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Miscellaneous - 24 CIDERPRESS WAY 4/30/2018
L L- ' r�= No 9641 ,SS�CMUS� Date.! !� J.31/1 Z. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..1t1/�L... V�'..�T........ . 4 has permission to perform . `NGS J. t? -r ............... plumbing in the buildings of .e-t-►►CaVcs,....!�^'^""'`-.. . at .................... . North Andover, Mss. Fee.3 Lic. No.. ...... �' ..... . PLUMBING INSPECTOR Check # 0 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK - CITY MA DATE _ PERMIT # JOBSITE ADDRESS ! NQS OWNER'S NAME POWNER ZI ADDRESS �s TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL X11. RESIDENTIAL PRINT CLEARLY NEW: 5er RENOVATION: REPLACEMENT: 0 PLANS SUBMITTED: YES Eq NOD FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE (I �i J J . - _I .. f _._ _.I _ _ - -_.J ......,-__ _ I { DEDICATED SPECIAL WASTE SYSTEM I ..._.__) I ._._.. I _..___..I I ._.__,.J _.._._-! ! J .____.,.. J I I DEDICATED GASl01LISAND SYSTEM E ._._-_i ___ AL.- __._,.I_I ._-_._ __ JI E__! DEDICATED GREASE SYSTEM J ._..�.._! __..__I _.....__l .____._....I (_._ DEDICATED GRAY WATER SYSTEM f ...._.___ I I _ _) _._I I _�_.. (_.-.-.. DEDICATED WATER RECYCLE SYSTEM.__._._,....I _.__-..: DISHWASHER ___-.1 DRINKING FOUNTAIN i ...._.-....) _..-.__ f { I _ 1 FOOD DISPOSER FLOOR IAREA DRAIN I -___._) _____) INTERCEPTOR (INTERIOR) I ___..J _____j I _._I KITCHEN SINK LAVATORY -__I ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET i ... f i URINAL WASHING MACHINE CONNECTION I ! J WATER HEATER ALL TYPES _{ ^ . € I _d ..—._ i ...... _.._ .' ._-_.._._) __ ._. _.__..? _-- __i -__J WATER PIPING OTHER ___ _ __. ____ __.___ __J —J --_I ..._____.-.I _I INSURANCE COVERAGE: Q have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO 0 OF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 0 BOND �].I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT IL SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance wijji all Perlin e ision of the Massachusetts State Plumbing Code and Cha ter ,42 of the General Laws. PLUMBER'S NAME _ � _ 1 SIGNATURE �.. LICENSE #F57 -T7111' MP JP D CORPORATION Fl# PARTNERSHIP D# j LLC COMPANY NAME GIi _ �- ADDRESS CITY Y1----- _ __.-.._. _.I STATE i ZIP TEL �pPp77 - ----- FAX F CELL o 0 z W CL Ili W 0 N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 V. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i Please Print Legibly i Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work, right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.eov/dia C �--- This certifies that ..... has permission to perform ... �� ALJ •��'S . L, �:..... . wiring in the building of ...... %(.Y� .t ... eel tf �J ....... ... . at ..'tl��� ,i�f2 �4. ; • ., North Andover, Mass. (l Feee9. Li c. No. _r16��...... .®r.C. ELECTRICAL INSPECTOR Chick # 1 11158 1 � a�nieu6ig r W V LLI. CO "o � '_ • LSI _ V' 1 0 Q n O I] N j Cn LU z LL V - Qw f K1< ` J Q w N V)H Y Q Lu w (� C/)>- • til w as D LL, L1 Znr'y S� (!J Cl) t) J Lu Z Z' Z • Z JLu Q LU Q `� CLUt= se_ O V U 1-d o -� Lu p �V CL t__.. i I ❑+ Commonwealth of Massachusetts Official Use Only Permit No. ` d Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: f ® ( t -- City or Town of. NORTH ANDOVER To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address / I Is this permit in conjunction with a building permit? Yes ❑ Purpose of BuildingSi�t�is. Overhead ❑ Overhead ❑ - Existing Service Amps / Volts New Service Amps / Volts Telephone No. 4237 -Z63S 7�1- by No ❑ (Check Appropriate Box) Utility Authorization No. Undgrd ❑ No. of Meters Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: AL, 61,�.. (�N Completion of the following table may be waived by the In ector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans s Total of Trsformers KVA Tran No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above Swimming Pool rnd. ❑ rnd. ❑ No-.-oTEniergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones No. of Detection andInitiating No. of Switches No. of Gas Burners Devices No. of Ranges Tot No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons No. of Self -Contained No. of Waste Dis osers P Totals: J.KW .......... Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Municipal r-1other Local ❑ Connection Dryers No. of Dr y Heating Appliances KW Security Systems:" No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail zj desirea, or as reguirea by me lnspeccur ul rr l. ea. Estimated Value of Electrical Work: p 'A (When required by municipal policy.) Work to Start: (L.. Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such er ism force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE co[BOND ❑ OTHER ❑ (Specify:) I certify, under thepains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. �C EZ LIC. NO.: �I o— Licensee: J-,� (/-w4 e_ /�1,4� f�i1�J.4 (f ignature LIC. NO.: Z 7 9f0 (If applicable entg� exempt" in the licepp number line.) Bus. e . No.: Address: 1" �� b 0 � E -CS' It'd - 0 1�� NQAI!S l n�, �-+-� Alt. *Per AN t-- c. 147, s. 57-61, se rity work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. J •.M�Ja.J.uJ�.�.J.i-1.`U�tF�J('-T'-�[tJ/.�(.r�'yJ'i.7L''��-'I�f'�J-^jRJ�'��'. �1�®pr��I.^yt +7'�/� ��.�'1�UJ+.JS��JLa+vJl®�.,4� .- .CJA1.LlLJ. [0.A.Lr.C'3,Y..(.U.gFS�.�'t�,f, V'�"� �• -A r ti �• �_ r .c..�'J-l'Il3J-I JC.u+CAJIVJ-�� . �'asset�-- �C+'aiTecT--[) � �e-�nsTtectioxtxec�ttixe�(��O.OD)-•[ � ' �n�iectox¢' commextts: - (Xnsec oxs'`zgxta e. oto' 't[aTs) Pate MOIR iGROIM WSROCTION: 'assecT•--j � �iai�ecT�j � ate-zns�eetio�xec�uixec�(.��D.9D)�[ ] aspectoxs' coxnm.ents: (�nspectoxs'�ignaiuxe�+aoryni�a�s} Gate . ,� . sseei--[) �'aile�i•-j � �e�xnspectionxequiz'e�{$50.OD)�� � ' ;�ectoxs9 eoJanzbept�s: {Zrzs,�ectoxs',�zgnatuz'e��.o}nitiais} �aie ecf—[azSer-,{-'?�ezaspectTortzer�ixetT($50.OD)•-[ ectoxs' comments: ..to , nLR TA Gw6 A1M'7f'17 RW ITPET.R..it O)TT Aft T.V..IT"7= nY .q-f`Ti'FiS W-ul P APMA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):._ (� (/u AAt A;n f Address: City/State/Zip: �AA_ t Phone #: T Are Xzu an employer? Check the appropriate box: 1. 9 I am a employer with 6 4. ❑ I am a general contractor and I Employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. jv ew construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp, policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ni l'�{�-j1n_ ctiS , Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 2—q City/State/Zip: OC), A/L( 4,U 3 5 Attach a copy of the workers' compensation policy decla ation page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Fme up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine 3f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. F do hereby certify_ under the pains and penalties of perjury that the information provided above is trite and correct. 01r?/ /Z - ?hone#: 2 `2 fS __�79-0 eC6 Z—_ Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www,mass.gov/dia Project Title: Meeting House Commons Energy Code: Location: Construction Type: Building Orientation: Glazing Area Percentage: Heating Degree Days: Climate Zone: Construction Site: Building 9 North Andover, MA 2009 IECC North Andover, Massachusetts Multifamily Bldg. orientation unspecified 13% 6322 5 Owner/Agent: Tara Leigh Development, LLC 115 Carter Field Road North Andover, MA 978-6876-2635 Compliance: 6.0% Better Than Code Maximum UA: 986 Your UA: 927 The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Designer/Contractor: O'Sullivan Architects, Inc. 580 Main Street Suite 204 Reading, MA 01867 781-439-6166 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 5220 30.0 0.0 172 Ceiling 1: Flat Ceiling or Scissor Truss 5220 38.0 0.0 157 Front Walls: Wood Frame, 16" D.C. 1926 21.0 0.0 91 Orientation: Unspecified Window 