Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - Dogwood Circle-Bldg 18 Units 1801,1802,1803, 1804, 1805, 1806
z CD U vi Ob A 41? z 3 57 Tuygr► l(-- Location 14 o1 �(xW!)J 61rde No. Date NORTH TOWN OF NORTH ANDOVER O:t..ao :•.+�•O G 9 Certificate of Occupancy $ sA�N�s <� Building/Frame Permit Fee $ //��,,��� Foundation Permit Fee $ Lf 00,5, Other Permit Fee $ TOTAL $� Check #Orlon% 177;1, 18845 Building Inspector o — TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING s .M .2 's Suction for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED: .8o</ 47:,eQS— "1"60(.0� c, Builft Commissioner or of Buildings Date 1.1 Property Address: 1.2 Assessors Map Map Number Parcel Number 1.3 Zoning Information: -Z '�e a — ©3 1 1.4 Property Dimensions: z-1 R -a Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide R Provided Re red Provided 1.7 Water Supply NW.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System 0 . n s c s i 2.1 Owner of Record N e (Print) % Address for Service Signature Telephone 2.2 AuZtt,A /�94Z�Z=��� P Let�LJI' . 08�91 Name Print Address for Service: ;e -st- - Signature Telephone R r- 3.1 Licensed Constructio Supervisor Not Applicable ❑ Address License Number Licen metro 'on Su so. j E tion Elate �J Signa Telephone 3.2 steted Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone ic 0 0 X z 0 z M 90 0 on r M r r Z G) I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under a penalties of perjury /theins U , Print Name Signature of Owner/Agent Date Estimated Cost (Dollars) to be Item Completed by applicant •� '� " �' permit 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) `pwn 5 Fire Protection 6 Total (1+2+3+4+5) Check Number ie 5 `tiL �i,N.3 fSt h '+.,.Y } zN^,�azi' i Fd ',}4,r�93Ki Y�N�r+1;rtf^YA,:5, "eCr�'h;'f%tt '*.! �{r',7}+'i3>:t^.'; Y; %_,�<:f � t�rF,( Y .,Nyy'k`''.'�s'l1 ,i,�3 4 t$h i��N��.{S:d. t+v�_zh.X :'r�4 :7f�. , , ��{�`�g,S l'`,�y33.�}GF1j';: yX.V .�Fi7�•3`S�",:.# ?�yu 1�ui:Y�Ui,t a '.w}alr'''z. ,�2��} (rhJ1Y-f4 y�-,�.-,�g �r�lY��.L ,). �t.; :. i4'•�9.'' . t�Sf�rij' }". drVt�::_� ,'f, �uiW�k"4'..or� . -i ?K.fy:4k,t.;3;._r ;ti5'•:r �,�h.tia:_�r- Ltk..�w;. ,..yYh MINIM i',�;e.r ..imfr..e$. �t;ld l�e,,Y_ 4' '( , ..[.�4.qLsu`.�.,.t.}.v:s..?i,B•GG,:r 1 f I,r': ,,*,�?�. rf YEfry •J�`�.� •Y NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS 1ST 2 No 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE `--10'00�, '3'4�j.. . S''t'. * �S J-' Q MEN r'z {, ��tty?.. ' Workers Compensation Insurance affidavit stYbe completed and submitted with this application. issuance of the buildingrmit. Failure to provide this affidavit will result in the denial of the Signed affidavit Attached Yea ....... No ....... ❑ SICTIO l c�rlsxtreaea cx�ol��.a�al�+� s �j 5.1 Re istered Architec `• , -- Address + Signature Telephone '. Name: Area of Responsibility Registration Number Expiration Date Address: � I.(' gignature Total Not applicable ❑ Registration Number Expiration Date Mine: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Company Name: Not Applicable ❑ Responsible in Charge of Construction New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: A Assembly ❑ A-1 ❑ A4 ❑ BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Raluired Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize�0 My behalf, in all matters Owner of the subject property authorized by this building permit application of Owner Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ IA IB ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F -I ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Raluired Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize�0 My behalf, in all matters Owner of the subject property authorized by this building permit application of Owner Date to act on Valley Realty Development LLC _ f_ W""%O I ' " ` Town of North Andover 15 Date Type Reference it Payment 11/18/2005 Bill Building #18 485.00 t 485.00 Cash-Banknorth 1501 Building #18 "� 485.00 Valley Realty Development LLC Town of North Andover Date Type Reference 11/18/2005 Bill Building #18 Cash-Banknorth 1501 Building #18 11/18/2005 Original Amt. Balance Due Discount Payment 485.00 485.00 485.00 Check Amount 485.00 485.00 I 3 0 H o L z O u. Jc Q v� V,a , 0 o: '5 aw ac m LL= - `� 1 ' � '0 0 �= o •d 0 z °a� a c a Q p p y C r� r m� W V�W_ +.�-o 3c W 5 •moi 0 o o m u �® CL _ eo W ~`• c�cv E' w m W a °O�r arc o c ix a cl a offto FL E � A go m a, c Wy V O p � •N a � c x m W�a H �Q o o E ro uj F- .tot o o,� z °E ga� g t12 ` o cu 1 o a� 0 a� S cr. �, Q� w t. 07 O.L `TALO 3 0 H o L z O u. Jc Q v� V,a , 0 o: '5 aw ac m LL= - `� 1 ' � '0 0 �= o •d 0 z °a� a c a Q p p y C r� r m� W V�W_ +.�-o 3c W 5 •moi 0 o o m u �® CL _ eo W ~`• c�cv E' w m W a °O�r arc o c ix a cl a offto FL E � A go m a, c Wy V O p � •N a � c x m W�a H �Q o o E ro uj F- .tot o o,� z °E ga� g t12 ` o cu y m 2 y d U O CA +• O y b n O z cnC� 9 0z ro m e w��a m a �O dm H m �m n C) o�yae' 3 Z o T .�• ® CL Mn om�go y N390 � a N3 o o w =r x7• C MONO ncc*:, o m •'�► m O a ,: C0 US O m CO) O c CL mo 9' H r 0 o mCM. �d am- CLgr e W N CD .�► `� O� N WIVA 3`w pa op Wm o W � U O .Oi N d Mw �w c� = gr o gO g rt�� C40 W4% mmi cncn� O Z b w b � C q�n, rte,, 0 q�n, w ° qs tz O v o a x 7d 7d 7d omi 0 GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipelstoneffabfic filtedcover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls'at stair stringers. Windbrace comers and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. ` Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. :.. Girls - solid brick or steel plate bearing at foundations " air space at sides in foundation pockets. Lateral bracing at ends. _: t Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. tam O @ o 3 a o �O Z �o agym W O"" Y N N ITf o w m �? d off , O ° OnH N a � .wx Q O. D O H •• U3 n '° m t° CL C 2CL 32 a At o c O � s. . E E < Q �c ° �cr3 . a Wo ' A ow :.�.. 01 7 U3 Er @ a tD i ® m �t !� a o w' o `wl M '•� 1 gas ALP 16 m x C) O z O C Z v 0 z Mi 1 0 0 �Mpl IV C7 ti 0b" '. /AD D 01.1 „ IT 1 TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR. RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ;, s Section for Official Use (Dnl BUILDING PERMIT NUMBER: DATE ISSUED: _ 5 Building Commissioner/Inspector of Buildings Date 1.1 Property Address: 1.2 Assessors Map armVP -or Map Number Parcel Number 1.3 Zoning Information: 8 �Q J �L — 0 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided ReIqUired Provided 1.7 Water Supply M.GL.C.40. 