The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #334-2011 - 425 JOHNSON STREET 10/20/2010 (� p� p(� y' NORTH BUILDING PERMI 1 O� TOWN OF NORTH fl AN®®VER 03 � APPLICATION FOR PLAN EXAMINATION331 ~ ' - ?,o Date Received l D �° o�/� A°RATED t'q' A Permit NO: 9SSACHUS�� Date Issued: JC ' I1�4- IMPORTANT:Applicant must complete all items on this page LOCATION y LS .� Vfri <1 rJ `� 1 ` Print PROPERTY.OWNER.: Print _ MAP 2io PARCEL: . . ZONING DISTRICT:_ Historic Distract yes. no . Machine Shop.Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family [I Addition [I Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement Assessory Bldg ❑ Others: ❑ Demolition ❑ Other . Septic D Well p Floodplain Wetlands ❑ V1/ate'rsfied District. EiWater/Sewer. - DESCRIPTION OF WORK TO BE PERFORMED: (L Identification Please Type or Print Clearly) OWNER: Name: 340"r-) Ljo pi c,vPhone: � 7 -� Address: L'�y • - �Carl10'/rL0 ��`-D zi z U — Ca 00�'L't.�Jak$ -GGN S l�ct.v c.10� CONTRACTOR Name: Phone Atldress: t,✓�'3-1 T{3 S\ tN� 3 r� ._� L :o y 2 2�- Supervisor's-Construction License: GS l'7 �. `Exp: Date:... �.. - l -� Home Improvement License: 1,� S4 c1.Ste. Exp. Date:` L A ,er Y ARCHITECT/ENGINEER,__Phone: C � Address: IG1�Irl ! (a 60tz(.6 ?ak!A.)6(A-Reg. No. FEE SCHEDULE. BULDING PERMIT.$92.00 PER$1000 PER SOF THE TOTAL ESTIMATED COST BASED ON Total Project Cost: $ I- ,t FEE: $ Check No.:--TReceipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund of contractoo�� Signature of Agent/Owner ��Signature Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Packaging/Sales ❑ Food Packaginb/ 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 —" f k)YI, M7)L#L 269- rEr'-ALTH Reviewed on Signature ' S COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r - 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 no' Located at 124 Main Street Fire Departments ignature/date COMMENTS.. Dimension bx3� 1 Number of Stories:z Total square feet oZarea, d on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mastor service drop requires approval of Electrical Inspector Yes ®ANGER PONE LITERATURE: Yes I�lo 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 2010/0ct0ber 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 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/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 Phew 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 0TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 11_n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat 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 2008 I Location No. � � �G�/ Date l/-2�/ -�)` I NORTq TOWN OF NORTH ANDOVER 9 �e Certificate of Occupancy $ Building/Frame Permit Fee $ d �� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 93 2351- 4 Building Inspector LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell: 978-502-5921 October 5,2010 Mr, Richard Tedesco Goodfellas Construction 18 Waite Street Worcester,Ma. 01604 RE: Lahood Residence, 425 Johnson Street,North Andover,Ma. 01845 Dear Mr. Tedesco As you requested I visited the site 10-4-10 to review the installation of the Engineered Materials consisting of LVL Beams utilized in the framing of the above project. These are shown on Plans prepared by G.J. Bruno Associates dated 1/4/10 and certified by me 1-19-10. At the time of this visit the following items need to be completed. The LVL beam members were being connected together. Simpson LSTA24 straps need to be installed between the headers and double studs at the garage door wall panels as shown on sheet A-7. Detail 1 at the garage ceiling sheet A-7 needs to be installed. Some Hurricane clips need to be installed. Blocking needs to be installed between rafters as shown on detail 1 and the Braced Wall Additional Connections shown on sheet A-7. Provided the above work is properly completed;based on the above site visit and based on what I could visibly see I can certify that to the best of my knowledge the LVL Beam members utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the Massachusetts State Building Code for 1&2 Family Residences. This certification is based on the assumption that all other framing requirements of the drawings and code, including but not limited to materials and nailing schedules, were properly complied with by the licensed construction supervisor responsible for the project. Should you have any questions please do not hesitate to call. Yours truly, �ZN Of 14 f/ LAWRENCE G g HAki)LD r,+ ►0/sr 201 0 o OGDC ti wrence H. Ogden P.E. Structural 27765 7765 Q SS�ONAL ENG PH/FAX(978)670-5203 DO'C AND SONS GENERAL CONTRACTORS, LLC 153 ALLEN RD. DICK O'CONNELL BILLERICA,MA 01821 �al�✓ /� l�d son Sf ��/� ,� Flo . ��✓�r 6cv � C acrd 594s�D ' �e2e/Al C '� 2cC��in`g U�� i (� / '3h PPUec�Y o �J✓�er NORTH -- Town of ` 6 Andover No. . AK dover, Mass., COCHICHEWICK 7�SdRATED U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR. THIS CERTIFIES THAT � ..............................................