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HomeMy WebLinkAboutMiscellaneous - 304 BOXFORD STREET 4/30/2018 (2) / 304 BOXFORD STREET 210/104.6-0049-0000.0 I I I I I I t March 16, 2015 Inspector Of Buildings Town Of North Andover 1600 Osgood Street North Andover MA 1845 Claim Number: 033544510 Policy Number: 59581400004 Company Name: Arbella Mutual Insurance Company Date of Loss: 2/17/2015 Insured: Anthony Papa Property Location: 304 Boxford St North Andover,MA01845 To Whom It May Concern: Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, Chris Bennett Crawford& Company 204 Second Ave Waltham,MA 02451 CC: City/Town Fire Dept, City/Town Health Dept Date .0 N° eluLi TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING 40 ,SSACHUS� ,1/ This certifies that . . .!'� " :'u`"� '�`�• • • • . . . . . . . . . . . . • • has permission to perform . . . . : . .:f`-`^-s :• . . . . • • • • • • • • • • 1 plumbing in the buildings of . . . . . .� `.%'- !.J. . . . . . . . • • • • • • • • • • ar?�� . : . . . . . . . . . . . . . ... • • • • • .. . . .. North Andover, Mass. Fee s... . . .Lic. No.. . . . . . . . . . . . . . . 't.... . .. . . . . . . . . . . PLUMP GdNSPECTOR Check # a�'8 G WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) U,= Mass. Date �J &- D % �• Permit# -_ �;N Building Location '&d Owner's Name 770 ,.y L/ Type of Occupancy New ❑ Renovation ❑ Replacement t Plans Submitted Yes ❑ No G--- FEATURES z � Z LU Y J } Q Z LU LU j (n Z Q Cc T I- Z :D (7 cc U1 _w z CL r j = cn i U [! to Q Un O Z F�- U I: w r Q LU U3 z w ¢ a ¢ x CC S o � "� p Q = Lu va n CC Q O w Q F > Q T U) U) � Q �- z o Q W z z W � o C) M 3: x m cn Q O n :;; O < r-tn i < CC Cc ¢ < ¢ m O SUB-BSMT. BASEMENT 1ST FLOOR ` 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR • 7TH FLOOR F77- 8TH FLOOR r installing CompanyNamelQR•!J>� �O0yc:rf�Izl z" Check one: Certificate AodreesS S` �� /(� S77 1 �. ❑ Corporation G ❑ Partnership Buatnea6 Telephone 7 2 rY '�'/���f r"� 00 Name of Licensed Plumber, ✓L �iU/ t. QC Z7 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 2-' No ❑ It you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Lam— Other type of indemnity I-1 Bond ❑ OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Si nature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted (or entered) in above application are true and &C.-Curate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this a be In compliance with all pertinent provisions of the Massachusett tate Plumbing Code and Chapter 142 of thGplication will e eneral Laws. 1 By igna ure o icense um er Title Type of License: Mastgr t_•f'_ Journeyman ❑ Clty/Town License Number APPROVED OFFICE USE ONLY) 5957 Date... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This rtitifies that ........................................................................................... has permission to perform ...................................... wiring in the building off... ..... ....��......... ..... .... .....; ............... . .North Andover,Mass. Fee ............ Lic.No`4-11...a.. ..................... ...................... ELECrRICXL INSP R V Check # i Commonwealth of Massachusetts official Use Only Department of Fire Services Permit No. 5190-7 BOARD OF FIRE PREVENTION REGULATIONS Map&Parcel ZA IZ APPLICATION FOR PERMIT TO PERFORM CTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATIO Date: City or Town of: 1V* AX.-*4-2'V A -k7 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform thq electrical work described below. Location(Street&Number) Owner or Tenant /t1Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑Building Permit# ^ D O Purpose of Building ,SIIY� ZEfqlLy' ,rte' Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A mao [ l 7 Completion of the ollowin table ma be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceii.-Susp.(Paddle)Fans O No.Of Total Transformers KVA No.of Lighting Outlets No.of Hot Tuba Generators KVO► No.of Lighting Fixtures / Swimming Pool ove ❑ n- ❑ NO.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets y 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of net—Foin an Initiating Devices ' No.of Ranges No.of Air Cond. Toone tal No.of Alerting Devices No.of Waste Disposers Heat Pump _"Number" ons o.o e - ont a Totals: """""' ""M"'�"`"' Detection/Alerting Devices. No.of Dishwashers Space/Area Heating KW Local ❑ c Connection ❑ Other No.of Dryers Heating Appliances KW Security ysterns: No.of Devices or Equivalent Mo.o ater KW o.o o.o Data WhiNo.ofn Heaters Signs Ballasts evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications g: . No.of Devices or Equivalent OTHER: hh Attack additional detail if desired,or as required by the Inspector of Fires. V , INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless r the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:) 9/1 7 Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certljj►,under the pales and penalties of perjury,that the Information on this application is true and complete FIRM NAMES LIC.NO.:A 1 1 9 8 3 Licensee: LOUIS CONTINO Signature LIC.NO.:E28788 (If applicable,enter"exempt"In the license number line.) 1 Bus.Tel.Not 7 8=3 6 3-5 4 2 0 Address: 1 hobIr mrAN nu wpgT TLFw72TTRV �rrA ()19 8 Alt.Tel.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)El owner El owner's agent Owner/Agent Signature Telephone No. PEF_hllT FEE:S /-To Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. q.s. 7 BOARD OF FIRE PREVENTION REGULATIONS Map&Parcel - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfomied in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE TIOM Date: 4•�1—af City or Town of: AJ- Ai��h&9;'k7 k7 To the Inspector of Fires: By this application the undersigned gives notice of his or her intention to perform diq electrical work descnbed below. Location(Street&Number) 0D Owner or Tenant Telephone No. Owner's Address Is this permit In conjunction with a building permit? Yes No ❑ Building Permit# JT-1012 Purpose of Building _S/IYAY� jS 1L V t ial Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters G/Y Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A MaUL2 �' tIW— Completion --Cont letion of the ollowin tabs may be waived by the inspector of Wires. No.of Recessed Fixtures f0 No.of Cell.-Susp.(Paddle)Fansof Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures / Swimming Pool ove ❑ In- o.o Emergency Lighting C'A rnd. rnd. Batts Units No.of Receptacle Outlets "/ Z. No.of Off Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o e on as InIdatinz Devices No.of Ranies No.of Air Coad. Tuns tal No.of Alerting Devices No.o[Waste Disposers ea imp _um er oma _ o.oSelf-Contained Totals: Detection/Al ertin Devices, No.of Dishwashers Space/Area Heating KW Local [:] c Other Connection ❑ No.of Dryers Heating Appliances KW Securlty Systems: No.of Devices or Equivalent No.of Water KW o.o o.o Data Wh is : Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommu ca onsg: , No.of Devices or E uivalent OTHER Attach additional detail if desired,or as required by the Inspector of Wires. 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:) 9/17 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I COO,tinder the pales and penalties of perjury,that the Information on this appllcadon is true and completes FIRMNAM: LIC.NO.:A 1 1983 0- Licensee: LOUIS CONT I NO Signature -+'� LIC.NO.:E 2 8 7 8 8 (Ifapplicable,enter"exempt"to the license number line.) Bus.Tel.Nod 7 8-3 6 3-5 4 2 0 Address: 1 hC)NQ17nN T)R UTFCrP NRWRTTRV MA 01 9A5 Alt.Tel.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)0 owner 0 owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:S ArO 2.,J4 mor S Location 30y No. Date i HpRTq TOWN OF NORTH ANDOVER O�. •° ,•1y0 p 3? i �t. • OL . F • ; : Certificate of Occupancy $ CHus �'�s'• •tt�' Building/Frame Permit Fee $ D s�cN Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C-�, 18771 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCTREP RENOVAT OR DEMOLISH A ONE OR TWO FAMH.Y DWELLING BUILDING PERMIT NUMBER DATE ISSUED: ° SIGNATURE: SUNNI Building Co ssioner/I r of uildin Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1048 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: %I &ld�t'1G� q11 (900 Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard 1� Required. Provide Required Provided Required Provided c�` 3�' -20I .sem ZO 1.7 Water Supply M.G LC.40. 