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HomeMy WebLinkAboutBuilding Permit # 2/6/2017 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit Nd: 7('9-_ �Lo/ Date Received %_ m X47 Date Issued: 2- c,c L LVRORTA.NT:Applicant must complete all items on this page LOCATION Print i PROPERTY OWNER����es�"9r��i2t Mr�LaPf�7 Print, 1aQYearOld§trusture yes o MAP NO:i—QV PARCEL: 1—JZ6NING DISTRICT Histone®tstnct yes Maehtne Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building v One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: G Commercial 9 Repair,replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑Other O Septic ' o Well ❑Ploodplain ❑Wetlands 0 Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type ort Clearly) OWNER: Name: {� /'1,,4&0-tile +4 ry k1.0!-rlin, 1' Phone: Jvr,-7?U,- t00', Address: 10, 2 .H¢7 ✓r�>?C3' U GONTRAGTOR Name: S'ePa#eUI A yfL}G P-hope ?�- csk _ 't` � Supervisor's Construction License:.,G3- 0`1 a 3 Exp. Date: Home Improvement License: l T 4 I Z exp. Date: I z i -t' ARCHITECT/ENGINEER Phone: `iI Li 1, Address: 5014 Rv-,, i`ta t5L(O a:-Vla 5awsi5vx1( LN Reg.No. 3 3 citi l FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000,00 OF THE TOTAL ESTIMATED COSTBASED ON$125,00 PER S.F. Total Project Cost:$_6 o FEE: Check No.: t Receipt No.: �t / NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund._. Signature of)w6entl0 finI�Tll- s �Waived Signature of contractor:. Plans Submitted Certified Plot Plan ❑ Stamped Plans Q TOw °RT" Andover No. h ver,Mass, A017 A Ar r U BOARD OF HEALTH 9_1 Food/Kitchen PERMIT T ILLJ —septic System— THIS CERTIFIES THAT..... Arl 4. ................................................................ BUILDING INSPECTOR has permission to erect..........................buildings on....... ...W..A Foundation Rough to be occupied as......... jq Irm........ ev...................................... ......*.............................. 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CORU NST CT 0 S Rough Service ................................ . .... BUILDING INSPECTOR... Final 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 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner q Street No. Smoke per, INSTALL JOHN AND MARYBETH MALOLEPSZY 1/31/17 DESIGNER: JOEY BAKER MOYNIHAN LUMBER INSTALLER: ILK Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 65,760.00 m $ - $ 789.12 Plumbing Fee $ 98.64 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 98.64 Total fees collected $ 1,086.40 212 Haymeadow Road 762-2017 on 216117 kitchen renovation i I i i s i PROPOSED FINAL PLAN = "�. z • Ele u�cE�:.€Fc W�%S a.ftclFsit \�-: 1 +- i = rxxv fi2ca€ Itu� cc i ca'WWLEn��i-anxt s[K Nt�t- I .. `a RFF�<S� .M0. F3Cft vE AEF SHE ' a u A � I m 13 32' i I i i i I i All dimensions si—des,gnotions - -- '(hu-is an Dogma!design and n—t Des,goed:10/20/2016; gi,'en are subject to ven Ficatron an not be released or copied miles Printed tt31/2017 E lob site and a,!J—tment to fit)ob applicable f has been paid ar job conditions 2 0 order RL ced Si(k_sl—!john M}.bit All Drawi it:t No Sc 1 r i i I i I Z i _ K F a_4a G� i _. I i I I All di--i..,,i—designaleons I I�s is sn ong�nal design and.,,— D—igned'10/20/2016: (gi4en arc sub�ecc to seriEcation on not be released or ropted witess Printed 1/31/2017 tob site and adj—ttnent to tit job3 applicable fee has been paid or job conditions ,4 order placed /p — � t Sitk,Stes�(lcrhn M}_l;it EI! _ Drag t:.I No Sc 1 r 83" ? ± . { . 1, > . 