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HomeMy WebLinkAboutBuilding Permit #459-14 - 1160 GREAT POND ROAD 11/22/2013 TOWN OF NORTH ANDOVER I-� APPLICATION FOR PLAN EXAMINATION Permit NO: 'J'n 14 Date Received Date Issued: i� �!� k IMPORTANT: Applicant must complete all items on this page LOCATION. t,l4 G✓�4=y17 LA/L. 7 1 �fi2 int _ PROPERTY OWNER �,7/106 16� C �v L- -3 � Print 100 Year Old Structure yes no MAP NO: PARCEL��ZONING DISTRICT: Historic District 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 DCAlteration No. of units: ? 0 Commercial kRepair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other 0 Septic 0 Well ❑ Floodplain 01 Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION QF WORK TO BE PERFORMED: R i,�o 7 t,LAOU L V L , N G ti✓ S —��c1-C I_ _I Identification Please Type d Print Clearly) OWNER: Name: r3l2 civ ff-) SGA�L Phone: C097 3?S 3?So Address: CONTRACTOR Name: R." GLIy-W [=z�--y Phone S 78 �S� 70 /6 Address: 10 = 130 t ) Lc�� J,21r-tF- (GAJ ►^-t 1:`l -. Supervisor's Construction License: 0 .-V it) Exp. Date: __ t1 b,'41 Home Improvement License: /0(. (- -cam Exp. Date: l 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: $ 3 _ o`er FEE: $ Check No.: Receipt No.: 21 1 :�,3 NOTE: Persons contracting with unregistered contractors do ve a ess to a guara fund Signature of Agent/Ovyner , igat _ontractor Plans Submitted U Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ - - -- r Building Department The following is`=a-li'st 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 cas.s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apo,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 I -Dimension i Number of Stories: Total square feet of floor area, based on Exterior dimensions._ I 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 e UcLv 4-(0 d DK 5L Ll Notified for pickup - Date i Doc.Building Permit Revised 2010 - - - -- — -- -- - - _V r Plans Submitted-E] ' Plans Waived'❑ Certified Plot Plan ❑ Stamped Plans ❑ TI'PE_OF°::SEWERAGE DISPOSAL Public Sewer Swimming Pools ❑ j ❑ Tanning/MassageBody Art ❑ 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.APPR_OVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Sig-nature COMMENTS HEALTH Reviewed on Signature COMMENTSCOMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/.Signature& Date Driveway Permit DPW To-,a;! Engineer: Signature: Located 384 Osgood Street SIRE DEPARTMENT - Temp Dumpster on site .yes no Located'at 124,Mair, Street= 'Fire'Departmeiifsignatu're/date COMMENTS Location o � � j2S No. 1— Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit FeeJf ..--- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ b Check# J J Building Inspector Final Construction Control Document (This Document is for Structural Design and Construction Review.) Submitted by a Registered Design Professional for work per the 8t"edition of the t Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Brooks School=Bertles(Gardner)House Renovations Date: 12-05-13 Property Address: 1160 Great Pond Road—N.Andover,MA Project: Check(x)one or both as applicable: ❑New Construction ® Existing Construction Project Description: New beam for first floor bearing wall removal,reinforce existing footing per DEI sketches SK-1,2 and 3 dated 12-01-13 (DEI Project No.D2937). 