34) 1.5. Flood Zone biformation: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No rn 2.1 Owner of Record Alhliol/jj Pte,, 13A coxAo-A Name(Print) Address for Service: Signature VTelephone 2.2 Owner of Record: Name Print Address for Service: t Z M Si ature Telephone SEMON 3-CONSTRUCTION SERVICES 9 3.1 Licensed Construction Supervisor- Not Applicable ❑ 1` 'L ,tom �n � o Licensed Construction Supervisor: C S 0 O 2.. LA( .ky A--© License Number a Address(� 4 -\, .LQ E ZOO iration Date Exp Si ature Telephone 3.2 Regi HornJy,Improvement Contractor Not Applicable ❑ LO Company Name / Ic- A 1 O f A_ Registration Number m Address r Expiration Date ^ Si nature Telephone �I, SECTION 4-WORKERS COMPENSATION(N:G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will sesult in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......*P No.......0 SECTION 5 Description of Proposed Work check an applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Q Specify Brief Description of Proposed Work: v c u r o �� X30 , SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFIH CIAIE USE, NLY Completed by permit applicant � 1. Building (a) Building Permit Fee 7 --O Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 2 p Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, �oa_ as Owner/Authorized Agent of subject property Hereby declare at the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name ,n �Kw� Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS iST2ND 3 FLU SPAN DEMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 } X APPLICANTAA%3i�P_4 MFA PHONE 5_C0 66'j3 q 78 LOCATION: Assessor's Map Number LQL PARCEL SUBDIVISION LOT(S) STREET 304 61nxfir—W sT ST. NUMBER OFFICIAL USE ONL ------------- OM TI OF TOW NTS: CO SEERVATIOINiXDMIASTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEADATE APPROVED DATE`REJECTED SEPTIC INSPECTOilk'-1,11201ALTH DATE APPROVED ' f DATE REJECTED COMMENTS PUBLIC WORKS .SEWER/WATER CONNECTIONS A DRIVEWAY PERMIT FIRE DEPARTMENT 'tECE1VED BY BUILDING INSPECTOR DATE R*VISW 9197Im 1 N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I Please Print Legibly Name (Business/Organization/Individual): 4tA_klf �o Address: C A,,", LSC( el City/State/Zip: b, /I Us:,L-e.r )UI k Phone 1�7- 5 S � - y Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.� I am a sole proprietor or partner- listed on the attached sheet. + E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 13.[g Other t>er comp. insurance required.] *Any applicant that checks box#I must also till 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 fir my employees. Below is the policy and job site information. i Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine 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 a er the pains and aloes of perjury that the information provided above is true and correct. Si nature: p Q / Date: Z6 • 2 q - v 5 Phone#: 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 I NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with t provision of MGL c 40 S 54, a condition of Building Permit at: '10 `A ZI4 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: e-0 � w (Location of Facility) Sign a of Permit Applicant Fire Department Sign off: Dumpster Permit Date i CONTRACT HOME REPAIRS OR REMODELING Anthony Papa,Homeowner,desires to contract with,Kenneth Roy,Contractor,to perform certain work on property located at 304 Boxford Road,North Andover,MA 01845 1. Job Description The work to be performed under this agreement consists of the following:to build a deck on the rear Of the existing building.The deck will be of similar shape and proportion of the attached drawing. Framing will be pressure treated wood and finish railings and fascias will be Mahogany.Decking will be 1 x 4 Mahogany attached with stainless ring shank nails. 2. Payment Terms In exchange for the specified work,homeowner agrees to pay Contractor as follows: $12,375, payable all labor and materials,in installments by check as follows: A$100.00 deposit is due and payable upon signing of the contract. building A$1,000.00 payment is due upon btu g permit from the Town of North Andover,MA. A$6,500 payment is due upon inspection from the Town of North Andover,MA of the footings. A$4,775 payment is due upon completion of installation of the framing,railings,fascia, and I decking. 