// ......... Foundation -- d................. �1l>pQ' ................................. has permission to erect. �...� �� .. buildings on .............................................................................................. Rough to be occupied as......................�, ..�.ez.............� ... ��f� ................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTR,U TARTS Rough Service ,,,........,,: ::: ........................... BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. i r � Date......Z..:..2."...1 .......... r►ORTI#, TOWN OF NORTH ANDOVER o PERMIT FOR WIRING sSACHUS� This certifies that ..........✓ �U....l 46 C G ................................................................................................. has permission to perform ........�... . ... rr . V 4!`r`"� ((............................................................�........ wiring in the building of... .�).n.......L.a.b.o.o..d......... at ..y Z !� J 4� 0 S v S . . . Nort Andover,Mass. ................................................................ ................ , � !! .. r�-- Fee..../.. .."'_.............Lic.No. ................. ..... ............ ..a:...�.J� ........................... ELECTRICAL INSPECTOR Check# +-3 `Fruit Form ++ (,ommonruea[th oaadau3aa Permit No. Official Use Only 2,raim,=1 old Servj�,o Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ptev.l/on o.eblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 2 /J. _ City or Town of. A ,1_>77* To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) L126- 'Jltt-15c7y -57— Owner Owner or Tenant � f jC/ L-+tfonL> Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � C'�Ct�l"!i�-iGj ✓J�DE�Ga2d�D Tc� ��=T)9:;c.1�3!� �� Comp • 1e6on o the ollmviwn table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil Susp.(Paddle)Fans o.of Total Transformers KVA No-of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Swimming pool Above ❑ In- ❑ o.of FAnergency L411ting grud. d. Units No.of Receptacle Outlets No.of Oil Burners. ME ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection and 1nitiatingDevices No.of Ranges No.of Air Cond. Total No.of AI Devices Tons Alerting No.of Waste Disposers HeatPump I Number ITons IKW No.of Seff-Contsined Totals: etrection/Ale ' Devices No.of Dishwashers Space/Area Beating KW IAMI❑Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent Heaters No.of aters KW No.of Na of Data Wiring signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No,of Motors Total HP Telecommunications W1Ln No.of Devices or it ent OTHER: IJU Attach additional detail ifdesirer4 or as required by the Inspector of fres. Estimated Value of Electrical Work: D (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion_ INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑✓ BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on lica " ' true and complete: til' FIRM NAME: DAVID ELECTRICAL CONTRACTING LLC LIC.NO: Licensee: DAVID HAGGAR Signature --- LIC.NO:14963 (1f applicable,enter`exempt"in the license munber tine) Bas.Tel.No.;978$82-6262 Address: 87 BELMONT ST.NORTH ANDOVER,MA 01845 Alt.TeL No:978-376-5734 *Per ACG.L.c. 147,s.37-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)[Iowner ❑owner's agent Owner/Agent Q Signature Telephone No. PERAHT FEE.$ 7 6 inecommonwealthofMassachusetts c Department of Industrial Accidents 1 Office of Investigations 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): DAVID ELECTRICAL CONTRACTING LLC Address: 87 BELMONT ST City/State/Zip: NORTH ANDOVER,MA.01845 Phone#: X918-682-6262 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4 4. EJ I am a general contractor and I 6. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.Q I am a sole proprietor or partner- listed on the attached sheet.# 7. Q Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. 9. Q Building addition [No workers'comp.insurance 5. Q We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 313 I am a homeowner doing all work right of exemption per MGL 11.Q 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.Q Other *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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: FEDERATED INSURANCE Policy#or Self-ins.Lic.#: 9353694 Exp iration Date:1 3/1/16 Job Site Address: T City/State/Zip: Iia 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 certify under thrpus p i ` of perjury that the information provided above is true and correct Si nature: "f Date: G 1 Phone#: 978-682-6262 Official 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#: