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HomeMy WebLinkAboutBuilding Permit #126 - 1401 GREAT POND ROAD 8/12/2009 AORTH BUILDING PERMIT o�t,,�o ti TOWN OF NORTH ANDOVER g��'��'r15'�S 3? by''`- ` .'° °0 APPLICATION FOR PLAN EXAMINATION # ,� Permit NO: Date Received ATEo 9SSACH�15�� Date Issued: IMP RTANT:Applicant must complete all items on this page-, LOCATION Q Vl-,IVI print PROPERTY OWNER�'�r►rd�I (��J�j Pnnt MAP NO: PARCEL: ZONING DISTRICT: Historic District yes !Machine Shop Village yes r�ro TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Re r, replacement Assessory Bldg Others: emolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Q_��� !%gl4r � �&!�-? -- ��t9i0 til Day) PA '10 Dpc� - Iden ication Please Type or Print Clearly) OWNER: Name: �a U Y , V—Vlr- .-/ -I — iC?Glt r �Ph° Address: 114 CONTRACTOR Name: yyT�Q�,a/''Phone: Address: _ � r , Supervisor's Construction License:T� Exp. Date: = �,�.-`� , ��_ Home Improvement License: Exp. Date;_ ARCHITECT/ENGINEEZeAJAJ/gg4lc/A—�"P" l „ Phone: Address: 4-t,- o c,&; ,49 2-15 Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 04 FEE: $ /®� Check No.: 1 Receipt No.: a NOTE: Persons contrach with u. registered contr tors doot have access t2he uaranty fund ope signature of Agent/Owne �� ture of contractor Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified.Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations.(If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 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 Doc.Building Permit Revised 2008 - 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 4 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: ,.-'Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes • no Located at 124 Main Street Fire Department signature/date �� COMMENTS RMD PROPERTY MANAGEMENT ROGER NOISEUX Cell-781-484-8286 Ph-978-745-5338 68B Loring Avenue Fax-978-607-0021 Salem,MA 01970 Location 002 ta-dl /0/ No. Date NORTH TOWN OF NORTH ANDOVER F e a Certificate of Occupancy $ Eta Building/Frame Permit Fee $ ACHUS Y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #� 225/— 's Building Inspector 08/12/2009 13:10 19787457386 ROSE INSURANCE AGENC PAGE 01/01 A QRDTM GERTlF1CATE OF LIABI�.IT ,LIN URAIVCE ASA D0111E oFFORl��°ION PRODUCER (978) 745-6464 ONLY AND 00NFEB_S NO Rl"TS UPON T AMEND,CERTIFICATE Aose Insurance , Tj� ) RAk E WFORI)E BY S NTHE POLIS B�OW.OR .66 Lor:Lng Avenue P.O. Sox 95$ INSURERS AFFORDING NAIC>3 Salem MA 01970- R� ,N>;URrR A,pautaJ43 :Cas Co. INSURED G%�a=L lnSllran6e rNRUREiR B; " construction INtimilc: 3 Putnam Street INsuftf:R 0 -- !!!L 01923— INStIR15R E: �,.— Danverr. _ VERAOES �•^— FOR THE pq 1�+OERICQ INDICATED.NC:N1I'E14STANOINO ANY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE r Cp SUCH POLICIES. REWREMENT.TERM OR CONDITION OF ANY CONTRACT OR DINER pOCUA IEIVT WPIH RESPECT TCI WHICH 7CCWSIRON$A�MAYBE�80 ED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS s JBJECT TC1 ALL IME VERM5. AGGREOA7E LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Ck!U! r POt ICO I FF POLICY EIEP:RA UM,TS INR Nt L TYPE OF INSURANCE POLICY NUMBER GATE(IE4A CA��7C �"�' 6 500000 aC?08864 05%15/2009 05/15/2010 Cm OCCURRENCE GENERAL LIABILITY DAA fi p' TED • 50000 X COMMERCIAL GENERAL LIABILITY , / EMI 5000 t / / MEpEKP Ae mI• "^idn • 5000G0 04AIMS MADS LIOCCUR pERSOW►L&ADV INJURY, • GENERALAG#;REOATE • 100QOCIQ pROOUCTS-IO� 6 500000 GEN1 AMAGGATE LIMIT APPLIES PER: POUCY / %— I I COMBINED SINGLEU MIT AUTONIOSIL£LIABILITY (Ea scCNM1•) ANY AUTO / / / BOp1I,Y INJURY ALL OWNED AUTOS (Pot person) SCHEDULED AUTOS ! BODILY INJURY NIRCDAUTOS jFer*ccM•IIE) • NONAWNEOAUTO5 / / / pROPSIMCIAMAGE • (Per30weAq �— AUTO ONLY- AAC JOEN 6 GARAGE LIABILITY OTHER THAN EA A(C S ANY AUTO AUTO ONLY' At,G 6 OCCURRENCE 6 D(CS,%WMSRELLA LIABILITY AGGREGATE . 