HomeMy WebLinkAboutBuilding Permit #334-2017 - 10 SILSBEE ROAD 9/28/2016 ti /-7I14WS NORTFt BOILING PERMIT � �� r t TOWN OF NORTH ANDOVER ° t o l APPLICATION FOR PLAN EXAMINATION �` - i ,F Permit NO: Date Received Date Issued: IM ORTANT:App licant must complete all items on this page 3� �^ r / � : LUCATIQ111 ., _ r PRQpERTY fJWNERAll n v .: t Pant 4 g MAP NO PAPCEL z0�ttNG 1 1STRIG Historic Dts# lct yes . _ r a J r `Machine Sh,p Village. yes rio TYPE OF IMPROVEMENT PROPOSED U' Residential Non- Residential ❑ New Building ❑ One family -kr'Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sep#ic llUellIod"dpla�ri Wetiads l `UVa#erslecl,dis#rict ater/Sewer .vx , . M r1" a I v,�e eco c Jo Identification Please Type or Print Clearly) OWNER: Name: d, Phone: Address: �e d L� a �-�oV�{�. d �C7NTRACTCIR Name ('hone u - y �+r a fi I ! s6 4 ess ax Supervisor's C6n9tructio6.1L16ense Exp Date _ r - ` /'7 • HomeI`mprovemeri#Ltense Exp date: s ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 6� FEE: $ C3 t�o Check No.: Vi 1 Receipt No.: '',> (P3 NOTE: Persons contracting with unregistered contractors do not have access o the guar my nd . ., :< Signature of Agen /Owner 'rS�gnattr cif contractor ; BUILEONG PERMIT t ��"O�T 6. - TOWN OF NORTH ANDOVER 02ch' '` APPLICATION FOR PLAN EXAMINATION * _ Jt h Permit No#: Date Received R Oreo� SSACHl1Sfc Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION _ Print _ PROPERTY OWNER - Print 900 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no P Machine Shop Village yes no 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 PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: __ Phone: _ Email: - Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �i _q gnature of Ag_ent/ wne Or f � � �Signature of contractor S` 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 Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Siqnature T COMMENTS t a 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 nog Located at 124 Maine S_ treet - ----- -_ - Fire Department Signa#ure/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) l ly 02 3 �.e f ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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/Cross Section/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 Revised 2014 Plans Submitted ❑ Plans Waived ❑ CoA fie6-Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPS L 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 ❑ t� 1ZZ _V� 1 COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS x 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 Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signaturefdate �1 COMMENTS s.. r Location !`+" U ' A No. `��L, - i Date . - TOWN OF NORTH ANDOVER ti Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# �' `r Buildingv Inspector j' T10RT11 '9 Town o _ eAndover No. J011WIL Alp C, ( h ver, Mass D > > C OC NIC vW.. y1. �,ps RATED ►'P�,�'�� fJ BOARD OF HEALTH PERMIT, T L D Food/Kitchen Septic System THIS CERTIFIES THAT A BUILDING INSPECTOR .............. .Q . .. ... 1. . .►... .. .............................................. has permission to erect ...... 0 .5 Foundation buildi ..�........... .. .. .................................. Rough to be occupied as ..... ... .. ... .. ..�... ;on ��.. ...s ,t .... .... � ...... Chimney provided that the person accepting is permit shall in eve r!s ect conform to A terms o�e a lication � 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 North Andover. PLUMBING INSPECTOR VIOLATION of the ZRough oning or Building Regulations Voids this Permit. !3 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service .... ... .. .... ......... Final BUILDI PECT GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. Plans Submitted ❑ Plans Waived ❑ Confisd- 'lot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISP S A L 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 ❑ ' ZZ C _�00 COMENTS CONSERVATION ❑ ❑ (p.'