1, Vincent Pulselli, P.E., of Daigle_En_gineers, Inc. MA Registration Number: 40739 Expiration Date: June 30,2014, am a registered design professional, and I have prepared or directly supervised the preparation of the structural design plans, computations and specifications concerning: ❑ Architectural ® Structural ❑ Mechanical ❑ Fire Protection ❑ Electrical ❑ Other: for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis. To the best of my knowledge, information, and belief the work proceed- ed in accordance with the requirements of 780 CMR and the design documents submitted by our office and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the pro- gress and quality of the work and to formulate our professional opinion if the work was performed in a manner consistent with the intent of the construction documents,industry standards and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. OF VINCENT 9G Enter in the space to the right a"wet"or PULSELLI '� electronic signature and seal: " STRUCTURAL H No.40739 4ZPO,p��QfS7E¢�0���� ��dfONAL F�,G f2�5�13 Phone Number: 978-682-1748 ext. 118 Email: vpulselli@daigleengineers.com Building Official Use Only Building Official Name: Permit No.: Date: ;I r � EX15NG WALL � 6EA EX15T. 240 FLOOR ADD`L WALL PL's I A5 FlOD. F 4;1;!iiX WAU-DBL �NIAIN- !�'�i 1Iii TpP PL.TO ``+��'��'� LU24 HANGER OT`(P NL- .ft IL- .fti i;.";4 URELY N LY 4,i,!1 t 1 T Zxg FLOOR 1���1;`'��� SEG LVL 6EAM SO TOP 30155 @ i G° ��tli 14AILTOG�05T5- JO hpRE ,.it I.I �El,1D P q CEILING 5 �QD :' ti IL. TO BE Zx EX45T•N/ALL EX15T' 1 J015T5 @ 16 1-rJ- REMOVED TION AM SEC pX.SGALE�i 20 A? R GENERAL NOTES NG GAPPC;ly Oft FORMING -_INIP/U�8 COMPACTED p� ENT VIRGIN5OII.HAVINGABETHO UGM E REINFORGEM REED, HAND AND SHAU pAYS GONG BEAR ON UNDB TU P5t AT 28 LVE.WSTAU-IN STRICT NDATION5. SHALL FIN15HED BY MAX A,� 1.A,� POOTING`� AVATIONS SH P�yy1VE STRENGTH OF�pRI14- -tE-150 ADHES I) ALL FOOTING EXC MINIMUM COM E 60-SECURE TH PULTI HIT-tiY J015T BE ASTM THE STRAP CONCR�E Wt AU HAVE A UFACTU�BY TRU55 I G) AU G NC E SH STEEL 5HAU INTO p) Ail REINFORCING BE EPDXIED ON yTGHES)SHAD BE MAN pERTIES LcJ yHA11 CATIONS• ICN PRO E) REBAR DOWE N/ITH HILTI 5PECIFI LVL" NG MINIMUM AU O`NABLE DE5 AGGORDANGE E5IGNATER D�a AL. D ACCORDING TO THE D VENEER 1-1 - ( FOLLOWt BER: ION OR A� 2 A) A L LRHIAEUSEf?a�R LfuTMBER(U SHAD t1AVE ��AN N� B)A�MdNATED BEAMS NOTED ON THE S H01P5 ANO NOTGHE5 IN THE 2,GOOy?51 VENEER CONCR�E pIIINATED NY Flout to GUTS,CO VLH MASONRY OR a �V= 1,900,0 IMuLTIFLE MEMBEP`LA GINEER OFA LUMBER IN CONTACT I EN G)SECURELY u RS SPEGIF u,5nAt51 NOTIFY THE 2 OR BSER,D(CVq gE FOUNDED ON L CONTRA y 00- F LUMBER NO• gETTER Cf10N.ALL SHORING 5 R p yHO�N6 SHAU p}I-if GENERA TO ANY 5U H 5-P' p NO-2 OR GONSTRU A`�REaU M PRIOR MBER yHAU-BE TED 5-Y- pUPJNG Tp LOWERIF�E� NT DEIA�IF OTHER LU GE THE BUILDING SHORE COOS BEA E) 5 gE PRE5ERV ATIVE T ARY TO B� TING THE LOAp' y yTATE BUILDING THE\N( -TO P E�NGINFfR OF 5H0 NEGES uPPOR IF SDE OF NaTIFY 3- M15GEL4ANAIJ S RING GAPA LE OF 5 AySAGHU5E� IN g If 5 pITED• A)PROVIDE MENT5 PON5IB1UA DETAILS AND DIMEN51OW -( y01If WAS 05HA5AFETY STRUCTURAL E CONTRACTORS RFa Jr%fLATEST EDITION OF TH ADlUST IA All FEDERAL SHAU COMM SHALL VERs Rp AMPS TIME TO P' Vd1TH MD MuyT SOLELY BE OR FUU COMPU WC TO AFFO FOR ENGINEERS, B) ALL WORK L_0NTRACT MADE AND 5PON5161E RS GATALOG5- G)THE GENERA 5 G1E5 TO BE SHALL At50 BE 50LE��GT• BE PRE-APPROVED A� AG URE ADJU5TMENT DATE 1210►113 45GREPAN NTRACTOR LPTED TO THE PR ION5 y0OC; IN THE wN vy: ANY D GTORJSUBGO autREMENT5 RE HENT 5UB5T1TUT