6 OCCUR (�j CLAIMS MADE 6 DEDUCTIOLE RETENr'oN s 0Fe/Q1/200q 05/01/2010 2 LINAT $ WORREROCOENSATR)NAMD JN9000590698 E, CHA•'=[DENT 6 ,7,D000O MP EMIPLOYCRY LIABILITY 1000 00 ANY PROPRIETORIPARTNERIEXECUTNE-E / / / / E.L.DIVASMA EMPLO'E • OFFICERMMEMBER EXCLUDED? I SOOC'00 R Y'IA.66•cme Lm6nt .gSEA6E•POLICY Ln.St 0 0PECIALpgOVI&nON3eeknl OTHER OESCRIpTION OF OPERATION"CICATIONSNENICLfSIERCLOSIONS ADDED BY END OR:EMEMTi!:PRCIAL FROVIBIONs 1401 (I=at pond Road CERTIFIC TE HOLDER CANCELLAYWH (97$) 688-9542 ( ) — &IIOULO ANY OF TILE ABOVE D6ICRMED PDLICIES BE CANCELLED BE+FOR T E)EpIRAT1pN GATE TNti'= TRE ISSUING s65URER M"LL ENDFAVOR TO MAL 30 DAY&WtITTEN NOTICE TO THE CERTIFICATE HOLD&NAMED TO THE LEFT.BUT TOWD Of North Andover g iLuRE To DO So SHAL'.IMPOSE NO OBLIGATION OR LIABII ITY OF ANY RIND UPON THE p ITS AUENTSON RCMVMNTATMM — AU O .O RG'RE�•TI� � n r, flJ�. }^K�J.IJ�(/O O ACOS CORPORAVON 1888 ACORD 26(2001!881 Pllgl:102 =925(ClDat.06 NORTH Town of 4Andover . 0 No. yy z zs Zo dower, Mass., T O LAKE COCKIC KE WICK ' S RATED PPS\ � BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT....... �. f1R►. -/� `+........................... '..d.. ~.. .. .............. .... Foundation l has permission to er ct................. . ...... . buildings on ..�1.Q �.....E���.......,P��.�. �..... .r Rough to be occupied as ..,..io. � .... Chimney 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUC T S Rough :.... _ Service BUILDING INSPECTOR Final i Occupancy Permit Required to Ocmpy 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. Smoke Det. SEE REVERSE SIDE ACORDCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 07/29/2009 )DUCER (978) 745-6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE >se Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR i Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0. Box 958 Ilem MA 01970- INSURERS AFFORDING COVERAGE NAIC# URED INSURER A:Nautilus Ins Co. I Construct INSURER 8: Putnam Street INSURER C: INSURER D: lllVers MA 01923— INSURER E IVERAGES iE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY QUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, iE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. 3GREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 2 DD'L POLICY EFFECTIVE POLICY EXPIRATION tNSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MM[DDIYY) LIMITS GENERAL LIABILITY NC908964 05/15/2009 05/15/2010 EACH OCCURRENCE $ 500000 ENTED X COMMERCIAL GENERAL LIABILITY PREMISES DAMAGE TO Roccurrence $ 5001)0 CLAIMS MADE OCCUR / / / / MED EXP(Any one penton) $ 5000 PERSONAL&ADV INJURY $ 500000 GENERAL AGGREGATE $ 1000000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 500000 POLICY M JJEECOT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE {Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY / / / - / EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ S DEDUCTIBLE /' / / / $ RETENTION $ $ WORKERS COMPENSATION AND / / / I T&YTAr LI ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / / E.L.DISEASE-EA EMPLOYEE S If