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Building Permit #845-13 - 240 OLD CART WAY 6/5/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: J `� Date Received Date Issued g IMPORTANT: Applicant must complete all items on this Daae -L®CATIONir. G C U_. -QT , ' PROPE�RT►Y�®111/1VER�_.�..?���2t._.� .I' MAP ?NO , PAMEL DII _._ ZONIN i y�es3 yesj ri TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Bu ring amity ion 11 Two or more family 11 Industrial 4ElA Alter ion No. of units: ❑ Commercial r, replacement ❑ Assessory Bldg ❑ Others: B15emolition ❑ Other ' .p'.Septic� cUVelli ®iFloodpla n) ,Wetland's. r ©VUatershed�4ist`r of t � Water%S;ewerf ; DESCRIPTION OF WORK TO BE PERFORMED: 6 1 � ]i Identification Please Type or Print Clearly) OWNER: Name: �G ��- `� k��v, �y Phone: Address: CN e� C ev-k /kk-D 1-0OIVTRAC,TOR� Na Ad' dross, S=upervisor -'s; Construction License: Home, 4 Date:: ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE., BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BA DON $125.00 PER S.F. 'Total Project Cost: $ FEE: $ Check No.: a Receipt No.:b NOTE: Persons contracting with unregistered contractors do not have ac to ua my f d `Signatu're of Agent/Owner Sig natu_re;of contractor. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Sta ed Plans ❑ Plans Submitted ❑ Plans Waived "❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL 1. Public Sewer ❑ TanningWassage/BodyArt E]. . ,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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS .t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _ Planning Board Decision: Conservation Decisi Commen Comm Water & Seger Connection ermit DPW Tovvis ]Engineer: Signature: FIRE DEP�I�TMfiIT - Temp Dumpster on site 'Lb.cated at'124 Main Street " Fire Depamert signature/date COMMENTS Located 384 Osgood Street yes no Dimension !Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of refer 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 Doc.Building Permit Revised 2010 Building Department The following is a -list of the required forms to be filled out for the appropriate.permit to be obtained. Roofirig, 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 10TE: 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 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) a Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products OTE: 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 apn, al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:-tted with the building application Doc: Doc.Building permit Revised 2012 Location q6 r, C 9 No. Date L7 Check #Vk 3. 26485 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $- Other Permit Fee $ TOTAL $ Building Inspector lub International New England ToAssault Carpentry- C01 for Town of N. Andover (19786889542) 09:44 05/29/15 GMT -04 Pg 3-3 rlc,,.,f+f- 9RC79A ni IQCA111 Tr ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 15/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HUB International New England 4 West Mill Street Medfield, MA 02052 CONTACT NAME: PHFAx 1Ext): - A1C N.1' 978-988-0038 (AIM, E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p 508 359-4151 