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HomeMy WebLinkAboutBuilding Permit #475 - 10 MOLLY TOWNE ROAD 3/10/2009 BUILDING PERMIT O� NORTIy q g0"E D 16 TOWN OF NORTH ANDOVER 02t'.`�''- -� *° �°� APPLICATION FOR PLAN EXAMINATION # / ii Mot Date Received Permit NO: ��SSACHUS�� Date Issued: '/�` oj IMPORTANT: Applicant must complete all items on this page LOCATION �% ('V10 1 P& — rint PROPERTY OWNER {. Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine 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 Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: F-1 rl 14h &T 1-1.� Identification Ple se Type or PZit C1 arly) Q OWNER: Name: Phone: Address: CONTRACTOR NameJ�C' S C�F'b Phone: `Z V_7 1 . Address: Supervisor's Construction License<_S Exp. Date: 4 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ( �� S Phone: 17?c? Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSASED ON 1285.00 PER S.F. Total Project Cost: $ r�� FEE: $_ 3 6 Check No.: �)31 Receipt No.: 0) _& r NOTE: Persons contracting with unregistered contractors do not have accessV the g •a ty fund ignature of Agent/Owner Signature of contract Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street .FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA- For department use) Adder +-v )-�� ❑ Notified for pickup - Date .--..........................................-.........----....................................._._...-----............................................_...._..--._........................._..............................-- ---...............................................—_...._.__._................_..................-- Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Application Revised 2.2008 Location w 41?No. < Date MORTM TOWN OF NORTH ANDOVER 10.3: • • 0w 1 Certificate of Occupancy $ Building/Frame Permit Fee $ �--- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2t b 6 Building Inspector Gelinas Structural �ngineerinq LLC Phone 978.465.6436 Daniel L. Gelinas, P.E. Fax Line : 978.465.5160 579A North End Blvd. Salisbury, MA 01952-1738 email danlgelinas@comcast.net March 3, 2009 Mr. Jim Carroll fax 978.475.0942 Carroll Construction phone 978.623.3386 163 Highland Road email Andover, MA 01810 cell 978.479.2776 Subject: Framing at 10 Molly Town Road, Lot 6, G. Bruno Plan 29421 Dear Mr. Carroll: Per your request I visited the site at 10 Molly Town Road, Lot 6, G. Bruno Plan 29421 and Gelinas Structural Engineering LLC (GSE)job 08904 on 2/27/09 and 3/5/09. The purpose of this trip was to perform a walk, make structural observations, and provide comments. Our comments are as follows: Executive Summary: The framing observed satisfies the structural intent of the Massachusetts State Building Code 7th Edition One and Two Family Dwellings and the issued drawings SG-1 and A5 Framing Plans. SN OF 4tq�s'9 DANIEL L. � p GELINAS U STRUCTURAL No.33994 Q- Very Truly Yours, �� o � SSionw�� Danie L. elinas, G2 Framing per drawings 3-3-09.doc NORTH 0 Of No. A0 760 - �. ' o ` lover, Mass., OLAKE � COCMICEWICK y1. ds RATED PPG BOARD OF HEALTH 7 4 Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... r .......4***roda"-%........ .... . .........G�!r...,4... ............. Foundation has permission to erect........................................g.:1.n,s on M 1'� Rough �� to be occupied as....1.�00....s. ... i ..�... !!4..�.............. .... . ...... !..................................... Chimney ' e provided that the person accept is permit shall in every respect conform to the terms of the application on file in Final 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 3(4 • PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRU T S Rough ........ ... ..................................................... ...................... Service BUILDI PECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Street No. SEE REVERSE SIDE Smoke Det. .� The CommonweQith of Massachusetts , Department o ,f Industrial Accidents �K I ; Ofl-cer Investigations ' 600 W ashinaton Street e I • �' EOStOdZ M4 02111 { ' wwrv-mass-gov/dia Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers Aimficant Information j Q Please Print Leaibiv Name (Business/Organization/individual): Address: City/StatelZip: r— ____� Are you empioyer?Cheek the appropriate box: I• am a employer with 4. ❑ I am a general contraztor and I . Type of project(required): employees(full and/or pa�e),* have hired the sub-contractors '6• New construction 2.❑ 1 am a soie proprietor or partner- listed on the attached sheet t ?• ❑ Remodeling ship and have no employees These sub-contractors have working for me in any capacity. workers' comp. insurance. g' ❑ Demolition [No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑ Building addition 3.❑ required.] officers have exercised.their 10 ❑ Electrical repairs or additions I am a homeowner doing all work right of exemption Myself. [No.workers' comp. c. 152 �1P� MGL I I.❑ Plumbing repairs or additions .(4), and we have no insurance required.] t employees. [No.workers' 110 Roof repairs comp. insurance required.] I3•❑ Other *Any applicaws,rs W1at checks box ai.must also aj out the section below showing their workers'compcnsation poiic} information. +� riome tors th with Stlillnit.t}liF Bi1CiBNii IttCilCBtllk�they Bic dvit?-eet c=.;:r,;�iu Lhcn hit_GIIiaiUE�UntCfu lUrn tnui l information.i(a do aII!(igV XConuactors that the k this box.must attached an additionsl sheet showinc the name f it indnfor.�such. o.the sub-ccn-aetots and their workers'oom I am an employer that is providing workers'co encadon i p p°iic?'inr'amration, information assurance for my employees. Below is the policy and job site Insurance Company Name: CJ1-4 C� CG Policy#or Self-.ins. Lic.#: Expiration Date: .lob Site Address: Crty/State/Zip: Attach z copy of the workers' compensation otic declaration P y ration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 1 S2 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office Investig 'ons of the DIA for insurance coverage verification. of I do hereby rti 51 uncle h p ns and penalties of'perjur�,that the information provided abo e t e and correct Signature: Phone# 7 Date: t Cj � ,.� �� j Official use onip. Do not write in this area, to be completed h3:city or town official City or Town: Permit/License 4 Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Cierk 4 Eiectrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for theiremployees. Pursuant to this statute,an employee is defined.as "..ever-y 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&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 o r local licensing agency shall withhold the issuance or renewal of a license or permitto 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 poiitical 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 compii-etely,by checking the boxes that apply to your situation and,if necessary;supply sub-contra-ctor(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. Aiso be sure to sign and date the affidavit The affidavit shou id 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 re"_a--rding the lam, or if you are required to obtain a workers' compensation policy;please call the Department at the nu-a*iber.hsted 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 permitfiicrose number