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Home My WebLink AboutBuilding Permit #183-2017 - 30 LEANNE DRIVE 8/22/2016 BUILDING PERMIT NORTH q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: 3�d17 Date Received �RA�R,rE°�PPy�y gSSACHUS�� Date Issued: IMP RTANT: Applicant mustcomplete all items on this page LOCATION 3G -eG.h - PA- Print Print PROPERTY OWNER Ve-RA gruff- -LI) P Mint 100 Year Structure yes no MAP�ARCEL:�_ZONING DISTRICT: Historic District y no Machine Shop Village y n 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 ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District, El Water/Sewer _ _ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: , Phone: Address: Contractor Name: Phone: Email:--- (I a 2�02,0 0, Address: 2Z Supervisor's Construction License:��—G7,3�8_Exp. Date: /o"4,o 7 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT 2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: /I s Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swmmming 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 COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments ,Conservation Decision: Comments Water& Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARaTMENT Temp)I)umpster,on site .,yes Locatediat�12441VIain,Sffeet- . Firdipepart=ment,signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 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 OTE: 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 OTE: 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 2012 I ECC Energy code 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 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 I Location No. �t�1 Date • - TOWN OF NORTH ANDOVER ?; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ '� Other Permit Fee $ TOTAL $ Check# G Building Inspector/ / NORT1i q Town of t 6 ndover O No. * - � 3h ver Mass, CI L 146 ?� 1s COC NIC NI-ICK y1' q�RgTE O S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT . . �.1."... �.. ...0.,V�I. BUILDING INSPECTOR 3-? .... ... ... .. .... Foundation has permission to erect .......................... buildings on ..r ... . .... QNNMO- Rough to be occupied as ...5.� `. .. . ....................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO T Rough Service .... .... .... .... ......... Final BUILD I 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. n Construction, LLC Liccnscd & insured 71 Cow lid Mcn-imack. N11 03054 August 11, 2016 6113-4-24-5190. Cel i 11617-201-6253 c-ntailcolliao (r aol.com Po#106/2016 Broekhuysen Vera Broekhuysen :0 1 cannc 1)r Andover. MA Scope of Work: Structural Work in Basement i. `ecurc work area 2. Cut existing concrete and pour footings 3, Jack up existing beam and install,joist hangers 4. Install 2 5/2 LVI_ under existing 4x6 beam 5. install '1112- sally column under new LVL on existing footing and 3 '/z" ]ally columns under new LVL on new footing 6. Stand all inspection 7. Clean and remove all work related debris Note: Additional cost for permit fee and paperwork and filing$45.00 per hour General Note: See attached structural drawings ,km• hidden or undisclosed damage will be an additional cost to customer Total cost including labor and material: $3,765.00 Terms: 50%deposit in the amount of$1,882.50, 50%due in the amount of$1,882.59 upon completion Warranty: l year on labor prid m rials Customer's Signature: Date: 7agv.,)n Construction's Sig ure: d4 loe % D Jeff 7.agwyn Owner/operator G!?WEN ASSOCIATESJng ' -� ,fir r ` If Consulting Structural Engineers SHEUE NO. � � of 29 Vesta Road ,F NATICK, MASSACHUSETTS 01760 CALCULATED BY DATE (508) 655-3976 FAX (508) 655.4284 cowenassoc.com CHECKED 13Y QAC 10 - -4 SCALE. F � V .w� G_ ° , ' t'r , < a , vd 15 M ' » Ile M1644&14&1 i f ' _s 1 - e tib' - ` n m L Y 7 a S�iJ:a77✓�'7J � , COWEN ASSOCIATES JOB_ Consulting Structural Engineers SHEcTNO. ' of 29 Vesta Road NATICK, MASSACHUSETTS 0176.0 CALCULATED 8Y DATE .4 (508) 655-3976 FAX {508) 655-4284 CHECKED BY DATE :: ._ cowenassoc.com F A _ SCALE t✓ r � ., . . ' 115 ° �y; 4q C 41,� 44j 6%64�;41fi 09 2 i ,F ^i .,... _. __.,.... _.......... .. awn„ y n Cowen Associates Protect Tifle: 30 Leanne Street Nortb Andover Consulting Structural Engineers Engineer: FVC Prolect 10: 16,302 29 Vesta Road Pr I ect Descr: Structural Repair. Natick,MA 01760 50M55-3876 www.cowenassoc.com s 0C1t� Beam ;ite=4CAU;;\FrediDC7Ct1ME-1tENERCA-1116342--9.EC6 ENERCALC,INC,1983.2016,Burld:s.1B.6.7,Ver.6.16,6.7 Description; Supplemental Beam Vertical ReactionsSupport notation:Far left Is#1 Values inKlAS Load Combination Support 1 Support 2 Supporta Support4 -- .... ... ... ..... D Onty a,5 +D}L+H 1.5$0 1.980 +D+Lr+H 0.540 0.540 +D+S+H 0.540 0.540 +D+0.750Lr+0.750L+H 1.620 1.620 +0+0.750L+0.750S+H 1:520 1,620 +D+W+H 0.540 0.540 +D40,70E+4-1 0.540 0,540 +D+0.750Lr+0.75oL+0,750W+H 1.620 1,620 +0+0.750L+0.7505+0.75DW+H 1.620 1.620 +D+0.75OLr+0.750L+0,5250E+H 1.620 1.620 +0+0.750L+0.750S+0.5250E+H 1,620 1,620 +0.60D+W+H 0:324 0:324 +0.60D+0.70E+H 0.324 0.324 D Only 0.540 0,540 Lr Only L Only 1.440 1.440 S Only W Only E Only H Only Cowen Associates Project Title: 30 Leanne Street North Andover Consulting Structural Engineers Engineer: FVC Proiect lU 16.302 29 Vesta Road Project Descr: Structural,Repairs Natick,MA 01760 508-855-3978 wwwlcowenassoc.com ._._ — - File — x,1kk-elskfredV=UME-I ENE=RCA-11IW I ECB Woad BeamENERCALC,iNC.t9$3 2016 Bw 1.6.15;8 7.Ver.6.16 Description: Suppirmpntal Beam CODE REFERENCES Calculations per NDS 2012, 1B.0 2012,CBC 2013,ASCE 7-10 Load Combination Set:ASCE 7-05 Material Properties ...................... __ ........ .. —..__.......... Analysis Method Load Resistance Factor D' Fb-Tension 25005 psi E Modulus of Elasticity Load Combination ASCE 7.05 Fb-Compr 2600 psi Ebehd-xx 1900ksi Fc-Pill 2510 psi Eminbend-xx 965.71 ksi Wood Species :Trus,Joist Fc-Perp 750 psi Wood Grade :MiCrot-am LVL 1.9 E Fv 285 psi Ft 1555 psi Density 42 pef Beam Bracing : Beam is Fully Braced against lateral-torsional buckling C?f3.0 i L.(0 24) 0(0 Ga`j L iii 0,10 09)LM,24) rt ♦ T ♦ T ♦ ♦ V 2=1.75xS:b 2.1.754.5 2.115X&S span=3.0 ft Span=6.0 ft seen-3.0 it Applied Loads Service loads entered.Load Fact�M will be applied for calculav ons, _._....._...._..._. ........_.... Load for Span Number 1 Uniform Load: D=0,090, L=0.240, Tributary Width=1.0 ft,(;st(lour) Load for Span Number 2 Uniform Load, D=0.090, L=0,240, Tributary Width=1,9 ft,(Istfloor) Load for Span Number 3 Uniform Load: D=0,090, L--'0,240, Tributary+doth=1.0 ft.(1 st rigor) DESIGN SUMMARY Maximum Bending Stress Ratio = 0,335 1 Maximum Shear Stress Ratio Section used for this span 2-1.75x5.5 Section used for this span 2-1,75x5.5 fb:Actual 1,505.62psi fv'Actual _ 97.82 psi FS:Aitowat>le = 4,490.72psi Fv:Allowable _ 492.48 psi Load Combination +1,20D-0.50U-1,60 -0,60H Load Combination +1.20D-HJ.80Lr+1.60Lt1.601-1 Location of maximum on span = 3,006ft Location of maximum on span - 3.000 ft Span#where maximum occurs Span#1 Span It where maximum is = a Span#1 Maximum Deflection Max Downward Transient Deflection 0.107 in. Ratio_ 874>--380 Max Upward Transient Deflection -0.095 in Ratio'= 4558>=380 Max Downward Total Deflection 0.146 in Ratio= 490>-180 , Max Upward Total Deflection -0.022 in Ratio= 3,337>=180 Overall Maximum Deflections Load CombirwUon Span Max. 'Deft Ltx tmrt in Span toad Combination Max. eff Location In Span _. 0.{!000 __ 2:$74 2. 0.0000 0.000 +D+L+H -0,0216 2.874 3 01458 3.000 0.0000 2.874 Vertical Reactions Support natation:Far left is Values in KIPS _ - _. _.... ....._-------.._. I Combination Support 1 Support2 Support 3 Support 4 Overall MAXimum _._ _._. ...____.. t 0 Overall MINimum 0324 0.324 The Commonwealth ofMass•�chusetts z . DepaytMent of,Xndusstrial.Accidents _ d I Congress Street,,Suite 100 Boston,AM 02114-2017 wlvw Mass govtdia markers'CompeaasationlnsuranceAf:idavit:Builders/Con-Exactors/EIeett'acians/Piumbers. TO BE FILED WEM THE PERNQTTI NG AUTHORITY. A pplicant information Please Print Le�ib� Name,(Bnsmess/Orgamzationgndividua7.): revJ37RO 671e,el .A.ddxess: � City/State/Zip:,97e _ Phone#: /Y l s� Areyou an employer?Checktiie appropriate box: Type of project(xee�tured): 1.� a employer Mth employees(full and/or part-time).* 7.