HomeMy WebLinkAboutMiscellaneous - 28 CHATHAM CIRCLE 4/30/2018 (2)clo
Date. . . .-e7 0 .....
T
.6
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
CHO
This certifies that.7—ar. ...... -e/..
Z,-- -A-
has permission for gas installation ......
...........
in the buildings of .-I .... .............
at ,:;
d�'— North Andover, Mass.
...........
� ..... . ................
Fee-, Lic. No..
Check# GA I PECTOR
4A99
6
MASSACHUSETTS UNff0RMAPPUCA-r0NF0RPE]RNffrT0 DO GAS RTTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Lo�ations
Permit #
Amount $
Owner's Name (2 0 0
New Renovation Replacement 0— Plans Submitted 1:1
(Print or type I
,/— c e -m- e
Name 0—
Address S -,D
k . Name of Licensed Plumbeior Gas Fitter
1�� ,
=77
;k- -z_ 0
Check one: Certificate Installing Company
0 Corp.
Partner.
r—_%_
U Firm/Co.
INSURANCE COVERAGE Check one*.
I have a current liability Insurance, policy or it's substantial equivalent Yes No0
If you have checked Yes. please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0— Other type of indemnity 1:1 Bond 0
Owner's Insurance Waiver: I,am aware that the licensee 10 -e -s nothave the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent 13
I hereby certify that all of the details and information I have su . bmitted (or entered) in abov �al)Plication Z �true and accurate to the
best of m.y knowledge and that all plumbing work and installat Pperform d under Permit issued for is application will be in
compliance with all pertinent provisions of the M sachuse e G Eams e and Chapte 142 of �et neral S.
ity/Town,
PPROV, ED (OFFICE USE ONLY)
Signature of Licensed Plurnifer Or Gas Fitter
13—Mumber 2 z I—
[j Gas Fitter License Num-ber-,
0--�laster
[] Joumeyman
rA
U2
Z
5
Z
Z
U
>
z
Z
<
6TJ
W
Z,
W
>
ry)
>
z
0
z
z
U 8 -BA— M ENT
>
ASEMENT
ST. F L 0 0 R
N D. F L 0 0 R
R D. F L 0 0 R
TH. F L 0 0 R
T H F L 0 0 R
T H FLO.0 R
T H IF L 0
TH. F L 0 0 R
(Print or type I
,/— c e -m- e
Name 0—
Address S -,D
k . Name of Licensed Plumbeior Gas Fitter
1�� ,
=77
;k- -z_ 0
Check one: Certificate Installing Company
0 Corp.
Partner.
r—_%_
U Firm/Co.
INSURANCE COVERAGE Check one*.
I have a current liability Insurance, policy or it's substantial equivalent Yes No0
If you have checked Yes. please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0— Other type of indemnity 1:1 Bond 0
Owner's Insurance Waiver: I,am aware that the licensee 10 -e -s nothave the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent 13
I hereby certify that all of the details and information I have su . bmitted (or entered) in abov �al)Plication Z �true and accurate to the
best of m.y knowledge and that all plumbing work and installat Pperform d under Permit issued for is application will be in
compliance with all pertinent provisions of the M sachuse e G Eams e and Chapte 142 of �et neral S.
ity/Town,
PPROV, ED (OFFICE USE ONLY)
Signature of Licensed Plurnifer Or Gas Fitter
13—Mumber 2 z I—
[j Gas Fitter License Num-ber-,
0--�laster
[] Joumeyman
L
LocationAj 11) -#3 o2 2 *3b C1 oc
No. r)
Date
Check# z�
15276
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ 11"96
Building/Frame Permit Fee $
Foundation Permit Fee $ C�7 0c)
Other Permit Fee $
TOTAL $ C)
1A (ro J,—
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ANK"11,
wl-"Ak- "011'r
BUILDING PERMIT NUMBER: 9 DATE ISSUED:
SIGNATURE:
Building Commissionerfl2N��ctorZf Buildings Date
1 1-311E 11-UUMMA1.10N I I
1. 1 Property Address:
cl�v-40,jn
1.2 Assessors Map and Parcel
7
Map Number
Number:
Parcel Number
d-t�
1.3. Zoning Information:
/C �
Zoning Di"ct Proposed Use
1.4 Property Dimensions:
/ 2 4M-6;-,
5LAr7.-/(-sf)
10(2
Frontage (R)
1.6 BUILDING SETBACKS (ft)
2.2 Owner of Record:
Front Yard
Side Yard
Rear Yard
Required
Re -red PrDvided
qw
�ere�d
Provided
License Number
Address
1.7 Water Supply NLGI-C. 1.5. Flood Zone Information:
zone Outside Flood Zone
1.9
Mumcip�l
Sewerage Disposal S)stem:
On Site Disposal System 0
bjp,t-,ijLuA2-P.KOPE7KTYOVVNERSillPlAUTH IZEDAGENT
2.1 Owner of Record
Name k(Pnrintt)) Address for Service
Telephone ol
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES 1
3.1 Licensed tonstruction Supervisor:
Ficensed[Cot ni ionSupervisor:
Not Applicable 0
License Number
Address
ze "g
Expiration Date
Signa Teleph6ne
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
I Signature Telephone
V-4-
rG
X
z
M
0
z
M
90
0
M
r
r"M
SECTION 4 - WORIKERS COMPENSATION (M.G.L. C 152 § 25c(6) I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Descn'ption 0 Proposed Work (check applicable)
New ConstructionA Existing Building 0 Repair(s) 0 Alterations(s) 0 1 Addition 0
Accessory Bldg. 0 Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
,/ Z 6 -Z eal-t- 41-7�r4p-�
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
,W
MIMI
1.
Building
(a) Building Permit Fee
�ely6l
Multiplier
2
Electrical
(b) Estimated Total Cost of
20,70e)
Construction
3
Plumbing
2-!� 0 oo
Building Pertruit fee (a) x (b)
4 Mechanical (HVAC) /6" Ong
5 Fire Protection
6
Total (1+2+3+4+5)
7,1L CVC2
Check Number
SECTION 7a OWNER AUTHORIZATION TO HE COMPLETED WREN
OWNERS AGENT OR CONTRACTOR APPLES FOR BUELDING PERMIT
I I as Owner/Authorized Agent of subject property
Hereby authorize to act on I
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTIFORIZED AGENT -DECLARATION
SPAN 12.-
DUvIENSIONS Of, SU -LS
DUVFNSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHRvINEY VI/ ,e
IS BUILDING ON SOLID OR FILLED LAND 67
IS BUILDING CONNECTED TO NATURAL GAS LINE i,,� C
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
-w
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building CommissionerflaTEtor of Buildings Date
I SECTION 1- SITE INFORMATION I f
1.1 Property Address:
—367 rllyxrm
(4� F /—# )
(n-3tce,:�
1.2 Assessors Map and PaT=I Number:
�7
Map Number Parcel Number
v�
1.3 ?rnigInformation-
Zoning District Proposed Use
1.4 Property Dimensions:
Ive
Lot Area (sf) Frontage (fl)
1.6 BUILDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
ReqLiired Provide
I Provided
Reqwred Provided
_�red
1.7 Water SBpply UGI -C.40.1 54)
public lir Pn,.te 0
1.5. Flood Zone Information:
zone Outside Flood Zone
"A
1.9 Sewerage Disposal System:
MUniCip3l Ile On Site Disposal System 0
1 -1
SECTION 2 - PROPERTY OWNERSHW/AUTHORIZED AGENT
2.10 r of Record
Name (P Address for Service:
Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRIXTION SERVICES
3.1 Li ed Construction Supervisor: Not Applicable 0
Licensed jeonstruction Supervisor: z/1
r— License Number
Address
de"Of
Expiration Date
Sign66'. Telephone
3.2 Registered Home Improvement Contractor Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
SECTION 4 - WORKERS COMPENSATION (MG. L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
New Constructi Existing Build!ing ±10Rep, ir(s) [I Alterations(s) 0 0
O�/k \�\J - \ \ \ I F��
Accessory Bldg. 0 Demolition 0 er 0 Specify
Brief Description of Proposed Work:
72-
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by
I
Building
(a) Building Permit Fee
Multiplier
2
Electrical
(b) Estimated Total Cost of
C9, vae
Construction
3
Plumbing
0 049
Building Permit fee (a) x (b)
4 Mechanical (HVAC) 44 cy
5 Fire Protection I
6
Total (1+2+3+4+5)
Check Number
,NLUILUIN-/at)WiNEKAUltiqJKI-LALIUA LUDEUUMPLEIED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BURDING PERMIT
I, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWAtR9MOR&ED AGFNEPE��TION
as Owner/Authorized Agent of subject
property
Hereby dec<are�at the A Pemen� and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
Prin't
of
Date
SIZE
67 2--�
BASLW SLAB
SIZE -OF FLOOR TINIBERS I ST I/ ff6t�j' 2NO 7/ #"Ode, 3RD
SPAN
DROENSIONS OF SILLS 2-,x
D2,1ENSIONS OF POSTS
DEvIENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOO-flNG X
MATERIAL OF CHE�NEY JJ -1 0
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE7 C
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT 144e -I
PHONE—?—,;'g 91-r IkK47
LOCATION: Assessor's Map Number I/ f /7 PARCEL
SUBDIVISION LOT (S)
STREET C�IZ�1,7421 CACI--t ST. NUMBER �7
USE
TOWN AGENTS:
ATION ADMINISTRATOR
COMMENTS �0 �- �i �-
Comm
DATE APPROVED Lf 710(
DATE REJECTED
I?