/ 496— COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street FIRE DEPARTMENT -Tem Dumpster on site yes no Located at 14-!MainPoeStreet LL Fire Department signature/date _ I COMMENTS 9-15-16 Allen Residence 4'�2 y 10 Silsbee Road 1 of 2 North Andover,MA cs seam - 7.1 tzDatabase 1527 Member Data Member Type:Beam Application: Floor Description:Basement Beam Top Lateral Bracing:Continuous Bottom Lateral Bracing: Continuous Building Code: IBC/IRC Standard Load: Moisture Condition: Dry Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" Mem"berr Weight: 13.6 PLF Dead Load: 10 PLF Deck Connection: Nailed Filename: Beam? fib, Other Dead End Category Other loads start End stets Uve Side Begin End Width 10 (�Dewdptfon) 1T 4.50" 14' 6.00 40 10 Live Top 0�0" 9'10.00" � 613 Snow i Additional Uniform(PSF) 1T 4.50" 21' 8.00" 1172 Snow Additional Uniform(PSF) Top 613 Top 8' 8.25" 1172 783 Snow Point(LBS) Top B' 8.25" 2432 Point(LBS) TO 8' 8.25" Point LBS K kap "4 II Zzr 5812 1 64 8 8 4 5 812 ® ® Q 21 8 0 Bearings and ReactionsMin Gravity Gravity Length Required Reaction Uplift Location Type Material 5.5m" 1.500" 2759# 1 0 0.000" Wall SPF Plate(4250) 4.500" 4.388" 11189# 2 8' 8.250" Wall Steel 4.500" 1.818" 4636# 3 14' 5.000" Wall Steel 4.500" 1.629" 4154# 4 20' 1.750" Wall Steel 439# 1578# 5 21' 8.000" Wall SPF Plate 42 i 3.500" 1• " Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Live 569# 1 2190# 0# 461# 2 5628# 4776# 346# 3 3853# 0# 759# 0# 5 -13374# 0# -201# i Design spans 5 8.750" 1' 3.625" S' 3.625" 5 8.750" Product: Spruce-Pine-Fir #2 2 x 12 4 ply PASSES DESIGN CHECKS Connect members with 2 rows of 1/2"diameter bolts at 24.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. ro Review gravity uplift reaction force of 16771bs at bearing 5 and ensure that the structure can resist app pnate IY Allowable Stress Design Location Loading Actual Allowable Capacity 4814.'# 3.71' Odd Spans D+L Positive Moment 10613.'# qg% NhearShear B.69' Adjacent 1 D+L 3164•#Moment 5�# 6075.# 52% 7.86' Adjacent 1 D+L 5.69' Adjacent 1 D+0.75(L+S) Max.Reaction 11189.# 12431.# 90% 0,0429" 0.2767" Lt999+ 4.12' Odd Spans L LL Deflection 4.1Z Odd Spans D+L TL Deflection 0.0530" 0.4151" L/999+ Control: Max.Reaction DOLS: Live=100% Snow-115% Roof=125% Wind=16016 Design assumes a repetitive member use increase in handing stress:15% This member has been designed in accordance with NDS 2005 All product names are traribmarke of their respective owners copyright(c)2o15 by simpson Strong Tie Company Inc.ALL RIGHTS RESERVED, r-.rarl"aned se when the member,Aoorioist,beam or girder,shown an thisdraw Ing meats applicable design criteria tot Loads,Loading Conditions,and Spans listed on thi ions, The Thisdesion assumesomduet inslalll tion according to lire menufacturers�edficatlons. 9 C 9-15-16 Allen Residence 3:32pm 10 Silsbee Road 1 of 1 NB North Andover,MA ,S Be=4,17.0.2 MB Member Data Member Type: Beam Application: Floor escription:Front Window Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Building Code: IBCARC Stan Moisture Condition: Dry Live Load: 40 PLF Deflection Criteria: U360 live, 0240 total 1 Me"ber Weight: 6.3 PLF Dead Load: 10 PLF Deck Connection: Nailed Filename: Seams Other Loads 'Ttib. other Dead TYPE Side Begin End Width start End Start End Category (Description) 15 Snow Additional Uniform(PSF) Top a 0.00" 8' 0.00" S' 0.00" 10 10 Live Additional Uniform PSF To a 0.00" 8' 0.00" 2' 6.00" -77 T a 0 0 �r 800 Bearings and Reactions input Min Gravity Gravity Material Length Required Reaction Uplift Location type 1 0 0.000" Wali SPF Plate(425psi) WA 1.646" 2449# 2 8 0.000" Wall SPF Plate 42 i NIA 1.646" 2449# Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Live Snow 657# 1 265# 1792# 2 285# 1792# 657# Design spans 9 1.750" Product: 2.0 RigidLam LVL 1-3/4 x 7-1/4 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12-V'0c Minimum 1.W'bearing required at bearing#1 Minimum 1.W'bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Location Loading Actual Allowable Capacity 4987.'# 9701:# 51% 4' Total Load D+S Positive Moment 7.67 Total Load D+S Shear 2086.# 5642.