3. Independent Contract Status It is agreed that Contractor shall perform the specified work as an independent contract. Contractor maintains his Or her own independent business and shall perform the work independent of Homeowner's ` supervision,being responsible only for satisfactory completion Of the work. I Contractor may use subcontractors,but shall be solely responsible for supervising their work and for the quality of the work they produce. 4. Change Order(Mid-Performance Amendments) i The Contractor and Homeowner recognize that: Homeowner may desire a mid-job change in the specifications that would add time and cost to Homeo y J the specified work possibly inconvenience the Contractor; 1 I i - - - — T-" O ` 'IV� 1r S�T-V J-S { co X t n � t 5 � . Fg AM Jeep Hyl 4-o Vie. m Nc� r. Page 1 of 1 Kat From: JasperRocks@aol.com Sent: Monday, October 24, 2005 7:34 PM To: goddessone@comcast.net Subject: Re: ???? ok, 495 to 95 to exit 55 central st. byfield, go right off the exit and go strait a little more then a quarter of a mile and its a yellow building on the right. call my cellphone when you get there so i can give you your ticket. 978-973- 1195. starts at 4:00 and I'm in the second acted. did i forget anything? I LOVE SPANDEXHI 10/26/2005 i ssessors Map No. '04B — Parcel 49 Lot Area 44;600 S.F. 1.0 A Cres I ,I F �y Leccheft System f f f ' ffff E G I 1 D o f D-Boxy + 1500 Ga✓fon \\ Septic Took �' j's�TiN4� � � \\�� •�(\ I �, C 1 \ \ T \ A'V 1 , , A. �\ Existing 3 Bedroom Garage CL Dwelling ` f ;,Op 0,-And. = 158.34' � f Approximate ` S erty Lit L SSE toNb EGoi1N�j ,�\\ f' Existing `\\ 15.0 We/1 �\ 4 \ ExiStino �► ` - I ------------ 4 !ya rT ----_ _ Scale.. „ , _ 20' ✓ n e Dote: lune 12 I � R- t _ZoniJ29 District.. Residence 1 District ,Schedule /avert ® Foundoti Of In Vents = 154.89” Septic Ton k /n -_ 154. 19' D-Box /n 15-1461, . Out = 15.3.91' . Ou Leach t = 153 30' Bed /n = 15.3 161. Out = 152.95' Schedule of 1 ec - 542' AE =Tie Dist BE an Ces, i 63.,3' AG = 572' AD = 60. 1' = 76.2' SG = 883• 80 = 81.8' AF _ 102 9' AH = 992' 110,0' BH = 1189, / hereby certif 4 this disposal y thot / have grading has system and that he°ted the construe ` and that the been in accordance construction andtfon of specification materia/s used1 th the desi final s and 310 CMR Cojnorm to the plan r's intent This p/on the hos been ,prepared instal/ed o u�the Conditions o f for the purpose of confor prernises the sonitor shown Chore nonce with the desi A// work was o elsp�osa/ sys� yes Approved yn p/ons sUbstal Of Health. A// By The Desi os prepared And Fie Lirnitotions Ex work was done 9n Engineer And The Bo pected For A ✓ob/of the construction hls Type k Desi n9 r Dote i �.10RTM Town of : RAndover rn - - I'd low c% RLA dover, Mass., COCMICNEWICK y�. %AERATED C, S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT.. ........ ' G INSPECTOR ................ 9.. ... Fo4ofon haspermission to erect....... j',. ....... buildings on ...Asjrja............Of.��..... ... .� .......... Rough has permission to erect.$ to be occupied as ................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TS Rough ...... . . .. .. .... ............. Service BUIL G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i\ - - - wa yn e Ma cNei l assessors Map No. Scale: I" = 20' Date. June 12 , '04B — Parcel 49 .r Lot Area 44;600 S.F. 1.0 A cres ' Zoning District: R- 1 — Residence 1 District i I F H Schedule of In ver is Leach Bed System: (20' X 45' Invert ® Foundation = 154.89' ' i , i i i i Septic Tank /n = 154. 19', Out = 153.91' D-Box /n = 153.46', Out = 153.30' I Pi__ Leach Bed /n = 153. 16', Out = 152.95' --37'---- Schedule of Tie Distances E G! AC = 54.2' AE = 63.3' AG = 57.2' N BC = J8.7' BE = 76.2' BG = 88.3' ICiD 11 AD = 60. 