391, . » 21 \ _. . . , \ FILL ALONGWALL APPROX 122 . . q I LI' 11, rL, LERS�TWEENWLL CABINETS ®\ AND LL UNITS m±NEED BE : ^©.:. m���wN��?m� MOdd s 1 2 3 £4 6 5 6 7 WOOD HOOD BLOWER,500 CFM BLOWER500 4.0 4423 4423 4423 4423 4423 4423 4423 590ffM •Q.Yeo'aa� • It�6R.25S5. 3=?+' •tm 20Rnn ii2w4,Get el . •tem,aa�t, nri.dat�6'daim�n�AW- . i tt-s,w'.k dSFmmix_tmfts—(Ales. •C•p 'mhaWduwl a rd Hr4, v.. .Lfauumcd sc�It M.�BtUs. \ vVTWHBLOWER390 2.1 1661 1661 1661 1661 ibbt ]661 1661 TAPERED WOOD HOOD BLOWER ,j.,, R�tlknl(isr�a.JF�tt 3�red<ma&�d{m®d We7 Rl«cwJ.d. 5-d".— � 5«pid rubng s 6 sa'.ts. \ Osts 3l tw •ino e0xnn a.�h'v�.n ta�td�trsf os44d. •CarkwJ9 tAw 6HaaCsad vmkc 9st€ •N<iexaa '�' -¢a'dey fes. TWHBLOWE1250 2.1874 874 874 $74 '874 874 874 vv :TWHBLOWER390 •R�tw ,w�.i f�2s d tdlar ,F tttm •t"dkrct.ter. Ivwts¢i�y. A,.,sates. .lGrs 2l 0 •hm SHwuttmr &u � c�.hJ wa-wd. \ .( w*SOWadH«ds dNazk \rz�y.' •S�,mea�cene�iefeeh \,MMILOWE1125O WOOD HOOD DUCTLESS CONVERSION CONVERSION 20 280 260 280 280 280 280 2$0 v;4 KIT AND FILTER KITS FIETEER250/390 1 461 16 46 46 46 46 46 HLTER500 0.5 2d4 2d4 2d9 269 469 269 269 •6�r«�r�dra�a�ac� .�Htat« tart�mta�mm�ftes��+«�L ,�. •fRtfR2w/swo«acau�Rs�aag��vanvn�owLa25o�WHatas[eava. •fHIFkSIb�ry'�wfw(OthFR510Rs deiih6LOWieSW. \ •CAWEESIWi«t s:ti}21"zl"d x,(ilk .til w43e nz'm'fd4'.ti}�Sysm�?,t 9s t,(It Y'z6"'A- 21.7 A anorm r emdr iaxut s. Z'6� 1x4" CONVERSION Effective February 15,2096 W12aalbModel A 5 6 7 WAINSCOTING,341 j2"or WAINISKS 1.2 N/A NIA NIAMJ03 40 611 40 1/2-HIGH WAINt$34.5 1.4 N/A NIA NJA $1 633 WAIN2134.5 I.7 N/A N/A N/A734 641 WAIN2434.5 13 NJA NJA NJA817 846 I4WAIN1540.S 1.4 NJA NJA NJA106WAINI8405 11 N/A NJA NJA147 1177 WAIN2140.5 L4 NIA NIA NJA 1142 7136 1205 E1235]WAIN2440.5 2.2 NJA NJA N/A 1283 1283 1283 WAIN3034.5 2.3 N/A N/A N/A 887 :473 1022 473 21 24' WAINIS345 WAINI540.5 WAIN3634.5 2.8 N/A N/A N/A 434 :1047 1100 1030 WAINt8345 WAIN1840.5 WAIN2134s WAIa21ms WAIN4834.5 3.6 N/A N/A N/A 1144 1304 1361 1254 WAIN24U5 WAM24405 WAIN3040.5 2,7 NIA NTA NJA 140$ 1428 1466 1525 WAIN3640.5 3.2 N/A NJA N/A 1468 X1508 1555 1541 WAIN4840.5 7-3 NJA N/A IVA 1880 1410 1430 2043 344 j cpm, QV ,yy WAIN60315 4S NIA NIA NJA 1344 5571 1622 1488 WAIN6040.5 5-3 N/A N/A N/1 2242 2312 2305 2445 WAIN7234S S.A N/A N1A N/A 1554 1833 1883 1717 M'.36%4' WAIN7240.5 6.3 NIA N1A NIA 2704 2114 2680 2447 WAIN3034.5 WAIN3040.5 WAIX3d345 WANi3840.5 .peii i k &�s.Nm'rG�E usaxb3lf"fltick m3 cai sfG��. WAILM5 WAIN4840.5 n '9 } • zt kcelxk fksh d W � hk x.1Wf.but M kP- Mda-619Alf-l-4A 141 AheN •I(se�ra F�'d bsh((o> dda sM$.S wffi Paa Sq'&s. 34K .(m taemF o-hr�atlmh Pere'Of sa�s�P kce(rance dda�h lle ead€�14�4aeXc cc�rc. �� Gran 40h' .f A* .sPd-k4Avsdfm4Mpcd led( dtk hrt�IPoi`»�mn be"'W"ANl�f 4dcsahmk eam camas Or a9 fL s tk� wm+es D.feft5t hAdcuk WEth a[6 s w44'h WAW15.. IS" 1 0 141 " WMNIB. -Jr I 0 17112- WAP1N,74_ 24` I 0 A-W30. 30' 2 W 1 t9 4 As#7E_ 362wame 1 Itt WAXdO. Nl' 4 3 141OF " ' WANT§0345 WA)N80405 WA4t72.. J7" 3 2 23I(2' kot,341f1"_ `a791j2 D.kigmmb0lfl"!> pnd,05ipx It}} 0r� AOh' 72' WAIN7234.5 WAIN7240.5 Effective February 15.2016 ;. Model �4 5 b 7 W! 2 BASE OVEN CABINET 8030 17.7 471 471 471 471 471 471 971 B033 14.6 1024 1024 1024 1024 1024 1024 1024 B036 21.1 1045 1045 1095 1045 ;1095 1095 1045 fs'r= .to q iwl h€�'cariiW�«1 ezn ccm� .Rtfa to eodtW a�itdsa'arse xM1aasPx3�zta's. 1• _9� •It�a�d,�n,rca� sr .�rofrr•h.• ms�rce«rxs •r� a�wrtaln�cau�r a�24"a�a�o f��ssry�+�r,bAmFmi��sa s�a�;; a \ 0,111b, Mzrsrmm N �urFum M.,4 �I n�sl \ 6030 24" 267/2" 74 i(P 271/1" 6039 27' 31 I j3" 14I j3" 2P I ft` y; 6036 30" 38 k12' 141n' 271/2_ BASE DISHWASHER CABINET, BDW2748 14.3 1246 1248 1246 1296 1249 1248 1248 461/2"HIGH am �rl sa €� 2]' N s&mam�mp-r''defihm]zdz nitscst. � Rat rg3 pk('wd�m =1h- Mta mlmt drt6f4he 75I(Y' � •If mdx�7h lks'axmgttthrt@e,w$rgi Fsahaesxd@rw•5chxmzMics. 