# �/° 4' Total toad D+S TL Deflection 0.2680" 0.4073" 0364 " 4! Total Load S LL Deflection 0.1961" 0.2715" 0498 Control: LL Deflection DOLS: Live=100% Sn6W=115"/6 Roof=1250/6 Wind--160% All product names are trademarks of their respective owners Copyright(C)2075 by Simpson Strong-Tm Company Inc.ALL RIGHTS RESERVED. The •'pawing Is defined as when the member.Noor joist,beam or girder,shown on this drawing meets applicable design ofitena tot Loads,t.oad'mg Co+Mttwne,and Spans listed on this sheet. dad must be reviewed a 'allfied de narorded n rotessional as ulred for vai.Thisded n assumes roduct installs on accordi tathe manufacturers iticallona Allen Residence 9-15-16 L- -Beate . 10 Silsbee Road 3:13pm North Andover,MA 1 of 1 �S Beam 4.17.0.2 attB 1527 ember Data ascription:Main Ridge Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00 1 12 Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Snow Load: 50 PLF Deflection Criteria: U240 live, 0180 total 1.000" max. LL Dead Load: 15 PLF Deck Connection: Nailed Member Weight: 28.0 PLF Filename: Beams Other Loads Trlb. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 21' 8.00" 6 6.00" 55 15 Snow Additional Tapered(PLF) Top a 0.00" 8' 8.25" 239 55 66 15 Snow Additional Tapered(PLF) Top S' 8.25" 1T 4.50" 55 239 15 66 Snow Additional Uniform(PSF) Top 1T 4.50" 21' 8.00" 4' 4.13" 55 15 Snow I i 21 8 0 01i r 21 s0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 a 0.000" Wail SPF Plate(425psi) 5.500" 2.604" 7746# 2 21' 8.000" Wall SPF Plate(425psi) 3.500" 2.748" 8175# - Maximum Load Case Reactions Dead for applying point loads(or line loads)to carrying members Snow Dead 1 5840# 19M 2 6178# 1997# Design spans 21' 0.750" Product: 2.0 RigidLam LVL 1-3/4 x 16 4 ply PASSES DESIGN CHECKS Connect members with 2 rows of 1!2"diameter bolts at 24.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 40033.'# 890194 44% 11.28' Total Load D+S Shear 70394 249014 289'0 20.39 Total Load D+S Max.Reaction 81751 10412.# 78a/o 21.67 Total Load D+S TL Deflection 0.6732" 1.4042" 0375 10.92' Total Load D+S LL Deflection 0.5074" 1.0000" 0498 10.92' Total Load S Control: Max.Reaction DOLS: lave--1000/6 Snowa1156% Roof=1256% wind=1600/6 Design assumes a repetitive member use increase in Mending stress: 4% All Product names are trademarks of their respective owners Copyright(C)2015 by Simpson Strong Tie Company Inc.ALL RIGHTS RESERVED. "Passing Isdatmed as when member sone to s beam orgirdec shown on this drawing meatsa�pplicable design criteria for Loads,Loading Conditions,and Spans listed on thiseheat.The dad n mU be reviewed a ualllied de nerordasi rofe�onal as required for val.Thisdesi n assumesOf0duCtinStallation acco din to Ota manNactu ats Ocatlona Allen Residence 9-15-16 32pm 10 Silsbee Road 3: North Andover,MA of 2 �S Beam 4gi;z 17B2 Member Type: Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, 0240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 9.5 PLF Filename: Beam6 Other Loads (e Thb. Other Dead (Description) Side Begin End Wdth start End start End Category Additional Uniform(PSF) Top a 0.00" 21' 4.50" 2' 6.00" 10 10 Live Additional Uniform PSF To 0' 0.00" 21' 4.50" 5' 6.00" 55 15 Snow 032' 1i200 12104 ® 200 ® 428 21 4 8 Bearings and Reactions Input Min Gravity Gravity Location 'type Material Length Required Reaction Uplift 1 0' 3.750" Wall SPF Plate(425psi) 3.500" 1.500" -- -2477# 2 2' 3.750" Wall SPF Plate(425psi) 3.500" 2.683" 5987# - 3 15' 2.000" Wali SPF Plate(425psi) 3.500" 2.361" 5269# 354# 4 17 2.000" Wall SPF Plate(425psi) 3.500" 1.566" 3494# -1121# I Maximum Load Case Reactions Used for applying point loads(w fine loads)to carrying members Live Snow Dead 1 -393# -1831# -644# 2 907# 42M 1766# 3 892# 4149# 1119# 4 649# 3019# 475# Design spans a 3.750"(left cant) 2' 0.000" 12'10.250" 2' 0.000" 4' 2.500"(light cant) I I'I Product: 2.0 RigidLam LVL 1-3/4 x 7-1/4 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bmcing along the bottom chord. Review gravity uplift reaction force of 2477lbs at bearing 1 and ensure that the structure can resist appropriately. Review gravity uplift reaction force of 355lbs at bearing 3 and ensure that the structure can resist appropriately. Review gmvNy uplift reaction force of 1122lbs at bearing 4 and ensure that the structure can resist appropriately. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 3597.# 151344 230/6 8.74' Odd Spans D+S Negative Moment 5525.