1' AF = 102.9' AH = 99.2' _——__ D-Box; BD = 81.8' BF = 110.0' BH = 118.9' j 1500 Gallon - - Septic Tank iq hereby certify that l have inspected the construction of i this disposal system and that the construction and final V:L grading hos been in accordance with the designer's intent i ` and that the materials used conform to the plan 1 r ,� �''r`''� r� —f��cr ,•�� `, specifications and 310 CMR 15.0. K �. AL \ o i "Garage \ Existing 3 Bedroom This �p/on has been prepared for the purpose of shown Dwelling � the As—Bui/t conditions of the sanitary disposal SYSI scot � ' into/%d on the premises. A# work was done in subto� ` conformance with the design plans as prepared And Fie 1 Top of,Fnd. = 158.34' Changes Approved By The Design Engineer And The Bo Of Health. All work was done within the construction Limitations Expected For A Job Of This Type. 1 Approximate ` Property p y "� Desi n r Dote Lines g f Existing 15.0' W eff Existina Location'-',30q No. Date 40RTN TOWN OF NORTH ANDOVER f 3? O0L a Certificate of Occupancy $ Building/Frame Permit Fee $ t- swC04Us Foundation Permit Fee $ Other Permit Fee $ o� TOTAL $ Check # 1849 (/ Building Inspectdr/ t ` + TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING VA BUII..DING PERMIT NUMBER. DATE ISSUED: C52 /3ic o ma SIGNATURE: 4Buildin C07;=j�—o�ner/ln§pector of Buildings Date z. SECTION 1-SITE INFORMATION 1 0 1.1 Properly Address: 1.2 Assessors Map and Parcel Number: _ V �( a &?4 ASA ST F4 `I Ll U x r Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: !" ` q Ivo 3J� Zonin Distrid Proposed Use Lot Area Fronts A 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RequiWd Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.3 Sewmp Disposal System: public ❑ ,Ikivate ❑ Zo Onside Flood Zane ❑ Manicipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 7toct: 'es No 2.1 Owner of Record Ante-b,y J'PW gow ST Name(Print) Address for Service 8-68>�-S�f76 Signature Telephone 0 2.2 owner of Record: rAeA- &kfop Sr Ci Name Print Address for Service: signto Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable .❑ ti Licensed Construction Supervisor: C S 07 Z `��'� C 1 License Number ;AddressExpiration Dategnature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ �I�tUv� Gd,vSfo✓e i nor/ Company Name 1515109 ME /9 Registration Number rM Address I� D� z Z& ?P_6 kS -9SO Expiration Date i nature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 f 25c(6) J 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.......❑ SECTION 5 Description of Proposed Work check ss avoticaw New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ' Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: nikpA,✓9 Lt,Yilfr,✓G !d',`TtJ�d✓ w; ria vf/1Sr1r„ 13�O.t06101 /� !j©✓�. G"i�'/IAp� LfXiJ i,dL� a'4'4V Zt���1��v44 R 00 wr SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Corniplded by permit applicant 1. Building (a) Building Permit Fee g 3 J ('00.— Multilier 2 Electrical s000 _ (b) Estimated Total Cost of Construction 3 Plumbing L0 — Building Permit fee(a)x tbl 4 Mechanical HVAC /to < _-- 5 Fire Protection ! 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I• as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this buildnig permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I• ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print ame Si tu&bf Owner/Agent Date NO. OF STORIES :— SIZE r, BASEMENT OR SLA13 1,4are w.re, y " SIZE OF FLOOR TI)VIBERS 1b7 �'Xia" 2' RD SPAN ' " DIMENSIONS OF SELLS DIMENSIONS OF POSTS DIMENSIONS OF GIIZDERS f fret prjr; w4K 0 HEIGHT OF FOUNDATION r THICKNESS /�7 SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND — IS BUII.DING CONNECTED TO NATURAL GAS LINE ,,,, 'CLY OtLictv"V_ 4 ep AJ�s W— FORM U - LOT RELEASE FORM 7— � — ® S 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 AM1't' ooy 1�P4 PHONE �76-kC!9-547(3 LOCATION: Assessors Map Number /0`f,8 PARCEL_ SUBDIVISION LOT(S) STREET 3o y A�kKoe_o ST ST. NUMBER OFFICIAL USE ONL R O N OF TO " A ENTS: COERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS h., TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm 1/2`° DIA ASTM A307 BOLTS @ 24". O.C., STAGGERED WITH NUTS & WASHERS W6- 0 � OF 0 STEEL BEAM DETAIL ANG PA � J. PAP (NOT TO SCALE) sir CTS a �SSAfZMAL'E��� to/Z,t� Bg i i y ' PROPOSAL Desmond Construction, Inc. P. O. Box 41 North Andover, MA. 01845 (978)682-2279 Date: 6/13/05 Page 1 of 3 TO: Job Site: Anthony Papa same 304 Boxford Road North Andover, MA 01845 (978 688-8478 ... .. . ..U6gr{--. s..