3#-@' Ov" 24" a4i 24' BASE BUILT-IN MICROWAVE CABINET BBMWD24 14.1 1274 1274 1274 1274 '1274 1274 1334 '.. with DRAWER BBMWD30 17.4 1512 1512 1512 1512 1512 1523 1548 '... 24".30' .skabrsdtir.#a. -r�bal�,w ,Ixu�rattgt�•ak�im2a-a�ta�nt�ac�srst«�m3:r.�+��t a�Faat�ne azl 13'11 mww Wa"'"9 +tf�omw<a�tftteteO.Vtgof&axe6 imi Iepadau�-sJ is 14I j&"fa�rtdmahym�14 3 jb'(xfa�ar.Sry 8esaa 3ati ttNahi lax-xdYal.�f.g;Vtc`u'€a�As.ad cNaA 6ciems fim�.IN�rfi<aiatt 2a- Ma�9 Namaam l3add � Kofi Ns¢if Nd�t 6&Nk@24 PI' 2271�mam 7 1'3718 767/6" 6�WU30 P7' 287/1" 137(E" I6T " BASE MICROWAVE CABINET with BMWD2434 14.4 1342 1342 1342 1342 1342 1342 1403 DRAWER BMWD2734 16.1 1463 1463 1463 1463 1463 1466 1539 24'.27- 30" BMWD3034 L 17.7 1541 1541 1541 1591 1541 1604 1683 T T •nxaavAa, + !+rm� vxz,aim. a:v= aAv= .s�u2mwY�ts� d%WOZi34 Ta" 25 1/2' F6" Ia' Effective Fet3ru.Fv 15,201& w E' mg 2d g a �+ m - No FD Date..2.-. 1 .... f N�FT{I Qa rte=` TOWN OF NORTH ANDOVER RECEIPT �8-0CNUSG / This certifies that �.f./�ti�.. trt.a .�`yt....................... haspaid..571..0 U........................................................................... 11121 / Received by..... �J 5 .�c x1..1112 11-x U....:............... �t \U Department....... .. ............................. WKTE:Applicant CANARY.Department PlWTreanurer The Commonwealth of Massachusetts Department of Fire Services Office of the state Fire Marshal P.0.Box 1025 State Road,Stow,MA 01775 n� 'n PERM.IT a -�7 !N•6�If1 L�r7y�/ bate: Permit No {C1ty of Towa) ( Dig Safe Number If Applicable) Inaccordaccewith thoprovisionsofM.Q.L Chapter__10. CMR 34 7�Petmmt is grantedto., W L Start Date Full name ofperson,Fim or Corporation Petmissionto locate dumpster for construction/renovation/demolition of structure Comments: dumpster be 25' from structure or covered with tarp or plywood Restrictions; at end of workday at 07102 Y4 y ,u , (Give locaHo ystmataadno„ordesm'beinsuchmannerastoproviedadequateldentficationoflocation) Fee Paid$ /. Tbis Permit. rellexpi3- /-/T (Siguateae oPj an r�i f °Ofii omit ( itle) �� T14M PFOMIT mi LRT RR mm.RAK'_i inn mi Y PCfCTFn i iont i TNF PRFH8LRF6 IV 02/03/2017 08:50 6178470006 COMMONWEALTH INS PAGE @1/01 SILKSTR OP ID:RR CERTIFICATE OF LIABILITY INSURANCE DATEiMWnDIYYVY) 02x0312017 HIS CERTIFICATE IS ISSUED AS A MATTER Or 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 INSURBFNS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder IS an ADDITIONAL INSURED,the pollcy(les)mast 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 llau of such endorsement(s), PROIXtCER CONTACT PantanoNonKahle Inc Commonwealth Ins.Partners LLC NAMe; 25 Newport Ave.Ext. PMONE .517-847-0005 Nn:517.847.0006 N.Quincy,MA 02171 A ppLSS,vvkreY aol.com Commonwealth Insurance INSURE S AFFORDING COVERAGE NAEC N INSURER A:Utica First Insurance Company 15325 INSURED Stephen SUN DBA tNsuaese: Renovation&Restoration 33 Pettey Road INSURER C: North Andover,MA 01845 INSURER D: INSURER e INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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, IIN.TR TYPE OH INSURANCE FF POLICY NUMBER POLICY MM10 LIWTa ,A X COMMERCIALeENER�ALUABIUTY EACHOCCURRENCE 5 1,000,00 CLAIMS. DE 1 X I OCCUR ART-5085483.00 0210312017 02/03/2018mCe F 50,00 MEDEXP(Arty—person) A 5,00 PERSONAL&ADV INJURY 5 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 3 2,000,00 POLICY O PRO-PRO a LOC PRODUCTS-COMP/OP AGG S 2,000,00 OTHER: � AVTDM ENE LIABILITY O BII NED SINGLE LIMIT S ANY AUTO BODILY INJURY(Pur P-1 f l AEL OIh'NED SCMEDUEED BODILY INJURY IPw-vccicle,^,t) F AUTOS AUTOS NON-OWNF� PR ERTY DAMA 6 a HIREDAUTOS AUTOS i Par aeGdo01 w I § UMBRELLALIAB I COEUR EACH OCCURRENCE S EXCESS UAe DLA,MS,M„DE AGGREGATE 3 !DEB 1 1 R TENTION$ S WORKERS COMPENSATION AND EMPLOYERS'LIABILITYSTATUTE EF H ANY PROPRIEI'OAIPARTNEfUEXEGUTIVE YIN E.L.EACH ACCIOENT 6 0,1ERIMEMEER EXCL(tOED'! L...1 NtA iMnntlamryin NK) EL.DISEASE-PA EMPLOYEE 8 N a6,tld9Lflb0�glder - O� Rt TION OF OPEPATIONS below EL.DISEASE-POLICY LIMB @ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD flM,AMIKI-11 R—eka SCW,Ia,mry be ethehed N Rwre Woo IB MW N01 Phis Certificate is hereby issued as avidGnce or existing insurance :overage, C R IFICATEHOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, 120 Main Street North Andover,MA 01645 AUTHORRED REPRESENTATIVE ®1888.2014 ACORD CORPORATION.All rights maorvad. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Terms Agreement Payment '.. Receipt Payment Confirmation YOUR PAYMENT HAS PROCESSED AND THIS IS YOUR RECEIPT '.. Your application will be processed in the next 3-5 business days.Please visit www.mass.govjhomeimprovement for more information on the Home Improvement Contractor program. Your account has been billed for the"`r Iw ;ng transaction.YCu wlli receive a;E'.=4- s _ .{ie'3 e"D?i. Office of Consumer Affairs and Business Regulation-HIC Registration Program Ten Park Plaza,Suite 5170 Boston.MassachuseBs 02996 (880}283-3757 3 Registration Fee-Reapplication $3.53 $150.00 Guaranty Fund Fee 0 to 3 Employees $2.35 $100.00 $5.88 $250.00 1 Date Paid: 2/14,120117 8-09:54 AM - — Total Amount Paid: $255 88 Payment On Behalf Of STEPHEN A SILK 2- Billing Information First Name: Stephen Last Name: Silk Address: 33 Periey Rd '.. City: North Andover State: MA Zip Code: '.. 01845 '.. Phone Number: (478)885-0447 Email Address: scuba—silky@comcast.net Important Information . If you pay less than the required amount due you will not have satisfied your obligation. '.. e Please call 888-283-3757 if you have any questions regarding this information. Print Receipt usetts - Ont ndards o{Public Safety o-w-e guitdin9 Regulaitons and Sta..,d ,,,,Ch use o1 CSzq8533 License: ery+sor Construction Sup STEPHEN A SILK . 33 PERLEy,pO AER MA 01845 NORTH A r�� Expiration: lD— - 111i31201T ' Corrymissioner �'.r „rrn,ixnttl/���=B(8;arc/e;clb jre g gustoes a ulaheo Consumer A{txirs GTO �_Office of OVEMENT CONTRA Type: 9 E tMPR 178182 tstmiion: DBA piration: 7 51'LOi5 T10N STEPHENSIt.K REtyOVATtON&RESTORA STEPHEN SILK 1- 33 PERLEY RD dude NO.ANDOVER.MA 01845 i' 0,Coinmonivealth ofM-saehuseds Depa,ttnent einda&ialAceldents X Congress Street,Suate 100 - Boston,lVIA 02114-2017 "WW rrzass gauldia -woVkers'compensation Tnsurance.offidavitPER�dSPergI G lb:actOPJ.?`Y-triciaAsl lumbers. TOBER7IED�7� ,WeasePrhtt T.Q9b1 r'L F111Ca411T1.fQimatt4A r=:$ favi Dame(BusinesstOzga eumsttadividual): ->> r•'.- a'-`r` 'T.`$ ' s r . Address: t W P]14TIor' fs City{ tate/ 7p t> d ' Type of project(zeclmred);. Arepon an empSoper?Checkfue appropriate baz: 7 �jtieFV'coIlsLoefioA S.�Iau aemployer F2th EmplaYeas(full andlnrparEtime}. in 8.�ltemodeliiig 2.�Zanasole pxeprisforoxpar:nesslup andH vena employees 7rorkiAg fnrme9.�Demolir�oIl any cagacity.tNovtaxkexs'comp.insmarea xegnired] care nixed]' 10❑Building addition 3.C]Z am aha--eo;vner daiag ell V,roxkmYseli.[hTawork ss'eama,in-L Y I V'RI o.trad..tocondnetall werk`onmy pxopoity- ILEI EleeVir4 gepa-ixs or addit[ops 4.❑Ism ahoxneovner audwillbebiringe .,nsatioa ioszaence or are sole en.�'nxatha a1 earsacaa eifbe havewar;:er'eempP jy :P11U bing Zepairs or additions proprietors s'ithno'e`*sployes. 