HomeMy WebLinkAboutBuilding Permit # 4/6/2016 IAORTH
BUILDING PERMIT o�4���D ,6 ,
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received 4
Acwus���5
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION j� sV C9� (��'L.-c- AP —
Print
PROPERTY OWNER UIV94
Print 100 Year Structure yes ko)MAPS PARCEL: ZONING DISTRICT: Historic District yesMachine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
:.,. _ r .cr s Jam.„•^ 4 /� n - f .�" '3Y�':ri z t f :�� a 2' f`�.�°+f-�of irA �.�Wef�arttls��' I.✓'Aka°./6."
DESCRIPTION OF WORKS O BE PERFORMED: t 4v
L® �
Identification- Please Type or Print Clearly
OWNER: Name: > ��✓ y 6Gv-� Phone: S�
Address:
r� Phone:
Contractor Name:112V C-
Email: o v
Address:
Supervisor's Construction License:
U (D Exp. Date:
Home Improvement License: 0 Exp. Date:
ARCHITECT/ENGINEER � ✓� 6, Phone:
Address: 4 LrVi) Reg. No. J
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ Cr 3 00I FEE: $
Check No.: f Receipt No.: 2--601
NOTE: Persons contracting with unregistered c ntractors do not have access to the guaranty fund
� .a'AC2 i ISM
."� �r ;;/,, f r ✓ ,t s�, % _` � U, i �`,�l„""i;;� ^+ y�r✓����_c
a ✓,. ri"; J u�T i,,,,.. ti
et
NORTH
town of Andover
O w`
dAk "M
®
�h ver, Mass 2t
o LAKE 1
COC NIG N!WICN
x.95 RATED
U BOARD OF HEALTH
Food/Kitchen
rwERMIT T LD Septic System
THIS CERTIFIES THAT ........... b� ,�� BUILDING INSPECTOR
............................ .......... ............ ........ ....................,..,.......
has permission to erect �®�1 Foundation
........
p .......................... buildings on ..� ................ .......
. ..........
® Rough
N `
to be occupied as . ..... ... . ...�...........- - . ... ...e!..fi..W
t ..... .. .........�.�! Chimney
provided that the person accepting this permit shall in every respect 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
�/
® �+ �y Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION STARTS Rough
Service
............................... . ....::` Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Islay in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
tAORTH
own of Andover
Q
y h , ver, Mass, 2a
T O LAKE
COC NICK!WICK
_ S u
BOARD OF HEALTH
Food/Kitchen
PERMIT T L, D Septic System
THIS CERTIFIES THAT ........... 1`'� BUILDING INSPECTOR
............................ .......................... ................ ...
.�1 Foundation
has permission to erect.......................... buildings on,2.11................ ................,..................�............
to be occupied as . , ,,,I„ —4r NC' ..� . 6e**4 . Rough
..... ... .............. ...... .. ..... .............. .... ................ . ..�.... Chimney
provided that the person accepting this permit shall in every respect 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. PLUMBING INSPECTOR
- •-`^' -
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
y nA Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS Rough
Service
............................... . ...................... Final
BUILDING INSPECTOR
GAS INSPECTOR
ccupancy Permit Required to Occupy BuildlnRough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
5 j)C--c7k3/( f C-4 1,)"7
RICT]ARD FLUE'r CONTRACTING, INC'
1,02 BRIDLE PAJ'14.LANE - PROPOSAL
ME,,"ITMEN, MA 01844 Date Estimate#
3/15/2016 605
Name/Address
,NS
211 SU170NHILL RD.
N.ANDOVER MA.01845
Description
GARAGE C-CHANNELS,:REMOVE TWO LALLY COLUM'NS AND INSTALL CHANNUS PFR.I'LANS DATED FEB.25,2016 BY
1,ENGINEF,'RING U.C.BOX IN BEAM AND WRAP WITH 5/8"DRYWALL.PATCH DISTURBED AREAS
A L, C1 I SWIRL AS BESTWE CAN.SUPPLY PERMIT AND TRASH REMOVAL.
C,_
NOT INCLUDE.D; ANY ADDITIONAL RU"QUIREMPNITS FROM CITY IF N1
PROPOSAL IS VALID FOR 30 DAYS.
[,,XTRAS OR CIIANIGESTO BECOMPLI,FED ATA RATE OF$90.00/1111/MAN.
M& LIG050710 141C.# 106620
1`14 FOR UNPAID BALANCES,
RAY MENT SCHEDUI C-12$1300.00 WI ACCEPTANCE,$4000.00 DAY WORK BEGINS,BALANCE UPON COMPLFTION
r)
Total $0.00
Signature
Phone# Fax# E-mail
978-685-7010 9,7A-695-7010 RFC 102 Ogverizori,net
i
°may ..
,joists Denotes Simpson eweZI- $
H2.5Aattach C'9-- N Pa P�EkDi Vh. P(%tciN _� n �
No 12" _
E�L nT�,� each joist to Beam
Llzx t5 25� ._. III _ .IIT-Az,-t�L. 'Ca
one side 'oorLn l
_ t,N�tat�
tom• _ .- C2) MG.Ia_XY'1 1 r L2"- X4a2y41.teGX Gill- L
_ � II jpr—:dam<u�r 7 _
%Z"'4 r2ike1w9it�i4�r%aN�kaefP ii -K __' -- vG•Y7 _.
QE'CHIi�'7t _�JIJII.�aaYzrL_GhyLl)t�a,NXo-F�ltn3'z3.
lV�,L�1B,8x-'i5f-4.1�/1uico�l 111;"n04
%�Op0 01 A' OffCf}'
�u
W O_
R'60 ,e? LfFevY1N.4 _
pfL -W 12.xsj _•Li1 4,5GIX 7Cll Z z
LL
Detail C -
PROPOSED BEAM MODIFICATION _ _ a
Feb_5,2016 O
Q
U
ti
Og r,- WIVe _FL*t 6e x'41 f� - I ocuH43'S Gera+ "�� i P I'WD 4 AJQ61! s$rc� z
V F-Th 1 L Attach beam to joists
I6"o.c,318 Diameter
lag bolt 7116 hole in_ _ .. iu-o �iF7kti l
Mdl� F<bnury25,2Y41L –
- steel,pre drill wood —— e r r to
joists,Iag one side Z well sr� < kuntl 2„w,�wv a
Eachjoist _...%7G�4tp.. .bM A.otlmvMA UIYaS
"T se9lecr: amge.ma Ycam I T—'e Q
1 I1I ��duh' tauant� it �zktl s-s" � a C}
TAvtt.. Wb1i16 tJ1�V#5rxu'atisno - [xmaa�rte:. wet
lit-.? ,_ �r�+n�I L4b' -. � 9�-t'(�s... -ID�-urlget•1t'I�a.. n�>w r,.u�wPP�a�aK t..;a.,nn�w�e�i�a av,�sr�n� �oc u.cease � �I
' 12'I.0}+L - c,Gawv)amYreux�ssrtd ,ao.sa�.opmm I
II i maM,mro,c naIdir wlmnm.t'on
'_ _. _ mgmiali�maY llwh'm+4cPc+o-w,ec ecir+�,u ueewaaleew I 10"�EB eWOO P£8M WlY CaLUrv9� i
_ , 1 TO 6E FHAOVFD _ j
GI�SS SEl>fiGbi l >r.�a ecca.aacbmt= �e-ease an�arm�a<wo�, .i�/
, 6,LgB,u.EcpwYuc i2 dxP ua c6amela wuf:Yd,dmwxh u�kafOte wwW acam 6'-&"x/ 6'�0° f/ 30'i°� j
_ _ -. c Om la' than rcpt
V.I.F� V,1,� Vp 1' �
�(� '- lf�f-FdU^_� ��t118}1 in.uingtmmmcauwas muam.cmtmabuw _
.Cm�aa}ae f a'do 4Y 'amt, �K+aEWurcc' ?mull:cLcaPcR '� � I
I
�,.'s
cFaa�FR=
L .n.�}TI04PC �.LStimR W "FP rv, PL.cWwtiW -quceannz ccit9R 360?Sd3 wcmvlIIanl.Ge-,Gciwaa¢uwa.vom - � I til a
