HomeMy WebLinkAboutBuilding Permit #560 - 227 GRANVILLE LANE 3/3/2006 NORTH
TOWN OF NORTH ANDOVER
"•�' � r_. °: APPLICATION FOR PLAN EXAMINATION
,SSICHUStS
Permit NO: 45610 Date Received: f`"
Date Issued: • •
IMPORTANT: Applicant must complete all items on this page
LOCATIONo Cie-Af,�V tL,L,e Lwz
_ t Print
PROPERTY OWNER .f A,,nneS C.fAAr',t=--
Print
MAP NO.: G((p� PARCEL: f;p ZONING DISTRICT: 121a
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
D New Building 'One family
V'Addition E Two or more family ❑ Industrial
E,Alteration No. of units:
C Repair, replacement C Assessory Bldg ❑Commercial
❑ Demolition
U Moving(relocation) ❑Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
'6w-s irN C i A • eI �✓ D D1 S m ez ?a
:T14L b /( S i/,J f, 1,(- !C �4-,,V e -ScL'fCl �peS fou X*PnGUJ S� j ,�r-Si
Identification Please Type or Print Clearly)
OWNER: Name: ^)Am,:S 1A\AC9- Phone: Q1&6ffe-65)37)
Signature
Address: Qat CsP A,,ig1L L j5 LAr�1s
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
p
Home Improvement License: Exp. Date:
ARCHITECT/F,NGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$10.00 PER SI000.00 OF THE TOTAL ESTIMATED COST BASED ON
$125.00 PER S.F.
Total Project Cost :$ x10.00=FEE:$ ���
Check No.: /l3Li `""' Receipt No.: /Er 9
Location
v
No. SGS d Date 3�'
M011Tq TOWN OF NORTH ANDOVER
F � w
9
+ s
Certificate of Occupancy $
cMus CHU tt�' Building/Frame Permit Fee $
s�
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check # /l' 23
9
i
Building Inspector t/
TYPE OF SEWARGE DISPOSAL Swimming* Pools i J
Tanning/Massage/Body Art 1 0
Public Sewer V _
Tobacco Sales J Food Pkckaging/Sales E;
Well E!
Permanent Dumpster on Site I�s' e
Private(septic tank,etc. a�
r
NOTE: Persons contracting!!kith unregist ret!contractors du not have access to the guaranty fund
Signature of Agent/Owner Signature of Contractor _
Plans Submitted ❑ Pl ns Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
JDATE REJECTED DATE APPROVED
CONSERVATION 11
COMMENTS "4- (& O
' fRM Mkv, (MIS.
DATE REJECTED DATE APPROVED
's HEALTH ❑
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
v
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection signature&date
Temp Dumpster on site yes no Fire Department signature/date /- /z '`'� y G
6u4.vvv
Building T Permit Approved and Issued b
PP Y
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
DIMENSION
Number of Stories: Total square feet of floor area,based onF,xterior dimensions.
Total land area,sq. ft.:
NOTES and DATA—(For department use)
Doc:INSPLC'TIONAI_SERVICES I)EI'AIZ I'MILN"1:13111(.)RMII$
Created JMC JanitlOo
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
❑ Debris Removal Form
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ Form U
❑ Surveyed Plot Plan
❑ Debris Removal Form
❑ 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)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Form U
❑ 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
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:BPFOR\105
TOWN OF NORTH ANDOVER
OFFICE OF
` BUILDING DEPARTMENT
400 Osgood Street
' North Andover, Massachusetts 01845
Gerald A. Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE:
JOB LOCATION: (a o_P�t w xyuC L i n c
Number Street Address Map/Lot
HOMEOWNER )-m,95 C,NAGE C1.76>(o%2-.S03 '7
Name Home Phone Work Phone
PRESENT MAILING ADDRESS �a�1 G[vq�vLtiLC 1,,AM;g
Qof_-ro AN)00,je,2. (Ind G I M-51
City Town State Zip Code
The current exemption for homeowners was extended to include owner-occupied dwellings to two units or less
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the
owner acts as supervisor). State Building (Code Section 108.3.5.1)
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended
to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not
be considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws, rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and require nts and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Form Homeowners Exemption
r �7
READING LUMBER � ��A7)
110 MAIN STREET
NORTH RE MNG,IIIA. 01864
V
3
NORTH
ONM Of t __ .. Andover
No. p = _
lA over, Mass., 3` 3" 012
0 COC MICKEWICK V
oRATED P"'
�l BOARD OF HEALTH
PERMIT T D Food/Kitchen -
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.....T.0"t5.....CL.q.-ew.