54) 1.3. Flood Zone Inforn ation: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record Z� /t/l NaNa ee (Print) Address for Service: a`LJ r—rOU A/ Signature Telephone 2.2 AutAgz; nt 61/ /,11/011 Name Address for Service: Zw $l- t 5 7- -'// Signature Telephone_- -- _ - 3.1 Licensed Constructif Supervisor Not Applicable ❑ Address License Number Li=on 'on Su tviso . Expirdtion 126te Signa Telephone 3.2 I&gistered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone z O Ps, @'Sj M I PAJ 0 M z O z M 90 O r M r r z G) as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the ins apd penalties of perjury J i Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be Completed by applicant p"t 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) -Check Number A N NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1sr 2 ND 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FELLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE �5, SECTION41 - Y! 3/J1111JSi43 LOOM J^i NSATIO � C6,..Ti.J� Workers Compensation Insurance affidavit st 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 Yea ....... No ....... fl SECTION 5.-1PROFESSIUNAL DUIGP( AND CONSMUCTION SERVICES F4R BUIL DINGS AND. STRUCTtUS SUBJECT TO CONSTRUCTION CONTROL PURSLIAN'T � O'er° CMR(CONTAINING ; it 14LO>1aE TSN, D 35,009 C:F. OF ENCLOSED SL'ACI� 5.1 Re tstered Architect 7. I Address Signature Telephone - - 4 /,,Z Name: 61 Area of Responsibility Registration Number Expiration Date Address: A Signature Total Not applicable ❑ Registration Number Expiration Date dame: �.r Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Not Applicable ❑ Company Name: Responsible in Charge of Construction �E'i'Ii31'i b;IbE� . , __ 1+1 IC3F`PROP'O�)�D 6V'�'lif� (check abt i New Construction Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ I Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: 7 Z -4,01,i USE GROUP Check as applicable) CONSTRUCTION Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize My behalf, in all matters *nature of Owner Owner of the subject property authorized by this building permit application Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 A-5 0 A-3 0 ❑ ]A 113 0 ❑ B Business ❑ 2A 2B 2C 0 0 0 C Educational 0 F Factory 0 F-1 0 F-2 ❑ H High Hazard 0 3A 3B ❑ ❑ IInstitutional 0 I-1 0 I-2 ❑ I-3 ❑ M Mercantile ❑ 4 0 R residential 0 R-1 ❑ R-2 ❑ R-3 0 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use 0 ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize My behalf, in all matters *nature of Owner Owner of the subject property authorized by this building permit application Date to act on 2009 IECC COMcheck Software Version 3.8.1 Envelope Comp-liance Certificate Section 1: Project Information Project Type: New Construction Project Title : Building 18 - Unit 1801 Construction Site: 2357 Turnpike Street 1801 Dogwood Circle North Andover, MA 01845 Permit No. 156-2011 Permit Date: 8/28/2010 Owner/Agent: Tony Mesiti VRD Acquisition, LLC 100 Andover ByPass Suite 203 North Andover, MA 01845 978-687-5300 Section 2: General Information Building Location (for weather data): North Andover, Massachusetts Climate Zone: 5a Building Type for Envelope Requirements: Residential Vertical Glazing / Wall Area Pct.: 11% Activity Type(s) Floor Area Multifamily 3026 Section 3: Requirements Checklist Envelope PASSES Design 9° better than code. Climate -Specific Requirements: Designer/Contractor: Robert Vorbach Vorbach Architecture 58 Manchester Street Nashua, New Hampshire, NH 03064-2114 603-886-1738 rjvorbach@comcast.net Component Name/Description Gross Area or Perimeter Cavity R -Value Cont. R -Value Proposed U -Factor Budget U-Factor(a) Roof 1: Attic Roof with Wood Joists 1603 38.0 0.0 0.027 0.027 Exterior Wall 1: Wood -Framed, 16" o.c. 2183 19.0 0.0 0.067 0.051 Window 1: Vinyl Frame:Double Pane with Low -E, Tinted, SHGC 215 — — 0.320 0.350 0.27 Door 1: Glass (> 50% glazing): Nonmetal Frame, Non -Entrance 29 — -- 0.320 0.350 Door, SHG.0 0,27 Door 2: Insulated Metal, Non -Swinging 63 -- – 0.130 0.500 Door 3: Other Door, Swinging 20 -- -- 0.160 0.700 Door 4: Other Door, Swinging 20 - - — 0.160 0.700 Floor 1: Slab -On -Grade: Heated, Horizontal with vertical — 4 ft. 102 — 10.0 — — Floor 2: Wood -Framed 257 50.0 0.0 0.022 0.033 (a) Budget U -factors are used for software baseline calculations ONLY, and are not code requirements. (b)'Other components require supporting documentation for proposed U -factors. Air Leakage, Component Certification, and Vapor Retarder Requirements: 0 1. All joints and penetrations are caulked, gasketed or covered with a moisture vapor -permeable wrapping material installed in accordance with the manufacturer's installation instructions. L] 2, Windows, doors, and skylights certified as meeting leakage requirements. U 3. Component R -values & U -factors labeled as certified. Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMcheck\MR_Building 18.cck Page 1 of 2 j 4. No roof insulation is installed on a suspended ceiling with removable ceiling panels. O v. ,'Other' components have supporting documentation for proposed U -Factors. 6. Insulation installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R -value without compressing the insulation. 0 7. Stair, elevator shaft vents, and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized dampers. 8. Cargo doors and loading dock doors are weather sealed. 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283, are sealed with gasket or caulk. 