yes,describe udder SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER +CRIPTION OF OPERATIONS/LOCATtONSNEHICLESIEXCLUSK)NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS )1 Great Pond Road RTIFICATE HOLDER CANCELLATION ( ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Town of North Andover FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATMML AUTHORIZED REPRESENTATIVE — A'- cn--I v° 11�t )RD 25(2001/08) ®ACORD CORPORATION 1988 �`•�� The Commonweam of mawachmet& Departmen't of Industrial Accidents f j E 14 k 1 Dice of Investig atiotu 600 MrashiRa►ton Street Boston, MA 62111 Workersr Compensation 1=kranee A H� e ,- ov/die . fficiaviilBU.Hders/Cctors/EiectriciaQs/Piumbers A�piicant Infor�atian ontra - Please Print Legibly Name (Business/Cgmizafionnnd'tvidual); G. Address: 1 k/ - CiiylStatr/Z,ip; ` Phone k_ 007' Q/� Fein employer?Cheek.the appropriate employer with 4. I am a Q Type of Project( i.bemerW contractor and I °yees(full and/or part-time).* have 6• ❑'New construet onhired the:sub-eontracorssole proprietor or p>n•Irrerlisted on the attached sheet 3 1• ❑Remod have no employees' These soli-contractors have j'i 'gS �g for me in arty capecity. workers' comp.insurance. olition orkers'comp• insurance 5. Q We are a corporation and its9• ❑Bur7ding addition d.] Ofncers have exercised their 3.F1 I am a homeowner do' 1�'�Electrical JePsmadditions mg all work right of exemption Per MOL 11.E]Plumbin myself[No•woric�s'comp, c 152, §I(.¢)�snd we have no g repairs or additions insurance-required.]t 12 Raof repairs -employees.[No work=! conip. isisurancerequire&] I3.�].pm� `�3 applicant filet checks boil#I must also fire oar the section below showing theiraorkas'b r iiomeownters who submit this afti'dwh indicating they ars ding an ° ��policy infomratioa. ;Contractors that check this box must �"'O �than him owaide connacturs most submit a reeiv afridnvit ind. atfficEt:d sn rticFifioasl shteor shownw the name dlYhe sub. 1068 sucir,� I Bert rret eerrisloyer than ra contraetons end their work m'cenP•TsF93 ikon. I►s»viareeg:w�r �.us �rspersatrrsa rnsreraerce or uiforeraafin2 J MY Mvi vem. Below is tie policy mzd joti site Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: Attach a copy of the workers' eom City<S �' peesafron policy deeFarafiou page(showing the policy number and expirsfion Failure to secure eovt rage as required.under Section 25A of M(iL e. 152 can lead to the imposition of cramirraf fine up to 50.00 a d and/or one-year imprisonment;as weir as civil penalties in the form of a S70F WORK ORD Sof i of up to$250.00 a day against the violator. Be advised that a c R and a fine Investigations of the DIA-for insurance coverage verin"cation, of this statement may be forwarded to the D ficz of I do hereby c under theP nd encltiet a e ' P fP rly drat the infnrma7ion P�rra'ed above is true and Correct 5i lure: . Date: ' Phone#: OffAcial use o Do not write let J'• this asrq be c v W1et�d Iry a&y or town officio( City or Towu: Permit/Licanse# Issuing Authority(circle one): I. Board of Iiealah L B,W ding I1ep$rtmeut 3.City/Town Clerk 4. Electrical InsL-crlumbic b In 6.Other speciar Contact Person: Phone#: Information a nd Instructions Massachusetts General Laws chapter 152 requires all emp 3 oyers to provide workers' compensation for thoir employees. Pursuant to this statute,an enpinyee is defined as"..:every person in the service of another under any contract ofhirt, express or implied,oral or written." An enFlayer is defined as"an individuals partnership,assi=%diation, corporation or other legal entity,or arty two or mom of the'famping engaged in a joint enterprise,and includi"g the legal representatives of a deceased employer,or the receiver art ustm-of m individual,partnership,associatioi or other legal-entity,employing employees.'However the owner of a dwelling house haunts not more than thsze apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maint=mce,construction or repair wcirk m such dwelling-house or on the grounds or building appurtenant thereto shall not b-.. w=of such employment be deemed to be an employer." MGL chapter 152,925C(6)also states that"every state aur-"I 6ednsing agency shall withhold the knanc .or renewal of a license or permit to operate a business or *a construct buildings im'the commonwealth for any applicant who has not produced mmeptabie evideaceak compliance wide the.insurmuce coverage required." t Additianally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its politic9l subdivisions shall enter irito any contract for the perFormffiaee of public wort- until-acceptable evidence of compliance with the insurance roquiremeals.of this chapter have been praserrted to.the cor&acting authority." 'Applicants Please,fill out the workers'compansa6an,affidavit completely,by checking the boxes that apply to your situation and,if necessary. supply sub-contractar(s)name(s),address(es):aid phone number(s)along wd their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no mnployees other than the members or partners,arc not ret ui rdlto carry workers'cc*Tnpansation insuuaruce. Van LLC or LLP does have empioyees,a policy is required. Be advised that this afirdiavit may be submitted to the Department of Industrial Acciderris for confirmation of insurance coverage. Also Ere sure to sign and date the affidavit The affidavit should be returned to the city or town that the applicadian for the peen or license is being mrquested,notthe Department of Industrial Accident& Should you have arty questions reprxiing the law or if you ata required to obtain a workers' compensation policy,please-caR the Dcpart menu at the nu rmber,listed below. Self-insured companies should enter their self-insurance licemsc number an dz'appropi iatz line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department hes provided a space at the bottom of the affidavit for you to fill out in.the event the Office or Investigations has to contact you regarding th-applicant. Please be sure to fill in the permit/license number which w-M be used as a reference number. In addition,an applicant that must submit multiple per:nWHCOTM applications in any given year,need only submit one affidavit indicating-current policy'informsfion(if necessary)and under"Job Site Adds-ess"the applicant should write"all locations in (city or town)."A copy 6f•t6e affidavit that has bean.of icially stamped or marked by the city or town may be provided to the applicant as proof the,a valid affidavitis on file for f tare permits or licenses. A now affidavif must be Med out each year. Where a home owner or citizen is obtaining a license: or permit not related to any business or commercial vattuue (i.e. a dog license or permit to burn leaves etc.)said person is NOT.required to compietz this affidaviL The Offices of investigations would lila to thank you in advance for your coop6radon and shuauld