HomeMy WebLinkAboutBuilding Permit #734 - 148 COVENTRY LANE 5/21/2010 V&ORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION * ,�
Permit NO: 2/- Date Received
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Date Issued: / 3
IMPORTANT:Applicant must complete all items on this page
LOCATION t L n t
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PROPERTY OWNER )7 V., -
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MAP 210 !Q YZ PARCEL: 102-3 ZONING DISTRICT: Historic District yes
!Machine Shop Village yes` o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ilding One family
Addition Two or more family Industrial
Alteration' No. of units: Commercial
Repair, replacement Assessory Bldg n Others:
Demolition Other e C'
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
ee e r Oe
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Identification Please Type or Print Clearly)
A �
OWNER: Name: 4 Phone: ?79:3.6C2 - Y/71
Address: �� 1=c o�A l/ o4o C >
CONTRACTOR Name; j` 1 0 ' �inA s test `�1 ` , Phone: /z " - '
Address': ` ' c '? 'Ir" �
Supervisoris Construction License: Exp. Date:
I
Home Improvement Licenser p Exp. Date: Q/ alt
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: $ gl �� FEE: $ � �
3 t Check ��--
No.: � �� � Receipt No::
NOTE: Persons contracting a h nregistered contractors do not have access to the guaranty fund
Signature of AgenUOwner Signature of contractor
Location A� ��--
No. F Date
No�T� TOWN OF NORTH ANDOVER
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F 9
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• � ; , Certificate of Occupancy $
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�'�s Building/Frame Permit Fee $
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Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # S
23iL2
Building inspector
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWS GE DISPOSAL
Public Sewer ' aSwimming Pools
Tanning/Massage/Body 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 APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on / t Signature SLi LL
nn
COMMENTS c 1JC) uj-d— �01 A O , ('�p�
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
4
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
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❑ Notified for pickup - Date
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Doc.Building Permit Revised 2010
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Building Department
1
The following is a list of the required forms to be filled out for the appropriate permit to be obtained. C
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
I
Addition Or Decks
Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit I
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) l
❑ 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 t
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses i
❑ 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
P
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 2008
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1 CERTIFY THAT THIS LOT IS NOT IN THE F.I.A. FLOOD ZONE. 114ORTGAGE PLOT PLAN
THIS CERTIFICATION IS BASED ON THE SURVEY MARKERS OF
OTHERS AND IS NOT A PROPERTY SURVEY, FOR MORTGAGE OF LAND AT
PURPOSES ONLY.
I CERTIFY THAT THE BUILDINGS ARE LOCATED AS SHOWN AND,
THAT THEY CONFORMED TO THE ZONING BY-LAWS OF THE L
CITY/TOWN OF i 20. F A)l:)0 VF. R. InA•. WHEN CONSTRUCTED. �� N�JV1
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SCALE: I" =q-0 AS DRAWN FOR.
