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Home My WebLink AboutMiscellaneous - 48 CIDERPRESS WAY 4/30/2018 (2) I rTab Supp TAbfdft 90%LargerLabel Mea OAd�p I I i Date... .. - ,aORT1� TOWN OF NORTH ANDOVER ° PERMIT FOR WIRING AC14US� This certifies that ....... .......`:.................A.../............................................ has permission to perform .3....-....:S ......... �" wiring in the building of...��e 7", �, fj ovs c.........C�r!` .! ......... at.. �-..1�.y.�...............�...........................,North Andover Mass. Fee..37. ........ Lic.No.,tl/f..5 �4....... . .Y.... ........ . ,. LECTRICAL INSPE n Check # �� 0873 b Commonwealth of Massachusetts offioial Use only - a Department of Fire Services PemntNo, BOARD OF FIRE PREVENTION REGULATIONS [ROccupancy. (leav a lank)Checked (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00 (PLEA SE PRINTININKORTYPEALLBWOR WTION) Date: 6 l b t, z. City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) y y OwnerorTenant Telephone No. h�- ,A� Owner's Address �ytj Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building s �,�1„� Utility Authorization No. 13 06 Lf q / ' Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service ca Amps LZO Overhead❑ Undgrd No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t,j Sit✓ `S CO-7-tion o the ollow* table inay be walvedby the Ins ector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency ig ng rnd. rnd. Battery Units No.of ReceptacleOutlets No.of Oil Burners FIREALARMS No.ofZones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No,of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number .Tons : KW No.of Self-Contained Totals: " '�"' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalMunicipal ❑ Connection El Otter No.of Dryers Heating Appliances KW Security Systems:X No.of Water No.of Devices or E uivalent No.of No.of ` + Heaters ' Data Wiring: Si ns Ballasts No.ofDevices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: j_- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov,Vdgc is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) Icertify,under thepains and penalties ofper,jary,that the information on this application is true and cor piEtE. FIRM NAME: ==�;& 0LTC.NO.- Licensee:Licensee: Signature C.NO.:� � Yb-S� (Ifapplicable enter"exempt"in the license number line.) Address: t' �,t,� �/� �� Bus.Tel.No.! �7 � y Alt.Tel.No.: L *Per M.G.L x.1¢7,,•;i-oi,s�curiry work requires Department ofPublic Safety"S" icense: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner Owner/Agent k El owner's agent. Signature Telephone No. I PERMIT FEE:$ Z—Or- r ' 10 ._ • FI)G11•lel..J..1Ltl.R1�j.C�f(•J�i/IT1R.Cf/JJ.�iI•®�� A�j�L f'►•� .v.\{J.R.L1V.v..R��.;'0.+J�V}.�.�� '^ _ J.lv r•..ljL�.u.l�JC�•L�V.l0.'•� • ^ , .. � R .rotiG Sp CTfON. X'�ssetu yaned--[ 7 Re-inspections requxxed($�0.00) X ] uspectors'coxnzue-Afs: - (I(•uspeCIO re Signature• a0�itfals) pate Passe$ - �C+ailec�--[ ate^xnspectiozxxet uixect($ 0.00)- [ Ynspectors'comments: (Rl4edors'Pignature-)Io inztials) Jute 3,UNDER C�,OTXL4D XNSX'EC[�XON- l?assed•-[ 1 Failed--[ ] 7�te�insp ectiou required( 50AQ)- [ ] inspectors'comments: inspectors"Signature•-uo fnitials) Pate 4.)NSDEC'T`XON—SERVICE: Passed--[ p`ailed—[ Re-fnspediouxequired($50.00)-[ puspectbrs'eoxnmep�fs: � (Zuspectors',Signatuxe•xtoiuitials) Date 'assed---•[ � p'ailer�•-[ )- '.Re xnsp ection required( 50.00)•-[ � asp ectors'Coimments: " asp ectors'Signature x�o initials) date D0OR TAG5 TO BE FMLED OUTAO MFT 4)X SITE 1F TIM AMA TO 3E INSPECTED 18 NOT A CCESSEBIE AM A R USPECTION O)T,$50,0019 M E CMGF,) . a ' .a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/individual): k�A,s_ ALv Address:_] City/State/Zip �,,v�,s?off, ,w( 03 Sr w , Phone#: 1 Aran employer?Check the appropriate box: Type of project(required): I.LSI I am a employer with 1'0 4. ❑ I am a general contractor and I 6. [ ew construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. 