DpCUMENTED 0)CONTRA ION5 AND RE u AND COMFOWNY G GAPP.GITiE5 o DRA VP I�V15,014 DATE 1: REGUTA 'FC�V D C Qf idA.S. E) ALL MATERIAL, PERTIES AND LOA rC gY: yTAMP� yy'� g pESIGNED HAVE EQUAL PRO GETit G vP REVISION DATE 2: SE 8 p�SElrU m c,.lE�Eo 8v. GARDNEPa HOU FOR: VP CI+NO.: BgRTLE5( R)MOV AL c�i 87RuouRA` sr�T c, IFRO�- BEP.RING WALL C0OOL 40739 5ROO A �O. DEI 5 M N.ANDOVER' a �FGIST�4 G��` SKETCH��ENGE O GRIT POND ROAD- qQs NO.: 2 pF 3 1 1 G En sneers•Inc. d10NA� DaEasR,\er place 3818 MOICA � ,. N1ethven, 5, 1748 • 978 682 6421 (W) w�6a,gleengneef5•� --------------- --- J NEW PO5T EXIST. 15T FLOOR n � n n� �n I II nl u � � u EXI5T. FLOOR !a' FRAMING- _ CONDITIONS VARY. ='. EX15T. CONC. PIER. "#'�EX15T. CRAWL s- 5PACE - NEW FTG ENLARGEMENT IF NO FTG EXI5T5. CENTER W/PIER. DRILL� EPDXY W/ X21 (5) TOTAL#4 DOWELS HILTI HIT-HY 150 EQUALLY SPACED ALL MAX. ADHESIVE. O AROUND. 3" CLEAR (2) #4 5AR5 EA. SIDE (8 TOTAL) 10 2'-6" SQUARE COMPACT SOIL. DO NOT DISTURB. FOOTING DETAIL 30 ---- APPROX.SCALE: 1"= 1'-0" PROJECT' BERTLE5(GARDNER)HOU5E STAMP: DRAWN BY: DATE: BEARING WALL REMOVAL FOR: `.6 VP 12/01/13 BROOKS SCHOOL VINCENT GN DE5IGNED BY: REV1510N DATE 1: I I GO GREAT POND ROAD-N. ANDOVER, MA PULSELLI VP u STRUCTURAL H CHECKED BY. REV15ION DATE 2: No.40739 VP . Daigle Engineers, Inc. .o • 4ft 1 East Rover Place �p G'STE� ��Q DEI JOB NO.: 5KETCH NO.: Methuen, MA 0 1844-3818 /ONAL � D2937 �J K-3 978 G82 1748 CUENT NO.: WWW.dai0eenglneer5.com 978 G82 6421 (fax) 515KErGH SEQUENCE: OH-,201.3 3 OF 3 I EXIST. MASONRY GARDNER HOU5E GABLE WALL I I EXIST. STUD WALL EXIST. GONG. PIER (BELOW) 1N BASEMENT. 20 5K-2 EXIST. 2x8 FLOOR JOISTS (2) 13�q°x 14" LVL @ 16 O.C. -TYP. EXIST. BEARING WALL TO BE REMOVED. EX15T ENTRANCE — EXIST. CONC. PIERS IN DOOR. BASEMENT CRAWL 51FACE. EXIST. 15T FL. WALL5 BELOW. 1 i EXIST. BASEMENT 30 STAIRS. 1 5K-3 _ (3) 2x4 SPF POST EA. END. BLOCK 50UD FOR FULL BEARING ON FOUND. 2ND FLOOR FRAMING EX15T. ADEQUATE FOOTING CONDITIONS UNKNOWN. ASSUMED. NOTIFY ENGR IF NO FTG EXI5T5. 5EE DETAIL FOR REINF. PARTIAL 2ND FL. FRAMING PLAN 1 0 APPROX.SCALE: 114^ PROJECT: BERTLE5(GARDNER)HOUSE STAMP: OF DRAWN BY: DATE: BEARING WALL REMOVAL FOR:,.� S`gr9 VP 12/0 1/13 BROOKS SCHOOL VINCENT DE5IGNED BY: REV1510N DATE I: �� 1160 GREAT POND ROAD-N.ANDOVER,MA PULSEIL VP V STRUCTURAL CHECKED BY: REV15ION DATE 2: No.40739 VP Daigle Engineers, Inc. .0 . • I East River Place �p FGI >gR�' Q� DEI JOB NO.: 5KETCH NO.: Methuen,MA 0 1644-3815 NAIL� D2937 5K- 978 G82 1748 CUENT NO.: www.dalgleengineem.com 978 G82 6421 (fax) 51 A SKETCH SEQUENCE: �VJEI Y013 1 OF 3 Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 333000.00 m $ - $ 396.00 Plumbing Fee $ 49.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 49.50 Total fees collected $ 595.00 1160 Great Pond Road 459-14 on 11/22/2013 Kitchen Remodel in Apartment in Gardner West � NORT1i Town of 2 EAndover No. - - t h Mass, aY�hn�er 22, 2013 ," ver; COC t1Ct4jWKu �.9 A°R�rEo ►�P�,��S S U BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT .. .i? `�.. � �. BUILDING INSPECTOR . ./..1.. ..... .... ..... ,`� � Foundation has permission to erect .......................... buildings on �l� Q� .......................................�................:............... Rough to be occupied as ...... .. ;. ... !. .. .................................................................... 