DEED BOOK i 06 yPAGE
AREA /7/,S 6 O <Q .F ���`Z�OF�4s,6'9^ C ,�•JZ r:Ji, o1J
�R ROBERT
PLAN No. /0Z 3 6 oT ALAN
MASYS 1
C�74 BERING
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Uu:wcjbW,Maa®acimsu s 01830
Tor-")972-040 ;AMgM3112-710
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DIMENfSIUINAL SUMMARY
ZONING: RESIDENCE 1
-- REQUIRED EXISTING PROPOSED
MINIMUM LOT. AREA 87,120 S.F. 43,626 S.F. -
MINIMUM LOT AREA PER DWELLING UNIT - - _
MINIMUM LOT FRONTAGE 175 FT 150.00 FT -
MINIMUM FRONT YARD SETBACK 30 FT 73.93 FT 75.42 FT -
MINIMUM SIDE YARD SETBACK 30 FT 34.01 FT 37.81 FT 40.08 FT
MINIMUM REAR YARD SETBACK 30 FT 168.91 FT 157.50 FT
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LOT COVERAGE
DWELLING _
ALL BUILDINGS
MINIMUM OPEN SPACE
HEIGHT 35 FT 25 FT -
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N NOTE PLAN OF LAND
SITE IS SHOWN ON TOWN OF NORTH ANDOVER ASSESSORS IN
MAP #104C BLOCK #123 AND E.N.D.R.D. BOOK #11166
PAGE #242 FOR SITE DEED. NORTH ANDOVER
o DRAWN FOR
0 "I HEREBY CERTIFY THAT THE BUILDING IS LOCATED OMUR BAGCI
ON THE LOT AS SHOWN. 148 COVENTRY LANE
rn NORTH ANDOVER, MA
SCALE: 1"=40' DATE: MAY 12, 2010
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o MERRIMACK ENGINEERING SERVICES
86 PARK STREET
5 12/10 Ah'D0VMt KASSACHWAIM 01810
STEPHEN SKI, R.L.S. DATE PROA` (978) 476-3666 PAZ: (878) 476-1448
EJG4M' NE7RENG*A0L,COM
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20f(r2 Allowable Stress Design MSI: 0.86
LOAD TABLE 2 PLIES 1.750 X 11.875 LP LVL295OFb-2.OE DESIGN CRITERIA VSI• 0.55
OMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS OF 2 - PLIES FASTENED RSI: 0.49
VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1).OTHER LOAD CASES TOGETHER (REFER TO NOTES).
ADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LIME LOAD 50 PSF
METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 15 PSF
/LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD = 65 PSF
THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX
OR ARCHITECT. UNIFORM ROOF LIVE SIDE 425 PLF 00-00-00 16-00-00 1.00 ROOF LEFT SPAN CARR. 8.50 FT
2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM ROOF DEAD SIDE 128 PLF 00-00-00 16-00-00 0.90 ROOF RIGHT SPAN CARR. 8.50 FT
LATERAL STABILITY. UNIFORM BEAM WEIGHT 12 PLF 00-00-00 16-00-00 0.90
3.DO NOT CUT,NOTCH OR DRILL LP LVL DEFLECTION CRITERIA
4.SHIM ALL BEARINGS FOR FULL CONTACT. WARNING NOTES: LIVE LOAD DEFL: L / 240
5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL TOTAL LOAD DEFL: L / 180
TO SIZE. . THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS.
6.THIS LP LVL IS TO BE USED AS A ROOF BEAM ONL . USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP W OISTS IS CODE COMPLIANCES
MAKE PROVISION FOR ADEQUATE DRAINAGE. STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW REPORT #
7.COMPRESSION EDGE BRACING REQUIRED AT 3Y A DESIGN PROFESSIONAL ICC-ES ESR-1254
EACH END OF COMPONENT. 771 L.A. City RR-25167
MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL HUD 1214£
ATTACH THE TWO PLIES WITH 2 ROWS OF 16d BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, CCMC 11518-R
(3-112')NAILS AT 8"OC.STAGGER ROWS. ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS
NAILS CAN BE DRIVEN FROM ONE FACE OR HALF BEAM IS CAPABLE OF SUPPORTING THE REACTIONS.
FROM EACH FACE.NAILS MAY BE COMMON OR
BOX NAILS WITH A MINIMUM SHANK DIAMETER ANCHOR LP LVL ROOF BEAM SECURELY TO BEARINGS OR HANGERS.
OF 0.131". 16d SINKERS(3-1/4")MAY BE
USED,BUT HALF MUST BE DRIVEN FROM THIS COMPONENT MEETS CODE ALLOWED DEFLECTION CRITERIA;CALCULATED
EACH FACE. DEFLECTION EXCEEDS 314"AND SHOULD BE REVIEWED BY PROJECT DESIGNER
FOR ADEQUACY.
LP LVL ROOF BEAMS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE,IN
ADDITION TO COMPLYING WITH THE DEFLECTION LIMITS OF LOCAL BUILDING
CODES,OTHER DEFLECTION CONSIDERATIONS SHOULD BE EVALUATED BY THE
PROJECT ENGINEER OR ARCHITECT SUCH AS PONDING,CRACKING AND
AESTHETICS.(POSITIVE DRAINAGE IS ESSENTIAL)
THIS LVL BEAM HAS BEEN DESIGNED TO SUPPORTA 300 LBS CONCENTRATED
LOAD ACTING OVER 2.5 X 2.5 FT(6.25 SQ FT)
P�ZH O S
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JOSE W.
