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Home My WebLink AboutBuilding Permit #667-2017 - 101 HERRICK ROAD 5/1/2018 L NORTy '9 /BUILDING PERMIT O yep TOWN OF NORTH ANDOVER "1p` Qj APPLICATION FOR PLAN EXAMINATION _ Permit No#: !N(7 Date Received 1 �I 7 QpR1TEpp4Ry R�SgcHusec Date Issued: LVRORTANT• t,t ; r ; Applicant cant mtstx complete l items s,o,nt spage_ - �C _6Z�1` W a t ' :r^• i r ter. , k�}t �. •�_r P .�-• n ..,A.,, cPROPERT,Y ®1NNER �_OR = --;Y :�„� .' rvr� `' " " a ""'` �10C)'Year Stfuctufe '+. ►Tye�`s j no IVIAPLJ# � 1'1" PARCEL ..a, 4r ZONING DfS fR1CT _r:- Ht's"toric Distnc; .,yes, .,no -` 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 1NeIl 0 Floodplain Wetlands - 0 Watershed istr ❑_Water/Sevver, w. . DESCRIPTION OF WORK TO BE PERFORMED: he,?A-W\ el A& !CwCJC �Lvis�c l ne t _1�� i A5AC G Ce uti (le-&ft Identification•- Please Type or Print Clearly OWNER: Name: Oe &eC6C Ic Phone: Address: C') vme a .koA ween & - _ �& Contractor Name Phol :. r1 l G �- a c4� n� �& Address: :�1. - Rss -� . / e Supervisor's Construction License€� 2 Exp. Date: - s. - y i k'-1(0 r� Q . Home:lmprovement Lkicense: - 1(hZ.S. . . ` _ ... Exp. _ n r' ARCHITECT/ENGINEER / Phone: Address: Reg. NO. FEE SCHEDULE:BULDING PERMIT.,MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. �- Total Project Cost: $ FEE: $ _ Check No.: (PReceipt No.: 73 t3 - MOTE: Persons contracting with unregistered con tors ado n t ha access to the gmar anty fund ---g g Si';natu�e_of.A 'ent/Owner Si tore of co actor'' —.._. __ Plans Submitted Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ TYPF OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Poolsi ❑ 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 PLANNING & DEVELOPMENT Reviewed On Signature_ .COMMENTS CONSERVATION Reviewed on Siqnature I COMMENTS HEALTH Reviewed on_ Si nature COMMENTS i Zonii)g Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/Siqnature& 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 signatureldate COMMENTS -imension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ..: ELECTRICAL: Movement of Meter location, roast or service drop_* equires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup Call Email ate Time Contact Name Doc.Building Permit Revised 2014 `h 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 Application Permit A lication ❑ 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 Bldg of i (VOTE. All dumpster permits require sign off from Fire Department prior to issuance ce n g 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 o CContract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 40TE: 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 Location 10 No. �-t'�� , Date 1 a a-7 • OF 110 • - TOWN OF NORTH ANDOVER , Certificate of Occupancy $ Building/Frame Permit Fee $fpm Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check# Building Inspector tAORTf� Town of : _� ndover No. .. ....... oh ver, Mass,LAKS Q COCNIclo WICM U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT ;�JrAY%Xr. �14.E.I.AR.4.&� breve' .. 4. BUILDING INSPECTOR ..�. .,........�. j�.�.1. k .... Foundation has permission to erect .......................... buildings on � ............. .. .. ....� Rough to be occupied as 1R.SoMiL......A4 ......80 .�...../Afw.....#I^. ...�Ue� u Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTpta )46 Rough ............ ................... Service Final. BUILDING INSPECTOR 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. Dec. 14. 