13.[�Rooirepa;is j-❑Sam ageneral coa¢@eforsndIltavohixedf i--Pstedo.tatGe ehed sheep 14 .n OiIAET These sih-cenixa.;9ishava egloyee fi.❑�eaz acoxgorsSiorimdifs.o�:zi,,bava exercisadtheirxight SfexempuanpexlvLGS>c. t 4 acdtvehava no amployes.[_No pauTcers'eomg.ins��-ancereluirect] t dffien`nire onLside coatxaata->nusE sobmiEanewsffida�it=�die�zi`such AnY"aPPhcavTthaie�ec�:s`oox-;'£imnst zlsd n`ll out�o��ehdoing1aS vrork�gtaeirworkers'coxnaensafionPoHc}mf smation:` Fsfia9e t Hoxeeowners who sobmiEtais affitindca-,ng Y +},e ,e ofthe sab-cant:"actor antis _whetbexaznetthose,ent.,e> tContractais that checStisHazusc ycfiedadII [peTd.rhes�v T-er'cosxp.palicX number. - ., ...".. .- employees.Tf the sub-coatranors have emP-Y X ttrla an eirtployet'til ai is providangwarkl,'carrzpensation itzsr•.r¢rzcefor 111Y employees. Salon,is thepalacy a xdjob site information. hisu ante Company your RxpirationDate_ Policy#01Self-jas.Lio.4:. l -Crl �"C' ? } Cityistato&iip: — t � l't lob Sita Address- '�'^ the otic Anmber and e$piratzon doe}- E$tach acope a£theworkeis'camp nsal onpolicp declaratoapage(Showing p Y to S00 -00 Failou,to�E eaY im rlsonmenk as wellvndeas y�penalties inthe lun of.SSTOP WORT-ORDIItland a fine ofup to 25Q.d0 a and/or on Y P offi7usstatementmayhefozwrdedtotneOTfG0of7nVestgadoAsoftheDTAforinsuanGe day against vio]atar.A copy GQVEr"age verification. 1 da hereby c py n Ter tFiepa nsaartdpenaTt es afperjI ry tizat 17se of arr a¢t o� tov ded ttl ove is true arab correct. Date: i v Si aiura' Phena#: `i official use ogly.Do notwrite in this area,to be--,elated by city or tUTM offc ttI Permif/License# City or T'o ym- 7ssuingA-ohoritp circle one): ector 5.Plumbing ImPactor 1.T3oard o$ealtb 2.gvildingAEpartment 3.CitgtTosvA Cleilc d.Elec£rieallAsp 6.other phone#= '. Contact Person. Information and Instructions Massachusetts General Laws chapter 152requires an employers to provide workers'compensation for their employees. Pursuant to this statute,an amployee is defined as"_..ovety person in the service of another under any comraot ofhire, express or implied,oral or written., An er Ployer is defined as"aa individual;partnership,association,corporation or other legal entity,or any two armor, ofthe foregoing engaged in ajoiat enferpr'rse,and including the legal representatives of a deceased employer,or the receivor'or t std,ofan int victual,parhrer hip,association cr other legal ent iy,employing employ ees..HowsvV the owner of a dwellinghouse having not more than three apartments and who resides drercin,or the occupant ofthe dwelling house of another who employs poisons to do maintenance,construction or repair work on such dwdihjrig house or on the grounds orbwlding appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter I52,§25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license orpoxmit to operate a business or to construct buildings in the commouvrealth for any applfeant WRd h'as not produced acceptable evidence of compliancewith the insurance coverage regnired," Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of comp$anee with the insu;rauce requirements oftbis chapter have been presented to the contracting authority." APPu�nfs Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation aud,if necessary,supply Sub"contt'actor(s)natne(s),address(os)andphonenumbers)a long with theircmtificato(s)of insurance.L nitedLiabilityCompanies(LLC)orLimitedLialrityPartnerships(LLP)withnoemployeesotherihantle members or partners,are not required to carry workers,compensation insurance.If au LLC or LLP do as have employees,a poficy is