0 10. Building entrance doors have a vestibule equipped with closing devices. Exceptions: J Building entrances with revolving doors. L) Doors that open directly from a space less than 3000 sq. ft. in area. Section 4: Compliance Statement Compliance Statement. The proposed envelope design represented in this and other calculations submitted with this permit application. The propos requirements in COMcheck Version 3.8.1 and to comply with the mand tQP� Name -Title Project Notes: Building 18 is a wood frame six unit structure built on a concrete slab. with the building plans, specifications hen designed to meet the 2009 IECC quirements Checklist. Cp Oil Date Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMcheck\MR_Building 18.cck Page 2 of 2 2009 IECC COMcheck Software Version 3.8.1 Mechanical Compliance Certificate Section 1: Project Information Project Type: New.Construction Project Title : Building 18 - Unit 1801 Construction Site: Owner/Agent: 2357 Turnpike Street Tony Mesiti 1801 Dogwood Circle VRD Acquisition, LLC North Andover, MA 01845 100 Andover ByPass Permit No. 156-2011 Suite 203 Permit Date: 8/28/2010 North Andover, MA 01845 978-687-5300 Section 2: General Information Building Location (for weather data): North Andover, Massachusetts Climate Zone: 5a Section 3: Mechanical Systems List Designer/Contractor: Robert Vorbach Vorbach Architecture 58 Manchester Street Nashua, New Hampshire, NH 03064-2114 603-886-1738 dvorbach@comcast.net Quariffly System Type & Description 1 HVAC System 1 (Multiple -Zone) : Heating: 1 each - Central Furnace, Gas, Capacity = 70 kBtu/h, Efficiency = 95.00% Et Cooling: 1 each - Split System, Capacity = 3 kBtu/h, Efficiency = 13.00 EER, Evaporatively Cooled Condenser 1 Water Heater 1: Electric Storage Water Heater, Capacity: 80 gallons, Efficiency: 0.88 EF Section 4: Requirements Checklist Requirements Specific To: HVAC System 1 : Lj 1. Equipment minimum efficiency: Central Furnace (Gas): 80.0 % Et (or 78% AFUE) L) 2. Equipment minimum efficiency: Split System: 12.1 EER L 3. Minimum one temperature control device per zone U 4. Multiple -zone distribution systems sequence the supply of warm air and cool air to each zone I] 5. Controls capable of resetting supply air temp (SAT) by 25% of SAT -room temp difference L) Exception: Systems that prevent reheating, recooling or mixing of heated and cooled supply air LJ Exception: Seventy five percent of the energy for reheating is from site -recovered or site solar energy sources. Ll Exception: Zones with peak supply air quantities of 300 cfm (142 L/s) or less. Requirements Specific To: Water Heater 1 : 1. Electric Water Heater efficiency: 0.8 EF (333 SL, Btu/h (if > 12 kW)) 2. First 8 ft of outlet piping is insulated I] 3. Hot water storage temperature adjustable down to 120°F or lower L] 4. Heat traps provided on inlet and outlet of storage tanks Generic Requirements: Must be met by all systems to which the requirement is applicable: C1 1. Plant equipment and system capacity no greater than needed to meet loads Q Exception: Standby equipment automatically off when primary system is operating Ll Exception: Multiple units controlled to sequence operation as a function of load Lj 2. Minimum one temperature control device per system Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMcheck\MR_Building 18.cck Page 1 of 6 ❑ 3. Minimum one humidity control device per installed humidification/dehumidification system ❑ 4. Load calculations per ASHRAE/ACCA Standard 183 ❑ 5. Automatic Controls: Setback to 55°F (heat) and 85°F (cool); 7 -day clock, 2 -hour occupant override, 10 -hour backup ❑ Exception: Continuously operating zones ❑ Exception: 2 kW demand or less, submit calculations ❑ 6. Outside -air source for ventilation; system capable of reducing OSA to required minimum ❑ 7. R-5 supply and return air duct insulation in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly ❑ Exception: Ducts located within equipment ❑ Exception: Ducts with interior and exterior temperature difference not exceeding 15'F. ❑ 8. Mechanical fasteners and sealants used to connect ducts and air distribution equipment ❑ 9. Ducts sealed - longitudinal seams on rigid ducts; transverse seams on all ducts; UL 181A or 181B tapes and mastics ❑ 10. Hot water pipe insulation: 1.5 in. for pipes —1.5 in. and 2 in. for pipes >1.5 in. Chilled water/refrigerant/brine pipe insulation: 1.5 in. for pipes —1.5 in. and 1.5 in. for pipes >1.5 in. Steam pipe insulation: 1.5 in. for pipes —1.5 in. and 3 in. for pipes >1.5 in. ❑ Exception: Piping within HVAC equipment. ❑ Exception: Fluid temperatures between 55 and 105°F. ❑ Exception: Fluid not heated or cooled with renewable energy. ❑ Exception: Piping within room fan -coil (with AHR1440 rating) and unit ventilators (with AHR1840 rating), ❑ Exception: Runouts <4 ft in length. ❑ 11.0peration and maintenance manual provided to building owner ❑ 12. Piping, insulated to 1/2 in. if nominal diameter of pipe is <1.5 in.; Larger pipe insulated to 1 in. thickness ❑ 13. Lavatory faucet outlet temperatures in public restrooms limited to 110°F (43°C) ❑ 14.Thermostatic controls have 5°F deadband ❑ Exception: Thermostats requiring manual changeover between heating and cooling ❑ Exception: Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. ❑ 15.Balancing devices provided in accordance with IMC (2006) 603.17 ❑ 16. Demand control ventilation (DCV) present for high design occupancy areas (>40 person/1000 ft2 in spaces >500 ft2) and served by systems with any one of 1) an air -side economizer, 2) automatic modulating control of the outdoor air damper, or 3) a design outdoor airflow greater than 3000 cfm. 0 Exception: Systems with heat recovery. ❑ Exception: Multiple -zone systems without DDC of individual zones communicating with a central control panel. ❑ Exception: Systems with a design outdoor airflow less than 1200 cfm. ❑ Exception: Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. ❑ 17. Motorized, automatic shutoff dampers required on exhaust and outdoor air supply openings ❑'Exception: Gravity dampers acceptable in buildings <3 stories ❑ Exception: Gravity dampers acceptable in systems with outside or exhaust air flow rates less than 300 cfm where dampers are interlocked with fan ❑ 18.Automatic controls for freeze protection systems present ❑ 19. Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70% outside air fraction or specifically exempted ❑ Exception: Hazardous exhaust systems, commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code prohibits the use of energy recovery systems. ❑ Exception: Systems serving, spaces that are heated and not cooled to less than 60°F. ❑ Exception: Where more than 60 percent of the outdoor heating energy is provided from site -recovered or site solar energy. ❑ Exception: Heating systems in climates with less than 3600 HDD. ❑ Exception: Cooling systems in climates with a 1 percent cooling design wet -bulb temperature less than 64°F. (J Exception: Systems requiring dehumidification that employ energy recovery in series with the cooling coil. ❑ Exception: Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or, a separate make up air supply meeting the following makeup air requirements: a) at least 75 percent of exhaust flow rate, b) heated to no more than 2°F below room setpoint temperature, c) cooled to no lower than 3°F above room setpoint temperature, d) no humidification added, e) no simultaneous heating and cooling. Section 5: Compliance Statement Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMchecklMR_Building 18.cck Page 2 of 6 Compliance Statement. The proposed mechanical design represented and other calculations submitted with this permit application. The pro��p��✓ requirements in COMcheck Version 3.8.1 and to comply with the reed Name -Title Project Notes: Building 18 is a wood frame six unit structure built on a concrete slab. stent with the building plans, specifications have been designed to meet the 20091ECC Requirements Checklist. units. (. Date Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My DocumentslCOMcheck\MR_Building 18.cck Page 3 of 6 COMcheck Software Version 3.8.1 Mechanical Requirements Description 2009 IECC The following list provides more detailed descriptions of the requirements in Section 4 of the Mechanical Compliance Certificate. Requirements Specific To: HVAC System 1 1. The specified heating and/or cooling equipment is covered by the ASHRAE 90.1 Code and must meet the following minimum efficiency: Central Furnace (Gas): 80.0 % Et (or 78% AFUE) 2. The specified heating and/or cooling equipment is covered by the ASHRAE 90.1 Code and must meet the following minimum efficiency: Split System: 12.1 EER Split System: 12.1 EER 3. Each zone of a multiple -zone system must have its own temperature control device. 4. The specified three -duct system supplies heated air, cooled air, and return air to zone terminal units. Zone terminal units must be controlled to prevent simultaneous supply of heated and cooled air to the zones. 5. Automatic controls capable of resetting supply -air temperature (within a range of 25 percent of the difference between supply -air and design air temperature) in response to building loads or outdoor air temperature exist on systems serving multiple zones. - Exception: Systems that prevent reheating, retooling or mixing of heated and cooled supply air - Exception: Seventy five percent of the energy for reheating is from site -recovered or site solar energy sources. - Exception: Zones with peak supply air quantities of 300 cfm (142 Us) or less. Requirements Specific To: Water Heater 1 : 1. Service water heating equipment used solely for heating potable water, pool heaters, and hot water storage tanks must meet the following miniumum efficiency: Electric Water Heater efficiency:. 0.8 EF (333 SL, Btu/h (if > 12 kW)) 2. Insulation must be provided for the first 8 ft of outlet piping for a constant temperature nonrecirculating storage system and for the inlet pipe between the storage tank and a heat trap in a storage system. 3. Temperature controls must be provided that allow for storage temperature adjustment from 120°F or lower to a maximum temperature compatible with the intended use except when the manufacturer's installation instructions specify a higher minimum thermostat setting to minimize condensation and resulting corrosion. Documentation of the installation instructions must be provided to be exempted from this requirement. 4. Heat traps must be provided on inlet and outlet vertical pipe risers serving storage water heaters and storage tanks not having integral heat traps and serving a nonrecirculating system. Heat traps must be installed as close as practical to the storage tank. Acceptable heat traps are either a) a device specifically designed for the purpose or b) an arrangement of tubing that forms a loop of 360°F, or c) piping that from the point of connection to the water heater (inlet or outlet) includes a length of piping directed downwards before connection to the vertical piping of the supply water or hot water distribution system. Generic Requirements: Must be met by all systems to which the requirement is applicable: 1. All equipment and systems must be sized to be no greater than needed to meet calculated loads. A single piece of equipment providing both heating and cooling must satisfy this provision for one function with the capacity for the other function as small as possible, within available equipment options. Exception: The equipment and/or system capacity may be greater than calculated loads for standby purposes. Standby equipment must be automatically controlled to be off when the primary equipment and/or system is operating. Exception: Multiple units of the same equipment type whose combined capacities exceed the calculated load are allowed if they are provided with controls to sequence operation of the units as the load increases or decreases. 2. Each heating or cooling system serving a single zone must have its own temperature control device. 3. Each humidification system must have its own humidity control device. 4. Design heating and cooling loads for the building must be determined using procedures in the ASHRAE Handbook of Fundamentals or an approved equivalent calculation procedure. 5. The system or zone control must be a programmable thermostat or other automatic control meeting the following criteria: a) capable of setting back temperature to 55°F during heating and setting up to 85°F during cooling, b) capable of automatically setting back or shutting down systems during unoccupied hours using 7 different day schedules, c) have an accessible 2 -hour occupant override, d) have a battery back-up capable of maintaining programmed settings for at least 10 hours without power. - Exception: A setback or shutoff control is not required on thermostats that control systems serving areas that operate continuously. - Exception: A setback or shutoff control is not required on systems with total energy demand of 2 kW (6,826 Btu/h) or less. Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMcheck\MR_Building 18.cck Page 4 of 6 6. The system must supply outside ventilation air as required by Chapter 4 of the International Mechanical Code. If the ventilation system is designed to supply outdoor -air quantities exceeding minimum required levels, the system must be capable of reducing outdoor -air flow to the minimum required levels. 7. Air ducts must be insulated to the following levels: a) Supply and return air ducts for conditioned air located in unconditioned spaces (spaces neither heated nor cooled) must be insulated with a minimum of R-5. Unconditioned spaces include attics, crawl spaces, unheated basements, and unheated garages. b) Supply and return air ducts and plenums must be insulated to a minimum of R-8 when located outside the building. c) When ducts are located within exterior components (e.g., floors or roofs), minimum R-8 insulation is required only between the duct and the building exterior. - Exception: Duct insulation is not required on ducts located within equipment. - Exception: Duct insulation is not required when the design temperature difference between the interior and exterior of the duct or plenum does not exceed 15°F. 8. Mechanical fasteners and seals, mastics, or gaskets must be used when connecting ducts to fans and other air distribution equipment, including multiple -zone terminal units. 9. All joints, longitudinal and transverse seams, and connections in ductwork must be securely sealed using weldments; mechanical fasteners with seals, gaskets, or mastics; mesh and mastic sealing systems; or tapes. Tapes and mastics must be listed and labeled in accordance with UL 181A and shall be marked'l 81A-P'for pressure sensitive tape, '181A -M' for mastic or'l81A-H' for heat -sensitive tape. Tapes and mastics used to seal flexible air ducts and flexible air connectors shall comply with UL 181 B and shall be marked '181 B -FX' for pressure -sensitive tape or'181 B -M' for mastic. Unlisted duct tape is not permitted as a sealant on any metal ducts. 10. All pipes serving space -conditioning systems must be insulated as follows: Hot water piping for heating systems: 1 1/2 in. for pipes -1 1/2 -in. nominal diameter, 2 in. for pipes >1 1/2 -in. nominal diameter. Chilled water, refrigerant, and brine piping systems: 1 1/2 in. insulation for pipes -I nominal diameter, 1 1/2 in. insulation for pipes >1 112 -in. nominal diameter. Steam piping: 1 1/2 in. insulation for pipes -1 1/2 -in. nominal diameter, 3 in. insulation for pipes >1 1/2 -in. nominal diameter. - Exception: Pipe insulation is not required for factory -installed piping within HVAC equipment. - Exception: Pipe insulation is not required for piping that conveys fluids having a design operating temperature range between 55°F and 105°F. - Exception: Pipe insulation isnot required for piping that conveys fluids that have not been heated or cooled through the use of fossil fuels or electric power. - Exception: Piping within room fan -coil (with AHR1440 rating) and unit ventilators (with AHRIB40 rating). - Exception: Pipe insulation is not required for runout piping not exceeding 4 ft in length and 1 in. in diameter between the control valve and HVAC coil. 11. Operation and maintenance documentation must be provided to the owner that includes at least the following information: a) equipment capacity (input and output) and required maintenance actions b) equipment operation and maintenance manuals c) HVAC system control maintenance and calibration information, including wiring diagrams, schematics, and control sequence descriptions; desired or field -determined set points must be permanently recorded on control drawings, at control devices, or, for digital control systems, in programming comments d) complete narrative of how each system is intended to operate. 12. Service hot water piping, where required, must be insulated to 1/2 in. if pipe less than 1.5 in, nominal diameter. Larger pipe must be insulated to 1 in.. Pipe insulation will have a conductivity of less than 0.28 Btu.in/(h-ft2-°F). 13. Temperature controlling means must be provided to limit the maximum temperature of water delivered from lavatory faucets in public facility restrooms to 110°F. 14. Thermostats controlling both heating and cooling must be capable of maintaining a 5°F deadband (a range of temperature where no heating or cooling is provided). - Exception: Deadband capability is not required if the thermostat does not have automatic changeover capability between heating and cooling. - Exception: Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. 15. Balancing devices provided in accordance with IMC (2006) 603.17. 16. Demand control ventilation (DCV) required for high design occupancy areas (>40 person/1000 ft2 in spaces >500 ft2) and served by systems with any one of 1) an air -side economizer, 2) automatic modulating control of the outdoor air damper, or 3) a design outdoor airflow greater than 3000 cfm. - Exception: Systems with heat recovery. - Exception: Multiple -zone systems without DDC of individual zones communicating with a central control panel. - Exception: Systems with a design outdoor airflow less than 1200 cfm. Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:\Documents and Settings\Robert V\My Documents\COMcheck\MR_Building 18.0ck Page 5 of 6 Exception: Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. 17. Outdoor air supply and exhaust systems must have motorized dampers that automatically shut when the systems or spaces served are not in use. Dampers must be capable of automatically shutting off during preoccupancy building warm-up, cool -down, and setback, except when ventilation reduces energy costs (e.g., night purge) or when ventilation must be supplied to meet code requirements. Both outdoor air supply and exhaust air dampers must have a maximum leakage rate of 3 cfm/ft2 at 1.0 in w.g. when tested in accordance with AMCA Standard 500. - Exception: Gravity (non -motorized) dampers are acceptable in buildings less than three stories in height. - Exception: Systems with a design outside air intake or exhaust capacity of 300 cfm (140 L/s) or less that are equipped with motor operated dampers that open and close when the unit is energized and de -energized, respectively. 