INSURER A: Safety Safe Insurance Co 39454 INSURED INSURER B: Hartford Insurance Co Daniel Dussault dba Dussault Carpentry 990 Johnson Street North Andover, MA 01845 INSURER C: INSURER D INSURER E INSURER F: rnllconr_cc /'GRTIGI!'ATG wllmmhw- KtVIlIl1N mtlIY1n1 m_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/Y LIMITS A GENERAL LIABILITY BMA0012372 9/15/2014 0911512016 EACH OCCURRENCE $300OOO COMMERCIAL GENERAL LIABILITY PREMISES ERENTED ocicurrDence $100,000 CLAIMS -MADE ElOCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $300,000 GENERAL AGGREGATE $600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 600,000 $ POLICY PRO LOC AUTOMOBILE LIABILITY C OMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS UTOS NO OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR ED RE DTENTION $$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFRCER/MEMBER EXCLUDED? � (Mandatory in NH) N / A 08WECEH1833 3126/2015 03/26/201 TO ST I OTH- MITS ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) «* Workers Comp Information " Proprietors/Partners/Executive Officers/Members Excluded: Daniel Dussault Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department I ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V 17285-LU"IU At-URU I.UMrURAI IUN. All rlgrl15 leselveu. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1390230IM1367154 JColl L 0 1 F0 J W W DZz m OJ 41 uvim' N Y O LL N a V) d Z z ca O O Y O 7 LL 0 w > v C U ca LL O y Z d L : LL u0 H Z J W L : w u i. Vv1 O LL cc a L 3 w LL W cl: a W LL m Z a.+ `J l% N Y O V) el �I _O � C V Q. 4) � CDa E * N r S E n ' L c ��6 TO C Y : •O.. O C A _+ 0 _ v Goy P , a -� :.io L 4.. N _ C.) Lm a >C CDCc C N V 11 — C .a > �mcc �a C •a fq _ t t O E o p a O O d M* n C ce- • •• Z 3 c -4-CL c . =a 2 a) t , m Q .. C ca 0 'N C _ _ QColi cC 'a ,O d H O N� v m N m CD _ 'C Z O Wr- O2uj w LL 0 Q N O O ~ N O w +'O+ ' z w 'E v .a = O LLI L ci d i P: ct) CL N 0~= 0 t S 0- O U > i Z Z W CL W FC_ G W CL O LLQ CL CO) z a 0 m U) U U) O U U). J • 60 N w L d N C 00 O CL CL C Q J O O Z N C 0 9 o O m� xY C i p n a to t 4 un 'O i*; h;I;TMr�. �'�: � 4�ii N-`� O C �� � N ♦ '?.� ci � (Q � l'oo':1;�"r '-�.�1- � t;;;l';•i� ,lA. r' ,:m• � ' O' _� � �ii (/LLi in X7 fD l;l�' i 1 � O O� Il 000 'toi y. CL. r 103yLn A Y ....�''' /�•. .' Sii Ci r N X S1 CD 0 r' m 4 d - v � m71L Cr awns' AN J � iAN ADF Architects Inc. 128 Linden Street So. Hamilton, MA 01982 PH - 978 468 1201 140 C.AX (:A"VIC MOP -TA WDOVt-P- /tom. tIvAz-'Iw low v! '4 CJkt'z-'I 30 LIS -S V'r. !; LM -/'q-FT,- ) 15 '315 la'�-/ / �T &0 WbY6- F r t -I ve t�vq 5�'*7 s4r) IVI, '75 r- T. 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V:"r- 67 WOOD BEAMS -SAFE LOAD TABLES Fb SIZE OF 900 1000 1 1100 1200 1 1300 1 1400 1 1500 1 1600 1 1800 1 2000 BEAM SPAN w 229 255 280 306 331 357 382 408 459 510 2 X 4 w 28 31 35 38 41 44 47 51 57 63 Fv 32 36 40 43 47 51 54 58 65 72 E 1851 2057 2262 2468 2674 2879 3085 3291 3702 4114 w 382 425 467 510 552 595 638 680 765 850 3 X 4 w 47 53 58 63 69 74 79 85 95 106 Fv 32 36 40 43 47 51 54 58 65 72 E 1851 2057 2262 2468 2674 2879 3085 3291 3702 4114 w 535 595 655 714 774 833 893 952 1071 1190 4 X 4 w 66 74 81 89 96 104 111 119 133 148 Fv 32 36 