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Home My WebLink AboutBuilding Permit #734-2017 - 246 RALEIGH TAVERN LANE 5/1/2018 NORTy BUILDING PERMIT 4 1,-ED6 6 W4TOWN OF NORTH ANDOVER 3� y ` 0 APPLICATION FOR PLAN EXAMINATION e Permit No#:72,34 2�4 Date Received a a-6� / .y R�reo�P �q5 SSE AC HUS � Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATIONVI - - Print - PRQPERTY OWNER Print __ 100 Year Structure yes no. NAP PARCEL- ZONING ®ISTRLCT Historic District yes ,no. ,Machine_Shop Village- yes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Kone family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic 0 Well ❑ Floodplain p'Wetlarw El Watershed District. 0,Water/S'ewer DESCRIPTION OF WORK TO BE PERFORMED: Iderfficati on- Please Type or Print Clearly p, OWNER: Name: P Phone: 1A 7� M 97 Address: Contractor,Name' Address: Supervisor's,Construction License: :Exp. Date: Home•Improvement License - - -_ R Exp. Date:, _ ARCHITECT/ENGINEERMflr>- Phone: Address: 7Q N . R>> V � � Reg. No. FEE SCHEDULE:BOLDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. �rotal Project Cost: $ �)0 0 �� FEE: $ Check No.: ' Receipt No,; 61 L(70 NOTE: Persons contracting wi u gistered contractors do not havc access to the guaranty fund Signature of Agent/Owne _Signature of contractor J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE' F SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature I COMMENTS HEALTH Reviewed on Signature COMMENTS fonin Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Manning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: .- ,_. �. F Located 384 Osgood Street FLRE,DEPARTMENT -Temp4Dumpster`ornsite yes _ �` .Fno - _ ,Fire.Department-signature/date COMMENTS.._ limension 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 I I NOTES and DATA — (For department use) ❑ Notified for pickup Call Email ate Time Contact Name Doc.Building Permit Revised 2014 r I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r l Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products VOTE: All dumpster permits require sign off from Fire Department. prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application i Doc:Building Permit Revised 2014 t1ORTH Town of t aAndover . 0 No. _ 1 z " ver, Mass, s V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........L Q ant �. CVr 1 ........................... BUILDING INSPECTOR .. ...... .... ... ...... ...... ........................ ...V....... f, � A� Foundation has permission to erect ..........................'buildings on ...........................................�.... ....�.% ........... Rough to be occupied as ..... 4 rs.........�M `�.� N K► �.....�. �.......�!.... ` y .......... .................... ..... ........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO START Rough CService ............... ..... ............ ......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Project: 16287 246 RALEIGH TAVERN NOANDOVER GELINAS STRUCTURAL Pace Location:B21 5 PLY 9 1/2"OPTION / JOB# 16287 Multi-Loaded Multi-Span Beam 1 [2009 International Building Code(2005 NDS)] 246 RALEIGH TAVERN °f (5)1.75 IN x 9.5 IN x 13.0 FT NORTH ANDOVER, MA Versa-Lam 3100 Fb-Boise Cascade StruCalc Version 8.0.113.0 12/2/201612:42:29 PM Section Adequate By:24.0% Controlling Factor: Deflection CAUTIONS "Laminations are to be fully connected to provide uniform transfer of loads to all members DEFLECTIONS Cente LOADING DIAGRAM Live Load 0.35 IN L/446 Dead Load 0.16 in Total Load 0.51 IN L/305 Live Load Deflection Criteria:L/360 Total Load Deflection Criteria:0240 REACTIONS A B Live Load 4420 Ib 4420 Ib Dead Load 2043 Ib 2043 Ib Total Load 6463 Ib 6463 Ib TRI Bearing Length 0.98 in 0.98 in BEAM DATA Center Span Length 13 ft Unbraced Length-Top 0 ft A= 13 ft Unbraced Length-Bottom 13 ft Live Load Duration Factor 1.00 Notch Depth 0.00 MATERIAL PROPERTIES UNIFORM LOADS Cen er Versa-Lam 3100 Fb-Boise Cascade Uniform Live Load 0 pif Base Values Adjusted Uniform Dead Load 80 pif Bending Stress: Fb= 3100 psi Fb'= 3182 psi Beam Self Weight 24 pif Cd=1.00 CF=1.03 Total Uniform Load 104 plf Shear Stress: Fv= 285 psi Fv'= 285 psi TRAPEZOIDAL LOADS-CENTER SPAN Cd=1.00 Load Number One Two Modulus of Elasticity: E= 2000 ksi E'= 2000 ksi Left Live Load 520 pif 160 plf Comp.-L to Grain: Fc-I= 750 psi Fc--L = 750 psi Left Dead Load 130 plf 80 plf Right Live Load 520 If 160 If 9 P P Controlling Moment: 21003 ft-lb Right Dead Load 130 plf 80 pif 6.5 Ft from left support of span 2(Center Span) Load Start Oft Oft Created by combining all dead loads and live loads on span(s)2 Load End 13 ft 13 ft Controlling Shear: -64631b Load Length 13 ft 13 ft At right support of span 2(Center Span) Created by combining all dead loads and live loads on span(s)2 Comparisons with required sections: Read Provided Section Modulus: 79.22 in3 131.61 in3 Area(Shear): 34.01 int 83.13 in2 Moment of Inertia(deflection): 504.13 in4 625.17 in4 Moment: 21003 ft-Ib 34895 ft-Ib Shear: -6463 lb 15794 lb t � a ren. c 01 Project: 16287 246 RALEIGH TAVERN NOANDOVER GELINAS STRUCTURAL Peso Location:B21 3 PLY 11 1/4"OPTION JOB# 16287 / Multi-Loaded Multi-Span Beam 246 RALEIGH TAVERN [2009 International Building Code(2005 NDS)] or (3) 1.75 IN x 11.25 IN x 13.0 FT NORTH ANDOVER, MA Versa-Lam 3100 Fb-Boise Cascade Section Adequate By:23.6% StruCalc Version 8.0.113.0 12/2/2016 12:42:50 PM Controlling Factor.Deflection CAUTIONS "Laminations are to be fully connected to provide uniform transfer of loads to all members DEFLECTIONS Center LOADING DIAGRAM Live Load 0.35 IN L/445 Dead Load 0.16 in Total Load 0.51 IN L/306 Live Load Deflection Criteria:U360 Total Load Deflection Criteria:U240 REACTIONS B B Live Load 4420 Ib 4420 Ib Dead Load 1997 Ib 1997 lb Total Load 6417 Ib 6417 Ib Bearing Length 1.63 in 1.63 in BEAM DATA Center Span Length 13 ft Unbraced Length-Top 0 ft --13ft Unbraced Length-Bottom 13 ft Live Load Duration Factor 1.00 Notch Depth 0.00 MATERIAL PROPERTIES UNIFORM LOADS Center Uniform Live Load 0 plf Versa-Lam 3100 Fb-Boise Cascade Uniform Dead Load 80 plf Base Values Ad_lusted Beam Self Weight 17 plf Bending Stress: Fb= 3100 psi Fb'= 3122 psi Cd=L 00 CF=1.01 Total Uniform Load 97 plf Shear Stress: Fv= 285 psi Fv'= 285 psi TRAPEZOIDAL LOADS-CENTER SPAN Cd=1.00 Load Number One Two Modulus of Elasticity: E= 2000 ksi E'= , 2000 ksi Left Live Load 520 plf 160 plf Comp.-L to Grain: Fc--L= 750 psi Fc-1'= 750 psi Left Dead Load 130 plf 80 plf Right Live Load 520 plf 160 plf Controlling Moment: 20855 ft-Ib Right Dead Load 130 plf 80 plf 6.5 Ft from left support of span 2(Center Span) Load Start Oft Oft Created by combining all dead loads and live loads on span(s)2 Load End 13 ft 13 ft Controlling Shear: 64171b Load Length 13 ft 13 ft At left support of span 2(Center Span) Created by combining all dead loads and live loads on span(s)2 Comparisons with required sections: Read Provided Section Modulus: 80.15 in3 110.74 in3 Area(Shear): 33.77 in2 59.06 1n2 Moment of Inertia(deflection): 504.13 in4 622.92 in4 Moment: 20855 ft-Ib 28814 ft-Ib Shear: 64171b 112221b 14 Project: 16287 246 RALEIGH TAVERN NOANDOVER GELINAS STRUCTURAL page Location:B22 2ply 9 1/2" JOB# 16287 / Uniformly Loaded Floor Beam [2009 International Building Code(2005 NDS)] 246 RALEIGH TAVERN (2)1.75 IN x 9.5 IN x 12.0 FT NORTH ANDOVER, MA Versa-Lam 3100 Fb-Boise Cascade StruCalc Version 8.0.113.0 12/2/2016 12:44:13 PM Section Adequate By:99.7% Controlling Factor:Deflection CAUTIONS *Laminations are to be fully connected to provide uniform transfer of loads to all members DEFLECTIONS Center LOADING DIAGRAM Live Load 0.12 IN U1235 Dead Load 0.18 in Total Load 0.30 IN U479 Live Load Deflection Criteria: U360 Total Load Deflection Criteria:0240 REACTIONS A B Live Load 750 Ib 750 Ib Dead Load 1183 lb 1183 Ib Total Load 1933 Ib 1933 Ib Bearing Length 0.74 in 0.74 in BEAM DATA Center Span Length 12 ft Unbraced Length-Top 0 ft A= 12 rt Floor Duration Factor 1.00 Notch Depth 0.00 MATERIAL PROPERTIES FLOOR LOADING Versa-Lam 3100 Fb-Boise Cascade Side 1 Side 2 Base Values Adjusted Floor Live Load FLL= 50 psf 40 psf Bending Stress: Fb= 3100 psi Fb'= 3182 psi Floor Dead Load FDL= 15 psf 15 psf Cd=1.00 CF=1.03 Floor Tributary Width FTW= 2.5 ft 0 ft Shear Stress: Fv= 285 psi Fv'= 285 psi Wall Load WALL= 150 pif Cd=1.00 Modulus of Elasticity: E= 2000 ksi E'= 2000 ksi BEAM LOADING Comp. I to Grain: Fc- 750 psi Fc-1'= 750 psi Beam Total Live Load: wL= 125 plf Beam Total Dead Load: wD= 188 plf Controlling Moment: 5800 ft-Ib Beam Self Weight: BSW= 10 plf 6.0 ft from left support Total Maximum Load: wT= 322 pif Created by combining all dead and live loads. Controlling Shear: 1933 Ib At support. Created by combining all dead and live loads. Comparisons with required sections: Read Provided Section Modulus: 21.87 in3 52.65 in3 Area(Shear): 10.17 in2 33.25 in2 Moment of Inertia(deflection): 125.25 in4 250.07 in4 Moment: 5800 ft-Ib 13958 ft-Ib Shear. 1933 Ib 6318 Ib A3 -nor U STfiit'C,i i. -'A: �7 The Commonwealth of Massachusetts _ Department of Industrial Accidents X Congress,Srtreet,Suite 100 M, d02114 201 7 Boston,MA. ^ �< www mass.go-vIdia q a'M S.9 Workers'Compensation Insurance Affidavit.-Builders/CG AUTHO sem? '- icians/'lnmbers. TO BE FILED WTI'H TM PEI2MTTT .,Please print Le 'bl A '•licant Information Name(Business/Orgabhationllndividual): Address: Phone#: V City/State/Zip: Axeyou an employer? Check the aPPropriatebox: Type of project(�rec[uixed) em to ees(full and/or parttime). ]. ❑NBVV donstC'ACt1071 1,❑I am a employer with P y 2.[:]I am a sole proprietor or partnership andhaveno employees working forme in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.❑I am ahomeowner doing all workmyseli [No wozkers,comp.insurance required.] 10❑Building addition 4.1SLI am ahoraeowner and will be hiring contractors to conduct all work on my property. 1 will 11.0 Electrical xepairs or additions ensurethat all contractors either have workers'compensation insurance or are sole bin re airs OZ addltiOns proprietors with no employees. 12,j]P��n' g P 5.❑1 am a general contractor and I;have hired the sub-contractors listed on the attached sheet 13-.[]Roofrepairs These sub-contractors have employees and have workers'comp.insurance 3 14.0 Other 6,❑We are a corporation and its,officers have exercised their right of exemption Per MGL G. 152,§1(4),and we have no employees.[No workers'comp.insurance required] applicant thatchecksbbic#lrriustalsoflloutthesectionbelowshowiugtheirworkers'eampensationpolicyinformation. they are t Homeowners who submit this affil ow affidavit indicating SuGIL �c�im additional sheett showing the name of thesub-contrade ctoros and state whetters must submit a r or not inose ntities have TContractors that check this b 6X employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. Zo er that is rovidingworkers'compensation insurance for my employees. Below is the policy and job site X am an em y p information. Insurance Company Name: ExpirationDOG' Policy#or Self-ins.Lic.#:. City/State/Zip: Job Site Address: sation Policy declaration page(showing the policy number and expiration date). ers coin. en p punishable Attach a copy of-the work P 500.00 Failure to secure coverage as required and i il naliiesZin§the f form of criminal OP WORK ORDER and a fine of P to $250.00 a and/or one-year'imprisonment,as well as p day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do Iiereby certify der t epat and enalties ofperjury that the information provided aboveOue� correct Date: / Si atur . Phone nl . Do not write in this area,to be completed by city or town official. O czal zcseo y f� Permit/License# City or Town: issuing Authority(circle one): ' 1T'own Clerk 4.Electrical Inspector 5.Plumbing Inspector .Board of Health 2.Building Department 3.0ty/ 6.other Phone#- Contact Person 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 defimd as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is d'efiued 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 receivet'or•trastee 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 ofthe' 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 requited." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please£ill 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 certificates)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 au 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 Tudustrial 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 selfiinsurance 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 EU out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to Min 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. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 wwwmass.gov/dia of NORry 1 TOWN OF NORTH ANDOVER 041- OFFICE OF . ' p BUILDING DEPARTMENT + 120 Main Street North Andover,Massachusetts 01845 ,SSACHtui S Donald Belanger Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Building Permit Application Please print DATE: JOB LOCATION: % �Liz �� /Number Street A6dress Map/Lot HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rou vided that the owner acts as supervisor. 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section 110.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 requirements and that-he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE i ;r �/ APPROVAL OF BUII,DIN OFFICIAL Revised 9/16 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 j J J N J J :z PLAN @ B21 E Q BEAM -" x HANGER SCALE 1/2" = 1' W U) N J N M cm m �- M I I v0 � m � Z N ^ J L I I ` - A- �� BEAM B21 SPAN 13 d o W 0 (5) 13/4 x 9 1/2" LVL OR (3) 1 3/4" x 11 1/4" LVL °� W m � ZW � s � Q 'D �e� W Q } `Z` TO NEW EXISTING JOISTS '�� BEAM WITH A�� (1) H2.5A (EACH JOST TYP.) w ��' �� 2ND FLOOR C3 4�5 NP N :z < Lu ~< Luo = p u < � z BEAM B22 w '-j FLUSH INTO NEW BEAM B21 (USE HANGER) 621 C.0o Er N Z a Z 1'3'-0" o o� U-C ) p� INSTALL EXISTING INSTALL �� SOLID 2x FLOOR JOISTS SOLID 2x � �o BLOCKING BLOCKING W ,\11ST FLOOR CD oa IA wN w N EXISTING BEAM r' EXISTING ' S' `" ' '`�`` jos " LALLYS s 16287 .� . MEET N0. EXISTING EXISTING LALLYS ELEVATION @ BEAM B21 LALLYS SG 1 SCALE 1/2" = 1' Location a it °� A 'iS Lt A VF Kn/ AJ No. 3�1- ao1 Date 7 f • TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 6 4 7 0 Building Inspector