you,have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. The Commoawe:&lth of M=acmuse= Department of Fasdusb2al Accidents Officeof Lnvesfig-ations 600 Waddrigton Strict Boston, MA 02111 TeL#617-72749.00 ixt 4.06 or 1-8.77-MASSAF£ Fax:9 617-727-7744 Revised 5-2b-QS www.raass.govidia ''" Nlassachu. , mitts- D' partment,of P Board of guildin,Rerr uhlic Saf'eh Constru „ula(ions and Standard~ ction Supervisor License License: cs 66833 Restricted to; 00 ,LAMES F NEUMANN PO BOX 8191 SALEM, MA 01970 ununiavionrr Expiration: 3/23/2011 - Tr#: 11945 Project#9-107A McBrie, LLC 160 Sylvan Street ` �,, !`. ; Telephone: 978-646-0097 - _ _ Danvers, MA 01923 Structural Design & Sales Fax: 978-646-0087 www.mcbrie.com AFFIDAVIT STRUCTURAL DESIGN AND INSPECTIONS TO: Mr. Gerald Brown Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 RE: Colonnade Condominiums—Exterior Deck Replacement 1401 Colonnade Condominiums North Andover, MA I certify that to the best of my knowledge, information and belief, the plans for the captioned building was designed in accordance with the structural requirements of the 7t' edition of the Massachusetts State Building Code and all other pertinent laws and ordinances. I also certify that I, or my authorized representative, in conformance with Section 116.0, Construction Control, and Section 1705.0 of the 7t' edition of the Massachusetts State Building Code, will inspect the work during construction. Upon completion of the construction, a Final affidavit indicating that the structural work submitted for permit has been satisfactorily completed and all discovered defects have been corrected will be issued upon request. � © s No. 41143 A L L. Structural Engineer MA Reg. No. PERHAM STRUCTURAL No.41 143 160 Sylvan Street, Danvers, MA 01923 9F �° Address P. G/STEP � SSS/ONAL tiN�\ (978,) 6446-0097 Telephone Michael Perham McBrie, LLC 08/11/09 Structural Engineers Date On the I I''day of , 20 0 9 , before me, the undersigned notary public personally appeared�i[-h u e 1 Phi r%gi m ,proved to me through satisfactory evidence of certification, which wasM A d ift V e rs 1 i c en s e. ,to be the person whose name is signed on the preceding documents,who acknowledged to me that he signed it voluntarily for its stated purpose, and who swore or affirmed to me that the ntents of the document are truthful an4 accurate to the best of his knowledge an belief. u ins 9tt 201 ,,•�`':�oSBs'���'''��,, Islot*Public Pritfied Name My Commission E4"JrW*d*Q e 20, C* A - 9-107A-Affidavit.doc Page 1 of 1 RMD Property Management .Inc. 68 Loring Ave., Salem, Ma 01970 Tel. 978-745-5338---Fax 978-607-0021 J.N. Construction AGREEMENT 8-10-09 August 10,2009 James Neumann, owner 3 Putnam Street Danvers, Ma. 01923 J.N. Construction agrees to supply labor and materials for the following specific work. Job Address. 1401 Great Pond Road, North Andover, Ma. 01845 Deck and Railings as per plans by Mc Brie, LLC 1) Remove existing deck and baluster railings. 2) Reinstall above deck and baluster railings same previous location. 3) Paint balusters and railings after installation of same. 4) Truck away all excess debris. 5) Above deck and railings to be installed after new rubber roof installed. This agreement is between R.M.D. Property Management Inc. 68 B Loring Avenue, Salem, Ma. 01970 and James Neumann owner of J.N. Construction 3 Putnam Street, Danvers, Ma. 01923. The labor and materials cost for above specific work is $23,000.00 payable as follows. 