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Home My WebLink AboutBuilding Permit # 7/27/2015 V%ORTH BUILDING PERMIT TOWN OF NORTH O APPLICATION FOR PLAN EXAMINATION ~ Permit No#: Date Received RATED USE� Date Issued: 25 . r �SSACH IMPORTANT: Applicant must complete all items on this page LOCATION d PROP RTY OWNER C: 9 C 9 ,�Print Pk Z-71t- ,' Print 100 Year Structure yes no MAP ) PARCEL: % ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential PoKew Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement "ssessory Bldg t1APV ❑ Others: ❑ Demolition ❑ Other r ,��..,..��v ,..,, rrim� :r�.r ,�,,:.,.. ..r ,..,>�, .,� , loon Nowu;,r � m rc 1"r U//Frrrt ��igZ`Uy`/..° (f DV,�?>`� � ,r�✓�« �rfnr;��jrl� ,'W X(UI�Jr//!r rz liCrY..,�li✓,rl'� �r'pr,,,..�Ili y DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: elt o 1A C- Phone: 7 77/S Address: 1 v -7 Q %-V ,-® Y2 10 -f 0V Contractor Name: Lz.-VA Pie VP L Phone: 7�R 71 5 I Email Wv!c- 4 ! L Address: b C>Y- A Supervisor's Construction License: C , -6Z Exp. Dater, 4 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER hl to Phone:? d `7 Address: L, o - _Reg. No. FEE SCHEDULE:BULDING PERMI :,,$12 00 PER$1000.0"F TH TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ - ®b C,7 FEE: $ Check No.: V6 Receipt No NOTE: Persons ontracting with a registered contractors do not have a ce s t ' guaranty fund Plans Submitted Plans Waived F1 Certified Plot Plan R-lStamped Plans TYPE OF SEWERAGE DISPOSAL TYPE Sewer Swimming Fhuiblicsewer Tanning/Massage/Body A mj 0 Swimming Pools Well Tobacco Sales Private(septic tank, etc. ❑ 11 Food Packaging/Sales [I Permanent Durnpster on Site ❑ THE FOLLOW'ING SECTIONS FFR OFFICE USE ONLY INTERDEPARTME' N7A L'SIGN OFF ® U FORM PLANNING DEVELOPMENT Reviewed On Signature_ COMMENTS* CONSERVATION Reviewed on S i n t z (—"-z_ ure, ,, COMMENTS c Z5 2 , HEALTH— " Reviewed. on , Sianature, COMMENTS Boa A peals Zoning ' Variance, Petitio Q rd of 0 n No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation D ecision: Comments Water& Sewer Connection/sl na 'Orlypy-,Permit-! ]DPW Town Engineer: Signature: Ucate' Osgood Street r ri Fff,, Ei D E fq 194' .pill Q H, ft ,,ster,,,bh,,,,si e,, ,,y,,es .......... .. 77 7, J` IAORTH - t _E . I,, . ®ver Town of ® �' M No. °4 h ver, lV�ass, II I I 1 . 62 coc"Ic"t WICK �1" q°'�q'rED � U BOARD OF HEALTH Food/Kitchen rERMIT T L ..D Septic System THIS CERTIFIES THAT ........ . . .. ....... ... .. ... .... . .t�'.........L ......................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on . - Rough to be occupied as ' .. .. . . .••..� .. •• ••• •••C.A ••••• 01rr..w�P. ' Chimney provided that the person epting this permit II in e e aspect conform to the terms of the application- Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings-in the Town of North Andover. &�7 PLUMBING INSPECTOR I � Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final I00 /00 PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR � • UNLESS C STR C N RTS Rough Service a� ........ .. .... ........ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Miall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Registry ID: iyxIVld(:IIa50a � 6 , Rating Number: it Certified Energy Rater: Tom Pfau Lot 7 Regency Ridge Rating Date: April 21,2015 y, Rating Ordered For North Andover,MA Estimated Annual Energy Cost GDS Asstlt.,d<ptt9,Int:. Projected Rating Eoi�prrc rv93 aiiid G:ortsn.ilV r'rk,a 5 Stars Plus Use MMBtu Cost Percent Projected Rating:Based on Plans,Field Confirmation Required Heating loos $924 40%Hooting o $0 0 Uniform Energy Rating System Energy Efficient Hot Water 23.9 $185 8% 1 Star 1 1 Star Plus 2-Stars 1 2 Stars Plus 3 Stars 3 Stars Pius 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 35.0 $1068 46% 500 401 400 301 300.251 250-201 200.151 150 101 100-91 90-86 1 85-71 70 or Less Photovoltaics -0.0 $-0 -0% HERS Index: 57 Service.Charges $162 7% eMrjfAriNf1, r 1 r r, r !�,/ rr,� Total 336 100 T l �e2,3 $z 0 Conditioned Area: 5197 sq.ft. HouseType: Single-family detached Conditioned Volume: 44826 cubicft. Foundation: More than one type i Bedrooms: 5 This home meets or exceeds the minimum L y, criteria for all of the following: EPA ENERGY STAR Version 3 Home Heating: Fuel-fired air distribution,Natural gas,95.5 AFUE. 2009 International Energy Conservation Code Heating: Fuel-fired air distribution,Natural gas,95.5AFUE. Water Heating: Conventional,Natural gas,0.60 EF,40.0 Gal, Duct Leakage to Outside: 207.00 CFM25. Ventilation System: Exhaust Only:97 cfm,23.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes "�r�Iull��gqfn�I�trt�j1�'�At�ki�Ppq�i/�� rr'r r rrr r rrr ' rr r r r rrrr r r r"- 7.,,, vi, , ,,,,r,,,,T% „U% /ri r,✓;nr,rr r„ r�ri r , ,i,/, ,r, r. �%r, fi� ,%, ,rat I Ceiling Flat: R-49.0 Slab: None Sealed Attic: NA Exposed Floor: R-30.0 Vaulted Ceiling: R-39.5 Window Type: U-Value:0.320,SHGC:0.300 Above Grade Walls: R-21.0 Infiltration Rate: Htg:3.00 CIg:3.00 ACH50 Foundation Walls R00 Method Biowerdoortest A h8iA NOutrqq7,9 rrr /r rrGDS Associates,Inc. Percent Interior Lighting: 90.00 Range/Oven Fuel: Electric Street,Suite 702 OWa.TuG ✓ Hdc Percent Garage Lighting: 0.00 Clothes Dryer Fuel: Electric Manchester,NH 03101z� m ` Refrigerator(k\Ah/yr): 600.00 Clothes Dryer EF: 3.01 603.656.0336 �� Dishwasher Energy Factor: 0.00 Ceiling Fan(cfmA'Vatt): 0.00 m � The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REM(Rate-Residential Energy Analysis and Rating Software v14.6.1 This information does not constitute any warranty of energy cost or savings. 