which will be used as a reference number. in addition,an applicant that must submit multiple permit/hcense applications in arty given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the appi.icant 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 vaiid affidavit is on file for future permits or Iicenses. A new affidavit must be filled out each year. Where, a home owner or citizen is obtaining a licenses 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 Dcpartment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA G21 11 Tel. 4 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-2645 Fax#617-7-7-7749 V,'UVR'.IrI ass.a ov/di a BUILDING PERMITo�No oT baa TOWN OF NORTH ANDOVER`'`'` o APPLICATION FOR PLAN EXAMINATION �� Permit NO: �/ Date Received l� �� 3 `°R�ren►p�'yh Date Issued: '�S`a O �SSgCHus�� IMPORTANT:Applicant must complete all items on this page LOCATION CO .�-- �t PROPERTY OWNER t i4�- t ai eaPrint o A l41 Cba Print MAP NO:�PARCEL:��ZONING DISTRICTHistoric District yes Machine 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 Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identific do Please T or Clearly) OWNER: Name: rX�'1- i tp Phone: .55(o .563 Address: �5q mow- ' (8 30 CONTRACTOR Name: Ir--d-S. arr's l Phone- l'b - ?� Address: e0AA r t n , /1tA. N $16 y Supervisor's Construction License: CS 350 3 Exp. Date: r Home Improvement License: Exp. Date: ARCHITECT/ENGINEER '5rorrO Q-Sdci A4-zL Phone: 9`719 �,�3 i I S j Address: &r 1 t, '�eAA . No('-A '0-1Aa\tet Reg. No. 3 3 9 9 `( FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �(4(4a e;fSoo FEE: $ ( Y t.7 4 Check No.: 93 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgentlOwner - `.� _ Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT . ;�' Z62S COMMENTS J CONSERVATION Reviewed on 0 Signature r COMMENTS HEALTH Reviewed on Signature COMMENTS t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Dat Driveway Permit DPW Town Engineer: Signature: Loc ted 384 Osgood Street FIRE DEPARTMENT - Temp DANAer on site yes no Located at 124 Main Street Fire Department signature/date 4g COMMENTS Dimension Number of Stories: 2— / Total square feet of floor area, based on Exterior dimensions. �5 D Q Total land area, sq. ft.: � X563 ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER "LONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date i Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTWFORM07 Revised 2.2008 Location l Ina J14, No. Date a NaR,h TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ Jo 0 s ' • ��s'•^°•E<� Building/Frame Permit Fee $ •K NUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ SLVrs—cs Check # 0� Building Inspector tt0RT#Hi Town of Andover '0 © over, Mass. AG -c* -0 �z 0 0C --- Ij� 'e?ATED OC MIC ME ICK % 0 C) 'V S BOARD OF HEALTH Food/Kitchen PE-, RMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...... .. ..... ... ............ ..( ...... .......................................................... . .... Foundation has permission to erect........................................ buildln�s on -1-0....... ............................ Rough to be occupied as...... ...................................................................... Chimney P that the person accepting this permit shall in**e'v*'e*'r*y"*r**e**s**p'*e*'c*t*'confdrm to the terms of the application on file in Final 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 100 - PERMIT EXPIRES IN 6 MONTHS Final 0o ELECTRICAL INSPECTOR UNLESS CONSTRU STAR S ( sv Rough Service ... ... ................. ...... ...................... ....;In...................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Street No. SEE REVERSE SIDE Smoke Det. GelInas Structural �nqlneerinq LLC Phone 978.465.6436 Daniel L. Gelinas, P.E. Fax Line : 978.465.5160 579A North End Blvd. Salisbury, MA 01952-1738 email danlgelinas@comcast.net March 3, 2009 Mr. Jim Carroll fax 978.475.0942 Carroll Construction phone 978.623.3386 163 Highland Road email Andover, MA 01810 cell 978.479.2776 Subject: Framing at 10 Molly Town Road, Lot 6, G. Bruno Plan 29421 Dear Mr. Carroll: Per your request I visited the site at 10 Molly Town Road, Lot 6, G. Bruno Plan 29421 and Gelinas Structural Engineering LLC (GSE)job 08904 on 2/27/09 and 3/5/09. The purpose of this trip was to perform a walk, make structural observations, and provide comments. Our comments are as follows: Executive Summary: The framing observed satisfies the structural intent of the Massachusetts State Building Code 7t"Edition One and Two Family Dwellings and the issued drawings SG-1 and A5 Framing Plans. IN of A44a. °y DANIEL L. Gcn� n� GELINAS U STRUCTURAL No. 33994 _gyp Q- .SS1:')ai A�t Yin Truly Y ours , 1 L. Gelinas, .E. ` G2 Framing per drawings 3-3-09.doc -,AM% Wrl owl-Von qWA M -j-i� ­:;�­I I d1j'/ -"VH�'.d AaWN WIN I HIM - A!'�I: !� i, La PQMj Smam w o12 . .......... '0 90 or t ............. Its IN on- WI y S Lem of i. Z —————— o _j pa 7 IZY4 ------ pg/Ilyp'G"96}u Qlv-1 Ore, I I W4 R .��4 11"�A 11 *'?JOH Zap --J -live 7vLV'eonioj oil tlc an�b I I '"� its JR01 Rug rg not; vn �01 i I —T Y�DUJ11�15.ab1if5 Nol.>G. DIS- f)LA LU �—_ ^_"� -:��•.� .+'rt�..- I i r I i ' 1 �7;✓I.JNIo cJ�`.'l�� L9' v _o n• 1 r 7z COPYRIGHTED _'--- I � I � Q'Lee W �o IJwM V '•I _ � --�-----_I_ ._ o x -SIM arui u .C— FL6 lila \ VNt U)I Yd L _ - - - - - U �o.m o o¢< 4 w o u' ll�N21 tit } Id' : I = i 1 JJJ } 2NTlll-=lTll rN•. �auNDA fiat-� - ..,„rE�N�r,�.,.o ......... .....__—...i_II- 'I_ _ fl Da No7.6Gt2 ONwWiNcfl !Zl nU j� .� 'if:�.�• l/ V I Gel ina5 Structural �ngineerinq Phone 978.465.6436 Daniel L. Gelinas, P.E. Fax Line : 978.465.5160 579A North End Blvd. Salisbury, MA 01952-1738 email danlgelinas@comcast.net Transmittal 08904 E August 22, 2008 Mr. Jim Carroll fax 978.475.0942 Carroll Construction phone 978.623.3386 163 Highland Road email I Andover, MA 0 18 10 cell 978.479.2776 Subject: Rev 1 shear wall per 71h Edition of code, Dear Mr. Carroll: 1. product attached 2. The Simpson Steel Shear Wall example others had used does not work here for several reasons: a. Building longer, thus more wind sail, Simpson shear wall not adequate b. 8" between garage doors, Simpson smallest shear Wali is 12" 3. Solution is to introduce a shear wall in the interior of the building, see drawings: a. SG-1 Plan of Shear Walls with details, sections, etc; Revision 1 b. A4, Foundation Plan, Revision 1 4. Other options that probably would be more expensive we looked at but not used are: a. Introduce a steel moment frame at the gable end, 4 heavy steel columns, a steel beam 36 foot long over top, reinforce foundation with steel b. Pour a solid 12" heavily grouted 5 foot long CMU wall where the Chimney/fire place is, reinforce foundation below, detail 36 foot long header above garage doors 5. Call with any question on the drawings Very Truly Yours, Daniel L. Gelinas, P.E. E Transmittal 8-22-08 08904 7th Ed S WLs.doc i c r� Permit# Permit Date REScheck Software Version 3.7.3 0-ompliance Ce ificate Project Title: PLA .N©-9421 Report Date:.08/03/08 Data filename:C:\Program Files\Check\REScheck\PL29,421:rck Energy Code: =2000 IECC Location: North Andover, Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6322 Construction Site:- Owner/Agent: Designer/Contractor. Permit Date:5-30-00 • • ." . .