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 MON TUS ELECTRICAL INSPECTOR UNLESS CONSTRUCYON RTS Rough k fig Service ...... .... ............................. Final BUILDING INSPECTOR GAS INSPECTOR. Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE NO.�d C r4T r2 . ��oRa CERTIFICATE OF LIABILITY INSURANCE OP ID:) DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED %S 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($), 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(tot confer rights to the Certificate holder in lieu of such endorsemen s. PRODUCER Segreve&Hall Insur.Assoc.lne 978-975-1300NON7,ACT 305 North Main St AME: 878-975.7596 PM F Andover, MA 01810 Arm IL-oR3 - Michael L.Segreve E-MAII_ ADDRESS: CUASnjMER IDS t-LUET-1 INSURED Richard FIUet COntrdCting Inc. -"NBURER(S)AFFORDING COVERAGE NAIC C 102 Bridle)Path Lane INSURERA:Arbella Protection Ins.Co. 41360 Methuen, MA 01844 INSURr_Rs:Commerce Insurance Co. 34754 INSURER C INSURER D INSURER E- COVERAGES IN URERF: �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 NAY 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. INS TYPE OF INSURANCE POLICY NUMBER M LIDmYY PMDD Exy LIMITS GENERAL LIABILITY $ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,o0O,0O CLAIMS-MADE x PREM S.E3 Ea occurreTO RENTED nce $ _100,00 OCCUR MED EXP(Any one poraon) $ 5,00 8500034727 I 06/12/13 06/12/14 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PAU�TOMOBIILIE= N'L AGGREGATE LIMIT APPLIES PER: POLICY LocPRODUCTS-COMP/OP AGO $ 2'000'0Q LIABILITY S COMBINED SINGLE LIMIT S ANY AUTO I (Es accident) ALLOWNEDAUTOS I BODILYINJURY(Per person) s 100,00 B x SCHEDULED AUTOS XV1460 12101/12 12/01113 BODILY INJURY(Per accident) S 300,00 X HIRED AUTOS XV1460 PROPERTY DAMAGE 12/01/13 12/01/14 (Peraceidoni) $ 100,00 X NON-OWNEDAUTOS $ UMBRELLA LIAB $ OCCUR EACH OCCURRENCE 5 EXCE88 LIAB � CLAIMS-MADE -.. AGGREGATE $ DEDUCTIBLE RET NTION , 71 WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY I WC STATU• 0TH. A ANY PROPRIETOR/PARTNERJEXECUTIVE Y/IJ 910434 r_oRYJJmus__ OFFICER/MEMBEREXCLUDED? C] N/A 03/31/13 03/31/14 E.L.EACH ACCIDENT $ 600,00 (Mandatory In NH) 11 as 198C111O under E.L.DISEASE-E4 EMPLOYEE $ 500,00 DS4RIPTION OF OPERATIONS below E,I,.DISEASE.POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/L, ATIONS/VEMICLEB (Attach ACORD 101,Additional Romnrks Schedule,If more Spoto IP requ(rcd) CERTIFICATE HOLDER CANCELLATION NORTHAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Main Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01815 AUTHORIZIED REPRESENTATIVE I ' ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD(tame and logo are registered marks of ACORD BoiseCascade Double 1-314" x 14" VERSA-LAM@ 2.0 2800 DF Floor 8eamiF801 BC CALC®Design Report-US Dry 1 span J No cantilevers 0/12 slope Monday. November 18,2013 Build 2565 Job Name: Rick Fluet File Name: BC CALC Project Address: Brooks School Description: Designs1FB01 City,State, Zip: N Andover,ma Specifier: Customer: Designer: Code reports: ESR-1040 Company: Doyle Lumber i Misc: T._...T ♦ ♦ t- Y _♦_.,t T...T_ ♦-"_T..,_.`L...__a 7_...,_T T. T ♦ T 7 �� T ,T ♦ T T 7 T T.. ♦ 7 ♦ T 2 ._..T tT_,� 1 _ T .�.5 T T T .7 T T T T T T ♦ T T 7 T T T ♦ T T .,w T 'Y. ♦ t T T 2._ T T...T x.._..%C T 'f T ..T T T.........; � _..__z, µ•-1._� .x .,:x'' ,r -; ' 'f..