# 15134.# 36% 2.31' Adjacent 2 D+S Shear 29314 8463.# 349/6 1.71' Adjacent 2 D+S Max.Reaction 5987.# 86464 690/6 2.31' Adjacent 2 D+S TL Deflection 0.2267' 0.6427" 0680 8.74' Odd Spans D+S LL Deflection 0.1601" 0.4285" U963 8.74' Odd Spans S TL Dell.,Lt. 0.0029" 0.2000" 2U999+ 0' Odd Spans D+S LL Dell.,U. 0.0021" 0.2000" 2U999+ 0' Odd Spans S TL Dell.,Rt. 0.1783" 0.4208" 21J566 21.38' Odd Spans D+S LL Defl.,R. 0.1262" 0.2806" 21J800 21.38' Odd Spans S All product names are trademarks of their respective owners copyright IQ 2015 by Simpson Strong-Tie company Inc.ALL RIGHTS RESERVED. "Passing is defined aswtvrn the member,Bow joie,beam orgicde4 shown on alis drawing meets applicable design criteria for Loads,Loading CondlUons,and Spans listed on this sheet.The �Ii must be revievred a uelifled de eror dad ofisssionel es fi ed forapproval.Thlsdesin assumes roduct Installation accordi to the manulaclurey's ticatons. Alien Residence 9-15-16 tvY. .I 10 Silsbee Road 3:21pm North Andover,MA 1 of 1 CS Beam4.12A2-+ - kmBeamERg. i.7.1 Mii - Member Data escription:Rear Valleys Member Type: Beam Application: Roof r To Lateral Bracing: Continuous Slope: 6.00/ 12 p 9 p Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/1RC Snow Load: 50 PLF Deflection Criteria: U240 live, 0180 total 1.000" max. LL Dead Load: 15 PLF Deck Connection: Nailed Member Weight: 8.3 PLF Filename: Beam3 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Tapered(PLF) Top 0' 0.00" 12' 6.50" 239 55 66 15 Snow Additional Tapered(PLF) Top 0' 0.00" 12' 6.50" 239 55 66 15 Snow I I i w A 12 6 8 Bearings and Reactions 12 6 8 Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) N/A 2.326" 3459# 2 12' 6.500" Wali SPF Plate(425psi) N/A 1.603" 2385# - Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Snow Dead 1 2593# 867# 2 1772# 613# Design spans 14' 2.250" Actual Length 14'5.000" Product: 2,0 RigidLam LVL 1-3/4 x 9-1/2 2 ply PASSES DESIGN`! CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc Minimum 2.33"beating required at bearing#1 Minimum 1.60"bearing required at bearing#2 Design assumes continuous lateral bracing 9 P along the to chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 9339.# 161044 57% 5.64' Total Load D+S Shear 2597.# 73934 35% -0.06' Total Load D+S TL Deflection 0.6712" 0.9457' 0253 6.26' Total Load D+S LL Deflection 0.5013" 0.7093" 0339 6.26' Total Load S Control: TL Deflection DOLS: Live--100% Snow.1151/6 Roof=1259/6 Wind=160"/o All product names are trademarks of their respective owners Copynght(C)2015 by Simpson Strong-Te Company Inc.ALL RIGHTS RESERVED. "Passing iadelined as when the member,tlooriois,beam or girder,shown on this drawing meets applicable design cdteda for Loads,Loading Conditions,and Spans listed on this sheet.The des n mus be reviewed D a qualified de nerordes n rofessonal as uired fora van.Thisdes n abarmes induct installation accordin to the manufacturers ecifications. Allen Residence 9-15-16 s my f 5>'r:J-11 10 Silsbee Road 3:16pm North Andover,MA I of i CS Beam 4.17.0.2 IcmBearuFug Ifi-4 0.11 ember Data Description Rear Ridge_ Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00 1 12 Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Snow Load: 50 PLF Deflection Criteria: U240 live, U180 total 1.000" max, LL Dead Load: 15 PLF Deck Connection: Nailed Member Weight: 14.8 PLF Filename: Beam2 Other Loads Type. Rib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 5' 0.00" 8' 8.25" 55 15 Snow Additional Tapered(PLF) Top 5' 0.00" 15' 0.00" 239 55 66 15 Snow Additional Tapered PLF To 5' 0.00" 15' 0.00" 239 55 66 15 Snow 15 0 0 15 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) 5.500" 1.982" 4423# 2 15 0.000" Wail SPF Plate(425psi) 5.500" 1.500" 3215# Maximum Load Case Reactions Used for applying point loads(or fine loads)to carrying members Snow Dead 1 3382# 1041# 2 2432# 783# Design spans 14' 2.7W' Product: 2,0 RigidLam LVL 1-3/4 x 11-1/4 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 142404 344934 41% 6.99 Total Load D+S Shear 37784 131321 28% 0.4' Total Load D+S Max.Reaction 4423.# 12272.