•- • • �.. Ceiiiri j 1:Flat Ceiling or Scissor Truss: 1680 30.0 30.0 2J Wall 1:Wood Frame, 16"o.c.: 2512 13.0 13.0 101 Window 1:Vinyl Frame:Triple Pane with Low-E: 360 0.330 119 Door 1:Glass: 39 0.330 13 Basement Wail 1:Solid Concrete or MasohYy: 1680 19.0 19.0 99 Compliance Statemept:The proposed building design described Isere is consistent with the building plans,specifications,and other -:qalculations.5ubmitted With the permit application.The proposed building�ias,been designed to meet the 2000 IECC requirenxs1111113h REScheck Version 3.7.3 and to comply with the:mandatbty requirements l?ted'irc the R8'Scheck Inspection Checklist. _ � r Builder signer > any Npr" Dat e Project Note: Previously saved project Wbf 19ation: COLONIAL HOUSE BRUNO AS9Ci, 28 BERKELEY ROAD N.ANDD ,MA45 PLAN NO 9421 Page 1 of 4 r ..ti REScheck Software Version 3.7.3 Inspection Checklist Date:08/03/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity+R-13.0 continuous insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul,R-19.0 cavity+R-19.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade) insulation and extends at least 6 in.below grade. Windows: ❑ Window 1:Vinyl Frame:Triple Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.330 Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces must be insulated to R-5.Ducts outside the building must be insulated to R-6.5. Duct Construction: ❑ All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181 B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. PLAN NO 9421 Page 2 of 4 C Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ❑ Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. PLAN NO 9421 Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature("F) Up to 1" Up to 1.25' 1.5'to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 i Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5'to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 i NOTES TO FIELD:(Building Department Use Only) PLAN NO 9421 Page 4 of 4 1 • I +--+�-�-K.�...l.J��/M CERTIFICATE ,..........•-�.-..�.�.._s..�,..+r... �..w•rau_..r...��..-..... -._..�.-_—_._"^rr'.�.•�......�..r._....•w.a.r,,.l I OF LIABILITY INSURANCE CiT`.'I:An'DDlfy(Y1 .THfS CERTIFICATE I$ !SSCJF.O ASA MATTEf_.pF llJFOR�IpN M•T'• R�3SI?R'PS •TNS AG"Y INC ONLY AND C`ONFER°, NO RJ GFRTIFIC,QrE f HOLLER. THiS CI?RTiF!CATE OE5 NOT AMEND, EXTEND Ota; 10 C GS<jcUbd SL^rk'c:C AI.YE}? TNF COVEitJLCE FFCiRgEt7 [Le TNF PcLI41E5 F�FLCJW, j Nc th .A.ticlr�vt3r_! MA 01845 — -- --i .— r;3uzr^ INSURERS AFFQpaING COVr;RA F. NCR''i3 A3vDOVE? iT'PX CORP,CCRF N—A�IC# ....-_.-- RHILT,, MA 0283() -- — ' TFiS POLICIES C'F tN;iUiiAtdCE L16TEp BELOW t;AVE BE$N ISS�uED'P'>THE INStIRE7 iiAP,1E:>A3G!!t r�C{�THS F�(>I.IiJY W 4;t'� A'Y RSC'L'l;E1v ErJT,'iERf�QR GGNDI7IGN OF ANY CCfiTRT�CT 9(: ' ,- E•' OU INDICATED.NC'TNIlTHSTANC!Dl� . ...j !.••A'Y:'•_RTAIv.Tr:S IN$ O:H_R Dl)�,;'"WENT WITH RESPECT T'C)'h/HIGH TO,, CEW,;p•CA'FE MAY SE ISSUED OR JPANCE AF=ORD.D DY THE NULVES�'E C;J<Ir7E0 HEREIN I$$UBJECT TO ALL THC TEkN1S, UX I_L 1, NS AND C( iNGITIOf' 0=SU;ri PCUCIES A8L?REGATE'UPAIT$SHC`M4 M,A'Y MVE F3aEN F.EDUC(.r.G EY PAID CLAIM$, ''LT1 V�,.iO' _-_.a.Y�ROc ti IS•,NCG-_� ! POLIp'r _ • 'c -i �L�':-'tt�'G('TI•tT'�---., .r.,�.._,_,�,._._.A DPTetn;nn,c :IA?I(IT� ..�._.._.-T . L � DA'r.";LM?�7lDsIJ�i. - LIMITS_ k.a_L'_!}.B,I,;T1, t i A A G"CCVRPP.rit'E ! CCNIJERCIAL GENE $ r..•_.,j-.I GII,'`ASIr!ACE �` C'C;C:Lit i i�''�SG-FL•ATtL• I ER•SONAL&4_Dv iNJUr2Y GEt:'L A,:GPCe3A7C umir A-.._�..— ; 1 rt;ENrRA:. 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'(;T�Pu - •...—_.—,«.�—._._, '«-_--- --,i DIS SJ__r.._:Y�:Y LUAIT 511.1 I I 1 U4T161,3,LOC1,TI0f9jlbOH1C I.S1cS iJ'I" -•-•--"�--- - I - ..•.�._..-._•-....._.. -.,,,.._. i C_ vN:''ADCSOa'icN:?0�:('E�.1Eh'..PO - ..�--•- i ,I i ,JTM O?I..C. oLL I`SJl%LC AN`i!)F T'Hc A9G':t i7_� !:14� U f=i_•LfC' --.- _ kS ?i. iv„ '_i EJ 8u vdtr TH[E ii'IRgFIUfi i Ea _iGii DATE Tli°hsCl' T '5 iF$(uIJG +<s,lr.ER'vi'L, r dai�L'bJF.R b1J"Y GI8 .0 i r':llcr•,,p•;yE^..c.Tlr!c:>,'�_N 1r _-� ,.a`r5 tir�Il rcr; ' Ou Sc frdacSl;NO OBLIGAP10N OR I.IA5'.L!TY C�ANY Klt•L;; J:PON The INSU:;_A,(i'$A6.5 OF R ?F•,E$Ek7 TNEa. .r_. I I«m�RL•GFI:'�-Iv7NTl'.'_ ___. - - --"•----- '� ���xJtlC'.7R.J COriK�GkvT � IGN 1$8. 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 bum 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# 617-727-77449 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents 1 0 r !�� W;`",l• ; . Office of Investigations i i «< 600 Washington Street Boston MA 02111 i " www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1f Please Print Legibly Name (Business/Organization/Individual): I T 1 1 �r1� Address: � s9 y (���� w� City/State/Zip: k)( (AA (X� -30 Phone q l Are y an employer?Check the appropriate box: Type of roject(required): 1. I am a employer with R 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.[] Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.F-1 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who subniit.this affidavit indicating ti,ey are uoing nli work and then mire 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: Policy#or Self-ins. Lie.#: W C Co u 3 `3 ID Expiration Date:�� Job Site Address: — City/State/Zip: bj 9t An Mala Attach a copy of the workers' co pensation 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. I do herebi certify 1under the pains and penalties of perjury that the information provided a ove is true and correct Si atur • C- " C00-4-0- Date: q o g Phone#: C 4 79 - J-1 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 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: a i I L.oard of Building Regulations and Standards Construction Supervisor License License: CS 63503 r n* Birthdate: 7/19/1965 Expiration: 7/19/2009 Tr# 1209 tr Restriction: 00 JAMES V CARROLL 163 HIGHLAND RD - -ANDOVER, MA 01810 Commissioner i 1 I ' I NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: too- 11- f c7 "fiat the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: ONS-�'C S A,/At.-me/ 1 (Location of Facility) ignature of Permit Applicant j4 013 Date AUG-11-2008 07:33 PM LARRY OGDEN 978 352 2858 P. 02 G� LAWRENCE H.OLDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 far 978--352-2858 pager 978-502-5921 August 11,2008 Mr.Benjamin Osgood fax to 978-685-1099 Key Lime Inc. s 10 Hepatica Drive North Andover,MA. 01845 RE:Unit"E",Lot 8 Old Salem Village,North Andover Dear Mr. Osgood As you requested I visited the above project to review the Engineered Lumber used in the framing as shown on plans prepared by O'Sullivan Architects 7-20-06, The fi-a-zing plan was revised and certified by me 1/8/08 to comply with the provision of the. 7u. Edition of the Massachusetts Building Code for 1&2 Family Owellinsnss. The only reaming work consist of installing Hurricane clips as showki on the drawings the Framing contractor is aware of this. The Engineered lumber is installed as shown on the drawings and a field modification sketch utilizing a steel moment frame at the garage door openings p~pared by me. I therefore certify that the use and installation is acceptable and will super k LI-- loads IQloads as required by the Massachusetts State Building Code 7h Edition. Should you have any questions please call. Yours truly OF Rlq� lvamce H. Ogden P,E, LA X 4La DcN 'A s161 01 s 0 <tr s