h5
-roe, Okwoy DIS IT
14 �t�BO -Pi� Si�'L-,_ vers ews room j � �lo-
lat
4x4- �
x4X 12,P� 0,A ¢j b icoog n EXISTING GARAGE 1ST FLOOR FRAMING ��++{{'+qq
1 ClW ( 41 pCyj �� 1 1 Feb 25,2015 7i�!
Detail B Options
.Pv5/ c-rwn S" C-v i`)7
Project:Sutton Hill Road Garage Beam Dan L.Gelinas PE [ph978.465.6436] fl�
Location:pg two C12 x 25 s Gelinas Structural Engineering LLC
Uniformly Loaded Floor Beam 579A North End Blvd ar
[2009 International Building Code(AiSC 14th Ed ASD)] _Salishury RIA 01952[danlgelinas@comcast.net
A36 C12x25 x 25.0 F'1 Votiior'9'L;"'5 2/23/2016 4:19:05 PM
Section Adequate By:3.3%
Controlling Factor:Deflection 11-1
1AL
DEFLECTIONS Center + �r�f.�f t%IAC+RAM
Live Load 0.74 IN U407 ]�
Dead Load 0.47 in
Total Load 1.21 IN U248
Live Load Deflection Criteria:U360 Total Load Deflection Criteria: L/240
REACTIONS A B_ 110111V
Live Load 4375 Ib 4375 Ib
Dead Load 2813 ib 2813 Ib 1
Total Load 7188 Ib 7188 Ib JOb 1600 h7
Bearing Length 1.13 in 1.19 in
13EAM_D TA Ce er
Span Length 25 it
Unbraced Length-Top 0 ft -------------- -26ft—
STEEL PROPERTIES
C12x25-A36
Properties: FLOOR LOADING
Yield Stress: Fy= 36 ksi �� Side 2
Floor Live Load FILL= 350 psf 0 psf
Modulus of Elasticity: E= 29000 ksi Floor Dead Load FDL= 200 psf 0 psf
Depth: d= 12 in Floor Tributary Width FTW= 1 ft 0 ft
Web Thickness: tw= 0.39 in
Flange Width: bf= 3.05 in Wall Load WALL= 0 plf
Flange Thickness: tf= 0.5 in
Distance to Web Toe of Fillet: k= 1.13 in BEAM LOADING
Moment of inertia About X-X Axis: Ix= 144 In4 Beam Total Live Load: wL= 350 plf
Section Modulus About X-X Axis: SX= 24 in3 Beam Total Dead Load: wD= 200 plf
Plastic Section Modulus About X-X Axis: Zx= 29.4 in3 Beam Self Weight: BSW= 25 plf
Design Properties per AISC 14th Edition Steel Manual: Total Maximum Load: wT= 575 plf
Flange Buckling Ratio: FBR= 3.04 °'
Allowable Flange Buckling Ratio: AFBR= 10.79 t( , ''�
Web Buckling Ratio: WBR= 25.17 �t
Allowable Web Buckling Ratio: AWBR= 106.72 ,
Controlling Unbraced Length: Lb= 0 it
Limiting Unbraced Length-
for lateral-torsional buckling: Lp= 3.24 ft
Nominal Flexural Strength w/safety factor: Mn= 52814 ft-Ib
Controlling Equation: F2-1
Web height to thickness ratio: h/tw= 25.17 --
Limiting height to thickness ratio for eqn.G2-2:h/tw-limit= 63.58
Cv Factor: Cv= 1
Controlling Equation: G2-3
Nominal Shear Strength w/safety factor: Vn= 60066 Ib
Controlling Moment: 44922 ft-Ib
12.5 ft from left support 1)
Created by combining all dead and live loads.
Controlling Shear: 7188 Ib
At support.
Created by combining all dead and live loads. 1"t I�t✓
Comparisons with required sections: Recd Provided
Moment of Inertia(deflection): 139.39 in4 144 in4
Moment: 44922 ft-Ib 52814 ft-Ib
Shear: 7188 Ib 60066 Ib
NATES
The Commonwealth of Massachusetts
Department of IndustrialAccidents
1 Congress Street,Suite 100
Boston,AM 02114-2017
www.mass.go ldia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERIVHTTING AUTHORITY.
Applicant Information Please Print Legib
Name(Business/Organization/Individual): C/V /
Address:
,o/VN 7
City/State/Zip: {�1/'/l �, Phone#:
Are you an employer?Checic tiie appropriate box: Type of project(required):
1.[ I am a employer with employees(full and/or part-time).* 7. Q New construction
2.�I am a sole proprietor or partnership and have no employees working for me in 8. �Remodeling
any capacity.No workers'comp.insurance required.]
9. El Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 ❑Building addition
4.❑1 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.d Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$
6.Q We are a corporation and its officers have exercised their right of exemption per MGL C. 14.Q Other
152,§1(4),and we have na 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 submit 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-c6n6cf6rs have employees,'they must provide their workerscomp.policy number.
