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HomeMy WebLinkAboutMiscellaneous - 740 SALEM STREET 4/30/2018M�M Date ... � �//G........ 3? �` O TOWN OF NORTH ANDOVER 9 PERMIT FOR GAS INSTALLATION °9 9SSAC HUSE� This certifies that ... .................. . has permission for, gas installation ................. in the buildings of ............................ at ....%�...SN�� :.... c ...... , North Andover, Mass. Fee. .. ..... , Lic. No. 1 `..... !--1-7 ......... GASINSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING y�UVrl- Mass. Date: Building Location: ) 1=- Permit: Ir Owner's Name: New ❑ Renovation ❑ Replacement Plans Submitted ❑ FIXTURES Installing Company Name: /6 y/9 L Cy ; j (- Please Check One: Certificate Address: O"e."s., Js rj d`Z [� C ip. �-`b ` ❑ Partner. Business Telephone: 't7 "7'j tl%5r1 —/,3LO ❑ Firm. Name of Licensed Plumber or Gas Fitter:'Y� 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 license of this application does not have any one of the above three insurance coverage's. Owner ❑ Agent ❑ Signature of owner/f?9att °.fT"mtY 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 Gas Code Chapter 142 of the General Laws. (OFFICE USE ONLY) By: Title: City/Town: APPROVED Type of Plumbing License:M— ber [IGasfitter aster ❑ Journeyman License Number: f 412MO .i /, p� NOn.M 140 O Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: L016 PROJECT: 013-00M)a�J� `�� U#)JNSPEEi19N DATE: / % —0 UNIT NO.: FLOOR; 0 WING: BUILDING NO.: 241Q Sal REMARKS: 67-®6'07 4%��o7�/�S, „'eye 1!0'19; _ Excavation - depth and soil conditions Framing - Other: Date: PI �� Date: 07 _ `0/ Date: Inspector 7 Inspector el Inspector Footings and foundations and drains - Insulation - Other: Date: Dater .2- /46- Date: 111 Inspector Inspector Z44% Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: E- 7 " 0 Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: ` t Date: / Y ` 0 / Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: c C ( Date: _ C of O li le'? Inspector ` - InspectorW Inspe for Form #995 Action Press, 885-7000 / 'a3e1d can;onesbu!Adn000 o; jo!jci peen ei AoUecin000;o e;eog.rpea •(Ancav a01 nn'C7Q - aal uoiloadsui-em n m 0 m O '17 C m 90 O 0 0 c -v n z 0 'NI Od M0138 SW311 01 0311WI1 lON -1S11A03H0/S310N ONIGIR 8 I"3N30 zo d� �z 70 O � n m 0 m O '17 C m 90 O 0 0 c -v n z 0 'NI Od M0138 SW311 01 0311WI1 lON -1S11A03H0/S310N ONIGIR 8 I"3N30 70 O � H � r H 30 d O n m 0 m O '17 C m 90 O 0 0 c -v n z 0 'NI Od M0138 SW311 01 0311WI1 lON -1S11A03H0/S310N ONIGIR 8 I"3N30 C/) m m m 0 m � d CA Cl) 'C O CD n z y CD C. ® r c � � C 03 C. _' y )Deco CD CD o .7 CLQ CD Er CD 0 CD C CD H CD C:O CO) O I Co CD o Q y m O Cl) CD me�a� m ZH• COD,� C 3 IFy H -4 CD cp y y � O C' m m� C a !C9 o vi CD n � � W •m� e ! o; o�m ! O cmn n n y� .AW� s d' c .� H C.C5 ��.o H c CD cy � C42 COD t� cON oo n � Z cc, .oma'..• o :� ^� ♦ Is o 7 ~� H CRa-a 2 C2:9 f7 : C/) C/)� G O p ~ y G 77' A oo.� G Cil G r C w A dCL �w5�_x� b O A 3 1 z 0 LJ H 0 0 c Town of North Andover pORTH 0 4t LAD Building Department 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 T O COCMI[NKN 1 kqrev 0, ACHU5���� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDREss T710 LOT DATE REQUEST FILED SAle&\ 'S DATE READY FOR INSPECTION $ 1 b 10 1 NCT-OA2 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ************************* ROUTING / CONSERVATION .00 PLANNING --' D.P.W. — WATER D.P.W. MUST IND PRIOR TO THE IN OFFICIAL USE ONLY or _ DATE. DATE DATE A T THE WATER METER HAS BEEN INSTALLED DPW AUTHORIZA Location ##1ND `SA �� �� S� No G /© Date Check # I/,LD 14377 40 /Y (C" Building Inspector TOWN OF NORTH ANDOVER fMORTh 1ti Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ 4/ % TOTAL $ / Check # I/,LD 14377 40 /Y (C" Building Inspector FROM : CARROLL CONSTRUCTION 5el". Lylc PeOV111,61D Do -TrA 0 srr //- 4,)scw- A0. -10 01:15-Prl Pl FAX NO. : 1 976 47soy .42 Hov. 2F3 20'L J Q, .47§ 4 $1 * I I k*i /I U LOT I T.