1) $ 2,300.00 Upon signing agreements. 2) $ 3,700.00 When decks demolished and removed from site. 3) $ 8,500.00 Materials delived to job site, start of job. 4) $ 8,500.00 Completion of job. $ 23,000.00 � d Ja&d Neumadn, owner J.N. Construction gvk4 a6aaza I Wl;zle Roger WLIAW owner .M.D. Propegy Managem nt Inc. e R A McBrie LC 160 sylvan Street j µ�,. , Telephone: 978-646-0097 Danvers, MA 01923 Structural Design & Sales Fax: 978-646-0087 www.mcbrie.com PROPOSAL July 8,2009 Mr. Roger Noiseux RMD Property Management 68B Loring Avenue Salem,MA 01970 RE: STRUCTURAL CONSULTING SERVICES Proposed Deck Replacement 1401 Colonnade Condominiums North Andover, MA Dear Mr.Noiseux: The following is our proposal for the above referenced project based upon our inspection on 07/07/09 and our observation report dated 07/08/09. We shall provide the following design services: 1. Framing plans and required construction details for exterior decks which will bear the stamp of a registered professional engineer; 2. Two (2) construction observations with a final affidavit letter to the building inspector required for the certificate of occupancy. McBrie LLC's fee for the above scope of work shall be $4,200.00 (Four thousand two hundred dollars). A retainer of$1000.00 (One thousand dollars) is required at the time of proposal acceptance. The retainer will be credited against the project's final invoice. Any additional construction observations required due to inadequate/incorrect framing by the contractor or review of changes requested by your contractor shall be billed on an hourly basis above the fee of this proposal. Additional items not included are as follows: 1. Architectural services including water proofing and roofing details—to be provided by others as we only design the structure/framing; 2. Repair or reinforcing recommendations if additional deterioration is found on the concealed first floor roof; 3. Design review meetings; 4. Construction observation visits over number noted above; 5. Additions to the current scope of work outlined above or changes during construction; 6. Any direct expenses for copying and/or requested overnight mailings. 9-107 Proposal for Deck Replacement Page 1 of 2 r _ McBrie,J1.1,C 160 Sylvan Street �.�w/ /...... .rf _ �/ Telephone: 978-646-0097 Danvers, MA 01923 Structural Design & Sales Fax: 978-646-0087 wwn.mcbrie.com We estimate design time to be two (2)weeks from the notice to proceed agreement(i.e.,receipt of signed contract&retainer). We thank you for this opportunity to offer you our services. If you approve of this proposal as noted above,the attached professional structural engineering rate schedule and Appendix A: General Terms and Conditions which are considered part of this proposal,please fax a copy with your signature to our office at(978) 646-0087. This proposal must be signed and returned to us within 15 days or we have the right to rescind the proposal. Accepted by. Date: ' I- Michael P rham, P.E. Managing Member DO, P '�1 Enclosures: Professional Structural Engineering Rate Schedule 2009 and Appendix A: General Terms and Conditions 9-107 Proposal for Deck Replacement Page 2 of 2 i DATE(MMIDDIYYYY) ACORD „a CERTIFICATE OF LIABILITY INSURANCE T07/29/2009 PRODUCER (978) 745-6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rose Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 958 I Salem MA 01970— INSURERS