# 36% 0' Total Load D+S TL Deflection 0.4118" 0.9486" U414 7.5' Total Load D+S LL Deflection 0.3137" 0.7115" 0544 7.5' Total Load S Control: LL Deflection DOLS: Live=1000/6 Snow,115% flood=125% Wind=1130% Design assumes a repetitive member use increase in bending stress: 4% All Product names are trademarks of their respective owners COPynght(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. "Passing isdetinad as when the member,Noorjoist,beam or girder,shown on this drawing meets applicable design criteria for Loads Loading Conditions,and Spans listed on this sheet The desgn must ba reviewed by a qualiliad de4gnerordedgn professional asrequired forapproval.Thisdeaign assumesproduct installation according to the manufacturer's specifications r t<, Allen Residence 9-15- Jt -A'x.�i !�V.(',l' 10 Silsbee Road 3:24pi North Andover,MA 1 of CS Bcam 4.17.0.2, InnBe:wa 'w tabase 1527 �"�.,_. ember Data Description:Ridge Header Member Type: Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 6.3 PLF Filename: Beam4 Other Loads Type Trib- Other Dead (Description) Side Begin End Width Start End Start End Categor Point LBS TOP 1' 0.00" 6178 1997 Snot T T O 3 0 0 i 3 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wail SPF Plate(425psi) WA 3.639" 5412# 2 3' 0.000" Wall SPF Plate(425psi) N/A 1.892" 2814# Maximum Load Case Reactions Used for applying Point loads(or line loads)to carrying members Live Snow Dead 1 63# 4071# 1342# 2 63# 2107# 707# Design spans 3' 1.750" Product: 2,0 RigidLam LVL 1-3/4 x 7-1/4 2 ply LASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc Minimum 3.64"bearing required at bearing#1 Minimum 1.89"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 5798.'# 9701.'# 59% 1' Total Load D+S Shear 54031 56424 950/0 -0.06' Total Load D+S TL Deflection 0.0361" 0.1573" L/999+ 1.34' Total Load D+S LL Deflection 0.0271" 0.1049" 0999+ 1.34' Total Load S Control: Shear DOLS: Live=1000/6 Snow=1150/6 Roof=125% Wind=1609/6 All Product names are trademarksof their respective owners COPydght(C)2015 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. "Passing tadelined as when the member,floor joist,beam or girda;shown on this drawing meets epplicable design criteria for Loads Loading Conditions,and Spans listed on this sheet,The deli n muse be reviewed a ualified deb nerordesi n rofessional asr wired fora royal.Thisdesi n assumes roduct installa{ion accord) to the manufacturers ec ii1cations. Massachusetts Home Improvement Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name: Jody Allen Name: Kevin Smith Smith Construction Company Address: 10 Silsbee Road Address: 37 Linden Avenue North Andover,MA 01845 North Andover,MA 01845 Phone: 978-857-3946 Phone: 978-687-7064 Mailing Address if different from above: Const. Super.Lic.# CS-102589 Exp.Date: 3/5/2017 HIC Lic. # 108511 Exp. Date: 8/19/2018 The Contractor agrees to do the following work for the Homeowner: Furnish all labor,materials,and equipment necessary to construct a 504 square foot in-law suite in accordance with the attached drawings dated 9/9/2016. The following permits are required and will be secured by Proposed Start Date: 9/28/2016 the contractor as the owner's agent: Building Permit Substantial Completion Date: 1/18/2017 Electrical Permit Plumbing Permit Total Contract Price and Payment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of: $ 68,000.00 Payments will be made according to the following schedule: 15% Excavation Completed 15% Foundation and Backfill Completed 35% Frame and Roof Completed 20% Insulation and plastering Completed 10% Painting,Cabinets,Flooring Completed 5% Occupancy Permit i Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other cop should be kept by the contractor. Q4—� 11" Ho owner's ' nature Contractorfsndti,re Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation aVt, , r shall be required to submit to such arbitration as provided In Massachusetts General Laws, cha ter 14 alt_al� Ho eowner' Signature Contracto Signature NO ICE: T e signatures of the parties above apply only to the agreement of t parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the MC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/licenseeljg.asp i For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR I Better Business Bureau 508-652-4800, 508-755-2548 or 41.3-734-3114 Version 2.1 -11/22/2010 I NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO [Name of Seller], AT [Address of Seller's Place of Business] NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: n - ^ Town of North e�r1 .fly 99-19-2016 11 :24 ZONING BOARD ONsAjq_ r �• .1ilbert P.Iblanzi 1II,Esq.Chairman Ellen P.Mclntyre,vice-Chairman f NORrN q �n(e A!'