{7.F 161.8, r Exlstmo n i 7no" .1 rOUNDAPON Ww" REAS 'MEN7' I ol I ,FA SEMEN T 196 1 SA LEY STREET FOUNDAVON LOCATION PLAN I "MWP, JAMM d"POU 7W COWIMMW IS WW AW UWW M ME AWW 0". SALEM SWEr Lor I MOPTH ANDOVER, MA I DOW 1*? Iff Efsm="WW mmm ftgum ro z mamml Zwo a i 4WIl"I'Mmm 0=MW AM Or CN� AW 2 waime itata�r VFrine rrer %wAajvm*- 7W AWWW AkU W we re ?w taw fm "r om :9V O r := NCE& w am SCALE. I 40P 0A 7"Er MOVEWER 27, 2ow wagavA owsm CHRIS7UNSEN &$CROI po"osume"m dMaea ME WON&A.M& 0ON RL gym -mo -wit mw ft N2 2690 0 Date. /Z.. .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that�.4.Y- ..... ......... .............................. ............. has permission to perform ........... :.- ....................... ...................... wiring in the building.,of ..... at .... ......... ......... 1./-. -7111 ................... . North Andover, Mass. Fee.4P .............. Lic. No...:'. %!n.. ....... ........................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THEOOMMOA'6VF.4LTHOFMASS4CHUSE7IS Office Use only DEPARMENTOFPIIBLICSAFBTP Permit No. .�l .9 BOARD OFMEPREYEMONREGM770AS527CMR120 2- � Occupancy &Fees Checked APPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) �-7. y OwnerorTenant /JD Owner's Address (3 �-S 0 �J C -A-4 — N- V Is this permit in conjunction with a buil ing permit: Yes [�No (Check Appropriate Box) Purpose of Building Utility Authorization No. 1 `-) Existing Service Amps Volts Overhead r-1 Underground M No. of Meters New Service Amps 11v / z {-olts Overhead r-71 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -- 5 t --V1 ce No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool AboveBelow Generators KVA ground round No. of Receptacle' Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bunters FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW tnitiatingDevices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - J htstaa=Ca raga Rastas,ttotheteglmartatts dagezGataalLaws IhiNcaaxra>tLibildyhsLm=PbficyeidudigCori*Ic CmtraWarits%bstrtUoVivalad YES [� NO Ih�est>Emil>advMpru fofsa=1DtheOffm YES rMINO r --J If}cuha%edudWYES,pieasemdcaLthetypeofWVWdWbydmkitgthe Mxopri* box. WSURANCE BOND OIH R l�!> D (7 WorkoSratt t 1 'Z uO htspecionD*Recpestud Signed t andat to Phn7lties of*w.. FIRM NAME 8 e�,\ --A A C (speffy) EvrAan we Est>rrWdValue( Wolk $ Rough Fatal Signa n LiariseNo Zi S�D� Tel Na 1.� ©o Lsc AltTeL Na OWNER'S NCEWAMT,IamawmdrtdvLiawdoesmt their>,siranoeoaaageoritss aleg ivala>tasreg=Wby EczCc aalLaws and thatmysignatweon this pamitappfiationwaiwsthis Mquim gat (Please check one) Owner a Agent cJ Telephone No. PERMIT FEE $�� Location G /0 S� No. , /0 C-- Date NaRT� TOWN OF NORTH ANDOVER `00 9 � ;e a Certificate of Occupancy $ ,, Its qNUS'•CHU 6 Building/Frame Permit Fee $ 1 t Foundation Permit Fee % -If4�" $ I Other Permit Fee $ " TOTAL $ Check # JV 14 4 7 x Building Inspector Town of North Andover NORTH t , OFFICE OF 3? o pL COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSACHU Director (978)688-9531 Fax(978)688-9542 CHIMNEY APPLICATION AND PERMIT DATE l 1 �j, (7 1a PERMIT # I V �- LOCATION I' 1�1�1 c� fel >4,r �i 5:� 1`2Uvli�4 OWNER'S NAME 1.9 v BUILDER'S NAME�1/ MASON'S NAME MASON'S ADDRESS 30c, -S E_ i 1Q�,-, 2 s �e 6 MASON'S TELEPHONE (9(D?,--3a9l- MATERIAL OF CHIMNEY 0:�>4 1-C \C INTERIOR CHIMNEY EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH 2.0" l� Will chimney or fireplace conform to requirements of the code and have rules) and regulations been received: U�Ae� 'DATE k'31lO (SIGNATURE OF MASON��yu� id CONTR. LIC. # C F-OLP36o3 EST. CONSTRUCTION COST/CONTRACT PRICE d��`-� PERMIT GRANTED ROBERT NICETTA, BUILDING INSPECTED_ REMARKS BOARD OF APPEALS 688-9541 ,ZEEc INSPECTOR SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES BUILDING 688-9545 CONT—VATION 688-9530 HEAL'T'H 688-9540 PLANNING 688-9535 �m y� Town of North Andover Office of the Director mmunity Development and Services Division �Lc� � ��� P ? 27 Charles Street O ("' North Andover, Massachusetts 01845 11f illiont J. Stoll r l.Xvision Director MEMORANDUM V`- E T0: D. Robert Nicetta, Building Commissioner FR: Donna Mae R E : Question 1 Permit Process DATE: Jonuary 22, 2001 Telephone Call January 22, 2001 @ 11:30 I E NORTH 1 40 SACHUSE� Telephone (978) 688-9531 Fax (978)688-9542 74o sA((aw (�t- Received from Jusdy -Epstein regarding a home on Satem Stre-etthatappears to be too close ,to hhe street. She is questioning the building permit process. Day phone No. 683-9684 Cell phone No. 617-413-2374 She is requesting to speak with the Director of Community Development. Please provide my office with a response to Ms. Epstein's concerns. IiU:\ItU UP .\I'PI::\I.S 689-9541 13U I J:)J\G 688-9545 CONSHR\'.al'ION 689.9530 IfLAIA-11 688-9540 Pl..ANMNC, 688-993 Memorandum TO: D. Robert Nicetta, Building Commissioner FROM: Michael McGuire, Local Building Inspector tt/yC, DATE: January 22, 2001 RE: 1/22/01 phone message from Judy Epstein In regards to the message from the above individual I returned her can at 1:15 PM and spoke at length with her. Ms. Epstein's question was of the new home under construction at 240 Salem St. and it's close proximity to the road. I explained to her that I had questioned this when the first floor front wall's were constructed as well as it looks to close to the street. I pulled the file and explained to her that the structure is in conformance with the setbacks as required. She did mention that she hopes that this is not going to be the norm with all the development going on in Town. i Locatiom7 o No. 410 Date TOWN OF NORTH ANDOVER 1/ i Certificate of Occupancy $ +��b'•��''<�� ss�CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3. Check # L2 c 101335 "'" Building Inspe�c or N I.Y 41; pTOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING s xOHDi<' QiC1A.lEwSe BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNATURE: Building Commissionerflrkspfmtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: �/ L 1 Sale t . (P� a-� /Nd W ,5 ,5 .2 Assessors Map 5, Map Number and Parcel Number: iy Parcel Number 1.3 Zoning Information: R-3 Resldel,,fla l Zoning District Proposed Use 1.4 Property Dimensions: X51000 sl: l96 ' Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 36 ao azl 30 30 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: Public X Private ❑ Zone Outside Flood Zone fl 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1\69t47 -Y ANPQV­rRRCLTK CORP, /0a 16�►�►n�{caK�� Name (Print) Address for Service Co r le.5 A, C'arro 11 Pres/ipenf �(�,ta'oveC,r1gSr Signature''�� (z C�f/rr`°"'�- Telephone ��t7S-6186-77-?y 2.20 wner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: ,,fR M r s V \� C^ R R OLL Address / Z / � AP -Ex -5 s Cj LL w�, ANDDV--R1 �yg SS 0 /8/ p Signature Telephone a vn�.a- V Cah vc'& 4 �2 3 -3 3 89 Not Applicable ❑ License Number 543 Expiration Date 3.2 Regt tered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone d 0 z M 90 0 ic 0 M r r Z ^ Q v SECTION 4 - WORKERS COMPENSATION (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 building permit. Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Constntction X Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l ®N.S?-ffyc7 Two .57aA7y \Jaey FRAME Hov51_ W/ry t �7 CAP, GARPCI= V-,VP6X, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bez Completed by pemiit applicant OFFICIALAUSEt(1NLY �- 1. Building 7 7/, 000 (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction %(o ��S % 3 Plumbing /y Odd ,' Building Permit fee (a) X (b) 4 Mechanical HVAC /2 000'- 5 Fire Protection 060'- 6 Total (1+2+3+4+5) / 000,— 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 pennit application. Signature of Ovoier Date SECTION7bOWNER/AUTHORIZED AGENTDECLARATION 1. TIharl'es 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 No A-,daver Re -7f4 orp. Aqrle5 ACdrr011 �'reS�dp�t Print Nat}��-��,en� Si nature of Owner/Agent Date NO. OF STORIES 2 l SIZE x -3 6 BASEMENT OR SLAB eri+ en SIZE OF FLOOR TIMBERS IST a x 0 2ND x /0 3 Ma x/ SPAN DIMENSIONS OF SILLS q x DIMENSIONS OF POSTS LlX 6 DIMENSIONS OF GIRDERS G X /0 HEIGHT OF FOUNDATION Q/ THICKNESS /Q " SIZE OF FOOTING / g /i — a S/ X MATERIAL OF CHIMNEY Q k IS BUILDING ON SOLID OR FILLED LAND $OL/U IS BUILDING CONNECTED TO NATURAL GAS LINE es P l c} 4 m e— 10-62q— OCA FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT , V Of�TN }ItV DOV E� �' IA�7 id1�1? PHONE ��6 "77- y ASSESSORS MAP NUMBER 6 -5' LOT NUMBER 14 SUBDIVISION SA N C T Uli`K K LOT NUMBER STREET SA t L Vq S -T. STREET NUMBER 7¢0 OFFICIAL USE ONLY ,..... .................................................................... RE ATION OF TO AGENTS ago ■. E MENNEN ..WENN Now ■ ■ ■ ■ EWEN ............................ �....... ■ DATE APPROVED I CO VATION ADMINISTRATOR /1 IL V TOWN COMMENTS C7� DATE REJECTED L� u DATE APPROVED_ DATE REJECTED DATE APPROVED FOOD-DWETR - �IF� 7,L 'Hg DATE REJECTED �/ l\ DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS AY PERMIT / /,woo 06-' ' DATE APPROVED DATE REJECTED CONa ENTS RECEIVED BY BUILDING INSPECTOR DATE mr t0— 74-cct::) Buildino Value Calculation - for Pro a at..... Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 21 14 294.0044�� 65 $ 19,110.00 Living Room 20 14 280.001 $ 18,200.00 Dining Room 14 14 196.00��W $ 12,740.00 Family Room 38 16 608.00 �r� $ 39,520.00 Study 14 12 168.00 T�"��'_. $ 10,920.00 Laundry 8 7 56.00 ��'5' $ 3,640.00 Garage 790.00�$ 27,650.00 Entry 17 14 238.00 $ 15,470.00 Basement Finished Deck Screened Porch -� $ - Breakfast Nook 9 4 36.00 $ 2,340.00 Bedroom 1 33 16 528.00�$ 34,320.00 Bedroom 2 18 14 252.00 16,380.00 Bedroom 3 16 14 224.00 $ 14,560.00 Bedroom 4 13 16 208.00 �.����� $ 13,520.00 Bedroom 5 -� $ - Bathroom 1 10 6 60.00 �� $ 3,900.00 Bathroom 2 13.5 10 135.00` �R $ 8,775.00 Bathroom 3 8 10 80.00 W,4$ 5,200.00 Bathroom 4 - },L�� $ - (Bathroom 5� $ �a `Kg„y�„�"•.., '�"'p�`��:-r�P� a �,:-� �a'fi;� ,„;s, z�'�'��ir�. }�m.m.i�'+ s�,�•r s .ak.iz-. �� -�..>c wruarv�.., +.a�:.,.ss't',,``r��..:.A ,,..,.Y�a � .