CHANDLER m-f
STRUCTURAL
No.47462
A�OF�FG/STE¢�O
12
S/ONAL EAG
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9/7/10
11.875
SUPPORT REACTIONS (LBS):
MAXIMUM B EAR I NG NUMBER
1 2 1.750
DOWN 4515 4515 3.500
UPLIFT — --- CROSS SECTION
MIN HEARING SIZES (IN-SX) ail
3- 8 3- 8
MAXIMUM DEFLECTIONS
CALCULATED ALLOWABLE
LIVE LOAD 0.60" 0.79"
DEAD LOAD 0.29" 41 16- 0- 0
TOTAL LOAD 0.79" 1.051, •'•THIS DRAWING IS NOT TO SCALE•••
Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP IJoist Specifications Software Provided By: 09/03/10 IBC
Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products .
plumb and for resisting lateral tortes shall be designed and complete structure.Obtain all the necessary code compliance approval and-Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d 414 Union Street,Suite 2000
installed by others.No loads are to be applied to the instructions from the designers of the complete structure before using this and 3"for ad. Nashville,TN 37219
component until after all the framing and fastening are component.It the design criteria listed above does not meet local building "Do not cut,notch,drill or alter LP LVL,LP LSL and CTR,LP IJoists except as shown Phone 800.515.7570
completed.At no time shall loads greater than design loads code requirements,do not use this design.When this drawing is signed in published material from LP any use of LP LVL,LSL and CTR,LP IJoists contrary
be applied to the component. and sealed,the structural design is approved as shown in this drawing to the limits set forth hereon,negates any express warranty of the product and LP Fax 866.753.4369
based on data provided by the customer.LP LVL.LP LSL and CTR,LP disclaims all implied warranties including the Implied warranties of merchantability
Design Criteria I-joists are made without camber and will deflect under load.Wood in drect and fitness for a particular use.
The design and material specified are in substantial contact with concrete must be protected as required by code.Continuous DWG #
conformity with the latest revisions of NDS.'Dead load lateral support is assumed(wall,floor beam,etc.).LP does not provide
deflection includes adjustment factor for creep.Total load ,onsite inspection.This drawing must have an Architect's or Engineer's seal'A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET #
deflection is Instantaneous. afixed to be considered an Engineering document.
LP is a registered trademark of Louisiana-Pacific Corporation.
File:c:\Program Files\LP\Wood-E Designt2010.2\WOODE.SPX "
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2010.2 Allowable Stress DesignLOAD TABLE 2 PLIES 1.750 X 11.875 LP LVL2950Fb-2.01E DESIGN CRITERIA ; MSI: 0.86
NOTE MSI: 0.55
1.THIS4COMPONENT IS DESIGNED TO SUPPORT ONLY NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1�.OTHER LOAD CASES DESIGN CONSISTS OF 2 — PLIES FASTENED RSI: 0.49
THE VERTICAL LOADS SHOWN VERIFICATION OF FOR PATTERN LIVE LOADING ARE CHECKED AS SE(1 RED. TOGETHER (REFER To NOTES).
LOADING,DEFLECTION LIMITATIONS,FRAMING LIVE LOAD = 50 PSF
METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 15 PSF
LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD = 65 PSF
THE RESPONSIBILITY OF THE PROJECT ENGINEER FT—IN—SX FT—IN—SX
OR ARCHITECT. UNIFORM ROOF LIVE SIDE 425 PLF 00-00-00 16-00-00 1.00 ROOF LEFT SPAN CARR. 8.50 FT
2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM ROOF DEAD SIDE 128 PLF 00-00-00 16-00-00 0.90 ROOF RIGHT SPAN CARR. 8.50 FT
LATERAL STABILITY. UNIFORM BEAM WEIGHT 12 PLF 00-00-00 16-00-00 0.90
3.DO NOT CUT,NOTCH OR DRILL LP LVL. DEFLECTION CRITERIA
4.SHIM ALL BEARINGS FOR FULL CONTACT. WARNING NOTES: - - LIVE LOAD DEFL: L / 240
5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL TOTAL LOAD DEFL: L / 180
TO SIZE. . THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS.
6.THIS LP LVL IS TO BE USED AS A ROOF BEAM ONL . USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP IJOISTS IS CODE COMPLIANCES
MAKE PROVISION FOR ADEQUATE DRAINAGE. STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW REPORT # -
7.COMPRESSION EDGE BRACING REQUIRED AT 3Y A DESIGN PROFESSIONAL ICC—ES ESR-1254
EACH END OF COMPONENT. L.A. City RR-25167
MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL HUD 1214£
ATTACH THE TWO PLIES WITH 2 ROWS OF 16d BEAM AS DESIGNED.R IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, CCMC 11518—R
(3-1/2')NAILS AT 8"OC.STAGGER ROWS. ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS
NAILS CAN BE DRIVEN FROM ONE FACE OR HALF BEAM IS CAPABLE OF SUPPORTING THE REACTIONS.
FROM EACH FACE. NAILS MAY BE COMMON OR
BOX NAILS WITH A MINIMUM SHANK DIAMETER ANCHOR LP LVL ROOF BEAM SECURELY TO BEARINGS OR HANGERS.
OF 0.131". 16d SINKERS(3-1/4")MAY BE
USED,BUT HALF MUST BE DRIVEN FROM THIS COMPONENT MEETS CODE ALLOWED DEFLECTION CRITERIA;CALCULATED
EACH FACE. DEFLECTION EXCEEDS 3/4"AND SHOULD BE REVIEWED BY PROJECT DESIGNER
I) FOR ADEQUACY.
LP LVL ROOF BEAMS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE,IN
ADDITION TO COMPLYING WITH THE DEFLECTION LIMITS OF LOCAL BUILDING
CODES,OTHER DEFLECTION CONSIDERATIONS SHOULD BE EVALUATED BY THE
PROJECT ENGINEER OR ARCHITECT SUCH AS PONDING,CRACKING AND
AESTHETICS.(POSITIVE DRAINAGE IS ESSENTIAL)
THIS LVL BEAM HAS BEEN DESIGNED TO SUPPORT A 300 LBS CONCENTRATED
LOAD ACTING OVER 2.5 X 2.5 FT(625 SQ FT)
p)�N O S
oy
JOSE M
CHANDLER
STRUCTURAL
No.47462
q�OF��G/STEREO
12
S/ONAL ENO
0
9/7/10
,II
11.875
SUPPORT REACTIONS (LBS): {
MAXIMUMS EAR I NG NUMBER zu
1 2 1.750
DOWN 4515 4515 3.500
UPLIFT -- --- CROSS SECTION
MIN BEARING SIZES (IN—SX)�I
3— 8 3— 8
MAXIMUM DEFLECTIONS -
CALCULATED ALLOWABLE
LIVE LOAD 0.60" 0.79"
DEAD LOAD 0.29" 16— 0— 0
TOTAL LOAD 0.79" 1.05" '••THIS DRAWING IS NOT TO SCALE••'
Handling 8 Erection Miscellaneous Information LP.LVL,LP LSL and CTR,LP IJoist Specifications Software Provided By: 09/03/10 IBC
Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products
plumb and for resisting lateral fomes shall be designed and complete structure.Obtain all the necessary code compliance approval and'Common nails driven parallel to glue lines shall be spaced a minimum of 4'for 10d 414 Union Street,Suite 2000
Installed by others.No loads are to be applied to the instructions from the designers of the complete structure before using this and 3"for 8d. Nashville,TN 37219
component until after all the framing and fastening are component.If the design criteria listed above does not meet local building 'Do not col,notch,drill or alter LP LVL,LP LSL and CTR,LP Waists except as shown Phone 800.515.7570
' completed.At no time shall loads greater than design loads code requirements,do not use this design.When this drawing is signed in published material from LP any use of LP LVL,LSL and CTR,LP IJoists contrary
be applied to the component. and sealed,the structural design is approved as shown in this drawing to the limits set forth hereon,negates any express warranty of the product and LP Fax 866.753.4369
n Criteria based on data provided by the customer.LP LVL,LP LSL and CTR,LP disclaims all Implied warranties including the implied warranties of merchantability
Design 1-joists are made without camber and will deflect under load.Wood in direct and fitness for a particular use.
