366 30.0 0.0 13 596 30.0 0.0 20 1671 13.0 0.0 121 139 0.350 49 20 0.470 9 40 0.370 15 897 19.0 0.0 42 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 RES checkVersion 3.5 Release l d (formerly MECchec� and to comply with the mandatory requirements listed in the RES checkInspection 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 specifie in'Section' s 780CMR 1310 and J4.4. Builder/Designer-Date t l i� REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release Id DATE: 11/24/03 Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ J No Comments: I Doors: [ ] I 1. Door 1: Solid, U -factor: 0.470 Comments: [ ] I 2. Door 2: Glass, U -factor: 0.370 Comments: I Floors: [ ] I 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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 ` I 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 cfm (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. I Vapor Retarder: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ( ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ l I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ J 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. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the I levels in Table 2. 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts l" 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 NOTES TO FIELD (Building Department Use Only) yCysrry Zoning Bylaw Review Form 0 R Town Of North Andover Building Department �7.pM°ganc °"'"49 27 Charles St. North Andover, MA. 01.845 Phone 578-688-9545 Fax 978-688-9"542 Street:... ,. _ ..:..... 02 J...._ —.A .1-1v Map/Lot: 3 3 a q a Applicant: ;:T'9 _ c _ - .� , Po . o )e. ma Request: Date: F Please ne advised that after review of your Application and Plans that your Application is DENIED for the foliowing`Zoning Bylaw"feasdns: 4 - Zoning Remedy for the above is checked below. Item # Special Permits Planning Board Item Notes Site Plan Review Special Permit Item, Notes A Lot Area Parking Variance. F Feoutage Lot Area Variance 1 Lot area Insufficient N, 1 ' Frontage, Insufficient Variance for Sign 2 3 Lot Area Preexisting Lot Area Complies 4'e_3 2 3 'Frontage Complies Preexisting frontage e 4 Insufficient Information 4 1 Insufficient Information B Use 5 No' a'ccess over Frontage 1 Allowed Lj-e5 ' G Contiguous Building. Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback 1\ H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient `1= 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 5 Right Side Insufficient Rear Insufficient 4 1 Insufficient Information Building Coverage; -e. S 6 1 Preexisting setbacks` - 1 Coverage exceeds maximum 7 'Insufficient Information 2 Coverage, Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed `'l e S 4 Insufficient Information 2 3 In Watershed Lot prior to -10/24/94 j 1 Sign Sign not allowed A 4 Zone to be Determined 2 Sign. Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district 2 Parking Complies 3 Insufficient Information 3 Insufficient Information S 4 Pre-existin Parking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit C- b Setback Variance Access other than Frontage Special Permit K-_3 Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special ' Pe—rmit - Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit -Large Estate Condo Special Permit Planned Develo meet District Special Permit Planned Residential Special Permit Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Si__ R-6 Density Special Permit _ Special permit for preexisting nonconformin Watershed Special Permit The above review and attached explanation of such is. based on the plans and information submitted. No definitive review and or advice shall be based -on -verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Revievi-Narrative" shall be attached hereto and incorporated herein by reference. The building.department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. /1) 60 uilding Department Official Signatyatp Application Received Application Denied 4'. Plan Review Narrative The following narrative is provided to further explain. the•reasons for,DENIAL for the APPLICATION for the property indicated on the reverse side: �•X } "4` `i '�E1' yyA �•Y �/A NS S v C`eL/G w hi c `j lv�/l ivv� ,ice 16 /,e- a zi ti,tig 43 y /A t-(-) sedm�,d dotes 4 �-- ,V A, C !y(ic l / %P ly' i ,jj 14 Referred To: Fire Conservation 'tannin ue artment of Public Works Other Historical Commission Building Department - --r- Town of North Andover Building Department 27 CHARLES ST 978-688-9545 f I J Project: f-)JdAtm_z> 04,- O N5 17w¢I(IA,8 UA)r�-- APPLICANT: 4'e 0-( to rN RE: Plt w a t w u -t- s0 - DATE: Title of Plans and Doeuments: Please be advised that after review of y0ur Application and Pians that your Application is DENIED -for the f6lldwing`reasons: Plan. RevieW The plans and documentation submitted have,the following inadequacies: 1. Information is not provided, 2. Requires additional information, 3. Informatinn ranuirac mnm rf2nr,r�finn n i. a . _..