18. All freeze protection systems, including self-regulating heat tracing, must include automatic controls capable of shutting off the systems when outside air temperatures are above 40°F or when the conditions of the protected fluid will prevent freezing. Snow- and ice -melting systems must include automatic controls capable of shutting off the systems when the pavement temperature is above 50°F and no precipitation is falling, and an automatic or manual control that will allow shutoff when the outdoor temperature is above 40°F. 19. Individual fan systems with a design supply air capacity of 5000 cfm or greater and minimum outside air supply of 70 percent or greater of the supply air capacity must have an energy recovery system with at least a 50 percent effectiveness. Where cooling with outdoor air is required there is a means to bypass or control the energy recovery system to permit cooling with outdoor air. - Exception: Hazardous exhaust systems, commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code prohibits the use of energy recovery systems. - Exception: Systems serving spaces that are heated and not cooled to less than 60°F. - Exception: Where more than 60 percent of the outdoor heating energy is provided from site -recovered or site solar energy. Exception: Heating systems in climates with less than 3600 HDD. - Exception: Cooling systems in climates with a 1 percent cooling design wet -bulb temperature less than 64°F. - Exception: Systems requiring dehumidification that employ energy recovery in series with the cooling coil. - Exception: Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or, a separate make up air supply meeting the following makeup air requirements: a) at least 75 percent of exhaust flow rate, b) heated to no more than 2°F below room setpoint temperature, c) cooled to no lower than 3°F above room setpoint temperature, d) no humidification added, e) no simultaneous heating and cooling. Project Title: Building 18 - Unit 1801 Report date: 06/20/11 Data filename: C:1Documents and SettingslRobert \AMy Documents\COMcheck\MR_Building 18.cck Page 6 of 6 / .n '7 D 77Z � � N z m n g m u�§ Ln L s� c O CD NC, m c k HONY ME I ISITI VELOPMENT CORPORATION 100 Andover By -Pass, Suite 203 North Andover, MA 01845 1 t NORTH ANDOVER BUILDING DEPT. 1600 OSGOOD ST., BLDG. 20 SUITE 2-36 NORTH ANDOVER, MA 01845 ATTENTION: MARY IPPOLITO C k ,98 15 Date...... �......©.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that...... . U I- ............................................ /Com. has permission to perform tt91ti wiring in the building of ....(.!'t , S,iT......�y. S; " ................................ at./i©1..ZP../..R... Pe�A�........ , North Andover, Mass. .. Fee /J�-rl* -go- Lic. No a 44 3Off?:......./.& �?:�............. f C� Et.ECMIcA.INSPkMR Check # + ! Commonwealth of -Massachusetts Official Use Only Permit No. g %� Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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 (PLEASE PRINT WINK OR TYPE ALL INFO TION) Date:—/A/,91//J City or Town of: r To the Ins ecto of Wires: l� By this application the undersi ed gives not' e of hisW intention to perform the electrical work described below. c Location (Street & Number) �1}) - -- Owner or Tenant Telephone No.&,: `J' Owner's Address 4.f/ /4/— Q Is this permit in conjunction with a building permit? Yes No ❑ BLDG PERMIT # Purpose of Building Ne w OU t I d.,)v 9 Utility Authorization No. �j�t2V !7Z Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 00 Amps 1,�6 / o O,?Volts Overhead ❑ Undgrdl" No. of Meters Number of Feeders and Ampacity e 46 p 1 n .4.:c Location and Nature of Proposed Electrical Work: j fi Pa�'�i1 [Aled d 6 //C Completion of the following table may be waived by the In ector of Wires No. of Recessed Luminairesa X � % No. of Ceil: Susp. (Paddle) Fans No. of Total. Transformers KVA No. of Luminaire Outlets .�CJ k No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- E]o. rnd. rnd. o Emergency Lighting Batte Units No. of Receptacle Outlets _50 )< 4 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners l No. of Detection and Initiatine Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number " Tons ""' """ """""" KW """.............. No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Q Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the ains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: lin T e FGt 1-m rr—lof � Anra t, -A' LIC. NO.: Licensee: JJN-rflpNV d CrA (4 p t cA Signature_& �rj LIC. NO.:QC1 Q (If applicable' empt ' in the li ense umber line.). /� �`1 Bus. Tel. No.: h G1' Sf 0 Address: ZrdN%Uoo� �T IAZIN�/,ami %2%%I Alt. Tel. No.: *Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" Licen 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's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR - DOUG SMALL 1, I. ROUGH INSPECTION: Passed — [ jj-' Failed — [ ] Re -inspection required 50.00) - Inspectors, comments: (Inspectors' Signature - no initials) y Date z 2. FINAL INSPE TION: Passed — [r Failed — [ ] Re -inspection required ($50.00) - Inspectors' comments: - no initials)_ L`Date -.4v- 3. UNDER GROUND INSPECTION: Passed — [ ] Failed — [ ] Re -inspection required ($50.00) - Inspectors' comments: (Inspectors' Signature - no initials) Date 4. INSPECTION — SERVICE: DATE CALLED NATIONAL GRID: NAME: Passed — [ ] Failed — [ ] Re -inspection required ($50.00) - [ ] Inspectors' comments: A% . n, e (Inspectors' Signature - no initials) Date 5. INSPECTION - OTHER: Passed — [ ] Failed — [ ] Re -inspection required ($50.00) - [ ] Inspectors' comments: ' Signature - no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE -INSPECTION OF $50.00 IS TO BE CHARGED. The Commonwealth ofHassachusetts Department of Industrial,Acculents Office of Investigations 600 Washington, Street Boston, MA. 0211.1 U www.mass.gov/d'ia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _- Please Print Legibly Name (Business/Organization/Individual): /fi U,13 iT �C C, rr Address: City/State/Zip :�Mf �`�� CA M Phone #: / / -7 02 G ( Ki V 0 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. r ship and have no employees These sub -contractors have working for mein any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c.152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling . 8. ❑ Demolition 9. ❑ Building addition 10. FI Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box 41 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 anew 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. • f � %�_TCA Insurance Company Name: S / G C U G ryy\- G t ✓I Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: Q �O,9 t41 - 47o( c ` (" G �'i City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL o, 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 ORDBR and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t res andpenallies ofperjury that the information pro vided ab o ve is true and correct. dcl(— 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 #: '10024 Date ....... 41-.. /Z.` ...... .. .... . .. .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... 6 ...... 6 �S7-,,-�tee "I' ................ has permission to perform ......... ........................ wiringin the building of ................................................................................... at ........................................................ North Andover, Mass. Lic. .... ....... iNS* E'C*Tr'O** R* Check # 207- -Commonwealth of MassachusettsFOccupa7ncy Official Use Only Department of Fire Services l D0 9 -LI BOARD OF FIRE PREVENTION REGULATIONS nd Fee Checked leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Maqsac s Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATIOR Date: City or Town of. NORTH By this application the undersigned give Location (Street & Number) Owner or Tenant Owner's Address u- To the Inspector of Wires: Of his or her intention to perform the electrical work described below. Ell Telephone No. Is this permit in con unction i 'th b .1 ' t IF a ui ding permit? Purpose of Building j / S q '!� Yes ❑ No ❑ (Check Appropriate Box) C CZ_4 lfiility Authorization No. Existing Service Amps / Volts Overhead ❑ rd Und g ❑ No. of Meters New Service Amps / _Volts Overhead ❑ Und rd g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Pe) P iNe Z_1,4 , t- lud I aj,,,a �- � Baru No. of Recessed Luminaires No. of Luminaire Outlets INo. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers Completion of the No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool Above ❑ In- . grnd grn No. of Oil Burners of Gas Burners o. of Air Cond. Space/Area Heating KW o. of Dryers Heating Appliances KW o. of Water KW No. of No. of Heaters Signs Ballasts No. Hydromassage Bathtubs INo. of Motors Total HP OTHER: /S ollowin table may be waived by the Ins ector of Wires. No. of Total Transformers KVA Generators KVA o. o mergency ig ting �. Battery Units FIRE ALARMS No. of Zones o. of Alerting Devices o. of Self -Contained etection/Alerting Devices 3cal ❑ Mumc►pal Connection EJ Other scurity Systems:* No. of Devices or Equivalent ata Wiring: ` No. of Devices or Equivalent lecommumcations Wiring: No. of Devices or Equivalent Attach additional detail if desired or as rega�ired by the Inspector of Wires. Estimated Value of Electrical Work: Q' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with AMC 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the i a d penalties of perjury, that the information on this application is true and complete. FIRM NAME: C f-`/ G LIC. NO.: FJ� -f0 Licensee: / � Signatur LIC. NO.: (If applicab e, a to "e pt" in the license umber 'ne c -`O Address: pry ) us. Tel. No. t J *Per M.G.L c. 147, s. 57-61, security work requires eparhnent of Public Safety "S" License: Alt. Lec. 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's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ ELECTRICAL PERMIT NO. _INSPECTION ELECTRICALPORT: INSPECTOR- DOUG SMALL t I. ROUGH' Passed - Failed - [ ] Re -inspection required ($50.00) in - [ ) spectors' comments: spec ors' gna xe - no initials) - 3. Date 2. FINAL INSPECTION, Passed - Failed - [ ,] Re -inspection required ($50.00) Inspectors' comments: no Date 4. INSPECTION - SERVICE: DATE CALLED NATIONAL GRID: Passed - [) Failed - [ Inspectors' comments: 1 (Inspectors' Signature - no initials) Date 5- INSPECTION - OTHER.: Passed - f Failed - [ ] Re -inspection required ($50.00) Inspectors' comments: ------------- 'Signature - no initials) Date DO OR TAGS .ARE TO BE FILLED OUT AND LEFT ON SITE IF T EE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A. RE-INSPFCTION OF $50.00 IS TO BE CHARGED. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 'Y www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_ /1 (1, f L,4:� ` C Address: ,� jGnl ao d 0J- City/State/Zip: -tion #: Z Z7 Ael` — 6/� l C/ Are you an employer? Check the appropriate box: 1.�I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sh%et. I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp, insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ew construction 7. ❑ modeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other f -•w -11F • — I <»a• „�UVx tt, MUSL also tru out me section oeiow 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: Yrloi �-e fol - Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year 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. Ido hereby certif under thesins and penalties of perjury that the information provided above is true and correct. Signature: - ria*P• 2a/-K�7, 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 6. Other Contact Person: 4. Electrical Inspector 5. Plumbing Inspector Phone #• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy; please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia zz zH. zz Cc� 17U —u OOZ= v -m m m "1 Zm O D 0'- V1oZy JC�Z 2 D IADor<<I m OZw M m mz cc: Do CZNC co :m Woo A Z23 00 gam m n 0 N A m Z'(DA N j C m 0 NI �D A -i qm 7tA mm AA A< mm A\ 0 mN' ° Z PROJECT: MAPLEWOOD RESERVE - BUILDING 1((Sz • ''��=�Tom�= o..1801-1806 DOGWOOD CIRCLo+S�p��D�VORBACH ARCHITECTURE eo o ` m NORTH ANDOVER, MA. 01845D ZOM 58 Manchester Street, Nashua, N.H. 03064-2114 0 w TD D � rI Kzaro Oo nz gs � ROBERT J. VOR BA CHz�z A z zREGISTERED ARCHITECT FLOOR PLAN y of 0 •• '7 o~ Tel: 603088601738 Fax 603088601738 Ac C, I - - 6 T I N F = o O � O - n m 8 O 1 I � C V o C F 1 I I j � Lj y u O T KITCHEN -I C = I � rn I z i \ p C, 9 - ... s• n 2 _ ° �Z W Cw s 0 IS F 0 z z r T j 0 Z Y m , z a 9 o 0 0 z = ° o o 1 r C� _- o o w ' m P 14 I = , O A � Z A Z O 9z o I m� b C I � t I o D T 3 m p m 0 O I I I �D i- I -- ji sD Rm I m m I I I NI �D A -i qm 7tA mm AA A< mm A\ 0 mN' ° Z PROJECT: MAPLEWOOD RESERVE - BUILDING 1((Sz • ''��=�Tom�= o..1801-1806 DOGWOOD CIRCLo+S�p��D�VORBACH ARCHITECTURE eo o ` m NORTH ANDOVER, MA. 01845D ZOM 58 Manchester Street, Nashua, N.H. 03064-2114 0 w TD D � rI Kzaro Oo nz gs � ROBERT J. VOR BA CHz�z A z zREGISTERED ARCHITECT FLOOR PLAN y of 0 •• '7 o~ Tel: 603088601738 Fax 603088601738 zzzzzz =1 =1-i -j -i -1 ..w ... 