AFFORDING COVERAGE NAIC# 1 INSURED INSURER A:Nautilus Ins Co. i JN Construction INSURER B: 3 Putnam Street INSURER C: INSURER D: I Danvers MA 01923— INSURER E COVERAGES 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. { AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MWDD" DATE(MMIDD" LIMITS GENERAL LIABILITY NC908964 05/15/2009 05/15/2010 EACH OCCURRENCE S 500000 X COMMERCIAL GENERAL LIABILITY PREMISES EoccuETORNTEDrrence $ 50000 PREMI CLAIMS MADE D OCCUR / / / / MED EXP(Any one person) $ 5000 { PERSONAL&ADV INJURY $ 500000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 500000 POLICY JEcTPRO- LOC AUTOMOBILE LIABILITY / / COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ i + ALL OWNED AUTOS / / BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS / / / / BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ _ ANY AUTO / / / OTHER THAN EA ACC $ cur 1' r The C® Onwealth of Njassachuse s Department of Fire Services ®eg�a E Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,IVIA 01775 PERMIT Date: '` J i d Norah Andover Permit No (City of Town) (if Applicable) Dig Safe Nvm er In accordance with the provisions of M:G.L1 L),g.Chnpter_j_Q.as provided in section 5 7 7 ('M R 34 Start Dace This Pe..mit is granted to: Full name of person,Fina or Corporation Permission to locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be 251 from structure if unable to place with required Restrictions:clearance dumpster must be covered with plywood or tarp end of work -day at (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50.00 . + Fire Chief This Permit will expire �/t o (S ignaturC g� t (Title) t — n ` - X Alt 4 r 1 A, 1 "fin 4 3t� .$ F +3 3 ;•,K�f i}''3iiH '�'. 'YI Rei„ ., �zt.: v"'";���a� ..a'iar �.. �• ^�1 r�}\ RE ftk -`z& £ �`�'f •u p, w +k u^ .r � ;-' �f `°. .atf,�`,`�� i�.�',y�.�k r��6 �, y,F #�',�-eS <�k '�'�',a��i ,��Y �•��� ����`x i#�„e `�S,` ,� NO. DAN rEvmoru GENERAL NOTES ALL WORK SHALL CONFORM TO THE 7TH EDITION OF THE COMMONWEALTH OF MASSACHUSETTS STATE BUILDING CODE. C THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS AND DIMENSIONS IN THE FIELD AND SHALL NOTIFY D! S2 THE ARCHITECT/ENGINEER OF ANY DISCREPANCY BEFORE PROCEEDING WITH THE WORK. S2 THE CONTRACTOR SHALL PROVIDE ALL NECESSARY BRACING & SHORING UNTIL ALL STRUCTURAL WORK IS ( JQ I Q JQ COMPLETE. Q x�w J DUE TO A LARGE AMOUT OF EXISTING DETERIORATION, ALL EXISTING FRAMING AND RAILINGS FOR THE k �� 1` + p mLIJ W O O ORIGINAL ROOF AND CURRENT DECK FRAMING SHALL BE REMOVED PRIOR TO THE INSTALLATION OF NEW WORK. Q j O u� l 3-2x12 P.T. a 3-2x12 P. APPROX. 21' 6 LONG) 'L Z a o TEMPORARILY SEAL/SECURE EGRESS DOORS THAT CURRENTLY ACCESS THE DECKS UNTIL NEW DECKS ARE `�` �' `�` O COMPLETE AND ACCEPTED BY McBRIE, LLC AND TOWN OFFICIALS. ,�o ,���O A p5� B A ZNE�!BEAM TO EXTEND INTO �''w 7z rOQO�I rOQO� S2 a S2 S2 I EASIING WALL - oo STRUCTURAL DESIGN NOTES I; Q pp ATTACHMENT DETAIL TO BE UJ m a102 o DESIGN LOADS: 6+00 ZY DETERMINED ONCE FRAMING a m m EXTERIOR DECKS LIVE LOAD= 40 PSF JQ IS EXPOSED - TYP. 2 a m EXTERIOR DECKS DEAD LOAD= 15 PSF j �' j GROUND SNOW LOAD, Pg = 55 PSF (PER TABLE 1604.10) STRUCTURAL INSPECTIONS LZ INSPECTION AND TESTING WILL BE PERFORMED PER CHAPTER 17 OF THE MASSACHUSETTS STATE BUILDING m CODE BY MCBRIE, LLC OF THE TIMBER FRAMING. NO FRAMING SHALL BE CONCEALED UNLESS IT HAS BEEN 2nd LEVEL DECK JOISTS SHALL BE 2x8 P.T. O 16- O/C Q U REVEIWED AND ACCEPTED BY MCBRIE, LLC. PROVIDE SOLID P.T. BLOCKING AT JOIST MIDSPAN v w m # TIMBER PROVIDE Z-MAX COATED JOIST HANGERS AT ALL FLUSH FRAMED w Y o ALL CARPENTRY WORK SHALL CONFORM TO THE LATEST AMERICAN WOOD COUNCIL STANDARDS USING: �W Z � SOUTHERN YELLOW PINE #2 PRESSURE TREATED LOCATIONS Q NAILING PER TABLE 2305.2 OF THE MA STATE BUILDING CODE WITH HOT DIPPED GALVANIZED NAILS. 