HomeMy WebLinkAboutBuilding Permit # 8/22/2016 O* NORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: "' 6 Date Received
RSSacHus�t
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 30 2.e-C�
Print
PROPERTY OWNER V02,4
int 100 Year Structure yes no
MAP ARCEL: _ZONING DISTRICT:_ Historic District y no
Machine Shop Village y n
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 F1 Others:
❑ Demolition ❑ Other
❑Se tic C 11S1e11 Floyd lain ❑Wetlands ❑ U1latershed Dlstnct ,
IA
1 . - . � .. .. ..E.
_ DESCRIPTION OF WORK TO BE PERFORMED:
G� gar c , 74 e z S
Identification- Please Type or Print Clearly
OWNER: Name: Vf 1Z Phone:
Address:
Contractor Name: Phone: -S
Email
Address: CA z
Supervisor's Construction License: ' � C� 7,� Exp. Date- /
Home Improvement License: Exp. Date: s�
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT 2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: Rlvr
FEE- $
Check No.: X1,5 3oy Receipt No.:� p
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fuer'
ga®RTH '9
Town of 2 �.. 6ndover
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coc"tc Kl WICK y�' --
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
.. ...
......... BUILDING INSPECTOR
THIS CERTIFIES THAT .
. . . ;aa#!R.W_.V .� ............... .............
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has permission to erect .......................... buildings on ..r1 0...4.x**ww0A ,.. .........,............ Foundation
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to be occupied as .�.... ...Jr..rf, � 1.'..... �... ..... . ................................ Chimney
provided that the person accepting this permit shall in eve respect conform to the terms of the application
p p p � p � � pp � 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 Forth Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IT S ELECTRICAL INSPECTOR
LESS CONS I T Rough
Service
...... ..... ...... ..
. ...........
Final
BUILDI INSPECTOR
GAS INSPECTOR
o Occupy or Rough
Occupancy Permit Required,to Bu
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.
w\\\it LIA, Licensed &', lllstlred.
\1k,n I mick, N11 0,105�I A ogtist 11, 2016
00,, 1 �190, 1 No 1 7--.�O 1-025";
Po It 06/2016 Brockhoyscii
Vcrwl I�rk)(,KIIIIN Sell
'o 1 ommk, Or
Alldmcv. NIA
Scope ot,\Fork: Structural \Vork in Basement
I , Sk,011V \Nork mvl
Cut c-osting concrete and pour lootings
Jjj�,k ill) existing Imun :tit(] Histalljoist hangers
4, hismH . 5111- IAIL under existing 40 beam
5. histill 31/2"" 1,111y column under new 1,Vl, oil existing footing and 3 !/2 ]ally COILInins
under llc\N Lvl, oil new looting
0, Stand all inspection
7. Clean and remove all work related debris
Note: Additional cost Im permit fee and paperwork and filing$45.00 per hour
Gelleral Note: See attached structural drawings
Aiiy hidden or undisclosed damage will be an additional cost to customer
I Ot,11 COSt including labor and material: $3,765.00
Terms: 501)1deposit in the amount of$1,882.50, 50%due in the amount or s.1,882.59 LIPOII
completion
Warranty: I year on labor lid inated Is
J/-CUSIOnler"S SigIlatUre- Date:
Zqwyn Constructioll S S gna6ul*
Jefl'/aigwyn
Owncr/Operator
COWEN ASSOCIATES JOB
Consulting Structural Engineers SHEET No. ° OF
29 Vesta Road r �
NATICK, MASSACHUSETTS 01.760 CAI-euLATEDBY— `�` �. oATr:
(508) 555-3976 FAX (508) 665.4284
cowenass.oc.com CHECKS o HY DATE
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COWEN ASSOCIATES
JOB `�`1 �Ems) SO
Consulting Structural Engineers 9HEETNO. g' ' OF
29 Vesta Road } f
NATICK, MASSACHUSETTS 0176.0 cA�cu�as�a�Y— `�! �' DA-rE�..._��:._' 1�r�
(508) 655.5976 FAX (508) 655-4284
CHECKED BY_ CIA7E--.-.--
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Coven Associates Project Tine: 30 Leanne Street North Andover
Consulting Structural Engineers Enineer. FVC Project 4D: 16,302
29 Vesta Road Prr ect p.escr: Slwtural repairs
Wic4c,MA 01760
508-655-3976
wwW.cowenassac.com
W€ICJd Beami✓ile=c:SUs�stFred![)OCIFME�I�EN6R�R�11163(12--'9.E�
ENERGALC,INC.1Q8340%8wid:6,16,6,7,ver.6:Ifo
Description: Supplemental Beam
Vertical Reactions Support notation;Ear leftis#1 Values in KIPS
. __.. ._._—._ _.....,.. _. - - _........