PLANNER DATE APPROVED
DATE REJECTED
FOOD INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR -HEALTH
COMMENTS
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIO
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9N97 jm
U��
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Tomm of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary infbrmation as requested below.
Permit Applicant
-o 1`7
Propeify address Map / Parcel
!� Z 6,-7 2 IF � 41x- -
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 form is completed
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 budding
permit application and associated attachments, complies with one or more of the fbilowing 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 / were created prior to May 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
the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is
restricted to senior cidzms 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 a 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 &mIand. The land to be preserved shall be protected from development: by an Agricultural Preservation
Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the plwmffig
board that will ensure its protectiom
This 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 one time 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 EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT T1 -1E AT-FACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF 4ABQVE-Qi9MMPIION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GRO THEYdIrDING DEPARTMENT TO ISSUE A BUILDING PERMIT.
APPLICADK9SrGNATUREr'— DATE
TFIIS FORM TO BE ATTACBED TO TBE BUILDING PERMIT` APPLICATION
kug-07-01 11:04A
MAScheck COMPLIANCE REPORT
Mass-achusetts Energy Code
MAScheck Software.Version 2.01 Release 2
CITY: North Aadover
STATE: Massachusetts
HDD: 632-2
CONSTRUCTION TYPE: I
Uv v
41-ATIT NZ S Y. .0 - r6 E M Ir � P E
DATE: 8,7-2001
TITLE: LOT #!a UNIT
or 2 Family, Detached
nf-�'e� - anc-
,1. - (Non-Elect-1-ic Res1st
A CHATF-A-M CIRCLE
PROJECT !NPORKkTION:
VT 7nAT
.LV%.A.10 CORM111ER �C01NIFST COZRP
59 CHANDLER CIRCLE
ANDOVEF. K4
COMPPlqv- INF0F_f&A_T10__N.-
r
tx
J"'U HEATING & AIRI C01,TD
17 ARLINGTON ST
DRACUT M_A_
COMPLIATIKE: PASSES
Required T -TA � 373
yaur Hom'z-- 36.2
P. 10
Permit #
Checked hy/Date
Area or ca-vity Cont - Glaz i n_q�Door
Per�Tneter R -Value R -Value U -Value
---------------------------------------------------------------------------
CRILINGS 13-08 30.a C.G
WALLS- Wood. Framme, 2,611 O.C. iD.43 1.1.0 D-0
WALLS: Ma-c=y, Int -s- i-ar In.&-aLwtian- 22,0 11.0 0-0
Gi-kZI.NG; Windows or DoDrs 273
G1AZJW-: PLind-nw-c cur Doorz L1.360
DOORS 0 460
FLOORS! Over Uncond±tianed_ S�ce 1.388 19-0 0.0
HVAC EQUIPMENT; Furnace,. 92.0 AFUR
---------------------------------- --------------- I -------------- ---------
COMPLIANCE STATEMENT: The Drovosed building design described here is
consi-s-tent wi-th the buildi-Tig
, plaus, apecificatlorLs-, amd other ca.1culatiov-5
submitted with the permit application. The proposed bvilding ha,s been
designTd to meet the recpiirements of the Massachusetts Enera"I Code.
.:Jj
The heating load for this -building, -and- -the -cooling. -load if appropriabe,
has been detem-mined uaing t-te aPplicable Standard Design Conditions found
in the Code. The HVAC eauiz)ment selected to heat or cool the.building
shall be no gre-ater- th—an 12-51 of. the- design load as specified in
Sections 78004P 13!0 and J4.4.