� DESCRIPTION TOTAL MASTER BEDROOM/BREEZEWAY/MUDROOM ADDITION Item 1 Permit Submit permit application and acquire. Item 2 Demolition Remove rear deck, front entry. First and second floor demolition after frame enclosure. All demolition material removed from site. Item 3 Excavation Excavate proposed addition areas for concrete frost walls. Excavated soil to be graded by driveway area. Item 4 Concrete Concrete walls for kitchen and breezeway areas to be 4' in height, 10"width with 12"footings. Install crushed stone bed with 4" conciete floor. Cut out 2 openings in existing foundation for access. Damp proof outside concrete walls. Backfills walls to grade. Install 2 basement windows for ventilation. Item 5 Frame Frame addition per drawings.Any frame changes to be discussed with homeowner. Steel beam installations per drawing. Item 6 Roofing Roof new addition areas with 30 year architectural shingles. Install ice and water shield/tar ater underla ment, step flashing and drip edge and ridge vent. Item 7 Windows/Exterior Doors Install windows,Anderson 400 series. Install exterior doors includin new garage door on back wall. Item 8 Siding Install T vek vapor barrier, primed pine soffet, corner board and trim. Install pre-primed cedar clapboard siding. PROPOSAL Desmond Construction, Inc. Date: 6/13/05 Page 2 of 3 T0: Job Site: Anthon Papa same x _ :x�'' �,. k ,� ' ,: ?� .,tea DESCRIPTION TOTAL Item 9 Rough Electric and Plumbing Rough in electric outlets and switches per code. Master Bedroom: 6 recessed lights Master Bath: 3 recessed lights Kitchen: 6 recessed lights Breezeway: 4 recessed lights Install sub panel for wiring. Kitchen appliance wiring. Rough plumbing: Install water lines, drains, vent pipe for kitchen and bath. Install heat lines to new addition areas. Finish Electric: All recessed lights, switches, plates, cable TV incl. Finish Plumbing: Tub sinks faucets vanity, kitchen sink dish washer, refrigerator line installed. Item 10 Insulation Install insulation. R30 in ceiling and floors, R13 in walls Item 11 Board and Plaster Install plastic vapor barrier on exterior walls. Install 1/2"blue board, skim board with smooth plaster finish. Garage walls to have 5/8"fire board Item 12 Finish Carpentry Install interior doors, baseboard, window and door casing, interior finis to match existing. Item 13 Tile Install homeowner's tile in Master Bath floor and shower area walls and mudroom/breezeway floor. Tile to have 3/8"underla ment on floor. Walls 1/2"cement board. Item 14 Paint Interior to have one coat primer,two coats finish paint. Exterior to have two coats finish. All walls and ceilings to be sanded. All holes to be filled and sanded. Item 15 Flooring New kitchen area to be 2 1/2"hard wood, re-finished. Master bedroom and closet to be carpeted.Allotment: $20.00/s d. Item 16 Seeding Loam and seed disturbed areas. 4"Loam, h droseed. PROPOSAL Desmond Construction, Inc. Date: 6/13/05 Page 3 of 3 TO: Job Site: nthony a same NOTE: Tile Purchase by Homeowner Bath/Kitchen Fixtures by Homeowner Back deck/Front Deck/T.B.D. Kitchen cabinetry by others Existing driveway-due to heavy equipment needed for project construction- D.C. I. not responsible for drive damage. TOTAL $104,600.00 $104,600.00 All material isuaranteed to be as specified,pec ed, and the above work to be performed in accordance with the drawings and specifications submitted for above work.and completed in a substantial workmanlike manner for the sum of $104,600.00 with.payments to be made as follows: 5% upon signing $5,230.00 20% upon start of project $20,920.00 Remaining upon request per project progress An interest charge of 1.5% per month will be applied to any balance due 30 days after completion of this project. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over an above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on the above work to be taken out by M.L.C. inc. Respectfully submitted -,4 - P r Desmond Construction, Inc. NOTE: This proposal may be withdrawn by us if not accepted with days. ACCEPTANCE T E OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will me made as outlined above. Signature: a�,q�P Date:v �2Y � r Signature: Date: �S_ i i i North Andover Building Department Tel: 978-688-9545 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 a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant c%z/ate Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I I he 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): Address: l 9 U City/State/Zip: 'd419,vy>vc� �.-g D/8Yir Phone #: J7er-6,K -2 9S1 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.