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HomeMy WebLinkAboutMiscellaneous - 612 SALEM STREET 4/30/2018 (4) '` i �`� i i I �, Ot Np eTN,y I- A t EEACIWB�� I CERTIFICATE OF USE & OCCUPANCY 'TOWN OF NORTH ANDOVER Building Permit Number 418 (12/17/2004) Date: May 11, 2006 THIS CERTIFIES THAT 1�E BUILDING LOCATED ON 612 Salem Street MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: P.J.S.Realty Trist 612 Salem Street North Andover MA 01845 Building spector �pRTty E TONM of ; '. R , Andover �.1 O .oar. 0 No. y/8 - - _- /.Z -/7-,baa coc �� 19 dower, Mass., ADRATED P'00 5 .qs H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING�I/NSP�ECTOR THIS CERTIFIES THAT..7?�47�5,....... .. d. ...........T....R..... .. ............................................ Foundation "V"-- c c � I has permission to erect............./............ .......... buildings on./.C..Q.f.���t....�...6 1�Z......�.�le/�.......$� Rough 1tiI c f/�► ad to be occupied as.lp.po.D.. ft'....�.....dZ... . ..3.4� .��...u.�V Y.�`.t..?�N. .IC... �'SI C M ADCC Zina iyn�y ,;�, provided that the person accepting this permit shall in every respect conform to the terms of a application on file in ; ' ;'` '�17 this office, and to the provisions of the Codes and By-Laws re ating to the Inspection, Alteration and Construction of ,/r - Buildings in the Town of North Andover. e � t ( C /PWMIANG INSPEC� VIOLATION of the Zoning or Building Regulations Voids this Permit. R u h4 C1111 PERMIT EXPIRES IN 6 MONTHS 5�1 5 �°- UNLESS CONSTRU N T ELECTRIC INSPER TS h 4a*T_as t ..................... Service UILDING INSPECTOR Occupancy Permit Required to Occupy Building p � Pii q � g GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RougoA PY P � No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building inspector. Burner Street No. SEE REVERSE SIDE I Smoke Det. `Z y ... Town of North Andover Building Department NORTH 400 Osgood Street O�si�eo North Andover Ma 01845 0? < ~ iwiw rviuvvui, iviaabawlUacua v1oY3 (978) 688-9545 Fax (978) 688-9542 ° ,y 9A cocwc.Kw.c.�• _ �SSACHUr,E� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION µ ADDRESS LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION E OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGEC RE DOES NOT MEET ALL APPLICABLE CODES. SIGNATU7 OFFICIAL USE ONLY ROUTING D.P.W. —WATER METER DATE LV J69 kkc D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. n, A o P, N � i SIGNATURE/DPW AUTHORIZATION Date. . .G. ...�. .��. NORTH o? TOWN OF NORTH ANDOVER F 9 • PERMIT FOR GAS INSTALLATION 9 aSACMU5Et,( This-certifies that . . . . . . . . .�� . . . . . . . . . . . . . . . . . . has permission for gas-installation . . ..! . . . . . . . . . . . . . . in the buildings of .` at .�'�f :- —�? • ., North Andover, Mass. 4 Fee. ,?!� Lic. No.. .`� %J GAS IN P�6 OR Check# 5220 MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS FTYrING (Type or print) Date �, •?�t -ZLODs NORTH ANDOVER,MASSACHUSETTS Building Locations t �^� 4"�-tom-�' Permit# Amount$ Owner's Name RS S New® Renovation ❑ Replacement ® Plans Submitted ❑ W P4 p U F aF Q w o� wa rH ° o r� o 5 3 A o a A w N o SUB -BASEM ENT BASEMENT 1ST. FLOOR CD 2ND . FLOOR 3RD . FLOOR 1 4 T H . FLOOR 5 T H . F L O O R 6TH . FLOOR 7TH . F L O O R 8TH . FLOOR (Print or type) Che one: Certificate Installing Company Name l: POCL 1 P-Q I-1 �la�� v Corp. �c% ►� Address \"l4q (-21 ;rl ,Fermi-- `3 3� ❑ Partner. usiness Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitterrp 11�t tL@ �'\✓�+\� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes. No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. 13Liability insurance policy � Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ t hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with ail pertinent provisions of the Massachusetts State Gas Codeand Chapter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By: Plumber Title ❑ l� �� ity/Town 13 Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date, �- . TOWN OF NORTH ANDOVER j oo` p PERMIT FOR PLUMBING 'SS�ICMUS� .l This certifies that ^. . . *. -1 . has permission to perform .- `T•. . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of `-.tea. . ..: . . . . . . . . . . . _�'` r. . . . .•,,.,. . . . . . . . . .- . . . :::. . . ., North Andover, Mass. Fee. : 'Lic. No.e��- .Os5 �. . . . . . . . . . . ;PLUMBIN��N PECTOR Check # 1-91�112 6593 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location to I a. Owners Name P5S Cof DS•�-• Permit# Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No D D D . ❑ ❑ FIXTURES I rf rf I %Rfgym Mie r r c aD1H fm 3 i 2M]MOCK 4M fl" SII3IHIDM 6II3 FIDQt 7M KOM SII3 Kee (Print or type) Check one: Certificate Installing Company Name E] Corp. a(� Address \'Iclq 4L�C ' -L � ��� ❑ Partner. J�C�+- f- i__gA-• 01 J� Business Telephone Cl-7 ,--Z gLu Firm/Co. Name of Licensed Plumber. PLA►l[ L� NA A, Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY hgS' n� Of he nse Type of Plumbing License Title I l3S S City/Town ht� um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY 73 Location' No. Date �oRTM TOWN OF NORTH ANDOVER F w 9 Certificate of Occupancy $ �i�s'"'•'EtA -Building/Frame Permit Fee $ s�CHus i Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 1 v + 3 6 ���uilding Inspect TOWN OF NORTH ANDOVER BUILDING DEPARTMENT v APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. 11-7 ,1®a oG � SIGNATURE: Building C mmissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 0 1.2 Assessors and Parcel Number: 1.1 Property Address: Map Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: �eS 7�_ 3�S Zond Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 0 7 S 2-0 3 v 1 ei-;C-)" a 1.7 Water Simply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 --age Disposal System: Public Private ❑ Zane Outside Flood Zane MunicipalOn Site Disposal System ❑ ri SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 17,116 uric uls es o r1'1 �.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Tel hone 90 SECTION 3-CONSTRUCTION SERVICES � 3.1 Licensed Construction Supervisor: Not Applicable ❑ ' L),\ sr-, fLv�r lit Licensed Construction Supervisor: S D b 13 License Number S 7 C LJA GC l S i er,-��.-.H C d 1�b z� wn Addre&L.(/ 41A D`�L/ y �l Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address r r Expiration Date Signature Telephone a�, SECTION 4-WORKERS COMPENSATIONL (M.G.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 buildingpermit. v. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all a ucable New Construction Existing Building ❑ Repair(s) ❑ Alterations(1) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: /3471 .3 S 1 A o SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OCy 1GlSE p ,y � z Completed b permit applicant r„ ta Ulm, — 1. Building a Building Permit Fee /© Z uv Multiplier /,;)st ��" C p 2 Electrical (b) Estimated Total Cost of 01 .O Construction `1 / 3 Plumbing — CTU p Building Permit fee tel x (b) 4 Mechanical HVAC p � 5 Fire Protection _A 6 Total 1+2+3+4+5 Z 2,51 azro Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN r OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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 1, 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 i Print Name Si ariue of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVMERS 1 2 3 KU SPAN DIIv1ENSIONS OF SILLS DIMENSIONS OF POSTS 2 irf, VL DI1vIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS `p SIZE OF FOOTING a +y r, X I -L MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND SeD t; IS BUILDING CONNECTED TO NATURAL GAS LINE e j 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 L /6 PHONE 7E," I�- /`` 6 LOCATION: Assessor's Map Number PARCEL SUBDIVISION ,/r LOT (S) _ STREET ���t•�+ S 7-/r-c? ST. NUMBER �IZ **********OFFICIAL USE ONLY *********** RECO ENDATIONS TOWN AGENTS: 14 dig ` i CONS RVATION ADMINIS TOR DA PR ` A CT i r COMMENTS o,5 co be. i n ou A G( �d L ,t6 6 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 ERMI FIRE DEPARTMENT Z RECEIVED BY BUILDING INSPECTORZ DATE Revised 9197 jm N/F ,� �� JULI o, zuuz �. %LD J. LEDUC & _ — 'LIE M. LEDUC 3' i . . B-9 DK 5167 PAGE 83 PLAN #7140 �lAP 38 LOT 114 B-8 . N � B-12 B-10 o B-11 41 B-13 �y.o2 LOT 11 - 1 LOT 11 -2 TOTAL CBA = 10011 AREA = 37,375 SQ.FT.f OR TOTAL CBA = 100X B-1s 0.8580 ACRES AREA = 139,641 SQ.FT.f OR TOTAL LOT WIDTH N 3.2057 ACRES 157.65' �, TOTAL LOT WIDTH EXISTING 173. 18' DWELLING 59 VIO 65.02 �- s2'75 TOTAL _ — ?5�,, 60 .,30. , & FRONTAGE = 149.39 ,►W N71'26'0,3"W ,.05' , lA� ��.65 N85'0 5? 57.59' \\ PGE RQN� A�6.5 E.C.S.B./L.P. E.P 14.26' DRILL HOLE .w,�. a� F 728.33' FOUND N56'54'14"W FOUND / \ g6 N85'08'32"W 69 - 1 TOTAL .40'19"W „-� N8 _ .► E.C.S.B./L.P. E.P3000) 2.78' FOUND ARIES E•�'�'�. # t N87'40'19"W -,--I, It Ar .,jBLIC N W�pTN 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 c 11, S 150 A. The debris will be disposed of in: (Location of Facility) 21AI" Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts . t d Department of Industrial Accidents Office of Investigations mw Boston, Mass. 02111 c�O�M SJe�� Workers'Compensation Insurance Affidavit Name Please Print Name: civ u+11e Location: L v-r 5 r c as City A,, Phone # 41-),F_ $I'S' - 'V LAY I am a homeowner performing all work myself. m a sole proprietor and have no one working in an capacity I a P P 9 Y P tY I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone#: , Insurance.Co. Policv# Company name: Address City: Phone#: Insurance Co. Policv# 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$1,5007 and/or one years'imprisonment as_well_as_civ.il,penaltiesin-thefarm ofa_STOP WORK_ORDPR..and..a.fine.of.