40 43 47 51 54 58 65 72 E 1851 2057 2262 2468 2674 2879 3085 3291 3702 4114 w 567 630 693 756 819 882 945 1008 1134 1260 2 X 6 w 70 78 86 94 102 110 118 126 141 157 Fv 51 57 63 68 74 80 85 91 103 114 E 1178 1309 1439 1570 1701 1832 1963 2094 2356 2618 w 945 1050 1155 1260 1365 1470 1575 1680 1890 2100 3 X 6 w 118 131 144 157 170 183 196 210 236 262 Fv 51 57 63 68 .74 80 85 91 103 114 E 1178 1309 1439 1570 1701 1832 1963 2094 2356 2618 w 985 1095 1204 1314 1423 1533 1642 1752 1971 2190 X 8 w 123• 136 150 , 164 177 191 205 219 246 273 Fv. 67 75 83 90 98 105 113 120 135 151 E 893 1 993 1092 1191 1291 1390 1489 1588 1787 1986 w 1323 1470 1617 -1764 1911 2058 2205 2352 2646 2940 4 X 6 w 165 183 202 220 238 257 275 294 330 367 Fv 51 57 63 68 74 80 85 91 103 114 E 1178 1309 1439 1570 1 1701 1832 1963 2094 2356 2618 w 1604 1782 1960 2139 2317 2495 2673 2852 3208 3565 2 X'10 w 200:_ 222 245.3x(6_7i 289 311 334 356 401 445 Fv 86 96 105 115 125 134 144 154 173 192 E 700 778 1 856 934 1011 1089 1167 1245 1401 1556 w 1642 1825 2007 2190 2372 2555 2737 2920 3285 3650 3 X 8 w 205 228 250 273 296 319 342 365 410 456 Fv 67 75 83 90 98 105 113 120 135 151 E 893 993 1092 1191 1291 1390 1489 1588 1787 1986 w 2079 2310 2541 2772 3003 3235 3466 3697 4159 4621 6 X 6 w 259 288 317 346 375 404 433 462 519 577 Fv 51 57 63 68 74 80 85 91 103 114 E 1178 1309 1439 1570 1701 1832 1963 2094 2356 2618 w 2299 2555 2810 3066 3321 3577 3832 4088 4599 5110 4 X 8 w 287 319 351 383 415 447 479 511 574 638 Fv 67 75 83 90 98 105 113 120 135 151 E 893 993 1092 1191 1291 1390 1489 1588 1787 1986 w 2373 2636 2900 3164 3427 3691 3955 4218 4746 5273 2 X 12 w 296 329 362 395 428 461 494 527 593 659 Fv 105 117 128 140 152 164 175 187 210 234 E 576 640 704 768 832 896 960 1 1024 1151 1279 `. w 2673 2970 3268 3565 3862 4159 4456 4753 5347 5941 3 X �0 w 334 371 408 445 482 519 557 594 668 742 "192 Fv 86 96 105 115 125 134 144 154 173 E 700 778 856 1 934 1011 1 1089 1167 1245 1401 1 1556 VERSA -LAM° 2.0 3100 (100% Load Duration) ' Top Figure Allowable Total Load [plq KEY TO TABLE Middle Figure Allowable Live Load [piq Bottom Figures Minimum Required Bearing Length at End / Intermediate Supports finches/ Span 131 "VERSA -LAMB 2.0 3100 + Double PIy 13/4" VERSA -LAME 2.0 3100 or 3172' VERSA -LAM 2.0 3100 Triple PI 1314" VERSA -LAMS 2.0 3100 or 51� VERSA -LAM 2.0 3100 Quadruple Ply 13/4" VERSA -LAM° 2.0 3100 or 7" VERSA -LAM 2.0 3100 91/2 ' 117/8" 1 14" 71/4" 91/2" :117/8" i 14" 16" 18" 24" 91/2" 11'/8" ! 14" 16" 18" 20" 24" 11718" 14" 16" 18" 20" j 24" 763 1063 1424 1795 1525 2126 2849 3590 4387 5232 5226 3189 --- 4273 5384 6580 7848 7845 7638 5697 7179 8773 : 10463 i 1 X10451 6 762 1.814.4 i 2.416.1 3.3182 4.1110.3 1525 _ --_- 1.814.4 i 2.416.1 3.3182 4.1110.31 5112.6 6/15 6115 2.416.1 3.318.2 4.1/10.3 5112.6 6115 ; 6/15 ; 6175 3.318.2 :4.1/10.3 5112.6 6115 ] 6115 i 6115 479 746 979 1207 957 (1492 x, 1957 2414 2886 3402 3913 2237 2936 3622 4328 5103 5876 5870 - 3914 4829--5771 7834 j 7826 - 8 322 724 - 643 ; 1447 2171 -6803 - 1.513.7 2.315.7 317.5 3.719.3 1.513.7 2.315.7' 317.5-3.7/9.3 4.4/11.1' 52113-6115 2.315.7 317.5 3.719.3 4.4/11.1 52113. 