[CR I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12-El Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13•❑ Other *Any applicant that checks box#I 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. tContractors 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. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year fiTrisonment, 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 ins and penalties of perjury that the information provided above is true and correct Si afore: Date: Phone Oficial 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#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide worf another undernny confor pract oir employees.. oy hire, Pursuant to this statute, an employee is defined as ...every person in the service 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 all individual,partnership,association or other legal entity,employing employees. However the owner r r 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-contractors)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 bo m out in the event the Office of Investigations has to contact you regarding the applicant of the affidavit for you to fill Please be sure to fill in the Out/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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia �, i ✓!t6 TOO�fL�jp�,�_4� �UdE�d ' BOARD Ol:BUIL DING REGULATIONS License. C6'kTRUCTJON SUPERVISOR - Number: CS 072487 y Birthdate: 03/22/1960 Expires:.03/22/2006 Tr.no: 19206 Restrictedi 0..0 MATTHEW F DESMOND 19 UPLAND ST N ANDOVER, MA 01845w Acting Cc mis oner Board of Building Regulat ons and Standards -y- _ One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 143109 Type: Private Corporation Expiration: 6/18/2006 DESMOND CONST. INC. MATTHEW DESMOND 19 UPLAND ST --N. ANDOVER, MA 01845 - -- Update Address and return card.Mark reason for Chang Address n Renewal F-] Employment ❑ Lost Card DPS-CA1 is 50M-NiN-G101216 ,. ;�17G -�J47I1.»zOvtu�eltlC/t, O�._I�G�L.IdI.I.CILudP�.rb = \ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: l-- Registration: 143109 Board of Building Regulations and Standards � t Ex One Ashburton Place Rm 1301 /ration: P 6/18/2006 Boston,Ma.02108 Type: Private Corporation DESMOND CONST.INC. MATTHEW DESMOND 19 UPLAND ST N.ANDOVER,MA 01845 ,Administrator 1 ofal d without signature Permit Number REScheck Compliance Certificate Checked By/Date 2000 IECC REScheck Software Version 3.6 Release 2 Data filename:C:\Pelletier—Archtects\MP Active Job\04 02_pap\Papa.rck PROJECT TITLE:Addition and Alterations to Mr.&Mrs.Anthony Papa-Residence CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE:Single Family WINDOW/WALL RATIO:0.17 DATE:06/30/05 DATE OF PLANS:6/20/2005 PROJECT DESCRIPTION: Anthony and Kelley Papa 304 Boxford Street North Andover,MA.01845 DESIGNER/CONTRACTOR: Mark Pelletier PROJECT NOTES: Mass Code does not support Crawl Spaces within this program COMPLIANCE:Passes Maximum UA= 114 Your Home UA= 113 0.9%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 187 30.0 0.0 6 Ceiling 2:Flat Ceiling or Scissor Truss 154 30.0 0.0 5 Ceiling 3:Flat Ceiling or Scissor Truss 90 30.0 0.0 3 Wall 1:Wood Frame, 16"o.c. 323 19.0 0.0 19 Wall 2:Wood Frame, 16"o.c. 298 19.0 0.0 18 Wall 3:Wood Frame, 16"o.c. 254 19.0 0.0 4 Window:TW2436:Wood Frame,Double Pane with Low-E 17 0.280 5 Window:CN13:Wood Frame,Double Pane with Low-E 9 0.280 3 Window:TW24310:Wood Frame,Double Pane with Low-E 19 0.280 5 Window:TW24210:Wood Frame,Double Pane with Low-E 7 0.280 2 Window:CN145:Wood Frame,Double Pane with Low-E 29 0.280 8 Window:P3030:Wood Frame,Double Pane with Low-E 8 0.280 2 Window:TW346:Wood Frame,Double Pane with Low-E 12 0.280 3 Window 8:Wood Frame:Double Pane 11 0.560 6 Door.Front exterior:Solid 20 0.350 7 Door:Garage entrance:Solid 20 0.400 8 Door:FWG50611:Glass 33 0.280 9 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 2000 IECC requirements in REScheck Version 3.6 Release 2(formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Date WIq gnbHud 501 it Inmigpoo gi ind fzdiiaetib bt;eoqmq toe F :r:4.fm3TA R. I)!