0 0 0 0 0 0 Tin WNL W W WW N W M Ch m Ch fTl :(1� OOOOOO 060t%oo 000000 000000 aaaaaz a�zxzz 000000 fA flW W WW V1 (ANW WN II II II h II II om Q Ul c N rCEO O # (!N M 0o n O w z O, y ooz= m vim my zm�o VIOZ> C D NZ <00D aOm mom z" co-zm z ��DO C2 N O 3:mm mr-O ?or- >>O jA 0zr 0 �Dm K cOi O u,0 Zf*M CA 0r -c A 0 O A M m c V) m VI UID a m�� o=_ o D A - o PROJECT: MAPLEWOOD RESERVE - BUILDING 1 . 9p�D�amS�A �W Z `,'saw;gym ^d M>cz o0 -L1 C - _ F < x 1801-1806 DOGWOOD CIRCLE oln LmzO�< VORBACH ARCHITECTURE A .. N O D w o F x m 5 NORTH ANDOVER, MA. 01.845 cn -n �• 'zoOzg=>m c ymNzz 58 Manchester Street, Nashua, N.H. 03064-2114 _ r---- Ijn H Z O I z w A m = ? (%)-, u ; n�f);RAIA>< v ,m c I I n I I � - I I I h I m o �' � a m I I � 4 SECOND FLOOR PLAN cit c �m4 $'Z'< mm� i D of m -.. °o x i Tel: 603 0 886 0 1738 Fox 603088601738 m 1 pp0 1 � i 8 ° x �N I L OD I p = x I 1 u O R � 1 a I N nH m I I , - W 1 i A 1 o _ > u s I I I � v - F � ppH m I p I m U P 00� m , 8 , x I 1 I x i I I y � I I � I °I I Y& 11x I o � I x _ o _Q & o O u I I 9 1- I I x I > F -- x Op i x i I p 3 a I I _ � 1 I VI UID a m�� o=_ o D A o PROJECT: MAPLEWOOD RESERVE - BUILDING 1 . 9p�D�amS�A �W Z `,'saw;gym ^d M>cz o0 o < 1801-1806 DOGWOOD CIRCLE oln LmzO�< VORBACH ARCHITECTURE A .. N O D w o 5 NORTH ANDOVER, MA. 01.845 cn -n �• 'zoOzg=>m c ymNzz 58 Manchester Street, Nashua, N.H. 03064-2114 Z O I z w A m ? (%)-, u ; n�f);RAIA>< v ,m c ROBERT I. VORBACH REGISTERED ARCHITECT m o �' a m SECOND FLOOR PLAN cit c �m4 $'Z'< mm� i D of m -.. 0 Tel: 603 0 886 0 1738 Fox 603088601738 It O C9: z HH -IH --1 .N. w0a. P VOiA000 �0000 � "=4-- nmmmmZ Or�mr�c�r Nrrrr^ :'°OpOOp IlyNyyp ut/�N NNN Qm Cil mm - 71 > 71 ' my c=�rm- zm�0 NrAA Do- NOzNZD 2 ;am {00 2 D DOm mo" Z=m m C mz 7z1 -o 1D0 Z C0O �Tn M m'o A {Zz A 00 ; oDrn MOO NXF zm> N <C O AanA u' NNTO II A A O O W b 0 a aZ 0 1 a 1805 0 1 , l _� m o PROJECT: MAPLEWOOD RESERVE - BUILDING 1L--- N1 =o 1801-1806 DOGWOOD CIRCLE =>sAA;n�9m VORBACH ARCHITECTURE ru uNORTH ANDOVER, MA. 01845 1 �Zom��Z� 58 MancAester Street, Nashua, N.H. 03064 2114o N zZ , A = $ oo'm4i ROBERT J.VORBACH N REGISTERED ARCHITECT o LOFT LEVEL FLOOR PLAN10 0 Tel: 6030B860173B Fon 603088601738 I 1 I 1 1 0 4 I O 71-, I m m I mE E I 1 I I I 1 1 c O1 I I I p0 I 3 I I I_________1 1 O= p ' < I > 1 O 1 m m 5 a Oo A '_______ ^' m -i 0 D i O I E I u I o I 3 I I I m A I I 1 1 op I 1 J 1 I W I r r ooy > OO oo m I I I 0 O w > I p 1 I m I Ti I I A I 4 O I 4 1 O F w m - 4 I I 3 m r I � I I A r I R� y I r O < > DD'-� enc• I I I 1 1 o I o A I I m A ?D O 1 Ooo D� i_________. I r oc y mI-------_1 O e 1 I I I I D { I I 1 $ o I I I O I O m mA I m c nC Z> z i, I 1 1 O t O 1 ^ 1 O m I o y� in E II I mS m a I I 1 1805 0 1 , l _� m o PROJECT: MAPLEWOOD RESERVE - BUILDING 1L--- N1 =o 1801-1806 DOGWOOD CIRCLE =>sAA;n�9m VORBACH ARCHITECTURE ru uNORTH ANDOVER, MA. 01845 1 �Zom��Z� 58 MancAester Street, Nashua, N.H. 03064 2114o N zZ , A = $ oo'm4i ROBERT J.VORBACH N REGISTERED ARCHITECT o LOFT LEVEL FLOOR PLAN10 0 Tel: 6030B860173B Fon 603088601738 7 5 b 2 Date. % 6 .......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... �...PA ` ................... has permission for gas installation .. /-.�. (`... L? , , ( `�. /. ` in the buildings of ... � ..S7.:6 -/ ........................ at North Andover, Mass. Fee.. Lic. No. ,bAS INSPECTOfi Check # `� f G G "v MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 'ZO' N y f 9✓� ✓ Mass. Date �— —14.1 %8 (1 City, Town Permit # Building�Owner's AT: Location lC10 4-vaCJName t �' �✓Type of Occupancy: New u Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ (Print or Type) g� Installing Compal Name �C �5, 44W Tot" Addr s � f� � 4 �s� c,✓ lU,. t � d 3 its'' i% Check One: ❑ Corp. ❑ Partnership ❑ Firm/ Company Business Telephone 6d?j' — I — I -L Name of Licensed Plumber or Gasfitter Don ,'-t. ( skaLf. Certificate 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 and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. ❑ By Title City/ Town APPROVED (OFFICE use ONLY) TYPE LICENSE: ❑ Plumber ❑ Gasfitter ❑ Master ourneyman .. ............................ �nn�ennnnnn�mm�n �n�ununnnnmm�m� �uumnnnnnnnnnm �nnnnnnnnmmmm (Print or Type) g� Installing Compal Name �C �5, 44W Tot" Addr s � f� � 4 �s� c,✓ lU,. t � d 3 its'' i% Check One: ❑ Corp. ❑ Partnership ❑ Firm/ Company Business Telephone 6d?j' — I — I -L Name of Licensed Plumber or Gasfitter Don ,'-t. ( skaLf. Certificate 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 and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. ❑ By Title City/ Town APPROVED (OFFICE use ONLY) Signature of Licensed Plumber or Gasfitter License Number TYPE LICENSE: ❑ Plumber ❑ Gasfitter ❑ Master ourneyman Signature of Licensed Plumber or Gasfitter License Number 884 Date ..2./eY . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� ;` This certifies that ..................... has permission to perform $-; `.. � . `i!: . ) ......... plumbing in the buildings of t ................... . at. / 7. ./is .C.... ? . i .�.. < � . . , North Andover, Mass. Fee. .oho -Lic. No..?!'(., s/.. .......� u-�-�� ..... . ,LUM R BIN IN P G S EC70 Check _ tVtH0�( k,HUst I IS UNIFORM APPLICATION FOR PERMIT TO DO PLUMING Print or Type) -V 1 I ,Mass. City, Town Date r Bullding Permit # VAT: Location % �i0( d- jt��,L (d Owner's Name S Type of Occupancy: New Renovation ❑ Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ (Print or Type) Installing Company Name 0Hd-->"�A, 4 Address75-9kdta— 54-- 1G wS— Business Telephone --Go 5 - 77a A Z 7q Check One: Certificate ❑ Corp. ❑ Partnership ❑ Firm/Company Name of Licensed Plumber or Gasfitter --��. � l S,,-. 1 hereby certify that all of the details and information I have submitt o (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 provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. pp I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. p pertinent Signature of Owner/Agent I have a current liability insurance policy to include completed operations covers 7By - Title Signature of Licensed Plumber City/Town Type of Plumbing License APPROVED (OFFICE USE ONLY) u�, I ❑ Master License Number �1�mneyman FORM 1240 ( f && W ) HOBBS 8 WARREN ru