2016 10: 54PM ADDISON; AVE FCU No, 5470P, I Prime Building & Development ESTIMATE P.O.Box 646 DATE: November 17,2016 Lynnfield,MA 01940 JOB NAME: seem Replacement Phone 781-596.2781 Fax 761-592.6140 JOB LOCATION: 101 Hernick Road North Andover,MA Big To: Joe Sherlock 101 Herrick Road North Andover,MA i'V W ON"* Permitting $500.00 all electrical wires. Build p walls on either side of beam ari cut out existing boOM. Install new W Li to fill void of beam anO install now joist hangers to carry floor joists. Materials $050.00 Labor $3,500.00 Repair Rafted Sill $1,250.00 If now footing is required than a W section of cement velli have to be cut out,dug out. ix and pour now concrete. If it is not required this line item can be reiirioved. $1,600.00 Pasquale Guarracino TOTAL $7,700.00 100 OVERHEAD AND PROFIl 710.00 TOTAL 15,470-00 President Acceptance-. Date: Z-)- zo 16 If you have any questions concerning this quotation,please contact me 701-598.27b1. I THANK YOU FOR GIVING PRIME BUILDINGJNC.THE OPPORTUNITY TO QUOTE THIS PROJECT. (�1►]9olseCoamde Triple 1-3/4" x 9-1/2" VERSA-LAMO 2.0 3100 SP Floor Beam\F1301 �Y Dry I 1 span I No cantilevers 10/12 slope December 21,2016 09:26:08 BC CALCO Design Report Build 5684 File Name: BC CALC Project Job Name: PRIME Building&Development,Inc. Description:Designs\FB01 Address: 101 Herrick Road Specifier: City,State,Zip:N.Andover,MA Designer: Customer: Company: Code reports: ESR-1040 Misc: +; 08-00-00 Bo B1 Total Horizontal Product Length=08-00-00 Reaction Summary(Down/Uplift) �rbs� Bearina Live Dead snow Wind Roof Live BO,S-1/2" 3,840/0 1,018/0 B1, 5-1/2" 3,840/0 1,018/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/ft"2) L 00-00-00 08-00-00 40 10 12-00-00 2 Unf.Area(lb/ft"2) L 00-00-00 08-00-00 40 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 7,888 ft-lbs 37.7% 100% 1 04-00-00 End Shear 3,340 lbs 35.2% 100% 1 01-03-00 Total Load Defl. U999(0.098") n/a n/a 1 04-00-00 Live Load Defl. 0999(0.078") n/a n/a 2 04-00-00 Max Defl. 0.098" n/a n/a 1 0400-00 Span/Depth 1 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material �i�1C1rUFiAL BO Post 5-1/2"x 5-1/4" 4,858 lbs n/a 22.4% Unspecified �� B1 Post 5-1/2"x 5-1/4" 4,858 lbs n/a 22.4% Unspecified iiba Notes �'RTC�� Design meets Code minimum(U240)Total load deflection criteria AL Design meets Code minimum(0360)Live load deflection criteria. Design meets arbitrary(1")Maximum total load deflection criteria. The signature has been Calculations assume member is fully braced. eteCtronicalfy translTtllt d Design based on Dry Sergjce Condition. Fastener Manufacturer:SNnpson Strong-11e, Inc. I I l Page.1',of 2 Balsa cede Triple 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam\F601 BC CALM Design Report Dry 1 span No cantilevers 10/12 slope December 21,2016 09:26:08 Build 5684 File Name: BC CALC Project Job Name: PRIME Building&Development,Inc. Description:Designs1FB01 Address: 101 Herrick Road Spec Fier: City,State,Zip:N.Andover,MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure e d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • on buildingcode application. occepted ut here based design C o properties nd analysis methods. • • • Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide a minimum= 1-1/2"C=6-1/2" or ask questions,please call (800)232-0788 before installation. b minimum=6" d=24" e minimum= 1" BC CALCO,BC FRAMER®,AJS-, ALLJOIST®,BC RIM BOARD-,BCI®, Install Screws with screw heads in the loaded ply. BOISE GLULAM-,SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAMS,VERSA-RIM PLUSS,VERSA-RIMS, Connectors are:SDW22500 VERSA-STRANDO,VERSA-STUD@ are trademarks of Boise Cascade Wood Products L.L.C. The Commonwealth of•Massachusetts {. Department of Industrial.Accidents _'~ r 1 Congress Street,,5`uite 100 := r d Boston,MA 02114-2017 o�< www mass gov/dia V IQ�M 5yyti lumbers. -W'aVkers'Compensation insurance Affidavit:BWIders/CO AUTHOItITy.tricians/1' TO BE�WffH M PER1V U1T N ..Please?2rioat Le 'bl A licant�uformation pt vL Name(Business/Ozgavizaiion/Jndividual}: 6' m G Address: Ci /StatelZzp: L n o L4`lC�—_ Phone 9: Axe you an employer?Check the appropriate box: Type of project(xecluired) 7. El NdWd6ns"diion 1;�I am a employer with—employees(Tull and/or part-time).* . 2.❑]I am a sole proprietor OrpartambzpandhavenoemployeesWorlang formein $. �RemodeXit7g any capacity.