6115: 6115 317.5 3.719.3 4.4111.1 5.2/13 6/15 6115 243 551 745 909 487 ` 1102: 1489 1817 y 2148_2502 3126 1653- 2234- 2726 3222 ; 3753 :; 4322 46M 2978 3635 4296 5003 5763 6251 10 165 370 724 - 329 1 74_1 14_47 1111 2894 1.513 2.1/5.3 2.917.1 ' 3.5/8.7 1.513 +2.1/5.3 2.917.1 3.5/8.7 4.1110.3 4.8/12 6115 _2171 2.115.3 2.917.1 3.518.7 4.1110.3 4.8112 ;5.5113.816115 2.917.1 3.518.7 .4.1/10.3' 4.8112 ;5.5/13.81 6/15 413 665 808 _124 364 825 1330 ! 1617 1904 , 2209 2839 1238 1995 2425 2856 ' 3313 3800 4259 2659 1 3233 3807 4417 5067_ 5679 11 [182 2_78 544 247 557 1087 835 1631 2775 - 1.513 1.714.4 2.817 13.418.5 1.513 x1.714.4: 2.817 . 3.4!8.5 4110.1 4.7111.7 6115 1.714.4 2.8/7 _- 3.418.5 4110.1 4.7111.7 5.4113.4; 6115 2.8/7 3.418.5 1 4110.1 4.7111.7 5.4113.4 6115 139 317 585 726 279 ! 634 1170 1456 1709 1977 T 2601 950 1755 2184 2564 2965 3390 3901 23_40 2912 3418 3953 4519 5201 12 95 214 419 686 191 429 837 1372 - - 643 1256 2058 1675 2745- 1.513 1.513.712.716.8!3A18.4 1.513 :1.513.7 2.716.8 :3.418A 3.919.9 4.6111.4 6/15 1.513.7'2.716.8 3.418.4 3.919.9:4.6111.4`5.2113: 6/15 2716.8!3.418.4;3.919.9;4.6111.4'5.2113: 6115 248 488 662 217 496 976 1324 1550 -1789 2399_ 744 1464 1986_ 2326`_ 2683 3059 `3598 1952 2647 3101 ! 3577 4078 4797 13� 169 329 540 �75 150 337 659 1079 -- - 506 988 1619 - 1317 21593 1.513.1 2A16.1 : 3.318.3 1.513 7.513.1 2.416.1 3.318.3 3.919.7 4.5111.2 6115 1.513.1 2.416.1 3.318.3 3.9/9.74.51112 5.1/12.7' 6115 2A16.1 ! 3.318.3 ? 3.9/9.7 ;4.5111.2i5.1112.71 6115 14 86 I198 390 585 60 135 264 432_ 173 395 120 270 779 527 _ 1171 864 1418 1633 2226 1290 593 : 1169 1756 2128 2449 2786 3338 1558 2342 2837 3265 3715 1 4451 405 791 1296 1935 10551728 2580 1.513 •. 1.513 2.115.3 3.2/7.9 7.5/3 1.513 2.115.3 32/7.9 3.8/9.6 4.4111 6115 1.513 2.115.3 32/7.9 3.8/9.6 4.4/11 5/12.5 6115 _ - -- 2.1/5.3 ( 3.2/7.9 3.819.6: 4.4/11 j 5/12.5' 6115 _70 160 316 509 139 320 631 1018 1307 1502 2076 479 947 1527 1960 2253 2558 3113 1262 2036 2614 30033410 4151 15 49 : 110 : 214 351 98_ 220 429 703_ 1049 _1493 329 643 1054 1573 2240 858 1405 2098 2987 1.5/3-, 1.513 1.814.6 2.917.4 1.513: 1.513 1.814.6 2.917.4 3.819.5 4.3/10.9 6/15 1.5/3 1.814.6 2.917.4 3.819.5 4.3/10.9 4.9112.3, 6115 1.814.6: 2.9/7.4 3.819.5'4.31110.9:4.9/12.3; 6115 16 57 ;- 131 259 7427 40 ! 90' 177 . 289 - - -----_...-- - 113 262 80-F- 181 ------ 518 353 854 579 1151 1390 864 1230 -- -- -- 1944 - 393 271 771 530 1281 1727 2085 2364 2917 868 1296 1846 1036 1708 2303 2780 3151 3889 707 1158 1128 2461 1.513 1 1.513 1.614 2.616.6 1.5/3. 1.513 1.614 2.616.6 3.618.9 4.3/10.7 6/15 --- 1.513 ------ 1.614 . 2.616.6 3.618.9 4.3110.74.9112.2 6115 --- - -. 1.614 ' 2.616.6 3.618.9 4.3110.7 4.9112.2' 6115 108 215 355 93 217 430 710 1018 1274 1826 325 645 1065 1527 1911 2196 2739 860 1420 2036 2547 2929 3652 17 75 147 247 67 151 295 463 720 1026 226 442 724 1081 1539 2111 - 589 965 1441 + 2052 2814 - 1.513 1.513.6: 2.315.9 1.513 1.513 1.513.6 2.315.9 :3.318A ;4.2110.5; 6115 1.513 1.5/3.6 2.3/5.9 3.318.4 '42110.5 4.8112 6115 1.513.6 2.315.9 3.318.4'4.2/10.5: 4.8112 6115 18 -90 180 298 64 124 203 1.513 : 1.513.2 2.1152 - 77---y 181 -360 596 - 894 1134 -: -17D1 56 127 248 407 607 864 1.513 1.513 1.5132 2.1/5.2 311.8: 4/99 5.9114.8 271 540 894 1341 : 1701 2051 ! 