�_ :_ # -------- .. .... _...._.,.,.. ... ...wn wa. .d, nu u1 UIC dWve. State Builders 6 Workman's Cc # Homeowners 8 1 Foundation elan 12 Plumbing Plans 2. Subsurface irtvesti Ation 13 Certified Plot Plan with ' ro osed structure 3 i ,onstruction Plans t I 14 116 Affidavit, 4 IlAechariit,Plans ant! or details' ' 15 Plans stamped by proper discipline 5 Electrical Plans and or details ,1 Framing Plan, 6 Fire S rinklerand-Alarm Pian _16,% 17 Roofing Plan 7 Footing Plan l 18 Plans to scale 8 Utilities ' 19 Site Plan 9 Water Supply, A 20 . Sewage Disposal 10 Wasfe Disposal}' ' 21 . DrivewayEnt DPW 11 ADA and or, ABBA to uirements { „'° , , r22 tor: ;CtCNQ n,1 . e at l QN t=t�e Wall SrneV A,+to�1 I- N , i Administration i The documentation submitted has the fol 1. Information is not provided: 2. Requires additional i{ 3. Information requires more clarification. 4. Informatl Water Fee Sewer Fee ring inadequacies: oration. incorrect. 5. All of the above. 5 State Builders 6 Workman's Cc 7, Homeowners 8 Homeowners I 9 Other. 9 Form No -i Coaw The above review and attached•expianation of such W based on the plans and information submitted. No definitive review and or advice shalt be based on verbal explanations by th� applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for D VIAL Any inaccuracies, misleading information or other subsequent changes to the information submitted by the appli*shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Ilan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit application form and begin -the permitting pro ss. C C ecct�� ullding Department Official Signature ! Application Received�/33�� Application Denied If faxed: # Referral recommended - Date Sent //—/7-0-3 Fire Health Police -Zoning Board'. Conservation Plan6 ing Department of Public Works Historical Commission I l r<r•� I-Iairii (�rifFin I Revised 91971m i I Plan Review Narrative The following narrative is provided to further.explain the easons for denial for the permit for the Property indicated on the reverse side: Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code RES checkSoftware Version 3.5 Release Id Data filename: Untitled.rck CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 10/14/03 PROJECT DESCRIPTION: Jeffco, Inc. 21 Walnut St. No. Andover, MA COMPLIANCE: Passes Maximum UA = 322 Your Home UA = 283 12.1 % Better Than Code (UA) Furnace 1: Forced Hot Air, 90 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 Massachusetts Energy Code requirements in RES checkVersion 3.5 Release I (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checkInspection 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 ' Sect' 780CMR 1310 and J4.4. Builder/Designer Date 10, - (� Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 612 30.0 0.0 21 Ceiling 2: Cathedral Ceiling (no attic) 266 30.0 0.0 9 Wall l: Wood Frame, 16" o.c. 1740 13.0 0.0 122 Window 1: Vinyl Frame:Double Pane with Low -E 179 0.350 63 Door 1: Solid 28 0.450 13 Door 2: Glass 40 0.390 16 Floor 1: All -Wood JoW/Truss:Over Unconditioned Space 840 19.0 0.0 39 Furnace 1: Forced Hot Air, 90 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 Massachusetts Energy Code requirements in RES checkVersion 3.5 Release I (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checkInspection 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 ' Sect' 780CMR 1310 and J4.4. Builder/Designer Date 10, - (� • REScheck Inspection Checklist Massachusetts Energy Code RES checkSoftware Version 3.5 Release I DATE: 10/14/03 Bldg. Dept. Use Ceilings: ( ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: I Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: I Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] I 1. Door 1: Solid, U -factor: 0.450 Comments: [ ] 2. Door 2: Glass, U -factor. 0.390 I Comments: Floors: [ ] I 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation I Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number Air Leakage: C ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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 cfm (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. I Vapor Retarder: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. I Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on i the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. 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: [ ] I Insulate circulating hot water pipes to the levels in Table 1. ( Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] i HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. I t 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 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) 0 l� Z Q CL x . W od Wo a u. O� �W Q � a� U Z W a I 1 ol 43 W m i 0 :'m c :moo o � O y 0 cc 1m c o � Ea o� m �-1 c.. m c E CL= L mm a L o m3�C., cm A�_��y V y cca c < 3ECD a ID O O :at�� m �L o cm CIO :mor m V NZ O CD QGOO c •O x m mea N y m ~ m COD Z w 00 r.+ .15 .15 'A Com. •E f01 'C9 C0.9 'fA C.3 m pmtCc_ ce .0` to O � =—w U III �p O O CD Z h y L CL O L•+ O a� Q Q CL CO2 O C3 .y O Q C CO) r�l 3� O Q o a- a c cc *.d� O O J •p O O Z s CDCLy C o 0 w w v A scs�ca v= o� o c° a; U w i�, rx cn a°4 rA cn cn 0 :'m c :moo o � O y 0 cc 1m c o � Ea o� m �-1 c.. m c E CL= L mm a L o m3�C., cm A�_��y V y cca c < 3ECD a ID O O :at�� m �L o cm CIO :mor m V NZ O CD QGOO c •O x m mea N y m ~ m COD Z w 00 r.+ .15 .15 'A Com. •E f01 'C9 C0.9 'fA C.3 m pmtCc_ ce .0` to O � =—w U III �p O O CD Z h y L CL O L•+ O a� Q Q CL CO2 O C3 .y O Q C CO) r�l 3� O Q o a- a c cc *.d� O O J •p O O Z s CDCLy C Location .2/ Date %2 3 A "ORT" TOWN OF NORTH ANDOVLAR i 6 C� p Certificate of Occupancy $_ Building/Frame Permit Fee $ Foundation Permit Fee $ Permit Fee $ Sewer Connection Fee $ Water Connection Fee $_ TOTAL $ / zZI T 13635 Building Insp ctor Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d40. I LOT N 1 © 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. 7I LOCATION PURPOSE OF BUILDING 044� OWNER'S NAME NO. OF STORIES SI OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMEAza c4 - SPAN DISTANCE TO NEAREST B OLDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING • ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE $TL'ED RE OF OWNER OR/ftUTHORIZED ef� Ad FEE /'?v PERMIT GRANTED /-i3 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST �QO O EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # CONTR. TEL. # -(6,73 Z CONTR. LIC. # H.I.C.# /O 6 1 OCCUPANCY SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B t 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING 5 ROOF SUPERIOR I I POOR ADEOUATE NONE 10 PLUMBING BATH (3 FIX.) TOILET RM. 12 FIX.) WATER CLOSET LAVATORY KITCHEN SINK NO PLUMBING STALL SHOWER 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC Ist 13rd NO HEATING BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. • 104 A M 50 ;ate o c is o� t O N 3 C.3a C m /a m ff C :. :o Ea � R � •.m C u � m :CLIN v nes O CD �m • N � C co :•m O 06U U N O � z N p,Ct CD - OV ca • coao N C _ d=" O W cc O '0Z ui c .-� F E at C O ' W . w E � m c3 OD H d 4DCL O � = A .0 5 F- z o a w m J w r E Aa N 0 N C cm O m cm m o ca C �C N m t O Z O cm F. a O v v 'M CD E C L � O Q Z a. O h 0 C C iCM CO2CD O V h O O 'g m m CD a F- .0 O lift �3 CD Q L d cc o o. tm ca C Q O *-0 c O w �o CL o; c ZCL c. V H O C C C CO2 S a a a W W a y a ca 50 ;ate o c is o� t O N 3 C.3a C m /a m ff C :. :o Ea � R � •.m C u � m :CLIN v nes O CD �m • N � C co :•m O 06U U N O � z N p,Ct CD - OV ca • coao N C _ d=" O W cc O '0Z ui c .-� F E at C O ' W . w E � m c3 OD H d 4DCL O � = A .0 5 F- z o a w m J w r E Aa N 0 N C cm O m cm m o ca C �C N m t O Z O cm F. a O v v 'M CD E C L � O Q Z a. O h 0 C C iCM CO2CD O V h O O 'g m m CD a F- .0 O lift �3 CD Q L d cc o o. tm ca C Q O *-0 c O w �o CL o; c ZCL c. V H O C C C CO2 S ®. REScheck Compliance Certificate Massachusetts Energy Code RES checkSoftware Version 3.5 Release I Data filename: Untitled.rck CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11/24/03 PROJECT DESCRIPTION: Jeffco, Inc. 21 Walnut St. No. Andover, MA COMPLIANCE: Passes Maximum UA = 318 Your .Home UA = 269 15.4% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Ceiling 2: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window l: Vinyl Frame:Double Pane with Low -E Door 1: Solid Door 2: Glass Floor l: All -Wood Joist/Truss:Over Unconditioned Space Furnace 1: Forced Hot Air, 90 AFUE Gross Area or Cavity Perimeter R -Value Permit Number Checked By/Date Glazing Cont. or Door R -Value U -Factor UA 366 30.0 0.0 13 596 30.0 0.0 20 1671 13.0 0.0 121 139 0.350 49 20 0.470 9 40 0.370 15 897 19.0 0.0 42 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 RES checkVersion 3.5 Release I (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection 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 Pde. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specifie yin Sevioes 780C,MR 1310 and J4.4. Builder/Designer �''`'�t' 1' Date + %� t REScheck Inspection Checklist Massachusetts Energy Code RES checkSoftware Version 3.5 Release I DATE: 11/24/03 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: I Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ J Yes [ ] No Comments: I Doors: [ ] I 1. Door 1: Solid, U -factor: 0.470 Comments: [ J I 2. Door 2: Glass, U -factor: 0.370 I Comments: Floors: [ ] I 1. Floor]: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation I Comments: I Heating and Cooling .Equipment: [ ] ( 1. Furnace 1: Forced Hot Air, 90 AFUE 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 leakage must be sealed. [ ] ( When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I . 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 cfm (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. I Vapor Retarder: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ J I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. W [ ] I 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: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] 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: [ ) I All heated swimming pools must have an on/offheater 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. Table I: 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 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) �oRrk �qp ,teo :a�wo Zoning Bylaw Review Form n R Town Of North Andover Building Department 27 Charles St. North Andover MA. 01845 a 4) r9 °Oq+nc nv" 49 9SSA`"uses Phone 978-688-9545, Fax 978-688-9`542 Street: oZ / .... l v /,L,.) L) -f- Ma /Lot: .33 /a °1 Applicant: ;: e. ('s= ca .T� Request: A010t, 4 (o.v A- i/✓ G u not , Date: F Please ue aavisea that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedyfor the above is checked below. Item # Special Permits Planning Board Site Plan Review Special Permit Access other than Frontage Special Per Frontage Exception Lot Special Permit Common Driveway Special Permit uongregaTe Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit Item # I Variance Variance Parkin Lot An Heiaht Variance for Sign Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Sign Special permit for preexisting nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and. documentation for the above file. You must file a new permit application form and begin the permitting process. Building -Department Official Signaty'o Application Received Application Denied R� u Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies t::� S 3 Lot Area Complies y e s 3 Preexisting frontage 4 Insufficient information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed 5 G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 5 Special Permit Required Insufficient Information 3 4 Preexisting CBA Insufficient Information S C Setback H Building Height 1 All setbacks comply c S 1 Height Exceeds Maximum 2 3 Front Insufficient Left Side Insufficient 2 3 Complies Preexisting Height S 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 D Insufficient Information Watershed 2 3 Coverage Complies Coverage Preexisting y 5 1 Not in Watershed 5 -i---in-sufficient Information 2 3 In Watershed Lot prior to 10/24/94 j 1 Sign Sign not allowed 4 5 Zone to be Determined Insufficient Information 2 3 Sign Complies Insufficient Information E Historic District K Parking 1 2 3 In District review required Not in district Insufficient Information �? c S 1 2 3 More Parking Required Parking Complies Insufficient Information 4 Pre-existing Parkin Remedyfor the above is checked below. Item # Special Permits Planning Board Site Plan Review Special Permit Access other than Frontage Special Per Frontage Exception Lot Special Permit Common Driveway Special Permit uongregaTe Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit Item # I Variance Variance Parkin Lot An Heiaht Variance for Sign Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Sign Special permit for preexisting nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and. documentation for the above file. You must file a new permit application form and begin the permitting process. Building -Department Official Signaty'o Application Received Application Denied R� u Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL. for the APPLICATION for the property indicated on the reverse side: Referred To: FFirece servation nin er Health uepartment of Public Works Historical Commission Buildina Der)artmZ