[No workers'comp.insurance regrured] 9, ❑Demolition. e oworkers'comp.insuraneerequired.]t 10 E]Building addition 3.Q I am a homeowner doing all work mys lir[N 4.0 I am ahomeowner and wM be hiring contractors to conduct all work onmy property- 'will 11.❑Electrical repairs or additions ensure that all cortractbis either workers'compensation insurance or are sole 12_[(.Plumbiug repairs or additions proprietors withno employees. - I 13- Roof repairs 5.❑I am a general contractor and I have hiredthe sub-contractors listed ontbe attached sheet .0 \ These sub-contractors have employees and have workers'comp.insuranc0.1 14.Z Oth S,❑We are acorporation.and ifs•OfAcdMime exercisedtheirrigbtof'exemptionperMCM c. 152,§1(4),and'we have no employees.[No workers'come•insirance required] *Any applicant that cheontrar cks box#1 must also till.out the section below showingtheirworkers'compensation poficy informno davi ation I Homeowners who submit•this? {Bch'ed an additional sheet showing the name of the sub-contractors and taiE whethtols must submit aer or notthoseentitie such tContractors thatch lioxm employees. Ifthes. _co niractorshaveemployees,theyMust providethes workers.comp.policy number. 'ram an employer t7iat is providingwoTker's'compensation insurance for my employees Below is tlzepolicy and jo7o site information. ti L Insurance Company Name: SC3Ce�- -- c 'off`? I ExTirationDate� '7 I Policy#or Sel�inL: -ICs.Lie.#:.L � w\ City/State/Zip: E A•/L&t�A Job Site Address: tic�1 thP e onumber and expiration date). olicy declaration page(showing Attach a copy of the workers' coxnpensatzon py Failure to secure coverage as required under MGL c.152,§25A is a criminalviolationpunishable by a fnie up p $x.,500.00 t250. rm of a STOP-WK and a fine of *to and/or one-year imprisonment;as well as civ%I p enalties in the aiO ORDERof the DIA.for hasuran 0 a day against the violator.A copy ofthis statement may be forwarded to the coverage verification. I do Hereby c iznd the mins anrlpenalties ofpedury t7iat the information provided above s tree arzdcorrect. • Date: 1 3 Si ature: Phone#. ? �� Official use only. Do notwrite in tlzis area,to be completed by city or town official • Permit/License# City or Town" xs§uing Authority(circle one): ' ector 5.Plumbing Inspector 1.Board of ff ealth 2.Building Department 3.City/Town Clerk 4.ElectricaX Insp 6.Other Phone#: Contact Person: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their enapl6yees. 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 entdrprhe,and including the legal representatives of a deceased employer,or the receiver'or trustee cif 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 applica&whd has not produced-acceptable evidence of compliance with the insurance coverage req:uiired." 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=contractors)name(s),address(es)and phone number(s)along with their certificates) 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 au I T.C 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 ofinsurance 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 axe required to obtain a w' orkers' compensatiori policy,please tail 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. Iu 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•"al1 locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext.7406 or 1-877-MA.SSAFE Fax#617.727•-7749 Revised 02-23-15 wwwmass.gov/dia 1`7—�i`,s�'K�--"�ecvh _.___ ext5 �� cut New L.�,11� L,.a(1st C-,) gZ ~acs +GCJ" Scv�S�S E — g r /re oa�nmza�e��sea�l�o�C�/l�i;;sac�usel Office of Consumer Affairs&Business Regulation PHOME IMPROVEMENT CONTRACTOR Registration 176678 Type: J- Expiration .; 911712017 Corporation Y PRIME BUILDING&DEVELOPMENT INC. PASQUALE GUARRACINO 410 BROADWAY ,X{._�_ LYNNFIELD,MA 01940 Undersecretary Massachusetts Department of Public Safety �'w y Board of Building Regulations and Standards License: CS-078468 Construction Supervisor p PASQUALE M GUARRACiNO 410 BROADWAY= LYNNFIELD MA Q1 Expiration: Commissioner 08I15J2018