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HomeMy WebLinkAboutBuilding Permit #370-2017 - 350 WINTHROP AVENUE 10/6/2016 1 iw � BUILDING PERMIT `` NORTFI Q`�,LED TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � e Permit No#: 310 ' 901-7 Date Received 10 ' � ' g-61 40 �4"RATED gSSACHUs�� Date Issued: a0 t IMPORTANT: Applicant must complete all items on this page t� Y ' LOCATIONb Print ��s S PROPERTY OWNER � f� Print 100 Year Structure yes no i MAP 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 ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition [I Other El Septic [I Well ❑ Floodplain El Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: � �� S �C` arkP f- e Phone: 97� Address: Contractor Name: °Jc � Q_C_Phone 979a�l3 �a Email: Address - 2 Supervisor's Construction License: C' " 100-',769 Exp. Date: 0 �-J Home Improvement License: _ . __ Exp. Date: ARCHITECT/ENGINEER Phone: Address: ��JJ Reg. No. FEE SCHEDULE.BOLDING PERM11:412.00 PF.i/t/$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ��t _FEE: $� � Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and Signature of Agent/Owner Signature of contracto 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 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 DEPARTMENT - Temp:Dumpster on site yes:_ Locatedof 124 Main Street Fire Department 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-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application u Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract u Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application a Certified Surveyed Plot Plan u Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract u Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) u Building Permit Application o Certified Proposed Plot Plan L3 Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) a Copy of Contract uMass check Energy Compliance Report o�Engineering Affidavits for Engineered products NOTE: All d�lmpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location 36b W I$V No. 37 0-7r Of-7 Date /6 - G - ;20 id • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ S p Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#/OW '� �� "Building Inspector c10 R Toy '9 Town of 2 ? _ ndover .yr. No. ,� oh COCNICNlWICK �. ver, Mass, (D S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT `, ,��f1�A►b* I11 �1.� BUILDING INSPECTOR ............. .... .......... ..... ......................................................................... has permission to erect . buildings on T� 0#V f Foundation p ................��............�0.�. ... ........ ... . Rough to be occupied as .......... ....;.......... � f.� V pisv Chimney provided that the person accepting this permit shall in every respect conform to the termsf 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 5 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR ;C0.. START Rough .........,. Service ..... ... 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. I TOWN OF NORTH ANDOVER of NpRTy 1 APPLICATION FOR PLAN EXAMINATIONROW •���° " Permit NO: Date Received �9SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 35-0 w,rV 1 F R o p 6�s)E= Print PROPERTY O WNER L E I'YI D U JA �� v o r m FI 12 km's Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑Addition ❑ Two or more family ❑Industrial ❑Alteration No. of units: ;&epair, replacement ❑Assessory Bldg ❑ Commercial ❑Demolition [I Moving(relocation) ❑ Other ❑ Others: ❑Foundation only SCRIPTION OF WORK TO BE PREFORMED _ (5- ,gap nO i 7`S Identification Please Type or Print Clearly) OWNER: Name:���o�,f �� ��, �, Phone: Address: e75"67,,,�;1 c5 CONTRACTOR Name:�/ryiyle,��� L_ :y1Y� !'1�/ Phone: Address:A2S945AS7 S-1 `reu/A.Sdyet/ &14— Supervisor's Construction License: Exp. Date: /d- Z6-/6 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER L aAJV---, Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ x12.00=FEE:$ Check No.: Receipt No.: Page Iof4 i JOB: NEW ROOF TOP UNIT #1 BRANAGAN ENGINEERING, INC. MARKET BASKET #12 160 OLD DERBY ST., SUITE #335 350 WINTHROP AVE. HINGHAM, MA 02043 NORTH ANDOVER, MASSACHUSETTS (781) 749-5400 DATE: OCT. 3, 2016 SKETCH NO. S K— 1 i i 5 4 33'-0" J:-,-EXISTING I BUILDING--,S (E) W24 ci I I (E) W24 D NEW RTU #1 WEIGHT= 2.720# I I I L3x3xl/4 AROUND ' 7:1-4x4l.,4 UNDER CURB, TYP. DUCT OPENING T — VERIFY RTU LOCATION WITH — — — — — (TYP.) MECH'L. DWGS. I I(E) _1 1/2"x22 GA WIDE i `n i I RIB METAL ROOF DECK I (E) 321-1-109 JOIS S q ------------------------------------ PARTIAL EXISTING ROOF FRAMING PLAN SCALE: 1/8"=l'-0" NOTES: 1.) ALL CONSTRUCTION IS NEW, EXCEPT THAT WHICH IS NOTED (E) EXISTING. 