�_.�.xi5v' .rr.�:..'.°4..�„3�'-��:`u✓���'�'.,�,''�i`sslec�n $ 246,245.00 CI( I — 0 C- o I ct � � �� w `. MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: PLAN NO 8721 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 10-22-2000 PROJECT INFORMATION: COLONIAL HOUSE COMPANY INFORMATION: BRUNO ASSOC 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 689 Your Home = 548 or 2 Family, Detached Other (Non -Electric Resistance) Permit #. Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1945 30.0 0.0 68 WALLS: Wood Frame, 16" O.C. 3168 13.0 0.0 260 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1945 19.0 0.0 88 GLAZING: Windows or Doors 284 0.350 99 DOORS 93 0.350 33 HVAC EQUIPMENT: Furnace, 87.5 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date TITLE: PLAN NO 8721 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 10-22-2000 CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., Comments/Location R-13 BASEMENT WALLS: 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ j Yes [ ] No Comments/Location DOORS: 1. U -value:_ 0.35 Comments/Location HVAC EQUIPMENT: 1. Furnace, 87.5 AFUE or higher Make and Model Number AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. 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 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be 4 A provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork 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. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES TEMP (F) 2" RUNOUTS 0-1" 201-250 1.0 1.5 120-200 0.5 1.0 any 1.0 1.0 (in.) 1.25-2" 2.5-4" 1.5 2.0 1.0 1.5 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): ----NOTES TO FIELD (Building Department Use Only)------------------------- PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- Z o m q } \ \ ƒ.r > \ \■� £ z0� T ` � . e 9�»« d\ } : ' °« ■ o ' \fes t� ( ' \OD ; o v « -: e y� »� . z o %�da�^w �2 • R ° G g § . (CLW ) cm / $ c . S 2 \ \\ Pi The Commonwealth of Massachusetts y�J Department of Industrial -Ac -idents Office of Investigations Boston, Mass. 02111 �= Wcrkerf Compensarion Insurance .4,Tidavit lame Ple-ase print \IGime: �VOpZ-�"k /9 n AV ('V, � �ci � �� corc, . Location: lzo dh Gia V°)"Yv1�S/� ns CIN/ /V0r /) �jjo v6,r r ! c SS< Fhcre T 12M a hcrnecwrer performing all work myself. UI am a sole proprietor and have no one wcrkina in any capac;ty I am an emplever prcvidino workers' compensation for my employees INcrkine on this job. Comcanv name: No A NDOV i�-P, 1?s',F,4LTY ('01VP, ^ddre C/6 ...5')J+y(f7"U115q1( -50jjDY0510A%' Cihr /V0, f-1 Nj)©V/r)R Phone T* 8 �-77�2 y Inctir_rrr•= (".-) l7t%ARr,) 1 NSUR 1 J r4 ` L C6 FrJllc,/ r-- A W1. /1Q 3,( Comcanv name: Address iN : Phone --. Insurance Co. Folic/ Failure to secure coverage as r ecuirar under Sec:icn 2°A or i4iGL 152 can lead to the imposition cf cnmiral penalties d a rine up to S1.9CO.CO andcr one years' imprscnrent as -,veil as c:vii penalties in the form cf a STCP'/N/CRK ORCER and a rine cf (S1CO.CO) a day against me. I understand that a c#y cr ,tris statement may ce fcrNarced to the Orctce of Invesrgaticns cf :he CIA for coverage verinccticn. I do heresy cerrify under the gains and penalties or Sicnatu N that ;he information provided accve is 'rue and ccrrecr. Cate Id - 20 - 6'10 Print name C Y a r` ) es A, ` dprol/ _Phone ;r, Cit{C:al use only do not write in this area to t;e ccmcleted by c:y cr :cwn cfncat, C;ty cr T cvn P=rmd/lucansirc I .C`ec.c .f,mmediate resperse:s