(,,A-LFl,,l%to-) a,.ui4;lijulf;)ntfw bnr. 3M On an ol bno (AnWit-11 rh,.omnal;E ni lij,p`n -)-)jj ooij };Ol 1?5fri 1 Window:CN145:Wood Frame,Double Pane with Low-E 29 0.280 8 Window:P3030:Wood Frame,Double Pane with Low-E 8 0.280 2 Window:TW346:Wood Frime,Double Pane with Low-E 12 0.280 3 Window 8:Wood Frarne:Double Pane 11 0.560 6 Door:Front exteridr.Solid 20 0.350 7 Door.Garage entrance:Solid 20 0.400 8 Door.FWG50611:Glass 33 0.280 9 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 2000 TFCC requirements in RESchedc Version 3.6 Release 2(formerly MECchenk) and to comply with the mandatory requirements listed in the RESchedclnspecti Checdtlist. Builder/Design c� � (2 Y�__ Date (//• I REScheck Inspection Checklist 2000 IECC REScheck Software Version 3.6 Release 2 DATE:06/30/05 PROJECT TITLE:Addition and Alterations to Mr.&Mrs.Anthony Papa-Residence Bldg. J Dept. Use I I Ceilings: [ ] 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments:M.Bed Room [ ] J 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation J Comments:Entrance [ ) J 3. Ceiling 3:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation J Comments:M.Bath/Walk-in Closet I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 1 ST FL Kitchen [ ] I 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 1 ST FL Entrance [ ) ( 3. Wall 3:Wood Frame, 16"o.c.,R-19.0 cavity insulation J Comments:2ND FL M.Bed Room I Windows: [ ] I 1. Window:TW2436:Wood Frame,Double Pane with Low-E,U-factor:0.280 J For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ )No Comments:Low E(W2) [ ] I 2. Window:CN 13:Wood 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:Low E(WI) [ ) J 3. Window:TW24310:Wood Frame,Double Pane with Low-E,U-factor:0.280 J For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments:Low E(W3) [ ] J 4. Window:TW24210:Wood Frame,Double Pane with Low-E,U-factor.0.280 For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?{ ]Yes[ )No Comments:Low E(W4) [ ] J 5. Window:CN 145:Wood Frame,Double Pane with Low-E,U-factor.0.280 For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ }No Comments:Low E(W5) [ ] J 6. Window:P3030:Wood Frame,Double Pane with Low-E,U-factor:0.280 J For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments:Low E(W6) [ ] I 7. Window:TW346:Wood 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:Low E(W7) [ ] I 8. Window 8:Wood Frame:Double Pane,U-factor:0.560 I, For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break?[ )Yes[ ]No I Comments: I I Doors: ( ] I 1. Door:Front exterior:Solid,U-factor:0.350 I Comments:Front Door Default# [ ] I 2. Door:Garage entrance:Solid,U-factor:0.400 I Comments:3/4 HR Rated [ ] I 3. Door:FWG50611:Glass,U-factor:0.280 I Comments: i 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 Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly I with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a I 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ) 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 I equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. I Ducts outside the building must be insulated to R-6.5. I i Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), I mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B. I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I 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 i partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: [ ) I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the I levels in Table 2. C 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) Un to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low 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) NORTH Town of And No. LA dover, Mass., COCHICMEWICK V ' 7�ADRATED P'? C7 `r BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT-/ ry � # .//*.y� ....... .... ........................ .................................................. Foundation 0 has permission to erect../ � .....Alf�r~... buildings on ...$. ..... k....... ......,S.�.!'S k.......... Rough t0 be Occupied BS.. ��... �� � '...Ol lr ... ........... ......... ................ ..... ..................�............. .. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in INS final this office, and to the provisions of the Codes and By-laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ,n y y PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final • UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C ough .................................. 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