3: Vinyl Frame: Double Pane with Low -E 179 0.330 59 SHGC: 0.30 Orientation: Unspecified Window 4: Vinyl Frame:Double Pane with Low -E 42 0.280 12 SHGC: 0.27 Orientation: Unspecified Door 1: Solid 100 0.160 16 Orientation: Unspecified Sides: Wood Frame, 16" D.C. 2258 21.0 0.0 121 Orientation: Unspecified Window 5: Vinyl Frame:Double Pane with Low -E 140 0.330 46 SHGC: 0.30 Orientation: Unspecified Rear Walls: Wood Frame, 16" D.C. 2162 21.0 0.0 92 Orientation: Unspecified Window 1: Vinyl Frame:Double Pane with Low -E 403 0.330 133 SHGC: 0.30 Orientation: Unspecified Window 2: Vinyl Frame:Double Pane with Low -E 42 0.280 12 SHGC: 0.27 Orientation: Unspecified Door 3: Solid 100 0.160 16 Orientation: Unspecified Compliance Statement: The proposed building design described here is consistent with the building plans, pecifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 09 IECC requirements in REScheck Version 4.4.2.3 and to comply with the mandatory requirements listed in the he Inspe Ion Checklist. Project Title: Meeting House Commons Report date: 07/26/12 Data filename: K:\Zahoruiko\Meetinghouse Commons - No Andover\Meeting House Town houses\CD's\Building 9\Building_9.rck Page 1 of 6 REScheck Software Version 4.4.2.3 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above -Grade Walls: ❑ Front Walls: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: ❑ Sides: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: ❑ Rear Walls: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: Windows: ❑ Window 3: Vinyl Frame:Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4: Vinyl Frame:Double Pane with Low -E, U -factor: 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: _ ❑ Window 5: Vinyl Frame:Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U -factor: 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1: Solid, U -factor: 0.160 Comments: ❑ Door 3: Solid, U -factor: 0.160 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: Project Title: Meeting House Commons Report date: 07/26/12 Data filename: K:\Zahoruiko\Meetinghouse Commons - No Andover\Meeting House Town houses\CD's\Building 9\Building_9.rck Page 3 of 6 Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs/showers, and in openings between window/door jambs and framing. Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. F-1 Access doors separating conditioned from unconditioned space are weather-stripped and insulated (without insulation compression or damage) to at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is installed to maintain insulation application. Wood -burning fireplaces have gasketed doors and outdoor combustion air. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Ll Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7 ACH at 50 pascals OR 2) the following items have been satisfied: (a) Air barriers and thermal barrier: Installed on outside of air -permeable insulation and breaks or joints in the air barrier are filled or repaired. (b) Ceiling/attic: Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier is installed at any exposed edge of insulation. (e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed/blown insulation extends behind piping and wiring. (f) Corners, headers, narrow framing cavities, and rim joists are insulated. (9) Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U -factor of 0.50 and the maximum skylight U -factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R -values and glazing LI -factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8. All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts, air handlers, filter boxes, and building cavities used as return ducts are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction. Metal duct connections with equipment and/or fittings are mechanically fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1) Postconstruction