required 0 Building Dept Licensing B.card Sa!ecn-nan s OflIc�a C Health 0eparrment G Other GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT ************************************************************************ This form shall be used to assist the Building Department in their determination of exemption under 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. IVo, A -n Duel- Rea by Corp- .Sd nc�ua:r - L p Permit Applicant Property ad ress Map / Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providingthis forth does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. AThis is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. A This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8. .6 are met 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 with the land. For purposes of this section "senior" shall mean persons over the age of 55. 1'*1 A This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent par l on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. (I-,"— dzll�, - /Q--,�O•-60 APPLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL -c'40 S 54, a condition of Building Permit Number Is that the debris resulting form ,this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Of N, P- Yqvc-rvPRj EVOIJIVIS'JOA Location of Facility Signature of Permit Applicant -;2d- Da Date NOTE: Demolition . permit from, the Town of North Andover must be obtained for this project through the Office of the Building Inspector MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: PLAN NO 8721 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 10-22-2000 PROJECT INFORMATION: COLONIAL HOUSE COMPANY INFORMATION: BRUNO ASSOC 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 689 Your Home = 548 or 2 Family, Detached Other (Non -Electric Resistance) I APer 't # II Checked by/Date I I Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1945 30.0 0.0 68 WALLS: Wood Frame, 16" O.C. 3168 13.0 0.0 260 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1945 19.0 0.0 88 GLAZING: Windows or Doors 284 0.350 99 DOORS 93 0.350 33 HVAC EQUIPMENT: Furnace, 87.5 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date TITLE: PLAN NO 8721 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 10-22-2000 Bldg.l Dept.l Use I I CEILINGS: [ ] i 1. R-30 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 Comments/Location I BASEMENT WALLS: [ l I 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.35 For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U -value: 0.35 Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 87.5 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. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I 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. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no i more than 2.0 cfm (0.944 L/s) air movement from the the i conditioned space to the ceiling cavity. The lighting fixture i shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ J I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork 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. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES TEMP (F) 2" RUNOUTS 0-1" 201-250 1.0 1.5 120-200 0.5 1.0 any 1.0 1.0 (in.) 1.25-2" 2.5-4" 1.5 2.0 1.0 1.5 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- Ln <_ Ln m O O aj o m O m o Z O �• o aI , r 4l �' CD 10 -n (1) C (DD 'O O O a H 'o m > > o 3 p a D, N Z d 0 tA O' m O O n M 7. 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