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HomeMy WebLinkAboutBuilding Permit #08-13 - 32 ASHLAND STREET 7/2/2012 NORTF/ BUILDING PERMIT 0 -'t ED 16'�ti TOWN OF NORTH ANDOVER `'- `- *6 ° APPLICATION FOR PLAN EXAMINATION _ Permit NO: �� Date Received LL �gsSgc►+us���y Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION - S �an � re4- �F P— t« v x i -kbp RTY011VNER?. gs r� -I' C�Y�e - }-IQrt71�1 �h r7 _. "MAP NO': y PARCEL ZONING DISTRICT . =.. Historic District yes no . . , . Machine Shop Village -yes , no - - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building "'One family Addition Two or more family Industrial Alteration No. of units: Commercial V Repair, replacement Assessory Bldg Others: Demolition Other 'Septic Well "' Floodplain Wetlands VI%aterslied,Dsfnct' DESCRIPTION OF WORK TO BE PREFORMED: Remove mac, F,re Aamoa a Fre,m 4 +- 4e- )4e Lon Ty c- -04 u�3 I11S�g�� �� hew Fram)r4 ,Pigr,\10Itiq ? Iz- �&C� r ICod an& Jy4e fuer" F-w-,ghee Identification Please Type or Print Clearly) OWNER: Name: J(ASC) A&r- r" Phone: 113 667 82 Q o Address: ;,CONTRACTOR Name:TPA�t�' Ut 50` n Phone: _ .Address: Supernsor s`Construction License � 9�3t:F_' ,. " . Exp ' Oate i� /bfZ6I� u Home Improvement,Licensej/T _ 9 �. "i Exp Date .201 o _ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ d la 1 ,53�a.L� FEE: $ "I b Check No.: -t Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractors/ .-� I Location 32— No. 7ZNo. 0�~ l v Date • ' TOWN OF NORTH ANDOVER e Certificate of Occupancy $� �y Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# yga�- 25478 Building Inspector Location �y } No. /, Date ® • TOWN OF NORTH ANDOVER T 1LiD zGgcr s Certificate of Occupancy $ Building/Frame Permit Fee $ . ] Foundation Permit F e $ Other Permit Fee $ TOTAL $ Check 4t%—O- 25959 t 25959 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art 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 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.DEPARTMENT Temp Dumpsteron site es no - Loc ated.atr124Main Street" - y* ' y Fire:Dep;artment signature/date' _s 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 - Date Doc.Building Permit Revised 2008 Building Department I The following is a list of the required forms to be filled out for the appropriate permit to be obtained. 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 Application Permit A lication ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) II ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 � ,,o.T�'+•y 3i,•.e. .'•Opt ,SS7CNUSE4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number_ 008-13 on 7/2/2012 Date:November 16, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 32 Ashland Street MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jason and Janet Horyn 32 Ashland Street North Andover,MA 01845 Buildi4 Inspector Fee: $100.00 Receipt: 25959 Check :4970 NORT#i own of s E : 6 ndover 0 No. - �3 h ver, Mass, ,., • COCNIC"l WIC" y�. h S V BOARD OF HEALTH PERMIT T Food. Kitchen 1 11116 D Septic S stem 2, . .... .... ......... ......... f.. 1;:/r_:•z' BUILDING INSPECTOR THIS CERTIFIES THAT ............. .. . ••••••••••• has permission to erect g ....... I••„•6741X.. ••.... •• , •.• Foundation buildin son *• �� ;Rough: Jd,`> Chimne to be occupied as ....... .... . AL ....P wr:. ...Admodk ... ........ . .�. ..... ...� provided that the person accepting this permit shat n every respect conform to the term of the application ina on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and PLUMBING INSPECTOR„ Construction of Buildings in the Town of North Andover. , R ugh VIOLATION of the Zoning or Building Regulations Voids this Permit. i I (JAfi1//F/It / . F � PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO A g`y s'Rou iw Service ................... .... ...................:..:. �. ..:..�L? ...... Fina. BUILDING INSPECTOR i GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove A4 14 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner M4 Street No. Smoke Det. SEE REVERS=SIDE t S'- Z. 4 Project# 12-156 McBrie. LLC 160 Sylvan Street \,/\/\/\/\/\/ Telephone: 978-646-0097 Danvers, MA 01923 Structural Design & Sales Fax: 978-646-0087 www.mcbrie.com July 02, 2012 R. K.Nelson Construction Mr. Robert K. Nelson 813 Haverhill Street Rowley, MA 01969 (978) 948-5125 RE: Joist and Ridge Beam Designs 32 Ashland Street,No. Andover, MA McBrie, LLC Project#12-156 Dear Mr.Nelson: Per your request, McBrie, LLC performed calculations for the plans you provided for the proposed construction of the Master bedroom remodel at the above referenced residence. Based upon your proposed framing method and our calculations, we recommend the following: 1. Installation of a ridge beam that clear spans the 20' master bedroom area. The beam size is specified in red on the attached markups of the plans you provided. The plies need only be nailed with 3-rows of 16d nails at 16"o/c, installed for each ply to each ply. Bolting is not required since the loading is approximately symmetrical from both sides. Timberloc screws may be used instead of nails with rows at 32" o/c—stagger between plies. The ridge beam shall be posted at each end down to foundation/footing—see attached plan; 2. The interior footing for the interior ridge beam post should be as specified on the attached plans. If a well graded gravel that can be compacted is uncovered while digging for the new footing, the size may be reduced to 18"x 18". The soils should be tamped with a hand tamp or compactor prior to installation of the new footing. Crushed stone should not be placed in the hole and McBrie, LLC shall be notified if ground water is encountered. 3. The 117/8"AJS 20 meet the loading and deflection requirements of the 8th edition of the MA state building code. They are slightly below McBrie, LLC's recommended stiffness for vibration however that should be dampen/minimized due to the partition walls up to the roof, 4. All posts must be blocked solid to a size equal to the post above at all floor levels. Please do not hesitate to contact our office if you require additional informatio I Sincerely, 0 HAEL L tiG PERHAM Michael Pe am, P 0. STRUCTURAL v Structural Engineer/Managing Member No.41143 , alsTEa� Framing Letter for Joists and Ridge Beam.doc Page 1 of 1 SSJONAL T own . ,+ ,� � ,. ' aver -.N alp ()0 ver, Mass, • �A COCNICHIWKM 1`y �PP_�S s � BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ............. .. !^.... .... .......... .,,..... .. =... ~ .......... BUILDING INSPECTOR Foundation has permission to erect .... .................. . buildings on .......SL.....�.k.. ..... t. Rough to be occupied as ..... � .. � . IR�u ........ . ... .. .. .*. V- 0 .. . .��.L 4 Chimney provided that the person accepting this permit shal n every respect conform to the terthe 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 G 01P PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO A Rough Tt Service ................... ............................ ...... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 Strut Na a Smok!D!w SEE REVERSE NIDE x, .ri s r_ t 06/:$/2012 10:31 FAX 9789485126 RK NELSON CONSTRUCTION 1002 N��so� co�st�u�to� po!�i.r- -gyp: atom- Do W A 813 Haverhill Street- Rowley, MA 01969 . 978-948-5125 _._.�_.. e'—------ 117 1 i FLa .....- kitchen perw4ndry room Remove and 1 st floor rebuild the _ foot a twenty nt Livingroom y y foot end of the house from the first floor deck to the roof. Bath PbS7 M U S1 =-:� - /01 9s .- ------- r1o. ... _.. ....., 231a . I � Up ..-• Remove and rebuild the rear twenty foot by twenty foot end of the house from the first floor 2nd Floor 9 ' N deck to the roof, _............._.. _ 16 0 f 2'3 I ---_ 12'10 Master bedroom Bedreoom #1 j om #2 I )BeIL _ 121 PO sr Fov2 Re(?cr 6, (� r ni,flll X7.5 32 Ashland SV �r Roov M f�:)VNPA OW x o � o H � U F Exis4,n9 po' z 0 U O � a w _ ew w7` sewn 0 l 2 N /I Ko Z4 xz.� ` xf o Go �r 4 ro o- iNG-' i a 3 0- C%l i 2e 0 N m N m O 06/26/2012 10:31 FAX 9789485126 RK NELSON CONSTRUCTION 0 003 o- 33 33 I , S t 111 � I I ` 1-n i x A N 71 -";4 r� n 6/21/2012 813 Haverhill Street- Rowley, MA 01969 . 978-948-5125 Jason&Janet Horyn 32 Ashland Street North Andover, MA 01845 Proposal Work to be done: 1) Acquire a building permit for the renovation of 32 Ashland Street N. Andover. 2) Demo the rear of the house from the kitchen to the end of the house including the roof. 3) Demo all the finishes from the interior of house to the studs,rafters and sub floor. 4) Frame new walls on the existing floor frame. Frame a second floor deck and continue the existing roof frame to the back of the house. 5) Repair or replace the necessary framing in the house to prepare for the new finishes 6) Remove all the damaged siding,windows and doors. 7) Install the new roof trim and roof shingles to match the existing roof. 8) Install the new Anderson windows and exterior door. 9) Install the necessary vinyl siding and match it to the existing. 10) Install the plumbing for the kitchen,bathroom and laundry room. 2 pc shower,toilet,vanity w/sink top and kitchen sink included. 11)Install the necessary electrical. All rooms will have surface mount lights with telephone and cable.The kitchen will have down lights. 12)Install the necessary insulation in the basement,walls and roof. 13)Blueboard and plaster the walls and ceiling of the house. 14)Install the new kitchen cabinets and counter top. 15)Install the interior doors, window trim,baseboard and closet shelves w/pole. 16)Install a simple railing on the existing stairs. 17)Install and/or repair flooring in all the rooms. ($11,000.00 allowance) 18)Install the appliances provided by the homeowners. 19)Complete all inspections and Proposed job cost $161,536,00 The payment schedule will be as follows.The first payment of$50,000.00 is due after the contract is signed.The second payment of$50,000.00 is due when the framing is complete.The third payment of $34,614.00 is due when the plastering is complete.The last and final payment of$26,922.00 is due after the receipt of the occupancy permit. Robert K Nelson 6I vn Jason Horyn (J ® DATE(MM/DDfYYYY) A� CERTIFICATE OF LIABILITY INSURANCE 01/27/2012 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(les)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 NAMEACT DALE E JOHNSON UGONE-JOHNSON INSURANCE AGENCY, INC. PHO"E,je„0.978-887-8304 I FAX No:978-887-5517 DALE JOHNSON D Hess;DALE JOHNSON@FARMFAMILY.0 OM 7 GROVE STREET,SUITE 201 INSURERS AFFORDING COVERAGE NAICB TOPSFIELD,MA 01983 INSURER A:FARM FAMILY CASUALTY INSURANCE INSURED INSURER 8: ROBERT K.NELSON INSURER C: DBA RK NELSON CONSTRUCTION INSURER D: 813 HAVERHILL STREET INSURER E: ROW LEY, MA 01969 INSURER F COVERAGES CERTIFICATE NUMBER, REVISION NUMBER: 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. INT R AODL TYPE OF INSURANCE U R POLICY NUMBER POLICYEFF POLICY EXP LIMITS A GENERAL LIABILITY 2005XO861 08/15/11 08/15/12 EACH OCCURRENCE s1,000,000 X COMMERCIAL GENERAL LIABILITY PRE MI ESO RENTED occurrence, $ 50,000 CLAIMS-MADEOCCUR MED EXP( ny oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ A AUTOMOBILELIABILITr 2005C4004 08/21/11 08/21/12 COMBINED SINGLE LIMIT Ea accident) ANYAUTO ' BODILY INJURY(Per person) $ 100,000 AUTOS OWNED X SCHEDULED BODILY INJURY(Per accident) $ 300,000 NON-OWNED UTOS PPBOaER DAMAGE $ 100,000 HIRED AUTOS AUTOS $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION $ A WORKERS COMPENSATION 2005W6898 01/23/12 101/23/13 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY _T l ANY PROPRIETOR/PARTNERIEXECUTIVE Y/NN/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE!$ 500,000 If yes desulbe under - 500 000 DESGtRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ROB NELSON IS NOT COVERED BY WC POLICY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule.M more space is required) LIABILITY POLICY INCLUDES RESIDENTIAL CARPENTRY, REMODELING,ADDITIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INSURANCE VERIFICATION PURPOSES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE DL ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/051 The ACORD name and loao are realstered.marks of ACORD i S Ii Massachusetts- Depal-tntent of Public Safet) Board of Building Rei'gulations and St;indards Construction Supervisor License License: CS 59633 ROBERT K NELSON 813 HAVERHILL ST ROWLEY, MA 01969 Expiration: 11/10/2012 ( mnmisi ncr Tr#: 5388 it ale �aatrrre ff o�ness Regulation License or registration valid for.individul use only Office of Consumer Affairs&B siness Regulation g Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: I`— YP T e: Office of Consumer Affairs and Business Regulation Registration: 112958 10 Park Plaza-Suite 5170 Expiration: 5/6/2013 DBA Boston,MA 02116 R.K'NELSON CONSTRUCTION ROBERT NELSON 813 HAVERHILL ST. ROWLEY, MA 01969 Undersecretary Not valid without signature ti I i REScheck Software Version 4.4.0 Compliance Certificate Energy Code: 2009 IECC Location: North Andover,Massachusetts Construction Type: Single Family Glazing Area Percentage: 13% Heating Degree Days: 6322 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Compliance:2.3%Better Than Code Maximum UA:88 Your UA:86 The%Better or Worse Than Code index reflects how dose to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UIA or or D•• Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 490 30.0 0.0 17 Wall 1:Wood Frame, 16"o.c. 632 21.0 0.0 31 Window 1:Wood Frame:Double Pane with Low-E 82 0.310 25 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 380 30.0 0.0 13 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 05/29/12 Data filename:C:\Documents and Settings\MH29\My Documents\REScheck\RKNELSON 32 Ashland.rck Page 1 of 1 AL\� The Commonwealth of Massachusetts Department of industrial Accidents Office ofInvestigations ..600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Bufiders/Contractors/Electricians/Plumbers Applicant Information Please Prmt Le�><bly Name(Business/Organization/Individual): . . �� � Cn' cAru4l b-Y, - - Address: City/State/Zip: RouDj2�e M olgi (a9 Phone#: 978 9�9 5/2S A�Ynlp ou an employer?Check the appropriate box: 1• am a employer with 4. ❑ I am a general contractor and I Type of project(required):loyees(full and/or part-time).*' have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑Remodeling ship and have no employees These sub=contractors have 8. ❑Demolition worldng for me in any capacity. workers' comp.insurance. [No workers'comp,insurance 5. El We are a corporation and its 9' EJ Building addition required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12•❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑Other *Any apu!icaut that checks box#1 must also fill out the section belov.. :ho:=,.Y. dt b.^..ell'r^Jv✓ 'CvWr,�:3at'.:pn policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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. information. BeloNI is the policy and job site Insurance Compiny Name: FQ f`n'1 Fa 1" Y 1 h g Policy#or Self-ins.Lic.#: 29 W(4698 . Expiration Date_ //23 L13 Job Site Address:_ .3 2 Ash 6 n -_aA re, City/State/Zip: (Vt,A A n3oocre I- 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 ofMGL 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. I do hereby cert!&under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not ws:ite 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 CIerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: �i I®Boise Cascade Double 1-3/4" x 18" VERSA-LAM® 2.0 3100 SP Roof Beam\RB01. BC CALC@ 3.0 Design Report-US 1 span No cantilevers 10/12 slope Thursday, May 24,20112 Build 517 File Name: RK Nelson Construction North Andover Job Name: Description: RB01 Address: O Specifier: City,State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: �o 12 , e 20-03-00 " B0,3-1/2" B1,3-1/2" DL 1,698 lbs DL 1,698 lbs SL 4,556 lbs SL 4,55616s Total Horizontal Product Length=20-03-00 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf.Area(psf) L 00-00-00 20-03-00 15 45 10-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 30,247 ft-lbs 56.3% 115% 3 1 - Internal Completeness and accuracy of input must End Shear 5,148 lbs 37.4% 115% 3 1 -Left be verified by anyone who would rely on Total Load Defl. L/379 (0.627") 47.5% 3 1 output as evidence of suitability for Live Load Defl. L/520(0.457') 46.1% 3 1 particular application.Output here based 0 on building code-accepted design Max Defi. 0.627' 62.7% 3 1 properties and analysis methods. Span/Depth 13.2 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %,Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 6,255 lbs n/a 68.1% Unspecified or ask questions,please call 61 Post 3-1/2"x 3-1/2" 6,255 lbs n/a 68.1% Unspecified (800)232-0788 before installation. BC CALC@,BC FRAMER@,AJS- Cautions ALLJOIST@,BC RIM BOARD-,B610, For roof members with slope (1/4)/12 or less final design must ensure that ponding instability BOISE GLULAMTm SIMPLE FRAMING ' will not occur. SYSTEM@,VERSA-LAM@,VERSA-RIM For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are surcharge load. trademarks of Boise Cascade Wood Products L.L.C. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(L1240) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b —d a —• �• • c i. a minimum=2" c= 14" b minimum=3" d=24" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 ®Boise Cascade Single 11-7/8" AJS® 20 MSR Joist\J02 BC CALC@ 3.0 Design Report-US 1 span I No cantilevers 10/12 slope Thursday, May 24,2012 Build 517 12 OCS Non-Repetitive Glued&nailed construction File Name: RK Nelson Construction North Andover Job Name: 1 Description: J02 Address: Specifier: City, State,Zip: , Designer: Customer: t a Q % Company: Code reports: ESR-1144 Misc: '�� ti 20-00-00 Bo,2-1/2" LL 400 lbs B1, 0 LL 4000 lb DL 100 lbs ft DL 100 lbs Total Horizontal Product Length=20-00-00 Live Dead Snow Wind Roof Live OCs Load Summary Ta_g Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf.Area(psf) L 00-00-00 20-00-00 40 10 12 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 2,428 ft-lbs 55.2% 100% 1 1 - Internal Completeness and accuracy of input must End Reaction 500 lbs 46.1% 100% 1 1 -Right be verified by anyone who would rely on End Shear 490 lbs 32.9% 100% 1 1 -Left output as evidence of suitability for Total Load Defl. U581 (0.407") 41.3% 1 1 particular application.Output here based Live Load Defl. L/727(0.325") 66.1% 1 1 on building code-accepted design Max Defl. 0.407" 40.7% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 19.9 n/a 1 products must be in accordance with " current Installation Guide and applicable , %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Wall/Plate 2-1/2"x 2-1/2" 500 lbs n/a n/a Unspecified (800)232-0788 before installation. 131 Wall/Plate 2-1/2"x 2-1/2" 500 lbs n/a n/a Unspecified BC CALC®,BC FRAMER@,AJS- ALLJOIST@,BC RIM BOARD- B610, Notes BOISE GLULAM-,SIMPLE FRAMING Design meets Code minimum (L1240)Total load deflection criteria. SYSTEM®,VERSA-LAMS,VERSA-RIM Design meets User specified (L1480)Live load deflection criteria. PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are Design meets arbitrary(1")Maximum load deflection criteria. trademarks of Boise Cascade Wood Composite EI value based on 23/32"thick sheathing glued and nailed to joist. Products L.L.C. Page 1 of 1 813 Haverhill Street• Rowley, MA 01969 . 978-948-5125 45' 8' 11'7 DW IJas = _- uP kitchen Laundry room o ° 1 st floor J ' rY � Remove and � rebuild the rear twenty room Livin foot by twenty Living room end of the house from the first floor deck to O ( nthe roof. l�� )_ i- Bath UP - 10'3 '11 915 1'10 23'6 UP Remove and rebuild the rear twenty foot by twenty foot end of _ the house from the first floor 2nd Floor deck to the roof. 18' -23 \ 12'10 ' Master bedroom N Bedreoom #1 Bedroom #2 12,1 3 2 ►�sl�lgnd s+ No. Andow- flA fz � 9 + - 2 x6 1(0oC U � T q� (tT/� Ass 20 m5k /2" 0 a n Floor-~- a 4 0 4 h -r- 32 Rs�to►r►d 5'E f- l co oo+;- OvLr ,'t �o. �ndovcc- l�'!A �5�roc4v 'c Foondai foil RooV Mon ROOTi - K r aq A I } 2 