The design and material specified are in substantial contact with concrete must be protected as required by code.Continuous DWG #
conformity with the latest revisions of NDS'Dead load lateral support is assumed(wall,floor beam,etc.).LP does not provide
deflection includes adjustment factor for creep.Total load .onsite inspection.This drawing must have an Architect's or Engineers seal'A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET #
deflection is Instantaneous. afixed to be considered an Engineering document.
LP is a registered trademark of Louisiana-Pacific Corporation.
File:c:\Program Files\LP\Wood-E Design\2010.2\WOODE.SPX
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Tovm Of Andover ,
No. WO
LA K o dover, Mass.,
COC HIC HE WICK
AERATED
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.....�! ..mq f .......... ►. Foundation
has permission to erect........................................ buildings on ..../. � � Rough
.......LDS/........................ ....................
to be occupied as...........tolxa&............. r.. .. ...................... Chimney
provided that the person accepting this permit sh in every respect conform to etr-m 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 CONSTRURough
ST TS
.....I ... ..................... .... Service
BUILDING INS TOR
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.
S!G
7.03 I �^ ' • 3- .�
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300
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7:1/�'!s ['/•c:/"/%'II AJC I 0 7bP ELEV
NORV4 AA/DOVlJ=2
E4EvA710oUS, FoP,
IYAROLD MAtiz l
2'/ SCALE' /:40' DA7E 11-26-90
a�+f �'1.K•G• /-�SSOG/nTES
R1-D / Q0X 266-L
/�/z 6/90 nFRFA� jr, NN o3o49
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Phone; (603)434-3883
in voice Cell: (978)360-4179
DINO'S CONSTRUCTION Invoice No: 107
46 Kendall Pond Rd Date: 9/9/2009
Derry NH,03038 Order No:
Email:dino42782@aol.com
Bill To:
Kataya Bagci
148 Coventry Lane
North Andover MA 01845
Code Description Qty/Hours Rate Amount
Administrative fees-This includes all plans,permits and inspection's as well as 1.00 $0.00 $0.00
miscellaneous paperwork.
I
Footing-This includes excavating for 6-12"sonar tubes,to be dug 4'in ground.Concrete will 1. $0.00 $0.00
e poured in sonar tubes and used to support outer portion of deck.
Framing-This inudes framing a pressure treated frame in the size of 12'x 28'.Framing will 1.00 $0.00 $0.00
e 2"x 10"flashed and lagged to house.Also a 5'stairway will be installed at customers
ocation.
Decking-This includes installing composite decking to be face screwed down. 1.00 $0.00 $0.00
olor will be chosen by customer.