7• 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.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]r employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. H-AA/ no g� %._J S Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 4 q—q.9C tz� SSs&jnj City/State/Zip: 196k *,�DbJ6vv wl Attach a copy of the workers'compensation policy de laration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer under the pains and penalties of perjury that the information provided above is true and correct. Signature: - Date: Jo [ ,. ( ,,? __ Phone#: 7 7s`f 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-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 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 bum 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 Iavestigations 600 Washington Street Boston,MA 02111 Tel#617-727,4900 at 406 or 1-877rMASSAEE Revised 5-26-05 Fax#617-727-7749 wwWanass,gov/dla MAP 104CI / LOT 30 �,�✓ I 'l) ��p,"ID ��('t�Y.P/�t ►1/(�/ / W i1 NOTES: / 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A / MAP 104C LOT 29 PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT N/F ESSEX COUNTY SMOLAK FARMS, SOUTH BRADFORD STREET, NORTH ANDOVER, / '•�� GREENBELT ASSOC., INC. MASSACHUSETTS"; SCALE: 1" = 80'; DATE: JULY 20, 2001 BY THIS OFFICE. RECORDED S PLAN #14828 IN THE ESSEX COUNTY 14.09' NORTH DISTRICT REGISTRY OF DEEDS. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS-BUILT LOCATION 1464 OF THE FOUNDATION ONLY. Tis/T U 13'24 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR 7SO3 Tp S'T v FORFLOOTHEOTOWNNE SOF NORTH ANDOVER MASSACHUSETTS COMMUNTAKEN FROM THE FLOOD INSURANCE RATE ITY MAP 104C 7S4ppNiT / PANEL NUMBER 250098 0007 C, MAP REVISED: 6/2/83. LOT 28 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED ' I SUBSTANTIALLY IN ACCORDANCE WITH THE 406 SITE PLAN S APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. (13.11' I I HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT �T \ NUMBERS 24-26 FOUNDATION SHOWN HEREON IS THE RESULT OF A ..;! g \�`� / 1 y�y FIELD SURVEY BY THIS OFFICE MADE ON APRIL 23, 2012. OF G1aSTOPNER .\ g FRANCHER Na 38118 ' ,v 114. / \ AL AL LICENSED LAND SURVEYOR DATE ♦`, /, ''� // ^ AL A` �. � CERTIFIED FOUNDATION PLAN `♦ i / / \ MEETINGHOUSE COMMONS TOWNHOUSE UNITS 20-23 AL AL AL GRAPHIC SCALE CIDERPRESS LANE DOVER, MASSACHUSETTS �I. a tOD NORTH ANPREPARED FOR MEETINGHOUSE COMMONS, LLC 19, c J/ $r'ob / (IN FEET) 121 CARTER FIELD ROAD I inch = 50 ft NORTH ANDOVER, MASSACHUSETTS o t� / /, \\ /i al_� Sale.He.H pStn*s Road,hi—tto 03079 (603)893-0720 AL � `/ \�`—// / / \ \ MHF Design Consultants, Inc. ENGINEERS•PLANNERS•SURVEYORS V SCALE: 1" = 50' DATE: APRIL 24, 2012 DRAWING _AL LAL NO.fR eUp �o�e I \ ' N0. DESCRIPTION REVISIONSMF 250508 BY DATE DRAWN BY: CHECKED BY. P0 1 2505CFP.DWG Location W d` --" - No. Date (/` TOWN OF NORTH ANDOVER Y1T`fLi:tl 16' w • Certificate of Occupancy $ xs' Building/Frame Permit Fee � . i Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# 25189 Building Inspector NORTI-p TO" of over -. . No. -[ dover, Mass., - COCHICHEWICK 1 ADRATED A '`� U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR IL a r� THIS CERTIFIES THAT..........(6,4400',.. . ...................................1.................... ............................ Foundation has permission to erect........................................ buildings on ..... �� .'...... t. .. 5.� ..... Rough w�T....... ... +�k�w ,iN....... .T ........... "� Chimney to be occupied as. . .. ....V.....:.. T ... 