- [(New coAsiraction 2. I am a sole proprietor or partnership and have no employees Working for me in 8. El Remo dealt any capacity.[No workers'comp.insurance required.] 9_ ❑Demolition IF]I am a homeowner doing all workmysel£[No workers'comp.dusurance required.]' 10 0 Building addition 4.F]I am a homeowner and will be hiring contractors to conduct an work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors wi9r no employees. 12 [�Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13:0 Roof repairs These sub-contractorshade employees audhaveworkers'comp.1nm3 a„ce t ' 14.E]Other 6.Q We are a corporation audits officers have exereisedthehrigbt of exemption perMGL c. 15%§I(4),and we haveno-employees.[Noworkers'comp.insurance required.] -`Any applicantthat checksb6x41 must also fdl outthe section below shov&gtheirworkers'compensation policy information. i Homeowners who submif#Tots affidavit indicatingthey are doing allwork and thenhire outside contractors must submit a new affidavm indicating such ?Contractors_that checktb3s box mnst-a`Eached an additional sheet showing the name of the sub-contractors and state whether ornot those entities bave employees.'If the sub-contractors fiave employees,they must provide their workers'comp.policy number. lain an employer tfi at is pi ovidingwopkers'compensation insurance for my employees.'Beloit/is thepolicy andjob site informatior2. Insurance Company Name: (IA z<�c r Policy#orSelf--ins.Ea.#: S r f�0 / q3 Expiration Date: Job Site Address- City/State/Zip: Attach a copy of the workers' c.ompeWation p oltcy declaration page(showing the policy numb er and expiratiou date). Failure to s-ecure coverage as required under MGL c. 152, §25A is a criminal-violation punishable by a tine 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.A,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifioation. X do 7ier•eby certify under•the pains and penalties ofpefjtcry Haat the informationate: ded alio—ru la��d co7ect. Si ature: D-ate: Phone#: Official use only. Do not�tvrzte in this area,to be completed by city or town officiaX City or Town: Permit/License# lssuiug Authority(circle one): i 1.Board of Health 2.BuildingDDepartuaent 3.City/Town Clerk 4.Electrical Inspector 5.plumbing Inspector 6.Other Coxatact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 employes'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 to cal 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 appEcant who Dias not produced acceptable evidence of compliancee-vvith the insurance coverage required..' Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any ofits 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 contractors)name(s),address(es)and-phone number(s)along with their certificate(s)of insurance. limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)wiflino employees'otherthan the members or partners,are not required to carry workers'compensation insurance. If au LLC or LLP does have employees,a policy is required. lie advised that this affidavit may be submitted to the Department of Ihdustt al Accidents for conftrtnation 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 ox if you.'are.required to obtain a workers' compensation policy,please call the Department,at the number listed below. Self-in'sur6d 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 Min the pernrit/license number which will be used as areference 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"lob 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 pemaits 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 O.G.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 7ndustrialAccidents 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 � C l -0211rzcrrtaecr,l�a� Office of Consumer Affairs&Business Regulation i OME IMPROVEMENT CONTRACTOR� Type.� ration: 134781 /expiration 1/17/20}8 Individual JEFF ZAGWYN CONSTRUCTION JEFFREY ZAGWYN 71 COTA RD. MERRIMACK,NH 03054 Undersecretary + Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-073080 Construction Supervisor JEFFREY W ZAGWYN 71 COTA ROAD MERRIMACK NH 03054 CA— Expiration: Commissioner 12/06/2017