requircd.Be advised thatthis affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The a5ldavit should _ be returned to the city pr town that the application for the permit or license is beingrequested,not the Departmut of Industrial•Accidents. Shouldyou have any questions regardingthe law or ifyou are required m obtain aworkers' compensatiotipolicy,Flows MEthe DepartmentatthenuumberHatedbelow. SeJfins ndcompaniesshhouildenmr#..heir sem insurance license nuuuber onthe appropr,`ate line. -. City or Town Officials ' PIease be sure thatthe affidavit is complete and printed legibly.The Department has provided a space at the bottom oftbc affidavit fox you to fill out in the event the Office oflnvestigations has to contact you regarding the applicant. Please be sure to fill in the nermibliceme number which will be used as a reference number.In addition,an applicant that mustsubmitroultiph, policy information(ifneo e'a"Vicense appications in any given year,need only submit one afidavit indicating current essary) and ruder"Tob Site Address"the applicant should write"all locations in c town'A co Y P Y t Y P _(city or copy scam ed the or town ma be rovided10the applicant as proofthat avalid affidavit i's on file for futtn'e permits or licenses.A new affidavit muust be filled out each Year.Where ahomo owner or citizen is obtainin�v a license orpermitnottelated to any business or wmmeroiat venture (i.o.a dog license or percnitto bum leaves etc.)said person is NOTreguared to complete this affidavit, The Depar+_mears address,telephone and ft masher: The COM112ORWeaU of-Massachusetts Department off-adusttial Areidents 1 Congress Street Suite 100 Boston,TAA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-'727-7749 Revised 02-23-15 WWV?IIlass.govfdia Stephen Silk Renovation&Restoration North Andover,MA 01845 MA License#CS-098533 HIC License#176182 (€i% 1-1-t; CONTRACT: To:John&Mary Beth Malolepszy Re:212 HayMeadow Rd. North Andover,MA Date:Nov.25,2016 SCOPE OF SERVICES: Kitchen Renovations •Provide structural engineered drawings •Remove wall @ dining room/family room •Remove wall @ kitchen/dining room •Remove wall @ family room entry hall •Remove closet/pantry @ kitchen •Enlarge opening @ kitchen/living room •Structural framing per engineers drawing •Install 2 new casement windows @ kitchen per kitchen plan •Framing as needed/required •Insulation as needed •Relocate ductwork as needed/new kitchen exhaust •Blue board/plaster as needed •Crown molding throughout(match existing) •New casing/trim as needed(match existing) •Refinish hardwood flooring @ entire 1 st floor,remove/replace approximately 140sq. ft.of 3"strip oak flooring @ dining room,2 finish coats •Exterior siding/trim @ new window installation •Paint entire 1 st floor ceilings,walls&trim.Price is based on 3 different colors on walls. Kitchen/dining room&entry hall,family room&living room only. •Paint new work @ exterior affected by construction •Install kitchen cabinets per plan •Tile backsplash installation •All permits/fees •Temporary protection during construction •Final cleaning PI mbin •Remove sink drain to wall •Water piping to above toe kick,make safe during construction •Disconnect dishwasher plumbing •Remove/relocate heat @ existing dining room •Install temp.loop as needed to maintain heat system operation •Install new drain piping and water piping within new sink base to accommodate new fixtures •Ice maker/water line for refrigerator •Install/connect faucet •Remove/replace existing disposal •Remove heat @ entry hall&cap off Electrical •Sub panel •14 recess LED lights •14'LED under cabinet led