2552 --. : - - 191 t 372 610910 1296 1778 1.513 ; 1.513.2 2.1/52. 3.117.8 419.9 14.81119;5.9114.8 720 1191 j 1788 1-2268 1 27_35 ' 3402 . . _ _ _ 496 813 1214 i_. 1728 2371 -- 1.5/32 2.1/52 3.117.8 419.9 14.8/11.915.9/14.8 - 76 152 252 -------'----- 65 152 --------'--._.--------- 304 5D4 758 1016 1592 229 457 757 1137 1524 1863 2388 609 1009 1516 1 2032 ! 2484 1 3184 19 54 105 173 48_ . 108_: 211 3_46 _516 735 - -i.._-.___------------�---------------- 162 316 519_ 774 1102 1512 - 422 i 691 1032 1470 i 2016 j 1.513~ 1.5/3 1.914.7 1.513 1.513 1.513 1.914.7 2.817 -3.7/9.4:5.8114.6 1.513 1.5/3 :1.914.71 2.817 1 3.719.44.6111.4:5.8114.61.513 1.9/4.7 2.817- 3.7/9.4 !4.6/11.415.8114.6 20 65 130 215 _ - _ . _ 46 90 148 1.513 i 1.513 1.7142 54 129 41 93 _..._ _ ...... _.. 1.513 1.513 259 ^ 181 1.513 430 647 915 j 1496 296 442 630 1493 - 1.7142 2.516.3'3.618.9'5.8114.5 194 ; 389 1...646! 971 1373 ^ 1678: 2243 .. _.._ _ .. -1 -- -- 139 271 445 664 945 1296_ 2240 1.513 1.513 1.7142 2.516.3!3.618.9 4.3110.85.8114.5 519 861 1 1295 - -- ----- 362 1 593 1 88_5 1.513 .1.714.2�25I6.3 1830 ' 2237 2991 - -- - -- - 1 1260 1728 ! 2987 3.618.9 '4.3110.8 �5.8/14.5 -- 96 160 95 192 320 482 692 1304 142 288 ! 480 ! 724 1038 1382 1956 384 j 640 ] 965 j 1383 ! 1842 ! _2608 22 - - 68 111 - _ 70 136 _ 223 332 473 1122 104 204 334 499 j 710 974 1683 272 I 445 665 947 X1299 2244 : 1.5/3 1.513.5 1.513 1.513 7.513.5 2.1152 311.4 5.6113.9 1.513 1.513 1.513.5 2.115.2 ! 317.4 3.919.9 15.6113.9 1.5/3 1.513.5.2.115.2 317.4 3.919.9 5.6113.9 24 1 72 122 _52 86 1.5/3 1.513 71 145 54 105 - 1.513 1.513 243 368 529 1092 172 256 365 864 1.513 1.8/4.4 2.516.3 .5.1112.8 106 217 365 ! 552 793 .' 1095 1638 80 157 i 257 384 ! 547 750 i 1296 1.5/3 j 1.5/3. 1.513 j 1.814.4 12.516.3 3.418.6 15.1112.8 290 1 486 736 - 1057 1460 2184 209 343 512 729 i 1000 1 1728 1.513: 1.5/3 1.814.1 2.516.3 3.418.6 15.1112.8 _---- 56 -94 T ^54- 111 188 286 - 412 927 80 167 282 429 618 855 1390 223 376 1 572 824 1139 1853 26- 4`1 67- 42- _82-_ 135 201 287_ _680_ 63 124 202 302 I 430 ! 590 1020 165 270 403 574 787 1359 -1.513 1.513 1.5/3 1.513 1.513 1.513 1.513.7 2.115.3 4.7111.8 1.513 1.5/3 1.513 1.513.7 2.115.3: 2.917.3 4.7111.8 1.5/3 : 1.513.7 ; 2.115.3 2.917.3 .4.7111.8 74 - 87 148 226 326 792 61 130 222 338 489 678 ' 1188 174 ! 296 451 652 ! 904 1584 28 54 66 108 161 230 544 51 99 162 242 344 472 816 132 216 322 i 459 j 630 i 1086 1.513 1.5/3. 1.513 1.513.2 1.814.6 4.4/10.9 IL13 1.513 1.513 1.5132 1.8/4.6 2.5/6.3 4.4110.9 1.513 1.513 ! 1.5/32 1.814.6'2.516.3'4.4110.9 __ ... 59 ._ . 68 .__._ 118----18.0--262-- 639-_____.__1_02 176 271 3931-546 959 137 235 361 523 728 1279 30 44 54 88 131 187 442 80 132 197 280 384 664 107 176 262 373 512 885 1.513 1.513 1.513 1.513 1.614 3.8/9.5 1.513 1.513 1.513 1.614 2215.5 3.819.5 1.513 1.513 1.5/3 1.614 ' 2215.5 3.819.5 Total Load values are limited b, shear, moment or deflection equal to L/240. Total Load values are the capacity of the beam in addition to its own weight. • Live Load values are limited by deflection equal to U360. Check the local building code for other deflection limits that may apply. Where a Live Load value is not shown, the Total Load value will control. • Table values represent the most restrictive of simple or multiple span applications. Span is measured center to center of the supports. Analyze multiple span beams with the BC CALCE software if the length of any span is less than half the length of an adjacent span. • Table values assume that lateral support is provided at each support and continuously along the top edoe and aoDlicable compression edoes of the beam. design value perpendicular to grain for the beam and the Total Load value shown. Other design considerations, such as a weaker support material, may warrant longer bearing lengths. Table values assume that support is provided across the full width of the beam. For 2 -ply, 3 -ply or 4 -ply beams; double, triple or quadruple Allowable Total Load and Allowable Live Load values. Minimum Required Bearing Lengths remain the same for any number of plies. • 11/4 inch members deeper than 14 inches are to be used as multiple -member beams only. This table was designed to apply to a broad range of applications. It may bepossible to exceed the limitations of this table by analyzing a specific application with the BC CALCOsoftware. 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 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 1-888-283-3757 or on our website. Homeowner Information Contractor Information Nameme _ 19a4 �1 � (/qe J JC Company Iia Art v1Lr5S►9✓/ ,t� Street Address (do not use a Post Office Box ad s) Z 6/O Contra tor/ Salesperson/ Owner Name %�"S IV— yd C,44W4 I City/Town State ZipCodc ND/Ld/8`�� Business Address (must include a street address) 71v ��Nso.✓ 5 Da �frog Phone Evening Phone Cityrrown Stale Zip Code Mailing Address (It different from above) Business Phone Federal Employer ID or S.S. Number tvgW- that most home improv tmntractonhve�`7fS_3 rasa reat.tn.tgon nnmher Home Imp<ov®eR Comrector Reg. Nwtber cI.. �%1 L E7/9 (J f(J /, The Contractor agrees to do the following work for the Homeowner. (Describe in detai I the work to completed, specifying the type, brand, and grade of materials to be used, use additional sheets if necessary.) Required Permits -The following building permits are required Proposed Start and Completion Schedule -The following schedule will and will be secured by the contractor as the homeowner's agent: be adh t unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of /e gate when contractor will begin contracted work. MGL chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Pavment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of. Lx.), (•) Payments will be made according to the following schedule: $ 0 upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) U by _/ / or upon completion of $ t� by /_/_ or upon completion of $ t 1 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 to meet the completion schedule.