Load Combinatton Support 1 Support 2 Support 3 Support4
+D+L+H 1.9f30 1.980
+D+Lr4H 0.540 0.540
+S+H 0,540 0,540
+O+p,750Lr+0,750L+4 1,620 1,620
+0+0,750L+0.750S+H 1,620 1,620
+D+W+H 0.540 0,540
+040,70E+H 0,540 0.540
+D+0,75aLr;0.750L+0,750W-H 1,620 1,620
+D+0.760L+0.754S+0,750W+H 1,620 1.620
+D+0.750Lr+0,750L+0,5250E-hH 1.620 1.524
+D+0.750L+0.760S40,525GF-+t 1,620 1:620
+0,60D+W+H 0,324 0.324
40.600-+0,70E+H 4.324 4,324
D Only 0.540 0,540
l.r Qnly
L Only 1.440 1.440
S Ort4y
W Only
E Only
H Only
tkr
`3 k
f � �
9
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Cowen Associsles Project Title: 30 Leanne Street North Andover
Consulting Structural Engineers Engineer: FVC Project 0: 111.302
29 Vesta Road Project reser; Struclural Repairs
Natick,MA 017610
508-655-3976
www.cmnvenassoc.com File=.c, -I ENFRCA-t1102 4,E06
Wood t d � 1I1 ENERCALCr 9NC.iw-2096.8ujId:6'J6'6.7,Ver-.G.46'by ;
Emmons= 4
Descripl#ori: Supp!amwnW Beam
CODE REFERENCES
........-......... _...�_.._
Calculations per NQS 2012, IBC 2012 CBC 2013,ASCE 7-10
Load Combination Set:ASCE 7-05
Mat..erial Properties
.........
Analysis Method: Load Resistance f=actor D Fb-Tension 2600 psi E Modulus of Elasticity
Load Combination ASCE 7-05 Fb:-Carnpn 2600 psi Ebend-xx 1900ksi
Fc-Prtl 25't 0 psi Eminberid-xx 968.71 ksi
Wood Species :Trus Jotst Fc-Perp 750 psi
Wood Grade ; Microl-arn LVL 1,9 E Fv 285 psi
R 1555 psi Density 42pcf
Bean Bracing ; Beam is Fully Braced against lateral-torsional buckling
Dt0.1)0 1.10-24` Dr0 cd 00.241 R{q.J9'L24)
V V T
2-1175x5.5
2.9:75X5:5
span=3.4 tt Span=6.0 R Span=3.0 ft
Applied Loads Sef0cr,lQads entered.Loan 1=aC:zc7rs vi0 ise applied for CSI tsl lscs:�s:
Load for Span Number 1
Undorm Load: Q-OL90, L=0.240, Trituriary Width= D ft,(1st floor)
Load for Span Number 2
Uniform Load: D=0.050, L=0240, Tribulary Width=1,0 ft.(I st flow)
Load for Span Number 3
Uniform Load; D=0,N0, L=0.240. Tributary Width=1.0 ft.0s[sl aor}
DESIGN SUMMARY
Maximum Bending Stress Ratio - 0,33: 1 Maximum Shear Stre89 Ratio W 0A98 : 1
Section used for this span 2-1.75x5.5 Section used for this span 2.1,75x6.5
fb;Actual '1,505.62psi N;Actual 97.£2 psi
FS;Allowable = 4,490.72psi I'v:Allowable 492.48 psi
Load Combination +1,200-�0,50Lr{-1.60L+1.6QFi Load Combination +1.24D+0.50Lr+1.60L+1401-1
Location of maxirnum on span, w 3.o00fE Location of maximum on spar! 3,000.t
Span#where maximum occurs - Span#1 Span 9 where maximum rs v Span 1
Maximum Deflection
Max Downward Transient Deflection 0.107 in. Ratio= 374>=360
Max Upward Transient Deflection -00.16 in Ratio= 4558>=36Q a E
Max Downward Total Deflection 0,146 in Ratio= 490>-130
Max Upward Total Deflection -0.022 in Ratio 3337s-180
Overall MaXiMum Deflections }k
Load Cor*natlon Span Marc.'2Dail Location in Span Load Combination Dell Location In Span
t 4.t4G 0-0(1.0 0,0017U 2:$74
2 0.0000 0.1100 +D+L+tl -0,0216 2.874
+D+L+ry 3 .0,1458 3.000 0,0000 2.874
Vertical Reactions Support notation:Farteftis#1 Valuosir#KIPS
.. _—___ __. o
Load Combinatson Support 1 Support.2 Support 3 Support 4.