2.) COORDINATE FRAME DIMENSIONS WITH "APPROVED" RTU. 3.) SEE SK-3 FOR "NOTES" AND "TYPICAL DETAILS". 4.) NO OTHER NEW OR EXISTING MECHANICAL EQUIPMENT TO SHARE JOISTS WITH NEW RTU R �o RETER B. � BRANAGAN —+ STRUCT"IR.5,1— U No. 32748 f A���A�G�STE�-cO cv2 At E C:\DRAWINGS\16129 JOB: NEW ROOF TOP UNITS BRANAGAN ENGINEERING, INC. MARKET BASKET #12 160 OLD DERBY ST., SUITE #335 350 WINTHROP AVE. HINGHAM, MA 02043 NORTH ANDOVER, MASSACHUSETTS (781) 749-5400 DATE: OCT. 3, 2016 I OF Mgss SKETCH NO. SK -3 vat 9� oma' PETER B. y� BRANAGAN STRUCTURAL No. 32748 o q Pip G4 3/16 FITTED PLATE 3x3x1/4 FRAME ANGLES NEW 2-1_1 1/2x1 1/2x3/16 SEE PLAN SLOPING STRUTS. FIELD WELD. I FITTED PLATE 3x3x1/4 FRAME ANGLES, TIGHT TO ROOF ' I DECK. 1/8 I I SLOPING \ STRUTS. JOIST I I (SEE DETAIL AT RIGHT) —- JOIST WHEN R.T.U. LOADS DO NOT OCCUR AT A PANEL TYPICAL DETAIL AT POINT, STRUTS SHALL BE PROVIDED AND INSTALLED IN THE FIELD CARRY ROOF FRAME SUPPORT PANEL POINT ASO SHOWN.THE LOAD TO AN OPPOSITE i ONTO JOIST TYP. JOIST DETAIL NOTES: NOT TO SCALE 1.) INSTALL FRAMING L4x4x 1/4 UNDER CURBS OF RTU UNDER R.T. U . AND UNDER CUT EDGES OF ROOF DECK. SUPPORT NOT TO SCALE FRAMES ONTO EXISTING JOISTS. 2.) WELDING TO JOISTS TO BE DONE WITH E7018, LOW-HYDROGEN ELECTRODES WITH 1/8" RODS, USING LOWEST PRACTICAL AMPERAGE. GENERAL NOTES: GENERAL 1 . The Contractor shall verify all existing and new dimensions and conditions at the site and report any discrepancies to the Architect before ordering material and proceeding with the work. 2. All .work shall conform to the requirements of the 2009 International Building Code with Massachusetts Amendments. 3. All sections, details, notes, methods, or materials shown and/or noted on any plan, section or elevation shall apply to all other similar locations unless otherwise noted. STRUCTURAL STEEL 1. Structural steel shall conform to the requirements of the American Institute of Steel Construction. Material ASTM-A36. 2. Welding shall comply with the requirements of the American Welding Society AWS D1 .1. Use E70 series electrodes. C:\DRAWINGS\16129 JOB: NEW ROOF TOP UNIT #2 BRANAGAN ENGINEERING, INC. MARKET BASKET #12 160 OLD DERBY ST., SUITE #335 350 WINTHROP AVE. HINGHAM, MA 02043 NORTH ANDOVER, MASSACHUSETTS (781) 749-5400 DATE: OCT. 3, 2016 SKETCH NO. SK - 2 6 5 33'-6" -,I (E) _1 1/2"x22 GA WADE RIB METAL ROOF DECK F I (E) W21 I ( (E) W21 (E) 141J15 JOISTS I I I I I I I I I I 31 I I I L4x4x1/4 UNDER CURB, TYP. ; L3x3x1/4 AROUND r- VERIFY RTU LOCATION WITH DUCT OPENING o MECH'L. DWGS. . (TYP.) N — h— — — `— — — — — T — T — — I NEW RTU #2 WEIGHT= 2.720# i 1 (E) W24 --- --- ---�- WOb\- I -- ------(E) W24 I---- F I PARTIAL EXISTING ROOF FRAMING PLAN SCALE: 1/8"=l'-0" NOTES: 1.) ALL CONSTRUCTION IS NEW, EXCEPT THAT WHICH IS NOTED (E) EXISTING. 2.) COORDINATE FRAME DIMENSIONS WITH "APPROVED" RTU. 3.) SEE SK-3 FOR "NOTES" AND "TYPICAL DETAILS". 4.) NO OTHER NEW OR EXISTING MECHANICAL EQUIPMENT TO SHARE JOISTS RTU. of MASse 0 o PETER B. tiG BRAI�'A,(1gN m oc) STRUCTURAL N0. 32-748 .�Q/STEM'' �vd S(CNAI. U C:\DRAWINGS\16129 I The Commonwealth of Massachusetts L Print Form Department of Industrial Accidents Office of Investigations UV 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): V-e— At",". /n L L Address: d, City/State/Zip;-�ii. Irl S bu,,-) j�A0197 Phone#: ' LL J 2 Are you an employer? h the appropriate box: Type of project(required): 1. I am a employer with 2—() 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance. 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation 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. Contractors 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'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. Insurance Company Name: ��r ksl) .� 4 ILI a Policy#or Self-ins.Lic.#: k� C S-/n 9 51 t/ Expiration Date: Job Site Address: .- City/State/Zip: fidr A &kdo-r 14, d jc?'/S— 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdflunder the pat"d penalties of perf ury that the information provided above is true and correct i nature: Date: Q Phone#: C�]� Z if,- S 2- Official - O icial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-100568 Construction Supervisor \ """ i i S rJr :at STEVEN J DESJAR61N$Y. rrr 21 REO GATE RD TYNGSBORO Mg 0 CA-- nA �-� — Expiration: Commissioner 10/1412017 Vsze�arrrrxf:xrur�rrl�.r�r llrraxrc�rusella !a.\ office of Consumer Affairs Business Regulation - ME IMPROVEMENT CONTRACTOR �gistration: 145950 Type: xpiration: 3/1512017 DBA STEVE DESJARDINS CONST STEVE DESJARDINS 21 RED GATE RD TYNGSBORO,MA 01878 Undersecretary OSHA 002371797 S > Na ug srri 2009 (rob"