Builder/Desirmer
Date
Nug-07-01 11:05A
M
P. 12
VAPOR RETARDER:
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
-7 --- 74--
equ3LJ-Jm=-1-1t. GaInUd serv-kc- heaLijig.equipruent must be
1� WULIWIL
provided. Insulation R -values, glazing U -values, and heating
equipment efficiency -must be clearly ma ked an the.build-ing plan
or specifizations.
DUCT INSULATION:
Ducts shall he insulated per Table J4.4.7.1.
DUCT CONSTRUC"IICIT:
All accessible joints, seams, ary'd connections cf supply and return
ductwork located outside conditior"--d space, including stud b&y& or
joiat. cavities/spaces used to transport air, shall be sealed
using -mastic and f ibrous, backing tape insLalled according Lo- ther
manuEacturer's inrta-Ilation irtstructic�ns. Mes-h tape- may be -
omitted where gaps are, less. than -1/6- inch. *Duct tape, is not
permitted. The HVAC system muat provide a mean.-, fcrr balancing
air and water systems.
TEMPERATURE CCNTROLS:
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 -
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling sy'stein is
not cireater than 125% of the design load as specified
in sections 780CMR 1310 and J4.4.
SWIMMING POOLS:
All heated swimming pools mus -t have an on/off he-ater Ewitch and
require a cover unless over 201-� of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
HVAf- PIPING INSULATION:
JIVLC pipring conveying fLuids above 120 F or ch-illed fluids -
below 55 F must be insulated to the following levels- 'kin.)
PIPE SIZES (in.)
HEATING SYSTEMS- TEMP (F) 211 RUNOUTS 0-11, 1.25-2" 2.5-4
Law pressure/temp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.01 1.G 1.5
Steam condensate any 1.0 1.0 1.5 2.0
COOLING SYSTEMS:
Chilled water or 40-55 0.5 0.5 0.75 1.0
refrigerant below 40 1.0 1.0 1.5 1.5
CIRCULATTNG HOT WATrR SySTEMS:
insulate circulating hot water pipes to the following levels (in.):
-13
UNOUT
2.0+
2.0
1.5
1.0
,ug -07-01 11:06A
P. 13
---- NOTES TO FIELD (Buildincr Department Use Only) -------------------------
PIPE
SIZES (in.)
NON -CIRCULATING
CIRCULATING
MAIN$ &
RUNOUT
MaTED WATER TEMP
(F): RUNOUTS 0-1"
0-1,25-
1.5-2.011
2.0+
.,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
---- NOTES TO FIELD (Buildincr Department Use Only) -------------------------
kug-07-01 11:07A
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: I
HEATING SYSTEM TYPE:
DATE: 8-7-2001
or 2 Family, Detached
Other (Non -Electric Resistance)
TITLE: LOT #11 UNIT B CHATHAM CIRCLE
PROJECT INFORMATION:
YVON CORMIER CONST CORP
59 CHANDLER CIRCLE
ANDOVEF MA
COMPANY INFORMATION:
J&J HEATING & AIR COND
17 ARLINGTON ST
DRACUT MA
COMPLIANCE: PASSES
Required UA � 409
Your Home = 381
P. 14
Permit 4
Checked by/Date
Area or Cavity Cont. Glazin.g./Door
Perimeter R -Value R -Value U -Value
---------------------------------------------------------------------------
CEILINGS
1398 30.0
0.0
WALLS: Wood Frame, 16" O.C.
1290 11.0
0.0
WALLS: Masonry, Intexior Insulation
280 11.0
0.0
GLAZING: Windows or Doors
259
0-330
GLAZING: Windows or Doors
70
0.360
DOORS
39
0.460
FLOORS: Over Unconditioned Space
1388 19.0
0-0
EVAC RQUIPMENT: Furnace, 92.0. AFUE
---------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed -building
design
described-
here is
consi.s,tent with the building plans,
specifications,
and other
calculations
submitted with the permit application. The proposed
building
has been
designed to meet the requirements of
the Massachusetts
Energy
Code.
The heating load f or this biAlding, and the cooling 10ad 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 )?e no greater than 125t Qf the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
.ug -07-01 11:07A
Massachusetts Energy Code
MASchqck Software Version 2.01 Relea-se 2
LOT #11 UNIT B CHATHAM CIRCLE
DATE: 8-7-2001
Bldg.
Dept.
