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Home My WebLink AboutBuilding Permit #465 - 1324 SALEM STREET 1/22/2008 BUILDING PERMIT Of No°T 6gtio TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION L �• oR Permit NO: Date Received coc.....i 'fs9�°04reD�PPy(y SSACNUS�� Date Issued: Z 'o i IMPORTANT Applicant must complete all items on this page I+ %-AcATIn' r yam, j �. �. mss ' z f' 22, '` ,. ,� > �,f• � '� -Y�:, -.1c [�' J Y Y - zw� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Vbne family ❑ Addition ❑ Two or more family ❑ Industrial aAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other NW'� � e� F HE IL iSy, ,� �L'TS�d ( 1t1 ..r .. 010. . , dGie rtl„�✓ .ffia .,i r S'.z <:y �i „., nd” __ -v 3 ` f,� ,M�fF�< ,,,t� I DESCRIPTION O WORK TO BE PREFORMED: Identification�lease Type or Print Clearly) OWNER: Name: �„l�/ ,Z< Phone Address: ? G✓irvT� T, �. >v�®��,� aw � in r �y Ift "a—, Adiresr � Y sf d7Vrf 01 l� 3. e sus ld 4 s-tructi6h +z se 41pm, Irrprfl r t LC e se g ARCH ITECT/ENGINEER LC D� iyl'i�u,�il�L�� Phone: '��?- �0 � Address: S/rte �,�TXlfi�S�/ � 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: $ - � �� FEE: $ � Check No.: 519L S Receipt No.: NOTE: Persons contracting with,unregistered contractors do not have access to uar ty and S�grtatu �Age�/C3wnec .Sig►�atur� ofcontr�c,o J I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained I Roofing, Siding, Interior Rehabilitation Permits w i o Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract L3 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 o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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 Li Certified Proposed Plot Plan L3 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) o Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS i I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments + I Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIR� TMN ` p Iurnpster 2 reg epartmen,fsll a Ur at " ' "n. 7 241 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 ❑ Notified for pickup - Date i, ......................................................................................................................................................................................................................_....................................................................................................._._..........................................-.................................. ... Doc.Building Permit Revised 2007 Location /3a ��/�-� LTi No. 410. Date �Z y ` NaRTh . TOWN OF NORTH ANDOVER # ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ cwust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /� 20966 Building Inspector NORTH c 0'" o over No. C, o dover, Mass., T` QLAKE 1. COC RICHE WICK V 7 ADRATED P'P�` �Cy '9s rG BOARD OF HEALTH Food/Kitchen PERM IT T D Septic System • BUILDING .INSPECTOR THIS CERTIFIES THAT........ ,I...... ! .............eAv..G*................................ ........................... ................. Foundation 1..30 . �.has permission to erect.. ....... .................. ......... buildings on ...... Y...... .. ...... .......... Rough .................:................................................................. Chimney be occupied as.. . . ....... ..... ....................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final {6 • PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS J T TS Rough .............................. Service BUILDING INSPE Final Occupancy .Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. PROPOSAL OSAL Margaret Mottolo 1324 Salem Street North Andover,MA 01845 (II) 978-258-3133 (C) 508-982-7274 January 21, 2008 • Building Permit&Dumpster Permit $ 825.00 • 20 yd. dumpster onsite. $ 525.00(per dump) • Remove existing cabinets and counter. Remove $ 5,100.00 blue board from two kitchen walls. Remove existing slider, 9 lite door and kitchen window. Reframe to new .specifications and install a new Anderson triple casement window unit and new full lite door. • Remove wall between kitchen and dining room. Recess $ 3,375.00 five 9 '/z inch LVL beams in ceiling per drawing. • Remove all carpet on first floor. Remove vinyl flooring $ 2,350.00 in kitchen and hall. Remove tile and underlayment in foyer. Remove vinyl flooring in laundry room and bath. Install new underlayment where needed . • Plumbing $ 3,800.00 • Electrical—see attached sheet for details $ 5,670.00 • Install new file in laundry room and half bath.