^ Town Clerk Time Stamp 1 26 AM 11 47 D.Paul Koch Jr.Esq.Clerk �,�` e�;r *.'t �Oe Douglas Ludgin 1 in Tut'jF' Allan Cuscia .4rrodaieMembers NUTH it4 ;' !TJ +�' tet, . R•f„•i y..1.-• , j Deney i\4organthal ar 's,..°..�„ y �"i�iSJ•;t,..i"�::•:, , Nathan Weinreich �ssACS ett 1-his is to way that twenty(20)days Alexandria A.Jacobs Esq. have elapsed from date of decision,filed without filing of an appeal./6 Sep;?0/('0Date Joyos A.Bradshaw Town Clerk i Any appeal shall be filed within(20) Notice of Decision days after the date of filing of this Year 2016 notice in the office of the Town Clerk, Property at: 10 Silsbee Road a 20 Parc ' (Map e129) per Mass.Gen.L.ch.40A,§17 North Andover,MA 01845 NAME: Jody Allen BEARING(S):June 28,2016&August 18,2016 ADDRESS: 10 Silsbee Road, PETITION: 2016-003 North Andover Ma.01845 S ecial Permit—Construct a Family Suite I`. The North Andover Board of Appeals held a public hearing at The School Administration Building,at 566 Main Street, North Andover, MA on Thursday, August 18, 2016 at 7:00 PM on the application of Jody Allen for property located at 10 Silsbee Road(Map 20,Parcel 29)North Andover,MA 01845. A Special Permit for the R-4 Zoning District is needed.The Petitioner is requesting a Special Permitto construct a Family Suite from 4.122.22 of the Zoning Bylaws in the R-4 Zoning District. j Legal notices were sent to all the certified abutters provided by the Town of North Andover,Assessors Office,and were published in the Eagle-Tribune,a newspaper of general circulation in the Town of North Andover,June 14, 2016,and June 21,2016. The following regular voting members were present:Albert P.Manzi III,Ellen P.McIntyre,Doug Ludgin and Allan Cuscia. The following Associate members present:Alexandria Jacobs. Ellen McIntyre made a motion to GRANT the Special Permit from 4.122.22 of the Zoning Bylaw to allow for a Single Family Suite in the R-4 Zoning District at 10 Silsbee Road (Map 20, Parcel 29) North Andover, MA 01845. Douglas Ludgin second the motion to Grant the Special Permit. All those in favor to Grant the Special Permit:Albert P.Manzi III,Ellen P.McIntyre,Doug Ludgin,and.Alexandria Jacobs. Opposed:Allan Cuscia Vote 4-1 The Board finds that this use, as developed by the building and site plans, will not adversely affect the neighborhood. There will be no nuisance or serious hazard to vehicles or pedestrians since there are provisions for the required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling and will be provided for the proper operation of a-Family Suite. The Board finds that the Family Suite will not be substantially more detrimental than the existing single family dwelling to the neighborhood and that this use, to allow a Family Suite to the single family dwelling,is in harmony with the general purpose and intent of this Bylaw. ATTFsT: A True Copy Town Clerk Pagel of 2 $ite: 10 Silsbee Road(Map 20,Parcel 29)North Andover,MA 01845 The Petitioner is requesting a Special Permit to construct a Family Suite from 4.122.22 of the Zoning Bylaws in the R-4 Zoning District. Special Permit: Section 4.122.22 of the Zoning Bylaw in order to grant a single Family Suite in the R-4 Zoning District. Plans(s)and titles 1)"Plot of the Land"containing one(1)sheet. Prepared by Merrimack Engineering Services,Dated July 27,2016,66 Park Street,Andover,MA.01810 2)Allen Residence,containing six sheets;Front Elevation,First Floor Plan Second Floor Plan,Left Elevation Right Elevation,Rear Elevation,Dated 07/11/16 Voting in favor of the Albert Manzi III, Ellen P.McIntyre,Doug Ludgin and Alexandria Jacobs Special Permit: Vqdgg in the Negative: Allan Cuscia The Board finds that the applicant has satisfied the provisions of Section 4.122.22 of the Zoning Bylaw in order to allow for a Single Family Suite located at 10 Silsbee Road(Map 20,Parcel 29)North Andover,MA 01845 in the R- y 4 Zoning District. Notes: 1. This decision shall not be in effect until a copy of this decision is recorded at the Essex County Registry of Deeds,Northern District at the applicant's expense. 