leakage to outdoors test: Less than or equal to 417.6 cfm (8 cfm per 100 ft2 of conditioned floor area). (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 626.4 cfm (12 cfm per 100 ft2 of conditioned floor area). (3) Rough -in total leakage test with air handler installed: Less than or equal to 313.2 cfm (6 cfm per 100 ft2 of conditioned floor area). (4) Rough -in total leakage test without air handler installed: Less than or equal to 208.8 cfm (4 cfm per 100 ft2 of conditioned floor area). Project Title: Meeting House Commons Report date 07/26/12 Data filename: K:\Zahoruiko\Meetinghouse Commons - No Andover\Meeting House Townhouses\CD's\Building 9\Building_9.rck Page 4 of 6 Temperature Controls: Thermostats exist for each dwelling unit (non -dwelling areas must have one thermostat for each system or zone). A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room is provided. Electric Systems: Ll Separate electric meters exist for each dwelling unit. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. L] For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and/or waste -heat -recovery systems. Ej Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60% of the heating energy is from site -recovered energy or solar energy source. Lighting Requirements: 0 A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T-8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <= 15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (e) 60 lumens per watt for lamp wattage > 40 Other Requirements: Snow- and ice -melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement's'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R -values; window U -factors; type and efficiency of space -conditioning and water heating equipment. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Title: Meeting House Commons Report date: 07/26/12 Data filename: K:\Zahoruiko\Meetinghouse Commons - No Andover\Meeting House Town houses\CD's\Building 9\Building_9.rck Page 5 of 6 iu ru Ceiling Roof 38.00 Wall 21.00 Floor I Foundation 30.00 Ductwork (unconditioned spaces): Window 0.33 0.30 Door 0.16 NA Comments: f ~ zU �qQ� O Q Ec' zuj V Q m<WM� a WD m<Q< z� J1+ W n "� is ZZO-o J OVUM ZQZQO W> N O WJZ to N U2 maz U)wcJ Q1 z cx Z2N !"!f OI Z 3W -JW N z» QNa 31 _ N OQ7 .moo: a0 Z]Z'W W 1"'zU N_ ZVO'� Off" E"1 OZQ f+ZQ N:`W N O W S�jWI-• 3�y� WWO 11 SO t1JN O O�y Y- OKN =Za'n2 3 ZO�K Wa H�' Fi p�< O U WQ o N O. 2 oto WW rj Z 1~/1 ._ND = NL, �, IS -S 0=Z IAQ.'K W �� W 3 i0�E0W O Wj 33a Zz0 ��j WFf�--��j 2r �0W �:tQ O QU =W2 O00 w 200 a 1•••� UO z a• Qo u' Woao -Oz 0U)m A 0oQ O a 1= v V O^J } =ASO ZOO JW W S xN2 Z OW Q0 Wa Z Z4Ka0 OWOZ WO- Q m ~ 1- �I 'E U o50NOW NO to H-�+ OaW '-ztn a 0 f 0 -1 v w �Z-aN K~ N�g ZtI1ON OZF >>pS [ W F E m TT^� <WKU� O= QWOm ��� 40m z IL)W " i 0:1 V1 W WU O t0�pn_ W DNOU> ill m guZS =OF0 O W U)w-ajaZ"IDIL o N4 0. FO �R 1Ymp `�R7FD� U C ^ WSJ J g zW r —zaL W m a C! 1O 2 U OZ F o LL x �� �S a tW a � n CK c� 0 Z rn ) N Z 000O i 7 Or UJ k N W CL 4A Ir �si 14,00 `� \\ O C\2. 100. e� ZONE \ V H \ Oa.W 2 Z O �••i, _r:.t: f[7? GeL', U'.�S3i:L'S:f.1':!'St -.'�. �.;4y Massachusetts - Department of Public Safe, Board of Building Regulations and Standards f Construction SupertUor License: CS-05U1717 - THOMAS D ZAHgkUIICO l 115 CARTERFIEjLD RD N ANDOVER Mk 01845 :. "^�"• CXpi ration Commissioner 04/05/2014 tans Submi d Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL blie Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT – COMMENTS N I A 7_13AN CONSERVATION Reviewed on Signature Vj COMMENTS NKA bgP 2112.- l IlW IS 1\ at«rAc'A e w1000 ej a!� � o<i &l HEALTH — Reviewed on Signature COMMENTS__I ; 6Y\ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: 2 qZ ` 111 Comments Water &Sewer Connection/Signature $Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE. 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