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 �O PERMIT EXPIRES IN 6 MONTHS I ELECTRICAL INSPECTOR UNLESS COV TRVCTIO Rough ............................. ................................................................................. Service BUILDING 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 Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t REScheck Software Version 4.4.2.3 Compliance Certificate Project Title: Meeting House Commons Energy Code: 2009 IECC Location: North Andover, Massachusetts Construction Type: Multifamily Building Orientation: Bldg.orientation unspecified Glazing Area Percentage: 11% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Building 7 Tara Leigh Development,LLC O'Sullivan Architects,Inc. North Andover,MA 115 Carter Field Road 580 Main Street North Andover,MA Suite 204 978-6876-2635 Reading,MA 01867 781-439-6166 Compliance:5.4%Better Than Code Maximum UA:645 Your UA:610 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. • Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 2948 30.0 0.0 97 Ceiling 1:Flat Ceiling or Scissor Truss 2948 38.0 0.0 88 Front Walls:Wood Frame, 16"D.C. 1296 21.0 0.0 62 Orientation:Unspecified Double Hung:Vinyl Frame:Double Pane with Low-E 115 0.330 38 SHGC:0.30 Orientation:Unspecified Casement:Vinyl Frame:Double Pane with Low-E 28 0.280 8 SHGC:0.27 Orientation:Unspecified Door 1:Solid 60 0.160 10 Orientation:Unspecified Sides:Wood Frame, 16"D.C. 2106 21.0 0.0 112 Orientation:Unspecified Window 5:Vinyl Frame:Double Pane with Low-E 140 0.330 46 SHGC:0.30 Orientation:Unspecified Rear Walls:Wood Frame, 16"D.C. 1309 21.0 0.0 57 Orientation:Unspecified Window 1:Vinyl Frame:Double Pane with Low-E 236 0.330 78 SHGC:0.30 Orientation:Unspecified Window 2:Vinyl Frame:Double Pane with Low-E 14 0.280 4 SHGC:0.27 Orientation:Unspecified Door 3:Solid 60 0.160 10 Orientation:Unspecified Compliance Statement: The proposed building design described here is consistent with the building p ns,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meetjhe 2009 IECC requirements in REScheck Version 4.4.2.3 and to comply with the mandatory requirements lis d in the Scheck spection Checklist. -DA IT)-7 03Uu1VAd ?ia,1FSl7r.7f /L Project Title: Meeting House Commons Report date: 04/04/12 Data filename:K:\Zahoruiko\Meetinghouse Commons-No Andover\Meeting House Town houses\CD's\Building 7\Building_7.rck Page 1 of 6 REScheck Software Version 4.4.2.3 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Front Walls:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Sides:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Rear Walls:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Double Hung:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Casement:Vinyl Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.160 Comments: ❑ Door 3:Solid,U-factor:0.160 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: Project Title: Meeting House Commons Report date: 04/04/12 Data filename:K:\Zahoruiko\Meetinghouse Commons-No Andover\Meeting House Townhouses\CD's\Building 7\Building_7.rck Page 3 of 6 Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Wood-burning fireplaces have gasketed doors and outdoor combustion air. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks orjoints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Ll Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing LI-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Lj Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 235.8 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 353.8 cfm(12 cfm per 100 ft2 of conditioned floor area). (3)Rough-in total leakage test with air handler installed:Less than or equal to 176.9 cfm(6 cfm per 100 ft2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Less than or equal to 117.9 cfm(4 cfm per 100 ft2 of conditioned floor area). Project Title: Meeting House Commons Report date. 04/04/12 Data filename:K:\Zahoruiko\Meetinghouse Commons-No Andover\Meeting House Town houses\CD's\Building 7\Building_7.rck Page 4 of 6 Temperature Controls: Thermostats exist for each dwelling unit(non-dwelling areas must have one thermostat for each system or zone).A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room is provided. Electric Systems: Ll Separate electric meters exist for each dwelling unit. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Ej For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Ll Circulating service hot water pipes are insulated to R-2. L1 Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Ll HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. L3 Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Lj A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Li Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: 0 A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Meeting House Commons Report date. 04/04/12 Data filename:K:\Zahoruiko\Meetinghouse Commons-No Andover\Meeting House Town houses\CD's\Building 7\Building_7.rck Page 5 of 6 Project Title: Meeting House Commons Report date: 04/04/12 Data filename:K:1Zahoruiko\Meetinghouse Commons-No Andover\Meeting House Townhouses\CD's\Building 7\Building_7.rck Page 6 of 6 a Effidency Cetrfific-ate 5 Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): _____ g r_ Window 0.33 0.30 Door 0.16 NA 4 a _ Heating System:__________________ -----__ Cooling System:_________ Water Heater: Name: Date: Comments: Jill1111 � � ui � , llf oIlat LO QIj � r gal n12l � ? c�v t IS Lu \ r y ,' pg"�• r Q ' '�1� 16h 00 ` Q � 3 - Z .401 \ r Z �' ``♦♦� ♦ \ .®I . l �Q^ x/,```51 r' ¢,'wy` (`!w'Iraq, ry, ' 111 �I 1 I I Av Olt \\Aun \J Oyu• ag�=g EM ui iV 1 p15fUR8A OE RNA1 ��♦ .\ `wi � ♦ +� � 'i \\ ZONE �OEN1- 1 , I II ♦♦♦ /, z I I \ POOU Th"e Commomvez&h of Massachusetts ID Department offaidris&l Accrd n& Office ofricvewg a,,,, 600 Washinlon Street Boston, MA 02111 Workers' Compensation Insurance Aida gniiders/CDutra An licaunt Information ctors/ElecWcianc/PInmbers Please Print 1� Name(D°inms zation&dividnal): L - Address: City/StalAmp:- .. A-40) Phone#: z - FV4amm ou an employer?Check the appropriate bo= a employ r witi� 4. T�°f Pro.1�(r❑ I mm a gemcontractor and Ientredj.lo3'ees(fitIl aad/orparE time)_* have hated the 6- New construction . I am a sole proprietor or parer- listed on the attach shmt II 7. ❑Remode ship and have no employ= These sub—contractorshave H working for me in g- ❑Demoiiiiam No WOE'gyp- 5. El We area coqxnation and im 9. ❑Building addition 3.Elrequire-] officers have emenised fiLir 10.❑Electrical repairs or additions .I am a homeowner doing an worlc right of earempfim Pa.MGL I L❑ Plumbing � ave[No worlmrs'comp- c. 152,§1(4) and we hno repairs or additions t cm ployem [No*od =, 22-❑Roof repass COMP• •) 131 Other mostEL4a 5tII ost the 'IiamsovvaQs who submitft i�g gay alt '.'z*ws' " �" � =Cantraeton;thatthu�this bm miut � � mncl tam hmc ode uonttact=most submit a new aar;c.loch Ithe aanK�.the and&r work=. am comp.pommy mdor inorm -- employer•that is 9fim P mg war&ers conn comp. fOr MY epkYam Below is thepormy and jnb rue Ins mmee Compaay Name Policy#or Self-ins.Lir, EXPiration Date: Job Site Addles: _ Attach a copy of the workers'co City/State/�p =°P�fiOn POS demon Me(showing the policy number and FRftM to sem coverage as under Section 2SA ofMGL C. car lead to the Siam of �iration datej. fine up to$1,500.00 and/or o�year �as well as civa penalties cr�mal p-pnalties of a Of up to S250-00 a day against the violator. Be that a copj,o f m��a of a STOP WORK ORDER and a fine Iuve0gat iom of the DIA for insmance m4y he to the Office of I do hereo cerdfp render Paurs and" perjmT&rctthe inform vMed Sio..An,.p• _m is true and correct one IP -7?",6 V-?5" offmi t use rely. Do not writ-in this area to be completed by city or to►rtt officicr( City or Towle Issuing Authority(circle one): - P e# L Board 6. Other of Health Z.BgOd DeFartmeut 3.City/Y'own Clerk 4.El.,,: ;Cal Spector 5.Pluahking Inspector Contact Person: Phone#: i zlia9saehueetts-Department of Public Safer Board or Building Regulations and Standards COnstruction Supervisor License License: cs $497 Restrided.to: THOMAg p ZAHORUIKO T_ 115 CARTERFIELD_ N ANDOVER;fiti4 Et1845 - e r Expiration: 41512012 (' mmi�ciuner Tri: 21090