011985-2014 Architectural Energy Corporation,Boulder,Colorado. HOME CERTIFIED TO MEET THE PROVISIONS OF THE 2012 INTERNATIONAL ENERGY CONSERVATION CODE This home built at Lot 7 Regency Ridge, North Andover, MA by Carolina Properties LLC exceeds the minimum requirements for the 2012 International Energy Conservation Code April 21,2015 Building Features Ceiling Flat: R49.0 Duct Leakage to Outside: 129.00 CFM @ 25 Pascals Sealed Attic: NA Total Duct Leakage: 129.00 CFM @ 25 Pascals Vaulted Ceiling: R-39.5 Infiltration: Htg:3.00 Cig:3.00ACH50 Above Grade Walls: R-21.0 Window: U-Value:0.320,SHGC:0.300 Foundation Walls: R-0.0 Heating Fuel-fired air distribution,Natural gas,95.5AFUE. Exposed Floor: R-30.0 Cooling N/A Slab: None Water Heating Conventional,Natural gas,0.60 EF,40.0 Gal. Duct: R-8.0 The organization below certifies that the proposed building design described herein is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in compliance with Chapter 4 based on Climate Zone 5A and with all mandatory requirements. Name: Tom Pfau Signature: Organization: GDSAssociates,Inc. Date: April 21,2015 The 2012 International Energy Conservation Code is a registered trademark of the International Code Council,Inc.("ICC'). No version of this software has been reviewed orapproved by1CC orits affiliates. REM/Rate-Residential Energy Analysis and Rating Software 04.5.1 RESNET HOME ENERGY RATING Standard Disclosure For home located at: Lot 7 Regency Ridge City: North Andover State: MA 1. X❑ The Rater or the Rater's employer is receiving a fee for providing the rating on this home. 2. ❑ In addition to the rating,the Rater or Rater's employer has also provided the following consulting services for this home: ElA. Mechanical system design B. Moisture control or indoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself ElD. Training for sales or construction personnel E. Other(specify below) 3. LJ The Rater or Rater's employer is: A. The seller of this home or their agent B. The mortgagor for some portion of the financed payments on this home X❑ C. An employee,contractor or consultant of the electric and/or natural gas utility serving this home 4. The Rater or Rater's employer is a supplier or installer of products,which may include: Installed in this home by: OR Is in the business of: HVAC systems Rater ❑ Employer 1-1 Rater Employer Thermal insulation systems Rater E Employer F1 Rater Employer Air sealing of envelope or duct systems Rater Employer Rater Employer Windows or window shading systems Rater Employer Rater Employer Energy efficient appliances Rater Employer Rater Employer Construction(builder,developer,construction Rater Employer Rater Employer contractor,etc.) Other(specify below): Rater Employer ❑ Rater 11 Employer I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as setforth by the Residential Energy Services Network(RESNET). The national rating quality control provisions of the rating standard are contained in Chapter One 4.C.8.of the standard and are posted at http://resnet.us/standards/RESNET—Mortgage_lndustry_Nafic The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Tom Pfau Rater's Printed Name Certification# April 21,2015 Rater's Signature Date RESNET Form 0300-2 The Commonwealth of Massachusetts Department of IndlustrialAceldents 1 Congress Street,Suite 100 Boston,MA.02114-2017 www mass.gov1dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE MED WITH TEE'PERMITTING AUTHORITY. Applicant Information Please Print Le 'bl NaMe (Business/Organization/Individual): /2-o Address: Y City/State/Zip: A& Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. [1 Remodeling any capacity.[No workers'comp.insurance required.] • 9. El Demolition I Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 F1 Building addition 4.F1I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F1 Roof repairs These sub-contractors have employees and have workers'comp.insivance.t 6.We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must si bmit a new affidavit indicating such. tContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-conlractors have employees,ltiey must provide their workeis'comp.policy number.• X am an employer that ispi•dviding workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL o. 152,§25A is a criminal violation punishable by 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 viol or.A copy of this statement may be forwarded to the Office,of Investigations of the DIA for insurance coverage v rif ati X do here cert y nd the ains nd en al ie fperyury that the information provided above is true and correct. Si nature: Date: Phone#: v 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#: 1 f ' ass ac ,seas -Departiren_ 'Scard of Buildding _.cense: CS-007864" ' GERARD E WELCH PO BOX 248 N ANDOVER Ma 01814 04/18/2016 +:ommiss9oner