..... . . ....
*# aa Foundation
has permission to erect.. .... ...�.1T�.RA.#A dings on ....�� .....�t'I k1 i '�i....l .�.�c,........... Rough
to be occupied as.....x4. .669........a ........ �h.�j. � � ��itlKl..�y... �rJ'�... . ......................................... Chimney
provided that the person accepting this permit shall in �lery respect confoil to the term 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. / C. /` t PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this♦Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRU N STARTS Rough
............................................................
Service
... ......... ... . ......
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
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.
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N READING LUMBER
110 MA114 STREET -
NORTH READING, AAA. 01864
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VAYRMN*Vmim 4.zze
Deft=Vvab w.v I
Member Daft
Desafptiom Beam B 1 Member Type: Beam Application:Floor
at opening into addition Laterad Bracing:Continuous
6tandaro Load; Moisture Condltlon:Dry Building Code Other
Live Load: 40 pf Defection Criteria; 1'x60 live,L240 total 1.500"max.LL
DeW Coad: 12 pit Deck Cennec1lon, Naffed Member Wefgft 1a.8 plf
DOL. 100% Rename:KY61
Non-standard Loads
Type 1Tfib Live Dead
(D"wPow) Boofn Ful Width stare End stalrt arm DOL
Replacement Uniform(plt) of 0.00" Is, 0.00" 150 72 100%
2d roar load
Addi6onai Uniform(plr) 010.001, 1$, 0.00" 0 80 100%
WWI wgt
Additional'UniiEorm(pff) 0' 0.00" 18' 0.00" 60 80 100°,
cWlIng land
Additieonal Te;wed (pif) 0' 0.0011 131 0.00" 0 390 0 956 115%
NP foo!k4W
Additfonaf UnWorm(pl) 13' 0,00" 18' 0.00" 390 155 115%
diaoA
is 00
9600
Bearings and Reartivns
In�puut{� Wnlm urh Wont m
��Ttipe Len�plh Lerklttt Tamil 1 uulwunlw % Dead ToW
1 >7 .00' W401 3.so" 2.14" Ow 15W 2108# 2mv 133054!
2 17 8,75" "1 3.50" 2.7e' aim 28458 210W 34570 9117913
Deslign epans
1T 8.73"
Product 2494.6E 4 3/010 3 ply
GMs n swum=cmdnu r i
ig alas,4bral b ae ng for both dlords.