2. The granting of the Special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local,state,and federal building codes and regulations,prior to the issuance of a building permit as required by the Inspector of Buildings, 3. If the rights authorized by the Special Permit are not exercised within 2 years of the date of the grant,it shall lapse,and may be re- established only after notice,and a new hearing. l 7 1 No Andover Zoning toard of Appeals Al rt P.Manzi III,Esq.,Chairman Ellen P.McIntyre, Vice-Chairman Douglas Ludgin Alexandria Jacobs,Esq. Decision 2016-003 i E S 'r ;i 3{ i jSt 4 j 1 I Page 2 of 2 j i 7 NOTES y N/Dx sr. st`�57 1. SITE IS SHOWN ON TOWN OF NORTH ANDOVER ASSESSORS Qa' MAP #78 BLOCK # I LOT #2. SEE E.N.D.R.D. BOOK #106 PAGE #280 FOR SITE DEED, AND PLAN #88138, SHEET 2 moo, FOR SITE. cHy1J ; 2. ZONE DISTRICT IS R4 (RESIDENCE a). r N/F g SITE NATHAN AUBRI DEMARS N/F LEGEND 9 N/F KATHRYN ELIZABETH DEMARS JOHN P. LAHOUD N $ WANG AN — HELGA W. LAHOUD W.F. WOOD FRAME 70.00' (p W.F.D. WOOD FRAME DWELLING 74.37'LOT 1e — S,233'33"E 69.96• �C) N/F NOW OR FORMERLY S32*20 26"E CONC. CONCRETE BH BULKHEAD LOT 17&18 PROP. PROPOSED OR REGISTRY USE LOCUS I cin rnaT N o PROP. IN—LAW AREA=13,9-79S.F. (D) DEED SUITE(504 S.F.) 3 (C) CALCULATED N.T.S. EXISTING p C3 ENCLOSED u-� PORCH (TO C14 P� T 8E RAZED) p N/F N/F N/F 43.38' 1 17.38'� (100 S.F.) MOORADKANIAN YOUNG MUNRO N� Z eH DIMENSIONAL SUMMARY UCCIARDELLO w o MIDDLESEX STREET J I'S1 c � °'"' t�W ZONING DISTRICT: R4 \4 ROP. PORCH N L_N Cc W ITEM REQUIRED PROVIDED Z w AXISITNG DDITI TO R 2 S?N 4 m m MIN. LOT AREA 12,500 S.F. 13 979 S.F. Z WELD !17.38'1 I 9 2 2 MIN. LOT FRONTAGE 100 FT. 119.83' / J ' 1zw�sr> LOT COVERAGE N/A 24.62X PROP. N/F XfN DEMARS LAHOUD PIEROG N F DEAN r w 38.38' •00 nu MAX. HEIGHT 35 FT. 2 STORY REALTY 1RUS7 C4 17.38' � Q. MIN. FRONT SETBACK 30 FT. 34.83' PROP. .r y MIN. SIDE SETBACK 15 FT. 38.38' PROP. In x SITE ¢ MIN. REAR SETBAC I30 FT. 1 35.26' PROP. ;ECHRIST 'po N/F �o W rn I 'n EXISTING DWELLING AREA N/A 2,047 S.F. b;13 ALLEN LOCUS z w o j Z n 51 1+ r p IN-LAW SUITE AREA N/A 504 S.F. PROP. ,n� Sllsg�� m a z 1 APPROVED BY THE TOWN OF NORTH L=59.14 —' ANDOVER ZONING BOARD OF APPEALS N/F Q ROAD R=409.29 L=60.69' _ N/F GRAY FINNIMORE 2 r 4 2 >. R=409 03 ��AMM �.�g•) SILSBEE DATE z z n� �w 40' WIDE) c v. Zo ROAD O N/F Z b SHERIOCK �' 4 o HEARING O OE CAL SRO 22 'vIr gM/77.f J =� APPROVED �RO,gD PLAN OF LAND ABUTTERS MAP U1 SCALE' 1"=100' NORTH ANDOVER MASSACHUSETTS OWNED BY "I HEREBY CERTIFY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING 10 SILSBEE NOMINEE TRUST EXISTING OWNERSHIPS, AND THE LINES OF THE .BY CERTIFY TO THE TOWN OF NORTH ANDOVER STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC JODY M. ALLEN, TRUSTEE THE DWELLING IS LOCATED ON THE LOT AS SHOWN." OR PRIVATE STREETS OR WAYS ALREADY 10 SILSBEE ROAD ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW NORTH ANDOVER, MASSACHUSETTS 01845 WAYS ARE SHOWN AND THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS." DATE.' JULY 27, 2016 t SCALE' 1"--20' i0�1 M'S^tty` uMS 0' 10• 20' 40' 60' Ic�5�6i1 G� /r�YIN�_u Cyt MERRIMACK ENGINEERING SERVICES 66 PARK STREET 7/27/16 7/27/16 7/27/16 ANDOVER MASSACHUSETTS 01810 STEPHEN t R.L.S. DATE PHONE: (978) 475-3555 FAX: (976) 475-1448 HEN SKI, R.L.S. DATE EMAILMERRENG®AOI.COM Essex ss.Land COU aDIG A true copy of Land Court Document Boor----=--� age_—�— M M Registered�r at....�-�— H Attest: Al9a J441� //� rtegteter at NO$ The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORITY. A licant Information Please Print Le ibl Name (Business/Organization/Individual): e v i Address: d City/State/Zip: tj o ap�4� D�g one#: q'7(�j �o Are you an employer?Check the appropriate box: Type of project(required); 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10 Building addition 4.