(*) $ 800.00 • Install approximately 300 ft. of new baseboard on $ 1,850.00 First floor. • Skim coat entire first floor ceilings with smooth finish. $2,400.00 Plaster 2 walls in kitchen. • Kitchen Window $ 1,412.00 • Kitchen Door $ 725.00 TOTAL LABOR AND MATERIALS $289832.00 *Customer to supply til , out and thin set. Gl 4"'V-171- Terms: $9,610.00 to start project Z $9,610.00 after rough electrical has been completed $9,612.00 upon completion of the project Submitted By: Chris Rivet MA Lic#CS072173 HIC#139962 /f,� qq& t o 207 Winter Street (C) 508-265-3115 (H)978-794-1165 UI North Andover, MA 01845 ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outli�ned-f above. DateAc�,��.i,ac�0 Signature Date J .��,e ' Signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street eW Boston, AfA 02111 www.mass.gov/dia ' Workers'. Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: f 7 41i'2✓mi T City/State/Zip:_Ak A` V,,Do1/e/t ,xl� Phone.#: <OX .— 12 ��3//..5 Are you an employer?Check the appropriate box: Type of project reuired 1.El am a employer with ' 4. 7 1 am a general contractor and I p ( Q )''t ,cmrilpyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.EIJ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling shipand have no a to ees These sub-contractors have � y 8. Demolition working for me in any capacity. employees and have workers' comp.[No workers' comp,insurance co insurance.$ 9. E]Building.addition required.] 5. ❑ We are a corporation and its 10.1-1 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised,their 11.0 Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required]t c. 152, §1(4), and we have no 12.❑Roof repairs employees. [No workers' 13.[1 Other Pomp. 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 am.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: "/t/ e Arlijel O."V Policy#or Self-ins. Lic.#:' ��,✓' 'J/ S Expiration Date: 4? Job Site Address: �_ �� l o '�� U.�/! City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby;cer?d ��nr thnXyXenalties of perjury that the information provided above is true and correc4 Signature: 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#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter,152,§25C(6)also states that"ever state or local licensing agency shall withhold the issuance or renewal of a license or permit to,bpergte.a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law.or if youare required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town.Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in_(city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Npartment of industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02.111 Tel.#617-7274900 ext.406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 1122-06 www.mass.gov/dia ACORD„ CERTIFICATE OF LIABILITY INSURANCE 0423/2007 NKOD = THIS ATE 0 ISSUED AS A MATTER OF INF)RUATION MacDonald&Pangme ince Agency,Inc. ONLY AND CONFERS NO RlGM UPON THE CERTIFICATE P.O.BOX 428 H� HIS TCERTFFICATE DOES NOT AMD, MEND OR ALTER THE COVERAGE AFFORDED BY DIE POLUES BELOW. 104 Main Street North Andover,MA 01845 RMAIRM AFFDRD9113 COVERAGE NAS# POURED Christopher Rivet dr MERA' PREFERRED MUTUAL INS CO 15024 207 VAnter SL Bsura�a N Andover,MA 01845 ata a a�suH�t E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUM 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 DESCRM®HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH I POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. am lcelCrOFECEVE POLlCYE]0'IRA7fON L89rS A G'EMMM.UAmurY CPP 0130 57 0105 09/26/06 ORM EMM •s. 1,000 00 s 100.000 CLAW MADE OCCUR MWE7� a�epeisan) s 5.000 PERsoNnA a Aw autlRY s 1,000 2,000, GEWA(GFdGATEUWTAPPUESfVt PRODUCrs-COWMPAW s 1,000,OOC POLICY PRD LOC ' MnIONOMEUMM ANYAM lea SRK#EL46r S ALLOWNEDAU[OS BODLYRULM S SCHEDU.EDAUrOS owpe m o HUWD AUTOS BOOA_Y OiR1RIf S NON 0WNW AUTOS ro acddanq FROPSMOAMAW S GARA UABUff AMONLY-EAAOCMENr S AWAM 07HER HAN FA P= S AUIOONM' ACCs