T's e
CEILINGS:
1. R-30
Comments/Locati
WA,LLS:
1. Wood Frame, 1611 OX., R-11
Comments/Location
2. Masonry, Interior Insulation, R-11
Comments/Location
P-15
WMOWS AND GLASS DOORS:
1. U -value: 0.33
For windows without labeled U -values, describe features:
# Pane-s.,_.__ Frame Type Thermal Break? Yes No
Comments/Location
2. U -value; 0.36
For windows without labeled U -values, deacribe features:
4 Panes— Frame Type Thermal Break? Yes No
Comments/Location
DOORS:
1. U -value: 0.46
Comments/Locati
FLOORS':
1. Over Unconditioned Space, R-19"
comments/Location
UVAQ EQUIPKENT�
1. Furnace, 92.0 AFUE or higher
Make and Model Number
2. Air Conditioner, 10.0 SEER
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
eavelope, that are sources. of air leakage must he sealed. When
ins-talled in the building envelope, recessed lighting fixturea
sha-11 meet one.of the following requirements:
1. Type IC rated-, manufactured, with no penetrations between th4-_
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 nor
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.
Nug-07-01 11:09A
P. 17
---- NOTES TO FIELD (Building Department Use Only) -------------------------
PIPE
SIZES (in.)
NON -CIRCULATING
CIRCULATING
MAINS &
RUNOUT
HEATED WATER TEMP
M: RUNOUTS 0-11,
0-1,25m
1.5-2.0"
2.0+
170-160
0.5
1.0
1.5
2.0
0.5
0.5
1.0
1.5
100'-130
0.5
0.5
0.5
1.0
---- NOTES TO FIELD (Building Department Use Only) -------------------------
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Print
Name: efo/-71 -41&
1 /11 PJ /I 4�-- '2-A? /- 1��IL
ci!y Phone
am a homeowner perfort-ning all work myself.
F7 I am a sole proprietor and have no one working in any capacity
"M I am an employer providing workers' compensation for my employees working on this job.
Company name: e:��-o /,V� //�V
Insurance Co. 1'711'�'Zfl Policy
Comp@Liyname:
Address
Cily: Phone #:
insurance Co Poliry #
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00
andfor one years' imprisonment as well as civil penalties in the form d a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statemen
IXaay-b_e forwarded to the Office of Investigations of the DIA for coverage verification.
/do herby certify under Ihfi1g�jKandSAa&WesV—peijury that t��bn�iriation above is t a d ect.
8�pvided ru an corr
Print name Phone # 'Pliza
Official use only do not write in this area to be completed by city or town official' Building Dept
[]Check if immediate response is requked Building Dept Licensing Board
Selectman's Office
Contact person: Phone r7 Health Department
r-1 Other
FORM WORKMAN'S COMPENSATION
i awn oi iN ortli Anaover
Building Department
27 Charles -Street
North Andover, Massachusetts 0 1845'
(978) 6.88-9545 Fax
.(978) 688-9542
DEBRJS DISPOSAL FORM
0* tAoRr
I D
0
0 4
In accordance with the provisions. of MGL c 40 s 54, and- a condition of
Building. permit-# the debris resulting from the work shall.be disposed
of in a properlY licensed So'lid waste disposal facility as defined 'by MGL c 1 -1, s 15 a.
The debris will be disposed of in /at:
Facility locaii
Siignja pplicant
Date
NOTE: A demolition permit fi-om the Town Of.North Andover must be obtained for th"
project through the Office of the Building Inspector. his
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Aug -07-01 11:01A
MAScheck COMPLIANCE REPORT
Massachvsetts Energy Code
MAScheck Software Version 2.01 Release 2
CITY: North Andover
STATE: Massachusetts
LIDD: 6322
CONS,rRUCTION TYPE: I
HEATING3 SYSTEM TYPE:
DATE: B-7-2001
TITLE: LOT #jV UNIT A
or 2 Family, Detached
Other (Non -Electric Resistance.)
�ATF CIE
�AM CTR -
PROJECT INFORMATION:
YVON CORMIER CONST CORP
59 CHANDLER CIRCLE
ANDOT T
V ER MA
COMPANY INFORMATION:
J&J HEATING & AIR. COND
17 APL.XNGTON ST
DRACUT MA
COMPLIANCE: PASSES
Re(Tj_i-_red UA - 371
Your Rome = 362
P. 02
Permit #
Checked.by/Date
Area or Cavity C -011t. Glazing/Door
Perimeter R -Value R -Value U -Value
---------------------------------------------------------------------------
CEILINGS
1388 30.0
9.0
WALLS: Wood Frame, 16" O.C.