(.$1110.ODJ.aplay against.me. I understand that a copy of this statement may be forwarded to t e Office of Investigations of the DIA for coverage verification. I do hereby c ai and penalti perju th the information provided above is true and correct. Signature Date 6 10 'O 4 Print name ��,�✓ S i ��r lam.i/�P. P.hon.e# ci7F- tt� coli Y Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact persona Phone#: ❑ Health Department ❑ Other i - - .. • - GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBVILDING DEPARTMENT, # ' This form shall be.used to assist the Building Department in their determmationof exemptionunder section 8.7:6 of the Town of North Andover Growth Management Bylaw The applicant shall provide all of the necessary Information as requested below: s 11- x` Permit Applicant Property addresst Map"/,"Parcel " Applicant's Phone Number: Si gle Family r Two Fa`Inlly' 1 the undersigned applicant for the above propertyattest that the attached building perrnit for which;this form is completed t + " does comply with the EXEMPTION.secxion 8.7.6 of the Growth Management Bylaw.I also understand providing form does not t absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building 1 permit.Further I understandthat:my interpretation of the exemption status is subject to review bythe:Burldmg:Departmen'and is only ' b officially accepted when he building permit is issued. Based on section 8,7.6 ofthe North Andover Growth Bylaw the above lot and the work,as applied for on the above lot;,in the building r permit application and associated attachments complies with one or more ofthe following sections`as indicated by a check mark. This is an application for a building permit'forthe enlargenient,restoration' reconstruction bfa dwelling in existence as of the effective date ofthis bylaw,provided that no additional.residential unit is.created ;'; r • ) . .' . The lot(s)was/were created.prior to May 6 1996 and areexemptfrom the provisions of section 8.7 of the Zoning Bylaw: $ This appligtion.is for dwelling.units for low and or moderate uic6me families+or nidividuais;where all ofthe conditions ' of 8.7.6 arc mei and or represents dwelling units for senior.residents where occupancy of the units is restricted to senior citizens.: through a properly executed and recorded deed restriction running withthe land.For purposes of this sectronF"se`iiinior shall mean t.f persons over the age of 55 w , ju 4 This application is part of a development probed which voluntarily agreed to a minmnum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract;with the F surplus land equal to at least ten`buildable acres and permancniiy designated as open space or f irndand The land to bepreserved,shall , 't P be protected from development by an Agricultural Preservation Restriction;Conservation Restriction,dedication to the Townn,or other similar mechanism approved by.the planning board that will 6isure its protection. 'r 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 onetime exemption from'theTlanned.Growth Rate and r t" 1 Development Schedulingprovisions for the purpose of constructing one-single family dwelling unit on the parcel.` t(DR + , , This application represents a lot which is ready for a building permit(,all other permits from all other boards and i y commissions have been received and the project is in compliance with.those permits),and the Development Schedule does not ,: , g 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 ` 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 TILE INFORMATION PROVIDED`AND THAT TiikATTACHI D BUILDING PERMIT IS'ALLOWED AN EXEMPTION AS CITED ABOVE. + FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR-INACCURATE INP RMATION OR THE i, CHECKING OFF OF.AABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR O R UN�FO EFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A•BUILDING PERMIT. APPLICANTS SIGNATURE' " DATE ; THIS FORM TO BE_ATTACBED,TO TIE BUILDING PERMIT APPLICATION a Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:Untitled.rck TITLE:Lot 11-1 Salem St N Andover CITY:Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:09/30/04 DATE OF PLANS: 11/24/94 PROJECT INFORMATION: PJS Realty 87 Church St Merrimac MA 01860 I ANY INFORMATION: J&J Heating&Air Cond 17 Arlington St Dracut MA 01826 I COMPLIANCE:Passes I Maximum UA=610 Your Home UA=559 8.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA i Ceiling l:Flat Ceiling or Scissor Truss 1864 30.0 0.0 65 Wall 1:Wood Frame, 16"o.c. 2994 13.0 0.0 198 Window 1:Vinyl Frame:Double Pane 544 0.350 190 Door 1: Solid 39 0.460 18 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1864 19.0 0.0 88 Furnace 1:Forced Hot Air,93 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.5 Release 1 (formerly MECchenl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design I Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date REScheck Inspection Checklist Massachusetts Energy Code RES checkSoftware Version 3.5 Release 1 DATE:09/30/04 TITLE:Lot 11-1 Salem St N Andover Bldg. Dept. Use Ceilings: [ ) I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation I Comments: Windows: [ ] I 1. Window 1:Vinyl Frame:Double Pane,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ )No Comments: I Doors: 1. Door 1: Solid,U-factor:0.460 Comments: Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,93 AFUE or higher Make and Model Number 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 When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/f12 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. v Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. i Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as I specified in Sections 780CMR 1310 and J4.4. 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% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. I Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. 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) - RTIy Town o Andover 0 *' .... Y=•4• All B = x ndover, Mass., COCKICMEWICK ADRATED p �5 SSAC HIDs� IT FOR EXCAVATION , AND FOUNDATION THIS CERTIFIES THAT .....R.ZAA... ......ort........ ......................................................... has permission to excavate and pour foundationat c .�iQ //...�.....................�. ............................... for the purpose of.10RI1� BAA1 3 , ...�c5 1000 The person accepting this permit must return to the office of the Buil din Inspector certified plot plan show of building thereon before Foundation will be inspected. , VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. SEE REVERSE SIDE ................. .. . IN. .... .............I.. . ............... BUILDING S.PECTOR NORT#i E over Town of �.o CHL dover, Mass., AORATED S H E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System n BUILDING INSPECTOR THIS CERTIFIES THAT..7?.47 � ..� . .. ...... . ...... ........................................... Foundation c has permission to erect............./............ .......... buildings on ,/019/.�....� ...61.42.....5,��,.I.e*0...... V Rough to be occupied as.l. ... ....... .. yl'f.:a.... R... .... J If...u. �l .r. .. �10.1 e.. �'$lc�a JC ,: Chimney 0�?oQ A a.. .. ........ ... ................ provided that the person accepting this permit shall in every respect conform to the terms a application on file in Final this office, and to the provisions of the Codes and By-Laws re ating to the Inspection, Alteration and Construction of e. � 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 UNLESS CONSTRU N T TS ELECTRICAL INSPECTOR t � Rough .... ... ...... ..... ...... Service UILDING 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. l� u der 3 0 j S" d iL �n�S a- 13AI 0_8 (P C) Y30 cl Go SA� 1 MAESSOM H/ Massachusetts Highway Department Application for Permit t To be completed by the Applicant. See reverse for in 1. Town/City 2. State Highway route numbers and/or name 3. Description of property and/or facility for which access is s 4. Description of work to be performed within State Highway 5. Dig Safe Number: 6. Annlicant Information Location No. Date NORTH TOWN OF NORTH ANDOVER Of No ,�,ti0 F 9 , + ; . Certificate of Occupancy $ Its cNu 'E<� Building/Frame Permit Fee $ ws Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # X82`67 `� `"Building InsplE or N0RTFI E over Town of � 4 dower, Mass. COCH,C WIC 7B ADRATED 7 S H BOARD OF HEALTH Food/Kitchen PERMIT T Septic System �� . 4 BUILDING INSPECTOR THIS CERTIFIES THAT.............�........�..... ..�....... .. . # ..... .........................................eI4........... Foundation /.t? c c has permission to erect............./............ .......... buildings on ./�Q.f.��./.... '..6. ..... .�Q� ....... Rough �! N lC�p�cC' Chimney to be occupied as. :...... ..�.....o�... .�......1�.!.V...... c... �.... �e.. .. ... ............... provided that the person accepting this permit shall in every respect conform to the terms of a 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. 4 6- r ' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ASSESSORS COPY Rough MIT ISSUED El Final PERMIT EXPIRES IN 6 MON ? � MIT PENDING STRU N T ELECTRICAL INSPECTOR LTMT1� Rough PERIUff Eomm ❑ .... ... ...... ..... ...... ce Servi ❑ UILDING INSPECTOR Final r CCLI ancy Permit Required t0 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.