S E IUMBRELLALIASSM EOCHOCCAASENs: S OCCUR FICLAW MADE AG'GRM E S S DEDUCTIBLE S RETENTION S $ WOE COMPEI$ATANI AND WC STATIF OTW E 0 WYEWLV IMM ANY PROP%W! R/PARTNERID�dJT1VE E1 EApi AOgDEPIT S UOyFeess M6IBBREXCLIJOEdi EL INSEAM-EA EMPWYEE $ _ L E.L013£om-POUCYL9dR `s OTHER D ' MnMOFOPMATNMIUWAIWMIVENICMIENCLUSMMAUMBYENDORSEMOWISPECWPROM181pNS certificate holder as listed below CERTIFICATE HOLDER CANCELLATION ATION SHOULD ANY OF INE ABOVE DEQ POLITIES BE CAIH:BLW BEFORE THE EIO'IR yM Town of North Andover BATE THIM F,THE ISSUINS B=mm v&L OMMOR To MAD. 10 DAYS WAm>SI 120 Main StreetW=W TM eE1:>7t WM MOM NAMED TO THE LEFT.BUT FAUMN TO 00 So SHALL No Andover,MA 01845 °uR0SE NO 00126A m OR uAmuff°F ANY lam u oN Tm asr>mp,Ifs AGEm OR REPRTsSBITA�IIVES AurrlunrE ACORD 25(2001/06) O ACORD CORPORATON 19q f 1' COLLOPY ENGINEERING CONSULTANTS 65 AYER STREET METHUEN MA 01844 RESIDENCE: 978 685-7969 FRANCIS H.COLLOPY REG.PROFFESIONAL ENGINEEER OFFICE!FAX 978 685-8069 CIVIL STRUCTURAL DYNAMICS August 1, 2007 Mr Chris Rivet Contractor 207 Winter St North Andover, MA 01845 Dear Mr Rivet: I am writing in regards to the recent site inspection that I made at the Mottola Residence at 1324 Salem St in North Andover, MA. You had requested me to design an engineered wood beam that would span 12'-6" in a location where a bearing wall is now. As part of a kitchen expansion this wall needs to be removed. I have analyzed all the loads being carried by the bearing wall, and have designed a multi-layer LVL beam that will support the load. This is shown in the enclosed engineering design sketch sheets D1 and D2. Since the plans call for a flush ceiling, then the beam is comprised of five 9 %d' LVL's bolted together. I have checked with the Boise Cascade Structural engineer to ensure that it is acceptable to design this beam for a 5 ply arrangement. He indicated that it was acceptable, and we discussed the bolt pattern that I have indicated on Sheet D1. He was in agreement with that also. I deemed it necessary to check with the lead technical engineer at this company, since typically most multi-laminated LVL beams have no more than 4 plies. Since the interior reaction load of the new beam lands in mid span of the basement beam, it will be necessary to place a tally column and a footing directly below the reaction point above. As indicated, you need to verify in the field whether there is a continuous strip footing between the existing lally columns. If so, then that would be sufficient to support the new [ally column If you have any questions in this regard, please do not hesitate to call this Office, and we can discuss it further. Sincerely, COLLOPY ENGINEERING Francis H. Collopy, P.E. Structural Engineer Enclosed: Engineering Design Sheets D1 & D2 1` 13Z"1 S141L�i g 5; , ,yD. JOB COLLOPY D ` Z ENGINEERING CONSULTANTS sHEET"o. of -- 65 Ayer Street CALCULATED BY r �C DATE / O METHUEN, MASSACHUSETTS 01844 TEL/FAX (978) 685-8069 CHECKED BY 1 DATE SCALE ( ! —0 ..................._..........................._..;........ ...... ...... ...... ...... ... ...... ' L K aF,� 2 N.D... . mow .. ,� I/ . ..... ,�►�' �.�, . . ... . 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PRODUCIV-1(S6Vk&wb)205-1(Padded� a � �� ✓fie '�ami�iuvia+�na BOA2D'OF BI�ILDIw S I License: CONSTRUCTION S R :. Ntmber CS 072173 x Birthdate 061.0211961 Exp :062/2008 Tr.no: 26821 Re'stri( t Ob" CHRISTOPFIER F R6VET 2Q71`!IflNTER ST ��✓ g N ANDOVER MA.01845 e Commissioner _-- ,p� - ✓�ae U/ami�zanu�ec�io�.%�Gcrod¢c�u�Gelt4 Board of Building Riguiations and Standards HOME IMPROVEMENT CONTRACTOR RegistratioIn.,139962 Expiration:=918/2009 Tr# 132286 Typer Individual CHRISTOPHER F::,RIVET CHRISTOPHER RIVET 207 WINTER ST. N.ANDOVER,MA 01845 Administrator 1�t •Tau t�c.c-�- (��. �r7 i 51 / i .� , Pu P _ to 44 2. P ,u C l • �jST. Fust'?dxm Z ��, W2317 1/2 12R t CMA W223112L W223112R m TN - q�� CMA 1,, 83D253424B3D22.524 TRIM T c}• �� pi(w F CUTLERYXg 2 1/2" `fit• 1iP� �G� g / ,59." / 12 4BOC39244 X•! fd^ m_ o ��yy p { I N w f IY\ �vl��✓ / / / ►Z.;� IBJ 'y' t b a r =1 00 m N 30" / 53--" 76=" a, ; N �ja�SoC�atrl� 1�✓.Z ►�.Z=� o oe Sd 72>�V� °.� - s" = f � N D N co -�•- TRIM w X TRIM C!. 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