lights •Receptacles and arc fault breakers to code •Wire for electrical stove •Relocation of receptacles and switches of demoed walls involved in the scope of work •5 Dimmers •1 USB receptacle •Wire for 3 pendants over island •Wire for 2 table lights •Wire for hood vent •Wire for micro in island •Wire for 2 convenience receptacles on sides if island Not included:Permit Fee N I.0 •Cabinets/hardware •Granite counters •Tile •Plumbing fixtures •Light fixtures @ island P�t-yment Schedule •$25,000 Deposit upon signing contract •$20,000 Upon rough inspections •$15,000 Cabinet installation/paint completion •$5,760 @ Final inspection/punch list completion Terms and Conditions Contractor agrees to furnish all necessary labor, tools, equipment and materials to complete the work outlined in the scope of services. •Contractor shall provide copies of a valid builder's license and proof of liability and worker's compensation insurance prior to commencement of any work. Contractor agrees to complete the Scope of Services in a timely and professional manner in accordance with the specifications set forth by the architect and engineers, and in compliance with state and local building regulations. Contractor agrees to clean all debris from construction only and to keep the job site in a clean and workable condition at all times. Any materials,products or labor not specifically mentioned in scope of services is not covered under contract and will be paid for out of allowance fund or billed to homeowner(monies denoted in bold next to categories are included in overall price and will be drawn from to pay for materials and installations) Homeowner(not lender) is ultimately responsible for payment upon completion of services and receipt of invoices. •Anything not specifically mentioned in above scope of services will be billed at$65 per hour,plus materials. All materials/labor supplied by Silk Renovation/Restoration are warranteed for lyear from date of completion. Johp��Mary Beth Malolepszy 'Date f Stephen Silk Date B22 OPTION OR FLUSH (2)1-3/4"-161VL �a ca oz z� C40 521(5)l 3t4`X1g„fit 2 00 cGo Ld a z ' L J,can z w g22 � 1.31 Q6�� q �- STREET I BLOCKING _ SEE DETAIL ON SG2 c� JOIST HANGER IF FLUSH FRAMED, .._ ” HGA10 SIMPSON CIA m a z IF OVER TOP C, 76.1 oever if odd --X ISOMETRIC FRAMING SCALE:N.T.S. g oC z PARTIAL H 2ND FLOOR FRAMING PLAN tis BEAMS B21, B22 " SCALE:1/8"=1'-0" �Nz Job 170 1 17031 SIt3ET up, Feb 2,2017 SG1 JOIST z All o 0 1 � E N POST OR 0< t— LALLY o p O COLUMNPOST PLATFORM FRAMING Z JOIST G CoD mM cn r r O 0 N O v PROIE('T NAME: PREPARED FOR M c 212 HAY MEADOW RD STEPHEN SILK L/1 NORTH ANDOVER,MA 33 PERLEY RDAGINEERINGlinas structural 41 NORTH ANDOVER.,MA L L C 579A Noah End 811d.I Salisbury,MA 019521738 1978 465.6436 www.yelinasstructural.com�danlyPagelinassnucturaLcom Project:A_212 Hay Meadow Rd North Andover aova Project:A 212 Hay Meadow Rd_North Andover Dan L GeOnas P.E. � Dan L Gelinas P.E. o Location:822(d ply)1-314"x9-114`LVL R r Gelinas Structural Engineering LLC I'+yr Location:021(5 ply}1-314"x16"LVL p_ Geiinas Structural Engineer'ng LLC m-`; Multi-Loaded Muitt-Span Beam 579A North End Blvd r MuiB-Lpaded Muifi-Span Beam - 579A North End Blvd U (2009 International Building Code(2005 NDS)J SalisburyMA 01952-1 7 38;Ph 978.465.6436 [2009 International Building Code(2005 NDS)J Salisbury MA 01952-1738;Ph 978.465.6436 J (4)1.75 IN x 9.261N x 7.0 FT {5)1,751N x 16.0 IN x 22.0 FT J m StruCaic Version 8,0.113.0 2111201710: AM 17 f StruCaic Version 8.0.113.0 2,112017 9:57:10 AM J Versa-Lem 3100 Fb-Bolsa Cascade f(•/ Versa-Lam 3100 Fla-Boise Cascade f' Section