andrails-Railings will be constucted with a PVC railing system.Color will be white 1.00 $0.00 $0.00
otal job package 336 square feet x 27 = 9072.00 336.00 $27.00 $9,072.00
d-FIs-insludess u 1.0 $660.0
n-few.PVC trim board wil wraptop portion of lattice and all end cuts. ry
emoving of exsisting patio door and installing new patio slider 0.0 $575.00 $0.00
ft andersen slider vinyl exterior wood interior,screen,brass hardware 0.0 $975.00 $0.00
I
Fence- Install a 4'x 8'vinyl spaced picket. 56total length with 4'gate 1.0 $960.0 $960.00
Iii Page 1 of 2
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I CERTIFY THAT THIS LOT IS NOT IN THE F.I.A. FLOOD ZONE. MORTGAGE FLAT PLAN
THIS CERTIFICATION 13 BASED ON THE SURVEY MARKERS OF
OTHERS AND IS NOT A PROPERTY SURVEY, FOR MORTGAGE OF LAND AT
PURPOSES ONLY_
I CERTIFY THAT THE BUILDINGS ARE LOCATED AS SHOWN AND, V6-
THAT THEY CONFORMED TO THE ZONING DY—LAWS OF THE � ) _
CITY/TOWN oO)o HiU-DOVF. d- /Y//'—. WHEN CONSTRUCTED-
SCALE: 1" _qO
AS DRAWN FOR:
DEED 9OOIC;0,9y6 PAGE�j
AREA y-� 5-6 O CQFT• �E.'� 'r9n i-P"F %� 1 J/iJ•-J/U
ERT
PLAN Jo. /D 3 6 C o 7- �� ALAN
MASYS
74
R-A,1 -ENGMING
. '6t� Tl�/SAb� Siaoet
4) $averhDl�Masaachmetis 01830
7W-(y7B1972-"o Fwr-{9M 372-7183
The CommonweQlth of Massachusetts
Department of fndustrialAccidents
Office of£nvest,ations
600 FT ashington Street
Boston,. ML4'02111
wn�w.masS-gov/din
WorkersCompensation Insurance Affidavit: Builders/Cont
A ita t-Informatiou: ractors/Electricians/Plumbers
Pleas(.Pr><nt Le�bl
Nc'ilzle (Bustness/Orgaatzation/irtdtvidual) a A
G Coni f GL J
Address: c n o'alb/ leo el
City/State/Zip: A/A C73038
Phone#:_97Y-
Are you an employer?Check the appropriate box-
LEI
I am a employer with 4. ❑ I am a Type of project(required):
employees(f al and/or part-time).* have hired contractor and I
2 / I am a sole proprietor or partner_ listed on the sub-contractors 6 ❑Neur construction
ship and have no employeesthe attached sheet x 7. ❑Remodeling
These subcontractors have
working for me in any capacity. . workers com . ' g ❑Demolition
[No workers'comp. P insurance.
P insurance 5. ❑ We are a corporation and its 9. Q Building addition
required.]
3•Q 1 am a homeowner doing all work officers have exercised their right of ex 10'❑Electrical repairs or additions
Myself (No workers'come. P. 152 1 emption per MGL 11.❑Plumbingr
, (4),and we have no or additions
insurance required.] t employees. [No workers, L2.[]Roof repairs
-ay a plicant comp.insuranc quired 13.❑
Other
that check box.47 mus+.also tui out the sectio`bto ere ]
t I#omeowners who submit thisthey p'""op -e�" workers'comms_�•:cc. i: ., „ _
+Contractors that check this box attached ark an additions doibee€ showmo��till hire outside contactors must submit a new affidavit indicting such.
D the name of the subcontractors and their.worker;'CO
lam an employer that is providing workers'compensation insurance for my a �''PoY information.
cnformafron. mployees. Below is the policy and job site
Insurance Company Name:
Policy#or Self-Ms.Lic.#:
Expiration Date:
Job Site Address:
Attach a copy of the workers'compensation policy declaration. ace(showing City/State/Zip:-------------
Failure to secure coverage as required under Section 25A of MGL Pac. ge
in toe Policy number and expiration date).
fine up to$1,500.00 and/or one-year imprisonment,as well as civil imposition of criminal
Of up to$250.00 a da a Penalties in the form of a STOP PVOgR ORDER Vides of a
Y against the violator. Be advised that a co and a fine
Investigations of the DIA for insurance coverage verification. PY of statement may be forwarded to the Office of
1 do hereby certify under the pains and penalties o er u
.fP l rJr fhat the information provided abOYe i>true and correct
Signature: .
Q Date:_._
Phone
Official use only. Do not write in this area, to be completed bi,cam,or town official
City or Town:
Issuing Authority(circle one): PermitUcense#
L Board of Health 2.Building,Department 3. City/Town C
6. Other Clerk 4.
r Electrical Inspector 5.plumbing,Inspector
Contact Person:
phone#:
Information an- d Instructions
Massachusetts:Genem.1 Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as"...every peon 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 aJoint enterprise,and including'm
S
the
legal representatives es 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 apartrr_ents and who resides therein,or the occupant of the
dwelling house of another who employs persons to do mainte;miance,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 colmpliance 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 untrl 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),addresses) 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 incnrance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may e
b submitted to the Department epartment of Industrial
Accidents for confirmation of insurance coverage. Also be siure to siggn and date the affidavit. The affidavit should
e a
be�re -n,d to t*he city or town fiat the he applicatdon nr
or the permit or license; being requested,not the.Department.of
Industrial Accidents. Should you have an questions re ar ' o ,
y qu g dna the law or if
b you are r� d
to obtain Y �I� tam 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 legrbly. The Department has provided a space at the bottom
i
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 yew,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 Ince 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.
DcRartmeat of FndustHal Accidents
Mee of lnvbafjaas
600.Washington Street
Boston,MA 02111
Tel. #617-72.7-4900 m-t 406 or 1-877-MASSAFE
Revised 5-26-QS
Fw. #6.17-727-7749
mmna,.mass.-gov/dia
Massachusetts Home Improvement Sample Contract
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"a f
Massachusetts consumer guide to home improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the
Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1488-283-3757.
Homeowner Information Contractor'Information
ame' Company Name
OMS// 6A >` �' Ind L'io4S�ldG�10.^
Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name
�y G t r .► a e,
V A f �•. • G n M GGeg
f
City/Town State Zip Code usiness Addressmust include
( a street address)
NO 44&r
Daytime Phone Evening Phone Fityrrown State Zip Code
Mailing Address at different from above) usiness Phone gederal Employer ID or S.S.Number
Law requires dwt most home mm- Homo fiaprovement Conuactor Reg.Number Expiration date
andre istrationn"t.eot Contractors have a I // _ .
The Contractor agrees to do the following work for the Homeo Per:
o completed, g e o e
s���-e'A V a f-G cS A' a )}O/G t �p vo vy!tel e-PP61 e P�—e 7c9i Fo t>�J�7'o9
//CMG A— vslp� Ptfs vie �'r�.ds��oJ`Q LY
t /
D�G�'n9 d-v bC tr G�e� ,'i �/an �itGlt,'n� /�!'o r/GY �f'-� t✓��4�'
ai ( I>Gp e �� as /Ve-
Required Per is-The following building permits are required Proposed Start and Completion Schedule-The following schedule will b J'n
and will be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the contractor's control arise
(Owners who secure their own permits will be
excluded from the Guaranty Fundo w'
rovisions of S'rS'/0 Date when contractor t r ill begin contracted work.
MGL chapter 142A.) / r�
lig
` ^,V Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,furnish the material and labor specified above for the total stun of: - 7l Vg (')
Payments will be made according to the following
schedule:
$ ✓Q'50
upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater)
$ ZISI�- by /d l /0 or upon completion-of 0C G K
s �ff4 by _/_%=or upon completion of
$ ✓ / upon completion of the contract. (Law forbids demanding;full payment until contract is completed to both party's satisfaction)
The following material/equipment must be special $ to be paid for
ordered before the contracted work begins in order S to be paid for
to meet the completion schedule.(**)
NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which mtrst be special ordered in advance to meet the completion schedule.
Express Warraph- s an express warranty bein provided by thecantractorL_No Yes (all terms of the warranty must be attached to the contract)
Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third
party)subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for
rpt terials and labor under this agreement
Contract Acceptance Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract
Don't be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear.
Make sure the
contractor has e valid Home Improvement Contractor R ceistration. The law require
smost home improvement contractors and
subcontractors to be registered with the Director of Home Iinprovement Contractor Registration. You may inquire about contractor
registration by:writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or
1-800-223-0933.
* Does the contractor have insurance? Check to see that your contractor is properly insured.
* Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer
Guide to the.Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's.normal place of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day followingthe signing of this agreement Seethe attached notice of cancellation form for an explanation of flus right
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESH I
Two identical copies of the contract must be completed and signed One copy should go to the homeowner. The other copy should be kept by the contractor.
�y
Homeowner's Signature Contractor's Signature
s
Date —
Date
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as anp.
alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a
contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless
both parties agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required
to submit to such arbitration as provided In Massachusetts General Laws,chapter.l42A.
Homeowner's Signature ontractor's Signature
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution
initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not
separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in-any way, even by agreement. However,homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits-are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a
timely and workmanlike manner. Homeowners may be entitled to other specific liegal rights if the contractor guarantees
or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the
contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular
purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the
terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about
your consumer/homeowner rights,contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicit and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to
be given to the owner°and the other kept by the contractor. Any modification to the original contract must be in writing
and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of
the contract, and the three day recission period has expired.
J
Acceierated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the
homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself
to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work.. Withdrawal of funds from said account would require the
signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other
consumer rights,or*tf you wish to obtain a free copy of "A Consumer Guide to the Home Improvement Contractor
Law,"contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
(617)973-8787 or 1-(888)283.3757 i
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement'Contractor Registration
Bureau of Building Regulations and Standards
One Ashburton Place,Room 1301,Boston,MA 02108
(617)727-3200 or 1-800-223-0933
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section ,
Office of the Attorney General
(617)727-8400
AND/OR
Better Business Bureau !
(508)652-4800
(508)755-2548
(413)04-3114
J
!F MAO 2oirsABusiness
HOMEIMPROVEMENT°CONTRACTOR
Registrations .147818
Expiration:-8/912011 Tr# 287883 .
Type- V: �
DINO'S CONSTRdl .CT�C3N -
DEAN MCCOMIS ! }��
46 KENDALL P01�DIfiRi F;f.
DERRY,NH 03038�� e Undersecretary
�
Massachusetts- Department of Public Safet}
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 82835
Restricted to: 00 �
DEAN L MCCOMISH JR
46 KENDALL POND RD
DERRY, NH 03038
Expiration: 4/27/2012
('rmmisiuncr Tr#: 26513
III
DIMENSIONAL SUMMARY
ZONING: RESIDENCE 1
REQUIRED EXISTING PROPOSED
MINIMUM LOT AREA 87,120 S.F. 43,626 S.F. -
MINIMUM LOT AREA PER DWELLING UNIT - - -
MINIMUM LOT FRONTAGE 175 FT 150.00 FT -
MINIMUM FRONT YARD SETBACK 30 FT 73.93 FT 75.42 FT -
MINIMUM SIDE YARD SETBACK 30 FT 34.01 FT 37.81 FT 40.08 FT
MINIMUM REAR YARD SETBACK 30 FT 168.91 FT 157.50 FT
LOT COVERAGE
DWELLING - _ _
ALL BUILDINGS
MINIMUM OPEN SPACE - -HEIGHT 35 FT 25 FT -
�2
QOMF�
yr
•� O, Q
Q'
L. n
T C
O,y
M\� tiM PNO OPSS�
P �
N NOTE PLAN O LAND
'L"0- SITE IS SHOWN ON TOWN OF NORTH ANDOVER ASSESSORS IN
MAP #104C BLOCK #123 AND E.N.D.R.D. BOOK #19166 NORTH ANDOVER
PAGE #242 FOR SITE DEED.
0
DRAWN FOR
0 "1 HEREBY CERTIFY THAT THE BUILDING IS LOCATED OMUR BAGCI
d ON THE LOT AS SHOWN. 148 COVENTRY LANE
rn
NORTH ANDOVER, MA
i
SCALE: 1"=40'
c� DATE: MAY 12, 2010
0 20 40 80 120
rn
N
o MERRIMACK ENGINEERING SERVICES
66 PARK S'TRE'ET
5/12/10 AAiDOVAR NASSACHDSETTS 01810
STEPHEN SKI, R.L.S. DATE PHOArM (878) 47b-3bbb FAX: (87B) 47b-1448
EMAIL• J[ERRENG®A0L CON