❑I 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.❑Plumbing repairs or additions 5. am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F-1 Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6. We are a corporation and its officers have exercised their right o ex 14.❑Other t f'exemption per MGL G.rP � P 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors 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-contractors have employees,they must provide their workers'comp.policy number. I Iain mi employer that is providing)vor/rers'compensation insurance for nTy employees. Below is the policy andjob site information. Insurance Company Name: Aa,61 VPolicy#or Self-ins.Lie.#: i��: 3 01: 4 Expiration Date: ZQ//10 / n I Job Site Address: /12 �i/,��L JCS. City/State/Zip: oo�r i 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. I do hereby ce if and the p ins penalties of perjury that the information provided above is trete and correct. Si nature: 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• I A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMID�YYYY) 5/18/16 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 CONTACT NAME: Armand P. Michaud Insurance Ag PHONE FAX 105 Haverhill Street E-MAIL (978) 685-2549 / No: (978) 794-0922 ADDRESS: Methuen, MA 01844 INSURE S AFFORDING COVERAGE NAIC# INSURER A:Green Mountain Insurance Co. INSURED INSURER B Kevin J Smith INSURER C: Smith Construction Co. INSURER D: 63 Inglewood St INSURER E: North Andover, MA 01845 INSURER F: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VIVID POLICY NUMBER MIDDIY MM/DDIYYYY LIMITS A GENERAL LIABILITY 20004593 5/12/16 5/12/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPEEMISES(Ea occurrence) $ CLAIMS-MADE Fx�OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO-LOC $ AUTOMOBILE LIABIUTY COMBcid mSINGLELIMIT $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLALIAB O)CUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N I FR ANY PROPRIETORIPARTNER/EXECUTNE ELEACH ACG DENT OFFICERIMEMBER EXCLUDED? N/A E.L. $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is regti red) re: 10 Silsbee Rd. , North Andover, MA 01845 CERTIFICATE HOLDER 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. Building Inspector North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Trudy Lawler ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: ACo CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD"YYY) 05/18/2016 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 CONTACT NAME: Trudy Lawler MICHAUD INSURANCE AGENCY PHO WCNo Ext: (978)685-2549 aIc No: E-MAIL C ADDRESS: trud lawler michaudinsurance.com Y 105 HAVERHILL ST. INSURERS AFFORDING COVERAGE NAIC# METHUEN MA 01844 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B KEVIN SMITH INSURER C: SMITH CONSTRUCTION CO INSURER D: 63 INGLEWOOD STREET INSURER E NORTH ANDOVER MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: 54023 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE JNM POLICY NUMBER MMIDD MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- GENERAL AGGREGATE $ POLICY❑JECT D LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTYDAMAGEt HIRED AUTOS AUTOS Per acciden $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION �/ PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 100,000 A OFF ICER/MEMBER EXCLUDED? N/A N/A N/A AWC40070334522015A 11/06/2015 11/06/2016 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. Sole proprietor has not elected coverage. Continuation of above Named Insured:SMITH CONSTRUCTION CERTIFICATE HOLDER 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 AUTHORIZED REPRESENTATIVE North Andover MA 01845 [Daniel M.Croy y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration '1Q8511 Type: Expiration 8719/201,8 DBA SMITH CONSTRUCTION Cts n, Kevin Smith 37 LINDEN AVE4,Fw NORTH ANDOVER,MA 01`845" Undersecretary i I io. ,Massachusetts-gepartrrtient of Pubtac 5ety 4 °Board of Building_Regulations;Wnd W Batt ids'' of License: CS 102589 .,i I.S' KLEVIN J SMITH W 1111TLL'W�3W �'� i Nortb"dover W* 0 r s Expiration +rommissianer 03105/2017