X am an employer that is providing ivork6sI compensation insurance for my employees.'Below is the policy and job site
information.
Insurance Company Name: —
Policy#or Self-ins,Lie.#: �{ �"(go J �U Expiration Date:
Job Site Address: a I s U-77G h/ City/State/Zip: 19 / Ti 1y
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 c. 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$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
-k
es do hereby certify ns d peva es ofpeljury that the information provided above is true and correct.
Sign Date:
Phone#
Official use only. Do not write in this area,to be completed by city or town official..
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.El lectrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
A+ /� OP ID;M
CERTIFICATE LIABILITY INSURANCE DATE(MMIDWYYYY)
® 04/06/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ie3) must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER ' GONTA
Se reve&Hall Insur,Assoc.InG N E:
P
30 North Main St, HO
NEArc N FAX
Andover,MA 01810 -MAIL
Michael L.Segreve DO 8M.
PRO OMER ID •FLUET-1
INSURERS AFpORDING COVERAGE NAIC lF
INSURED Richard Fluet Contracting Inc. INsuRERA;Arl7ella Protection Ing,Co. 41260
Me Bridle path Lane INSURER B I COmnlerCO Insurance Co. 34754
Methuen,MA 01844
INSURER C:
INSURER J);
INSUReR
-
INSURER E:
IN RER F t
COVERAGES CERTIFICATE NUMBER; REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TRA
TYPE OF IN$URANCB ADPOLICY NUMBER MM/GD MMI /YYY`P! LIMITS
IABILITYEACH OCCURRENCE $ 1,000,00(
ERCIAL GENERAL LIABILITY 8500034727 06/12/2015 08/12/2016S occurrence $ 100,00(
LAIMS.MgDE OCCUR MED EXP(Any one person S 5,00(
PERSONAL B ADV INJURY S 1,000,006]GENERALAGGREGATH 2,000,000
REGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,OOQ
Y PRO El LOC
E LIABILITY COMBINED SINGLE L1Mrr
ANYAUTO (Ea accldent) $
ALL OWNED AUTOS BODILY INJURY(Per person) S 10D,000
B X SCHEDULED AUTOS BODILY INJURY(Per accident) $ 300,00PROPE 0
X AMAGE
HIRED AUTOS XV1400 12/01/2015 12/01!2016 (P RACCIDF;NT) $ 100,00
X NON-OWNEDAVTOS $
UMBRELLA LIAR OCCUR EACH OCCURRENCE S
EXCE$$LIAB CLAIMS-MADE AGGREGATE 5
DEDUCTIBLE
S
RETENTION $ $
WORKERS COMPENSATION WC$LATU- O R
AND EMPI„OYERW LIABILITY
A ANY PER/ME BR/PXCLUDE!(;XECUTIVEYlry N/A E.L.EACH ACCIDENT $ 500,00
OFFICER/MEMBER EXCLUDED?
(Mandatoryin NH) 4220051550 0$/31/2016 03/31/2017 E.L,DISEASE-EA EMPLOYEE $ 600 00
If Yyea deecribeUnder r
DE$ERIPTION OF OPE TIONS below E.L.DISEASE.POLICY LIMIT $ 50Q,OQ
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,Ifinere apace Is required)
CERTIFICATE HOLDER CANCELLATION
NORTHAN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Deparment ACCORDANCE WITH THE POLICY r'ROVISIONB.
1600 Osgood St. AUTHORIZED REPRESENTATIVE
North Andover,MA 01845
Q 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD
Massachusetts -Department of Public Safety
Board of Building 'Regulations and Standards
� -
c_ui„t�ii Ctifrr, oul,ei ii;t,r
License: CS-050710
,I I,, /j
RICHARD A FLUAT ,
102 BRIDLE PATH LN
iYlETHUEN MA 01844
;.✓.•�.»J1 " "� Expiration
Commissioner 04/22/2017
,6eff; l
_Office of Consumer Affairs&Business Regulation
214OME IMPROVEMENT CONTRACTOR Type.
�tegistration: 106620
1' a expiration: 7/24/201.6 Private Corporation
t
I RICHARD FLUET C_ONT?^.CTING INC.
Richard Fluet
102 Bridle Path Lane
E Methuen,MA 01844 Undersecretary
i