_jNeiall NiA)timurri --
Overall MINilntiM 0,324. 0.324
The Commonwealth of Massachusefts
.. F I1epapImenf of1'ndastrialAceidents
il Z congress street,Suite 100
J Boston,MA OZ114 2017
www mass.go-vldla
WorkersCompe*nsaia.ort JuswrauceAffidavit;Builders/Contractors/Eleetracia�slk'Xam��ers.
TO BE FILED'W[' H THE PERWTTJNG AUTROMTY.
ApplicantMormation Ple.asePrint La'--IX
Nc`311 G(Business/OxganizatioWfndiddual): C�
Areyon an employer? Checl� e ala�ropriaic box; Type of project(Tgquired):
1.E] aemploycrvyith emplvyees(full audlorpaittime).* 7.• [ Ncwconsiradion
2. I am a sole proprietoror parinersblp andhave no employees working forme in 8. ❑Remodeffidg
any capacity.No workers'comp.insurance required.] 9. �Demolition
3,E]I am a homeownerdoing Edl work myself No workers'comp.-insurauee required.]i 10 ❑Luil,d hg addition
4_❑I am a hozaeovvmx and will be hiring contractors to conduct all wank on my property. I wilt 11. F-lectrical ro airs or additions
ensile that all contractors either have workers'compensation insurance or aro sole =,Q
pzopzietors withnc employees. 12:F1 Plumbing repairs or additions
5,0IaMageneral.contractozandlhayehiredthosuh-wutraetorslisted ontheaifachodsheat. I ORo ffrepais
These sub-oonizactors�iave employees andhave workers'comp.instuattce 14.0 Qtlter,
6.❑Wvare acorporatpnandifsr� gershaveexercisedtheirrigbtof'exemptionperMGx c, ..
152,§1(4),arxdweitavezlq �nployes.�fTvwarksrs'oorcp,insuranoerequized.]
Any appticantthat checifsb ox#tt must also vutthe secon belavt showing ttreir wozkers'compensation policy information.
i Homeowners vvliv si>Ti itt�is of rdavi#indicaEit they are doing all work andthenhire outside contractors must sia_bmit anew af�davrt iadioating such-
?C JMne(tvrs khat checkthisbox zpust altacJtecl an additivrral sheet shovvirrgthe name ofthalub-contractors and state whether orpotthasa entities have
employees. Tfthe sub-curt[aci3irs TaWe employees, liey must pravidctl�eit workers'comp.policy numbez.
lain an e7,iployzpJ6yees.'Below is thepoHey aridjob site
infar�natian. _
7nsuranca Company Name:
Pol%cy4orSelf^ins.3Gic.#� � ` .� FxpiratzonDate:
lob Site Address: City/State/.dip:
A#tach a Copy oaf:the Workers' corupe)Jsation p olley declaration page(showing the p oli.cy numb er and expiration.date).
Failure to aeoure coverage as required.under MGL c. 152, §25A.is a criminal violation punishable by a fine up to$1,500.00
azad/or one--pear ivapuigonnaenf,as well as civil penalties in the,form of a STOP WORK ORDER a-ad a fine ofup to$250.00 a
dap'against the violator.A cagy Of this statement may be forwarded.to'`dia Office of Iavesiigation s of the DIA..for ru urance
coverage verfcation..
t da Iter eby certify ur2rZer the pains and penalties ofpeijary that the inform adon pr�oi ideedzev/
Aove is�rueJand co-ect.
Si ature: Date: Oi6
Phone#.
Official rise oraZy. -PD not-WHM in this area,to he completed by city ar fown 0IciaZ
City or Town: Per t License#
fssuing AutSa oriiy(circle one): i
,.)Board of$eaIt](z 2.Build�irig Depar�aa eazt 3.City/Town Clerk 4.Electrical Lmpeetor 5.PlumbingTnspectoz
6.Other
Cwttact T'erson.: 3%me#:
C�/�e�nrrrrunxrue�rtl�a�'�-"�lrr;�:�ac�rcieflj
\ Office of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
Type:
,legistration 134781
1=xpiration 1!17!2018:
Individual
JEFF ZAGWYN CONSTRUCTION:
JEFFREY ZAGWYN i
71 CQTA RD. �r _•- -- I
MERRIMACK,NH 03054 Ujidersedaary
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-073080
Construction Supervisor
JEFFREY W ZAGWYN
71 CQTA ROAD
MERRIMACK NH 03054
r'jZZ Expiration:
Commissioner 12/06/2017