Adequate By:8.3°5 Section Adequate By:4.0% Ca 0 a CanVoliing Factor:Shear` Controlling Factor.Deflection Z 2 s' CAUTIONS CAUTIONS F- 'a 'laminations are to be fullyconnecled to provide uniform transfer of loads to ail members 'Laminations are tp be full connected to provide uniform transfer of loads to al!members '}� _ DEFLECTIONSLOADINGLOADING DIAGRAM DEFLECTIONS Cents LOADING DIAGRAM Ld - Live Load 0.05 IN U1739 Live Load 0.88 IN 0369 W m Dead Load 0.03 in Dead Load 0.38 in Z -g w Told k Load 0.08 IN U1101 Total Load 1.06 IN U250 - C- € Live Load Deflection Criteria:U360 Total Lead Deflection Criteria:L1240 live Load Deflection Criteria:U360 Total Load Deflection Criteria:U240 REACTIONS B J3 REACTIONS d JS J Cc Z Uve Load 7260 in 1210 Ib Liva Load 8470 to 8470 Ib Dead Load 4109 lb 740 Ib Dead Load 4717 Ib 4717 Ib Total Load 11369 kb 1950 Ib 1 Tofai Lead 13187 Ib 13187 ib esadng Length 2.17 in 0.37 in Bearing Length 2.01 in 2.01 in BEAM DATA Center BEAM DATA C re rte, Span Length 7 ft - - Span Length 22 ft Unbraced Length-Top 0 ft --.-- -7n-_---.------ Unbraced Length-Tpp 0 ft ---- ----- zzrr -- - Unbraced Length-Bottom 7 ft Un race Length-Bottom 22 it Live Load Duration Factor 1.00 Live Lead Duration Factor 1.00 Notch Depth 0.00 Notch Depth 0.00 Q UNIFORM LOADS Center UNIFORM LOADS Center `c+ MATERIAL PROPERTIES MATERIAL PROPERTIES .G Uniform live load 0 pif Uniform live Load 0 pif Versa-Lam 3100 Fb-Boise Cascade Versa-Lam 3100 Fb-Boise Cascada Uniform Dead Load 0 pif Uniform Dead Lcad 0 pit Base Values Adiusted Base Values Adjusted Beam Self Weight 19 plf Beam Seif Weight 41 pit > Bending Stress: Fb= 3100 psi Fb'= 3191 psi Bending Stress: Fb= 3100 psi Fb'= 3002 psi Total Uniform load 19 pit Total Uniform Load 41 pit 0 Cd GF=7.03 Cd=1.00 CF=0.97 Q Shear Stress: Fv= 285 psi FV= 285'psi POINT LOADS-CENTER SPAN Shear Stress: Fv= 285 psi Fv= 285 psi TRAPEZOIDAL LOADS-CENTER SPAN Cd=1.00 Lead Number One Cd=1.00 load Number One Two Three Q Modulus of Elasticity: E= 2000 kei E'= 2000 ksi Live Load 8470 Ib Modulus of Elasticity: E= 2000 ksi E'= 2000 ksi Left Li-Lead 560 pit 0 pit 210 pit >✓ Z Comp.1 to Grath: Fc, = 750 psi Fc-1'= 750 psi Dead Load 4717 Ib Comp.-L to Grain: Fc--L= 750 psi Fc-1'= 750 psi Left Dead Load 168 pit 80 pit 140?qZ W d Location 1 it Right Live Load 560 pit 0 pit 210 pit Controlling Moment: 11268 IN!, Con troiling Moment: 72530 Up Right Dead Load 168 pif 80 pif 140 ptt p fz• F• ICS Ft from left support of span 2(Center Span) 1 t.0 Ft from left suppedofspan 2(Center Span) load Start 0 it0 ft Oft 4 W gL' 1:4 Created by combining all dead loads and live loads on spouts)2 Created by combining all dead loads and live loads on sports)2 Load End 22 it 22 ft 22 it H rh Q Control lfng Shear: 11355 to - Controlling Shear. 11605 ib Load Langth 22 it 22 it 22 it c Uj M Z At a distance d from left support of span 2(Cents,Span) At a distance d from left support of span 2(Center Span) Created by combining all dead toads and live loads on span(s)2 Created by combining all dead loads and live loads on spouts)2 Comparisons with required sections: Eg" Provided Comparisons with required sections: Recd Provided Section Modulus: 42.37 ln3 99.82 in3 Section Modulus: 289.88 n3 373.33 wG Area(Shear): 59.76 int 64.75 int Area(Shear): 61.08 in2 140 int Moment of Inertia(deflection): 100.61!n4 461.68 Ir4 Moment of inertia(deflection): 2871.71 in4 2986.67!n4 Moment: 11268 R-Ib 26544 it-ib Memen#: 72530 ft-Ib 93410 @-Ib Shears 11355 ib 12303 ib Shear: 11605 Ib 26600 ib NOTES NOTES iI99 Q� G}-� �4r 'Pof( r' 3 5 T it teO- z Q Job 170�14 =� � G n pro. 17031 Feb 2,2017 SG3