AUowaW Stress Omlgn
Actual Alforv4014 CapacRy location Loodirg
POWYS Momere xw5v 3944f3.'k 82% 9.66' T041 1"d 115%
ahea
81623/1 140674 489t+ 1e.88' Totafkraa�y6lR
Mai:i�
Rtion 8108.41 10290.o 76% 17.56' Dead bad
LL n .4888" 595dn U422 8.a9! Taal 19114 11596TL 'cm .6308" Aral" u2w 8.8ti Total bttd 11tvA
CmW: TL bofoot;on
Nlatwl.d„r Ws WW Oft MUST be co"Wred ror rmil-pry atmeclbn da dja and atbm evva
114156��^ f S 4%A 1'K (S /}-00rt1 Wl=eQ &Cs(-`. ne Nb wo p2piM RUO I-,LvJ
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AdeN i,Renew 03A1/06
NORDIC 127 Ornnvilla Rd 5°08rm
r�aiarr�Rn srFoo N.Andover,MA 1 Of 1
V4,70WO verniat e2Z4
vealM w
MWMOber Dab
Oescrlption:Beam 81 Member Type:Seem APP1100tiom Floor
at opening into addition Lateral Bracing:Continuous
Standard Load: MoloWle Colldlkion:Dry Building Code:Other
Lae Load: 40 Pd Potation Criteria: L036011%,V240total 1,500"max. LL
[DOW load: 12 or Deck Connection: Nailed Member Welght 20.4 plf
OUL: 100% F9ename:KY81
Non-standard Loads
Type Trlb. Live Dead
(Douripton) f?kgin End 1I idm start Ent start End DOL
ReAwment Uniform(w) 0' 0.00" ISO 0,00" 180 72 100%
2d naor bed
Additional Uniform 010 0' 0,00° 18' 0.00" 0 80 100%
will vugt
Addifanai Unhbrm(plf) 0' 0.00" 18' 0.00" BO 80 100%
cdw0 lead
Addfibnel Tapered (pif) 0' 0,00" 13' 0.04" 0 390 0 156 115%
ND Rol bad
Additional Ur*im(plf) 13' 0.00" 1e' 0,001, 380 160 115%
,"I"A
Additlohal Uniform(plf) 0' 0.00" 18' 0.00°' 300 50 115%
rad&Odom from add"rod(so dbe ra v ca"dilbiq
le00
Is 00
Bearings and Reactions
Input Wrilmu"1 Worst CA 04
i000n aroe Lenatfi Lsu th Tada1 1185 10096 ad 7ota1
1 0' .00r Wall 4.50" 328" 9580 415.Co 20M 3333811 SSW
2 1174.75" Waq 4,50" 3.t 11359W 5d279 209801 384.50 11359#
Design spans
131 �� 3
Pnxkxt 24P4 AE 1 3r4x16 3 ply
Design aasum"a eeW woos lateral bracing for bath chords.
Allalwame stress Design
Aolaal Akwable capacity location Loading
pas&e Moment 46301.W 51520.1# 00% 81811 Total lud 195%
Shm 94840 16100.11 58% 18,53' Total load 11696
Max Rcedlen 1136e.W 13230.91 8596 17,4' Dowd bad
L bd*c on .513T, 5739" U406 8.8' Total load 115%
TL Defler2len .7X02^ 81398" L287 8.79 'r61a1Ioa0195%
Cantd; positive Memorw
Muarra01Mft 6WA[ldion gWde MV9T be ccmulbd IN mull-OV co OMim Olds and 911ornE s
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ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: 31A Me S CM&e- Site Address: Z.2-1 [qap,,jVtvs L is
own: 1�1 otZ A��n
1Jcl�AmIDooni Use Group:
Date of Application:
Applicant Phone: 8 75 (ee& -SKOI Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only)
Package(A through KK from Table J5.2.1 b): Heating Degree Days (HDD65)from Table J5.2.1 a:
(For items d. through i., fill in all values that apply from Table J5.2.Ib:)
a. Gross Wall Area sq.ft f. Wall R-value R-
b. Glazing Areal sq.ft. g. Floor R-value R-
c. Glazing%(100 x b_a) % h. Basement wall R-
d. Glazing U-value U- i. Slab Perimeter R-
e. Ceiling R-value R- j. Heating AME
❑ Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only)
Climate Zone(fjrom Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable]
❑ MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wali+Ceiling Area q l(p sq.fi. b. Glazing Areal 80 sq.ft. c. GIazing% (100 x b=a) q,Z3
❑ ADDITION with Glazing % (c.) up to 40% may use.780 CMR Table J1.1.2.3.1 below:
MAXIMUM IJ-value I MINIMUM R-Values
I F enestration2 Ceilino3 Wall Floor Basement Wall lab PerimeterI3e th
0.3 R-37 I R-13 R-1 R-10 R-10.4 ft
1 Glazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC Iisting. Applies either to every unit,or to area-weighted average of all units.
3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area
(i.e.-not compressed over exterior walls, and including any access openings.)
❑ "SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area)
Attach "Consumer Information Form" from 780 CN4R Appendix B.
Official's Name: Official's Sio-mature: