HomeMy WebLinkAboutBuilding Permit #714 - 295 BRENTWOOD CIRCLE 6/3/2008Permit N0: T
Date Issued:
BUILDING PERMIT
TOWN OF N�LANEXAJqATION
R
APPLICATION
(3S -Received
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New -Building
One family
Addition . °
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
Se" " ell `f
..:M.
- Floodplain-� ,xWetlarids: x
5 Watershed District
` 4. y
titer/Sewer
ah
DESCRIPTION OF WORK TO BE PREFORMED:
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6'u o `SEF " � .5,e 'a ems,
I entiAf�,cation, PI ase Type or Print Clearly)
OWNER: Name: iA� (I i�l73,1K/ Phone:'179-775-`OSS
ARCHITECT/ENGINEER Phone:
Address:
FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: art Receipt No.:
NOTE: Persons contractinz with unregistered contractors do not have access ton the zdaranty futW
Location ��{ S Y� titer h r� c� 0 0� L t Q L
rr
No. � l Date � �
NORT" TOWN OF NORTH ANDOVER
0 w
a
Certificate of Occupancy $
cMusEs� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
\TOTAL $
Check #
Building Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
t7,i"
li
384 s ood Street
Public Sewer
Tanning
Swimming 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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed
COMMENTS
DATE REJECTED DATE APPROVED
ul
LAM 1h
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
SIRE DE'PARTMENT_T` Temp Du
iicatedtat1.24:Main Street
Fire Department signature/dat
OMMENTS
Located
384 s ood Street
mpster on sit_e yes
o S
..
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
NU I tl and UA I A — (I -or department use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
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
o Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o 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
o Building Permit Application
o Certified Surveyed Plot Plan
o Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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)
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (if Applicable)
o Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Building Permit Revised 2014
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STEPHEN LEE
BUILDING & CARPENTRY
6 Hayman Circle
Newton, NH. 03858
H#603-382-3648
C#978-360-4384
................................................................
May 20, 2008
Will & Chris MacNally
295 Brentwood Circle
No. Andover, Ma. 01845
H# 978-975-1052
W# 781-897-1771
Dear Will,
The following is a detailed list for the work to be done on a new 7'x38' farmer's
porch.
• Dig and pour 8 new footings, 12' diameter x 48" deep as shown on
drawing.
• Owner to have the ground under porch scraped down and weed barrier
and crushed stone installed after footings are done. Also remove brick
steps.
• Frame floor with pressure treated 2x8 @ 12" on center as shown on
drawing.
• Triple 2x8 headers to sit on existing foundation; this will set step height
out of house and the height of the porch.
• Install Pressure treated 6x6 support posts to hold up floor and roof
headers. Cut 96" from floor frame to bottom of headers.
• Install 3-1 %"x7 Y4" LVL headers on top of 6x6 posts to support all rafters.
• Frame front entry roof all the way to the house (cathedral ceiling). With a
4/12 roof pitch.
• Frame rest of hip roof at a 3 %z /12 roof pitch. All roof framing @ 16" OC.
• Install %" T&G cdx fir plywood on the roof.
• Install 5/4" x 6" AZAK PVC decking running the 7' direction butting into a
boarder piece of decking. Decking face nailed with stainless steel nails.
• Install water & ice shield to entire roof then roof with 3 -tab shingles to
match existing house.
• Wrap all post with 1 x8 PVC trim. Add decorative trim to top and bottoms
of all posts, III show you some options as we get to that point.
• Cover all beams with PVC trim.
• Cover all facia and soffits with PVC trim.
• Railings will be Trademark select in white.
• Build one step up to porch 16 %Z" deep x 7'-6" wide.
� d ����"
F ;FRar� F4at l� &,A * & � eR with %3 Y, ft �� RP -0I eAgEEwr'i eR RK
/.eFt. -E Right s `c D= r04eb 2a
Flash deck header and roof with water and ice shield and aluminum
flashing.
Debris removal included.
• Permit fee is extra.
Painting and electrical is not included.
• Walkway and landscaping not included.
Total cost for the above listed items is V 5,800
1/3 at start, 1/3 after framing and roofing
Balance due after completion.
Respectfully jubmitted,
B0�$En Triple 1-314" x 7 -IM' VERSA -LAM® 2.0 3100 SP Floor Beam1F1301
BC CALL® 9:5 Design Report - US 1 span I No cantilevers 10/12 slope Saturday, May 17, 200810:30
Build 91
Job Name:
Address:
City, State, Zip: ,
Customer:
Code reports: ESR -1040
B0, 3 -1/2 -
LL 1080 lbs
DL 469 lbs
File Name: BC CALC Project
Description: F601
Specifier:
Designer.
Company:
Misc:
Total Horizontal Product Length =12-00-00
01, 3-1/2"
LL 1080 lbs
DL 469 lbs
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib.
1 Standard Load Unf. Area (psf) Left 00-00-00 12-00-00 40 15 04-06-00
Cautions
Member is not fully supported at post 80. A connector is required at this bearing.
Column at Bearing BO analyzed for bearing only, column analysis has not been performed.
Member is not fully supported at post B1. A connector is required at this bearing.
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed.
Notes
Design meets Code minimum (11240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Design meets arbitrary (1") Maximum load deflection criteria.
Connection Diagram
a minimum = 2" c = 3-1/4"
b minimum = 2-1/2"d = 24"
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for particular
application. Output here based on building
code -accepted design properties and
analysis methods. Installation of BOISE
engineered wood products must be in
accordance with current Installation Guide
and applicable building codes. To obtain
Installation Guide or ask questions, please
call (888)23440056 before installation.
BC CALCO; BC FRAMER®, AJSTm,
ALLJOIST®, BC RIM BOARDTm, BCI® ,
BOISE GLULAMTM', SIMPLE FRAMING
SYSTEM®, VERSA -LAM®, VERSA -RIM
PLUS&, VERSA -RIM®,
VERSA -STRAND®, VERSA -STUD® are
trademarks of Boise Wood Products, L.L.C.
Load
Controls Summary
Value
%Allowable
Duration
Case
Span Location
Pos. Moment
4299 ft -lbs
34.2%
100%
1
1 - Internal
End Shear
1318 lbs
18.2%
100%
1
1 - Left
Total Load Defl.
0448 (0.309")
53.6%
1
1
Live Load Defl.
U643 (0.216")
56.0%
1
1
Max Defl.
0.309"
30.9%
1
1
Span / Depth
19.1
n/a
0
1
% Allow
% Allow
Bearing Supports
Dim. (L x W)
Value
Support
Member
Material
BO Post
3-1/7'x 3-1/2"
1549 lbs
n/a
16.9%
Unspecified
B1 Post
3-1/2"x3-1/2"
1549lbs
n/a
16.9%
Unspecified
Cautions
Member is not fully supported at post 80. A connector is required at this bearing.
Column at Bearing BO analyzed for bearing only, column analysis has not been performed.
Member is not fully supported at post B1. A connector is required at this bearing.
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed.
Notes
Design meets Code minimum (11240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Design meets arbitrary (1") Maximum load deflection criteria.
Connection Diagram
a minimum = 2" c = 3-1/4"
b minimum = 2-1/2"d = 24"
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for particular
application. Output here based on building
code -accepted design properties and
analysis methods. Installation of BOISE
engineered wood products must be in
accordance with current Installation Guide
and applicable building codes. To obtain
Installation Guide or ask questions, please
call (888)23440056 before installation.
BC CALCO; BC FRAMER®, AJSTm,
ALLJOIST®, BC RIM BOARDTm, BCI® ,
BOISE GLULAMTM', SIMPLE FRAMING
SYSTEM®, VERSA -LAM®, VERSA -RIM
PLUS&, VERSA -RIM®,
VERSA -STRAND®, VERSA -STUD® are
trademarks of Boise Wood Products, L.L.C.
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#295 --
2
2 STORY
W/F MOUSE
APPROX. LOCATION
TOWN SEWER AND
WATER
302.18,
M 7Tz2 3s
LOT eff
AREA = 67,714ISF
ADDITION
LOT 28A
S S9?
SHED
1r o�
PROPOSED
PORCH
f� ega C-) 9.p
I CERTIFY THAT THE EXISTING BUILDING IS LOCATED AS SHOWN HEREON /
AND THAT THE PROPOSED ADDITION CONFORMS TO THE DIMENSIONAL /f
SETBACK REQUIREMENTS OF THE ZONING BYLAW OF THE TOWN OF
NORTH ANDOVER, MASS.
ASSESSORS MAP:063 R.ARCEL:0038
ZONING DISTRICT: RI
MINIMUM YARD SETBACK REQUIREMENTS:
FRONT = 30.0' SIDE = 30.0' REAR = 30.W
TODD LOT COVERAGE MAX: N/A
F.I.R.M.:2S0098005C 6-�2-93 ZONE 'X'
ri P. GROUND OXR PROTECTION DISTRICT• N
CHAPltd y
No.37358 ATLAS LAND SURVEYING, INC.
l� 0, Su VFX 8 MOORE LANE. NORTHBORO. MA 01532
WWW.ATLASLANDCO.COM
email: otladandsCyahoo.com
508-5234559
PLAN PREPARED FOR
PROPERTY OWNERS:
1NLUAM MACNALLY
295 BRENTWOOD CIRCLE
NORTH ANDOVER, MA 01845
PROPOSED ADDITION
PLOT PLAN OF LAND IN
NORTH ANDOVER, MASS
SCALE: 1'=30' DATE: 05/26/2008
DEED REF. BOOK: 9119 PAGE: 158
PLAN #6836
RECORDED 0 ESSEX COUNTY REGISTRY DEEDS
The Commonwealth of Massachusetts
Department of Industrial Accidents
W Office of Investigations
' d 600 Washington Street
v� Boston, MA 02111
*www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Name
Address: 6 #67
City/State/Zip: NfALFnA_ AM 03'95g Phone 9:
Are you an employer? Check the appropriate bog:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
employees (full andlorgart-time).*
have hired the sub -contractors
2.XJ am a sole proprietor or partner-
listed on the attached sheet
ship and have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No workers' comp. insurance
comp. insurance.:
required.]
5. ❑ We are a corporation and its
3. ❑ I am a homeowner doing all work
officers have exercised their
myself. [No workers' comp,
right of exemption per MGL
insurance required.] t
c. 152, § 1(4), and we have no
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 are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. If the sub -contractors have employees, they must provide their workers' camp. policy number.
I am an employer that isproviding workers' compensation insurance for my employees. Below is thepoliQ) 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 IIIA for insurance coveraLe veri%ation.
I do hereby certify de ains-andpenaltiesdoerjury that the information provided above 's true an correct
Si ature: Date: _
Phone
not write in this area,
City or Town:
or town officiaL
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 ortrustee 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,opera'te.-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, §25CO) 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 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 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 permitilicense 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. # 617-727-4900 ext.406 or 1-877-MASSAFE
Revised 11-22-06 Fax # 617-727-7749
wvmniass.gov/dia
13
�;i ' ✓fie T�oon�iio�uuecz�2 o�aeituaeCZ6�^��
Board of Building.Regul'ations and Standards
• Construction Supervisor License
Licensee CS 61358 j
�trthdate 6f2811964
#� �,.
jSireti 672812009 Ti# 1462b
(Restriction 1G''
x
STEPHEN M LEE\
6 HAYMAN CIR ---� ,--
NEWTON; NH 03858 Commissioner `
✓�e i�arnirrio�nruea.�i a�.-�,aaaaeia�caei�a ' '�
f. - Board of Building Regulations and Standards
4 — HOME IMPROVEMENT CONTRACTOR
Registriw-n; 1.15144
iratlon
� ]�£ 12/2012009 Tr# 262220
Iype I_r�dvidual
STEPHEN M. LEE �75 ,;-Q7j, 1 .
STEPHEN LEE
6 HAYMAN CIR
NEWTON, NH 03858 ' Administrator i