•.s,F' fl '�yfz� � ., r ,?._ 'rNN, B0 Reaon Summary(Down Uplift) (lbs)) Total of Horizontal Design Spans= 13-00-00 B t r#i / Bearing BO Live Dead Snow 4,063/0 1,956/0 Wind Roof Live 61 4,063/0 1,95610 Load Summary Live Dead Snow Wind Roof Live Ta Description Tri b. Load Type Ref. Start End 100°l0 90°I° ° ° 1 Standard Load Unf.Area{Ibift"2) L 00-00-00 13-00-00 30 115I° 1so!° 125% z Unf. Lin. Ib/ft 10 3 { } L 00-00-00 13-DO-00 0 80 10-05-00 Unf.Area(ib/ft^2) L 00-00-00 13-00-00 30 n/a 10 10-05-00 Controls Summa POs. Moment Value %Allowable Duration Case Location pjSCIOSUrt3 19,560 ft-lbs 74.6% 100°Ju End Shear % 1 06-06-00 Compieteness and accuracy of input must Total Load Defl. L1420(0.372") 57.2% 100% 1 01-02-14 be verified by anyone who would rely on Live Load Defl. L/622(0.251") 67.9oJo n/a 1 06-06-00 output as evidence of suitability for Illax Defl, 0.372" 37.2vo o n/a 2 06-0600 particular application,Output here based Span i Depth 11 1 ria 1 06.06.00 on building code-accepted design n1a n/a 0 00-00-00 properties and analysis methods. Installation of BOISE engineered wood Notes products must be in accordance with Design meets Code minimum(L'24p)Total Ipad deflectipn Criteria, current Installation Guide and applicable Design meets Code minimum(Li360)Live load deflection criteria. building codes. To obtain Installation Guide Design meets arbitrary(1") Maximum total load deflection criteria (8 ask questions,please Balt Minimum bearing length for BO is 2-5!16". 1800)232-07.88 before installation, Minimum bearing length for B1 is 2-5/16". BC CALC^, BC FRAMER(i ,AJST''. Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min. end bearing+ BOISE GLUL BC RIM B©ARD''^,BCIE. 1/2 intermediate bearing BOISE GLULAMT'",SIMPLE FRAMING Calculations assume Member is Fully Braced. SYSTEMO•,VERSA-LAMED.VERSA-RIM Design based on Dry Service Condition, PLUS,VERSAVERSA- -1 Deflections less than 1/8"were ignored in the results. VERSA-STRAND,CascadVERSAe Woody are trademarks of Boise Casrade Vdaod Products L.L.C. f page 2 Of 2 Page 1 of 2 i -------------- The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): P cid/ Address: 13, L?t-E7 F1Yi1 City/State/Zip: 04_7t `'&N--� M# ' a(d�y Phone#: ? �S�7 O I Are you an employer?Check the appropriate box: Type of project(required): 1.P1 am a employer with . ❑ I am a general contractor and I —� 46. New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. �• 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. El 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 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' 13.1-i Other 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 a-re doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam 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.Lic.#: � 10� 3 J U Expiration Date: Job Site Address: OS G UV S City/State/Zip: AJ, A �0 Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert&pAder4hepains a ena of perjury that the information provided above is true and correct. Si ature:, ) -__ . - �— Date: L 3 Phone#• '01y� � 70/0 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.PIumbing Inspector 6.Other - - - Contact Person: Phone#: 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 ofhire,• 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 ofits 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 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 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.ad og 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,ofMassachusetts Department of Industrial Accidents Office ofInvestigattons 6.00 Washington Street Boston,MA,02111 Tel.