('•) $ to be paid for 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 must be special ordered in advance to meet the completion schedule. Express Warranty - Is an express warranty being Provided by the contractor? ❑ No ❑ Y (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 materials 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 filly understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance" document. • 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 following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IFT Two idemical copies of the contract must be completed and signed One copyTTId go to theh cone H reowner' Signa re Contr Date Date .ANK SPACES!!! copy should bApt by the contractor. FA &r b M2 Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an 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 142A. Homeowner's Signature Contractor'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 legal 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 duplicate 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 rescission period has expired. Accelerated 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 if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at hU://www.mass.gov/ocabr/ 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 Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the WC website at hqp://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: htti):Hdb.state.ma.us/homeiMrovement/licenseelist.asp 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 or 413-734-3114 Version 2.1 - 11/22/2010 } r V11", rAL ' i ( e 990 Johnson St North Andover, MA 01845 781-858-5134 Name / Address Sarah Harty 240 Old Cart Way North Andover, MA 01845 Estimate Date Estimate # 6/3/2013 108 Description Cost Total Remodel 1 st floor dinning room. Remove existing wall and 6,500.00 6,500.00 replace with new beam and columns as illustrated in drawings. Columns and shelves supplied by Dussault Carpentry and custom built in between new columns. Patch and refinish all hardwood floors included. Patch in wall board with new skim coat of plaster and removal of debris included. If new lally columns are needed in Bsmt. to support new load 0.00 0.00 bearing columns cost is $800 each. Any Electrical and Plumbing work will be accessed after demo 0.00 0.00 once walls are opened up. No Painting or staining supplied in this estimate. 0.00 0.00 We look forward to working with you, any questions feel free to call Total me. Thank You, Dan Dussault $6,500.00 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers pylicant Information Please Print Le0bl Name (Business/Organization/Individual): Address: City/State/Zip: iib Phone #: Are yo n employer? Check t appropriate box: 1. M I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. E] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit anew affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:. Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 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. Xdo here cert and r tlt pa s andp ties ofperj1 urt7 tl a information provided abbov is tru and correct. SiRT Date: C� Phone #: r r 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 "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any 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-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. 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 you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA, 02111 Tel. # 617-72.7-4900 ext 406 or 1-877cMASSAFE Revised 5-26-05 Fax # 617-727-7749 www=ass.gov1dia