1043 11.0
0.0
WALLS: Masonry, Interior Insulation
290 11.0
0.0
GLAZING- Wi-ndows or Doors
273
0.330
GLAZILIG: Kindows or Doors
63
0.360
DOORS
39
0,4,60
FLOORS: Over Unconclitioned Space
laaa 19.0
0.0
HVAC EQUIPMENT: Furnace, 92.0 AFUE
---------------------------------------------------------------------------
COMPLTANCE STATEMENT: The proposed
buil-ding design
described
here is
con-s-is-1--ent with the buillding plans,
specifications,
and other
calculations
slibm-itted with the permit application. The proposed
building
has been
designed to meet the requirements of
the Massachusetts
EnerMgi
Code.
The heating load for this building, and the coolina load if annrouriate.
has been determi-nved using the app-licable Standard 6esign Condl�_io;_ts fo
in the Code- The HVAC equipment selected to heat or cool thebuilding
- C
shall be no greater than 125% of the design load as specified in
Sections 780CMR 1210 and J4.4.
Builder/Designer
J___ __ Date
Aug -07-01 11:01A
I
Massachusetts Energy Code
1 1
�IAScheck Software "Versiozi '41 .1014. Rejeas-e 14
LOT #9 UNIT A CHATHAM CIRCLg
DATE: 8-7-2001
Bldg.
Dept.
Use
L 1
CEILINGS:
1. R-30
Comments/Location
WALLS:
1. Wood Frame, 1611 O.C., R-11
Comments/Location
2. Masonry, interior Insulation, R-11
Corrn.ents/Location
P. 03
WINDOWS AND GLASS DOORS:
1. U -value: 0.31
For windows without labele%d U -values, describe featureSo-
# -vanes F z -.m& Type Thermal Break? Yes No
CoodrLents/Location
2. U -value: 0.36
For windows w-ithout labeled U -values, describe feature -s:
4 Panes Frame Type _ Thermal Break? Yes No
Comments/Location
DOORS:
1. U -value: 0.46
Comments/Location
FLOORS:
1. Over Unconditioned Space, R-19
Comments/Location
HVAC EQUIPMENT:
1. Furnace, 92.0 AFUE or hicher
Make and Model Number
2. Air Conditioner, !0.0 SEER
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
e;ivelope tl-w- are svurces of a4 r leakage. must be sealed.
Lnstalled in the building ew,;"e.11-ope, recessed lighting fixtures
shall nkaet one of the following requirements:
1. Type IC.rated, manufactured with no penetrations, between the
inside of the recessed fixture and ceiling caviLy 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.
Aug -q7-01 11:02A
VAPOR RETARDER:
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
P. 04
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be ' determined. Manufacturer manuals.for.all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R -values, glazing U-values,,and-heating
equipment efficiency must be clearly marked an the building plans
o.r 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
j-oist cavities/spaces used to transport air, -shall be sealed
using mastic and fibrous backing tape installed acc*rding to the
manufacturer's installation instructions. Mesh tape may be
omitted where gaps are less than 1/9 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.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heatingicooling system is
not greater than 125% of the design load as specified
in Sections 780CMR 1310 and J4.4.
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.
HVAC PIPING INSULATION:
HVAC piping conveying fluida above -120 F or chilled fluids,
below 55 F must be- irraulated to the- fc�llowing levels Cin.)
HEATING SYSTEMS -
Low pressure/temp.
Low temperature
-Steam condensate
COOLING SYSTEMS:
Chilled water or
refrigerant
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to.the.following levels..kin.):
PIPE
SIZES
(in.)
TEMP (F)
211 RUNOUTS
0-111
1.25-211
2.5-4
201-250
1.0
1.5
1.5
2.0
120-200
0.5
1.0
1.0
1.5
any
1.0
1.0
1.5
2.0
40-55
0.5
0.5
0.75
1.0
below 40
1.0
1.0
1.5
1.5
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to.the.following levels..kin.):
Aug -97-01 11:02A
PIPE
NON -CIRCULATING
HEATED WATER TEMP M: RUNOUTS 0-1"
170-180 0.5
140-160 0.5
1GO-130 0.5
P. 05
SIZES (in.)
CIRCULATING
MAINS &
RUNOUT
0-1.25"
1.5-2.0"
2.0+
1.0
1.5
2.0
0.5
1.0
1.5
0.5
0.5
1.0
---- NOTES TO FIELD (Building Department Use Only) -------------------------
Aug -07-01 11:03A
I
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1
HEATTN(; SYSTEM TYPE:
DATE: $-7-2001
TITLE: LOT #9 UNIT B
or 2 F-A-Mily, Detached
x
Other (Nor. -Electric Resistance)
CHATHAM CIRCLE
PROJECT INFORMATION:
TION CORMIER CONST CORP
59 CHAkDLER CIRCLE
ANDOVEf. MA
COMPANY INFORMATION:
J&J HE,�T ING
.L & AIR "-'01,.TD
17 ARLINGTON ST
DRACUT MA
COMPLIANCE: PASSES
Requir�!d UA = 409
Your Home = 381
P. 06
Permi t #
Checked by/Date
Area or Cavity Cont- Glazing/Door
Perimeter R -Value R -Value U -Value
---------------------------------------------------------------------------
CEILINGS 1388 30.0 0.0
WALLS: Wood Frame, 1611 O.C. 1290 11.0 0.0 1
WALLS: Masonry, Interior Insiaatiou 28 CL 3-1-0 la 1 0
GLA-7ING: Windows or Doors 259 0.330
GLAZING: Windows or Doors 70 0.360
DOORS 39 0.460
FLOORS: Over Unconditioned Space 1388 19�0 0,0
HV.AC EQUIPMENT: Furnace, 92.0 AFUE
---------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
qonsineat with the bu_ild�ng plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has beo�n deteraiiaed usJ_rxg 0ie applicable Staridard Design, Conditions tound
in the Code. The HVA4C equipment selected to heat or cool the building
shall be -no greater than 125%� of the design load as specified in
Section -m 780CM-P 1310 and J4.4.
Builder/Desianer
Date
Aug -07-01 11:03A
Massachusetts Energy Code
KAScheck Software Version 2.01 Release 2
LOT #9 UNIT B CHATHAM CIRCLE
DATE: 8-7-2001
Sidg.
Dept.
Use
r IL
CEILINGS:
1. R-30
Comments/Location
WALLS:
1. Wood Frame, 1611 O.C., R-11
Comments/Location
2. Masonry, Interior Insulation, R-11
Comments/Location
P. 07
WINDOWS AND GLASS DOOR&:
1. U -value: 0.3.3
For windows without labeled U7values, describe features:
# Panes- Frame Type Thermal Break? Ye& [ No
Comments/Location
2. U -value: 0.36
Fox- windows without labeled U -values,, describe features:
# Panes- Frame Type Thermal Break? Yes [ No
Comments/Location
DOORS,: -
1. U-valuet 0-.46
Comment S-/Locati
FLOORS:
1. Over Unconditioned Space, R-19*
Comments/Location
HVAC EQUIPMENT:
1. Furnace, 92.0 AFUE or higher
Make and Model Number
2. Air Conditioner, 10.0 SEER
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must. be sealed. When
inatalled in the building envelope, recessed lighting fixtures
sha-11 meet. one of the fol -lowing requi-rements:
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- unctmditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no
more than 2.0 cf-m (0.944 L/a) air movement from the the
conditioned space to the ceiling cavity. The lighting fixtt-re
shall have been tested at 75 FA or 1.57 lbs/ft2 pressure
difference and shall be labeled.
Aug -07-01 11:03A
r ]L
VAPOR RETARDEIR:
Required on the warm -in -winter s&ide of all non -vented framed
q.eilingff, walls, and floors.
P. 08
MATERIALS ID = IFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equi pment must be
provided. Insulation R -values, glazing U -values, 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 loca-ted outside conditioned space, including stud bays or
joist cavities/space-s 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 1/9 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 tc partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125� of the design, 1,Qad as specified
in Sections 760CMR 1310 and J4.4.
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.
HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F or chilled fluids -
below 5-5 F mus -t be insulated tc, the -following levels (in.):
HEATING SYSTEMS:
Low pressure/temp.
Low temperature
Steam condensate -
COOLING SYSTEMS:
Chilled water or
refrigerant
CIRCULATING ROT WATER SYSTEMS':
Insulate circulating hot water pipes to the following levels (in.):
PIPE
SIZES
(in.)
TEMP (F)
211 RUNOUTS
0-111
1-25-2m
2.5-4
201-250
1.0
1.5
1.5
2.0.
120-200
0.5
1.0
1.0
1.-5
any
1.0
1.0
1.5
2.0
40-55
0.5
0.5
0.75
1.0
below 40
1.0
1.0
1.5
1.5
CIRCULATING ROT WATER SYSTEMS':
Insulate circulating hot water pipes to the following levels (in.):
Aug -07-01 11:04A
HEATED WATER TEMP
170-180
140-160
100-130
Fup�
PIPE SIZES (in.)
NON -CIRCULATING I CIRCULATING MAINS & RUNOUT
RUNOUTS 0-1"
0-1.25"
1.5-2.0"
2.0+
0.5
1.0
1.5
2.0
0.5
0.5
1.0
1.5
0.5
0.5
0.5
1.0
----NOTES TO FIELD (Biiilding Department Use Only) -------------------------
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N0 3311
Date ........
TOWN OF NORTH ANDOVER
*,1 0
PERMIT FOR WIRING
"S
'41
Thiscertifies that ..............................................................................................
'has permission to perform ...... ........ � .....................
#iring in the building of ....... L.e ..........................................
..........
........ ........ North Andover, Mass.
Lic. No . ............ .....................................................
,�� I ELECTRICAL INSPECTOR
Check # -
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Q2nack#14590
lFenaft No. ,' Zj
Bam0FMWPRfiYfi.YffWREGVL4nWS7091W (<Z2
10mapanq & Fees Checlied
APPUCATIONFOR PERW PEMRMffX=CAL WORK
ALL WORK To BE PMWORMED IN ACCORDANCE WUNTHE MASSACHLOSTS ELBCnUCAL cwf� 527 cmR 120
(PLEASE MNT IN INK OR WM ALL INFORMA1110N) 9/11/01
Town of North Andova To the laspea" of Wires:
The undersigned applies fbr a Permit to peribrm the electrical wotk dem1W below.
LmOtion(Streat"umber') IOTJ10 CHATHAM CT
ownerorTenant CORMIER-ANDOVER �ON�TJJ_QORE_ =a,vzo
Owner'sAddren 59 CHANDER CIRCLE*ANDOVER,MA01810*§78-470-0189
is this permit in conjunction with a building permit: YesIn No (Cho& ApproprieW Box)
Purpose ofBuiWing TEMP SERVICE Utility Authorization NcD 2 5 0 2 7
Fidsting Service Ampq..L..Volts 0wrfind Undergrotmd No. ofMeters
New Semi En Ampsja�Vohs 0wrlwail Umkrground 'No. of Mdm
Numberof Feeders and Ampacity
Location and Nature of Proposed Electrical Work *. TEMP SERVICE FOR CONSTRUCTION
No of Lighting Outlets
No. of Hot Tubs
No. offransforincis
TOW
KVA
Nil GfLWft fbmm
Sirbuning Pool Alove
- go-trid
KVA
Noi of Receptacle Outlets
N& of0d Bw"
No. ofEmergency Lighting Battevy Unit$
Na or switch Outlets
Ne of Ons Surners
FRE ALARMS
NO. orzones
No. of Ranges
No. orAir Coami TOW
Tons
NO. Of Detection and
NO. Of Heat "TOW TOW
am$
Tow
KW
kWBdBS D9ViCC3
No. Of Soodn' Devil
Ig cgs
No. of DWfflubers
Space Am Heating KW
No. of SeffCooftined
Demawnsomwiris Devices
Lacd Manic4W
otha
NO. Of Dry**
Heating Dr*ft KW
No. of Water Heam KW
No. of or
WE! .
flailads
No. Hydw Me Tubs
NIL Of maw
TOW HP
0a OF a im sthsome;iwift YES ND
Ihmabribilvap-M, I .1-11SO&LYES ND [:3 lfymlu,. 48"Ympiewbim
4wpiftbaL
G3 BOW mm
EvkdmDm
E*WdvAzdBh"Wak$
WcxkiD 111 Ini hve:fim1)*RqxsW Pao FkW. 9/12/01
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FIRMNANE ANDRLW P_.qT4_FPT4AfV P.T.-POTRTOAT. _QPM7T0V UXWNO�l 1498
Lkam NDREW F.-SHEEHAN
Bz�=TdN6978-256-8740
AdjM249.PjNF, HTT.T. pn n*rTjPT.M 101A AkTCLM978-622-5852
0YMWSFaMANCEWAPAK*
audd � sigaubiracmu
Agent
(Please check one) own" Telephone No. P Ewa FEE s SO