2nd LEVEL DECK FRAMING PLAN o SCALE: 3/16" = V-0" �O o PROVIDE JOIST HANGERS AT ALL FLUSH FRAMING WITH FULL LENGTH NAILS. ALL METAL CONNECTORS/HANGERS SHALL BE AS INDICATED AS MANUFACTURED BY SIMPSON STRONG-ME OR APPROVED NEW P.T. SLEEPERS AT 16* 0/C C>C> Z EQUAL AND SHALL BE Z-MAX COATED. JQ JQ W GUARDRAILS RAILING SYSTEMDM BY: REW I Q ALL GUARDRAILS SHALL BE 42' TALL AZEK "TRADEMARK' SERIES OR APPROVED EQUAL AND INSTALLED PER %K THE MANUFACTURER'S RECOMMENDATIONS. x N Q` i I I DAM 05111/09 RAIL POSTS SHALL BE ANCHORED TO EXISTING FRAMING USING LEGEND / ABBREVIATIONS ooW g g MANUFACTURERS METAL POST ADD'L = ADDITIONAL Q Q BASE — ATTACHMENT DETAIL TO APPROX. = APPROXIMATELY BE DETERMINED ONCE FRAMING IS B CH. BCHITECT SECTION # I' - - - EXPOSED - TYP. EAM CONT. = CONTINUOUS (SINGLE MEMBER) Q0 p5� p�'t i i Ca t N DBL = DOUBLE �. ,�Q ,�Q NEW POSTS TO BE ANCHORED TO DL = DEAD LOAD Q' •�Q• I Q' EXISTING FRAMING - ATTACHu MENT X05 U EL = ELEVATION SHEET SECTION IS SHOWN ON ,�° o �° DETAIL TO BE!DETERMINED ONCE >0 EXIST. = EXISTING OR SHEET SECTION IS CUT ON FRAMING IS EXPOSED GALV. = GALVANIZED I LL = LIVE LOAD 91-6y2.± 9'-5 't 6'-7"t ! ! " N.T.S. = NOT TO SCALE SER = STRUCTURAL ENGINEER OF RECORD LjN 0 SIM. = SIMILAR U.N.O. = UNLESS NOTED OTHERWISEAEL V.I.F. = VERIFY IN FIELD PERHAM $NEW POSTS MUST BE LOCATED DIRECTLY WHERE THE EXISTING POSTS ARE STRUCTURAL No.41143 Ist & 2nd LEVEL. 1st LEVEL DECK SLEEPERS SHALL BE 2x P.T. A 16' 0/CF 0DECK FRAMING 00 9 cISTEP PLANS PROVIDE Z-MAX COATED JOIST HANGERS AT ALL FLUSH FRAMED LOCATIONS Fs 1st LEVEL DECK FRAMING PLAN 08 11 9 E SCALE: 3/16" = V-0" NO.1 WE FEVOM 771 200 P.T. LEDGER BOARD BOLTED W/2—ROWS OF -Y4"0 D ! c x 5" LONG LAG BOLTS AT FLASH PER DIRECTION S2 a i S216" 0/C (EACH ROW)Go OF ARCHITECT c? JQ JQ JQ `" Q• `' DECKING m W 5 o 6 $w°' E0 2-2x12 P.T. 2-2x12 IP.T 2X PORCH JOIST W z g A i i NEW BEAM TO EXTEND INTO MOW o i EXISTING WALL - W a. Q SIM. S, M. ATTACHMENT DETAIL TO BE a Ir m a� i DETERMINED ONCE FRAMING EXISTING FLOOR � IS EXPOSED - TYP. FRAM/NG c TYPICAL SECTION AT LEDGER cn DECK JOISTS SHALL BE 2x8 P.T. O 16' 0/C S1 S SCALE: 3/4" = 1'-0" z CL PROVIDE SOLID P.T. BLOCKING AT JOIST MIDSPAN 0 Lu g W PROVIDE Z-MAX COATED JOIST HANGERS AT ALL FLUSH FRAMED Y LOCATIONS w 44 RAIL POST. Z o TOP DECK FRAMING PLAN cn SCALE: 3/16" = 1'-0" 0 0 z 0 W z 57< Lu 6x6 P.T. POST -SEE P/`-r - DECKING (P.T. OR �BY: R PLAN FOR LOCATIONS i COMPOSITE) N �► 2" CLEAR M i w �U v SPLICE POST 0 CENTER $gym 4x4 P.T. RAIL POST i N OF 2x12 BEAM `� � I m -SEE PLAN FOR i °� �� LOCATIONS ? 2-4" LONG, N2"0 DOUBLE JOIST Q ~ n DECKING (P.T. OR QGALV. LAG BOLTS W P.T. DECK JOIST -SPACED AS SHOWN N COMPOSITE) i i - "04 Eo D RAIL POST DETAIL INTO 2-2x8 P.T. DECK JOIST i " JOIST HANGER S1 s NO P.T. i TWO N2 GALV. \_6x6 SCALE: 3/4" = 1'-0" �tN F BOLTS 0 EACH P.T. POST o -SEE PLAN JOIST HANGER POST TO BEAM FOR LOCATIONS PERHAML CONNECTION STRUCTURAL — o q No.411430 TOP DECK S TE � FRAMING PLAN A 44 P.T. RAILING POST DETAIL B 6x6 P.T. POST FRAMING DETAIL DTAU S SCALE: 3/4" = 1'-0" S SCALE: 3/4" = 1'-0" ,— 08 11/09 ES 2-J .