#617-727-4900 ext 406 or 1-877-MASSA.JFE Revised 5-26-05 Fax#617-727-7749 www-mass,govaa i "'RICHARD FLUET 02 BRIDLE PATH CONTRACTING,INC ANE PROPOSAL METHUEN,MA Ol 844 Date Estimate# 10/23/2013 374 Name/Address BROOKSSCHOOL 1160 GREAT POND RD. N.ANDOVER,MA.01845 GARDENER WEST APARTMENT Description DEMO KITCHEN WALLS TO FRAMING,INSTALL LVL BETWEEN KITCHEN AND DINING ROOM,ENLARGE FRIDGE OPENING,UPDATE ELECTRICAL,INSULATE EXTERIOR WALL IF NEEDED,INSTALL NEW DRYWALL AND TRIM(PRIMED& PAINTED TWO COATS)NEW DIAMOND CABINETS AND TOP(AS PER SKETCH),CONNECT APPLIANCES,EXTEND GAS LINE FOR FUTURE GAS DRYER AND CLEAN OUT DRYER VENT.SUPPLY PERMIT AND TRASH REMOVAL. BROOKS WILL SUPPLY;DUMPSTER APPLIANCES,SUBFLOORING AND FLOORING.PLEASE SEE COPIES OF PLUMBING,ELECTRICAL AND CABINET LAYOUT. PROPOSAL IS VALID FOR 30 DAYS. EXTRAS OR CHANGES TO BE COMPLETED AT A RATE OF$75.00/HR./MAN Finance Charges on Overdue Balance 1 1/2%/MONTH AS WORK PROGRESSES. Total $33,000.00 Signature i Phone# Fax# E-mail 978-685-7010 978-685-7010 RFC102@verizon.NET AVILA PLUMBING fit HEATING, INC 112 CROSS STREET LAWRENCE MA 01841 TEL: (978)683-3046 FAX.- (9 8)975-011"' EIMAIL: AY31, i'4 E.UMsi11'G ao ,c r� DAM- October 22,2013: CONTRACTOR: JFLUET CONSTRUCTION ATTENTION: RICK PROJECT: BROORS SC1400L We propose to demo existing pltwnbing io kitchen and heater and install new as listed. " l -33x22 doable bowl sink and K-Ohier SiDgle)ever fauect I —Garbage disposal insinkerstor • s —tee maker connection ° t —Gas tc,drg-er upstairs ° Z Supply and install a toe kick heater and all piping neeessarf ! Gas stove connecti(op N SrMgS • Proposal PROPOSAL * 7123 AMORE ELECTRIC, INC. 65 AVCO RD UNIT F Brooks School North Andover, MA HAVERHILL, MA 01835 RICHARD FLUET CONTRACTING, INC. 102 BRIDLE PATH LANE METHUEN, MA 01844 978-685-7010 rfc102(d)verizon.net October 25, 2013 This proposal includes labor, and material for the following work to be done for Richard Fluet Construction at Brooks School in N. Andover, MA. DEMO Existing kitchen recessed lighting, sink light, and under cabinet lighting. Circuits in wall to be removed. Relocate 1 3 way switch in the wall to be removed into the dining room area. ADD NEW 1 - 120 volt feed for a garbage disposal. 1 - 120 volt circuit for an above the stove microwave. 1 - 120 volt circuit for a toe kick heater. 1 - 120 volt GFI outlet in the peninsular cabinet. 1 - 4 lamp decorative fluorescent fixture in the kitchen 6 - 18" under cabinet fluorescent lights. 1 - over the sink fixture. MISCELLANEOUS Replace remaining devices in the kitchen to be up to date for code. Replace the dining room fixture, and supply a medallion to cover up any unpainted area. TOTAL : NOTES Included in this cost is an allowance for all the fixtures being installed. We propose hereby to furnish material and labor- complete in accordance with the above specifications, for the sum of: All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. x Paul Blais Service Manager Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor _{ License: CS-050710 RICHARD A FLUOT 102 BRIDLE PATH LN.,';��� s METHUEN MA 01844 Expiration Commissioner 04/22/2015 Offiee ofOo sumer fairs&r$usi es Regulado . - -HOME IMPROVEMENT CONTRACTOR J Registration: 106620 Type - ? Expiration: 7/24!2014 Private Corporation NI ,. R RD FLUET CONTRACTING INC. Richard Fluet 102 Bridle Path•Lane — Methuen,MA 01844 Undersecretary