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HomeMy WebLinkAboutBuilding Permit #108-12 - 50 MARTIN AVENUE 8/5/2011 o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: o��f2 Date Received Date Issued: S I ORTANT:Applicant must complete all items on this page ki LOCATION O moi. �.� Print PROPERTY OWNER &rUnit# Print MAP NO: 02.I 0 PARCEL:d Y� ZONING DISTRICT:2`f� Historic District yes no Machine Shop Village yes no it �3 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building M-6ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ EO Flood a n E❑ We Ian s i 'U ershDistrict Y i 'Sept �0 W.ell _ �• t �. ' ater/Sewer DESCRIPTION 0 WORK TO BE PERFORMED: (Identifcatippn Pleas ,Type or Print Clearly) OWNER: Name: SC a'CC �c7\�c S e� Phone: Address CONTRACTOR Name: Phone: 119eY Address: _S ,r• y Supervisor's Construction License: �°S �� Exp. Date: Home Improvement License: Exp. Date: �- ��- X7s ARCHITECT/ENGINEER J l7�.�a�,� ���--r-�- Phone: 70 3 Address: © Reg. No. 20 2,5�/ FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.0 THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ L/ C� , � �3 Check No.: 3 96Receipt No.: y NOTE: Persons contracting with unregistg ��''cgntractors do not have access to the guaranty fund Q ' bbl S 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 a Building Permit Application ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And/Or C.S.L. Licenses o 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 Perm Addition or Decks o Building Permit Application o Certified Surveyed Plot Plan a Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign offrom Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) i ❑ 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 o Engineering Affidavits for Engineered .products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permi, 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: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSSALL Public Sewer u 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 i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ M COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS f Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Sig nature a7Z.,XV45��Drivew5avPe(rr ` c? bee ell t \/DPW Town Engineer: Signature: Y or i Edcla"44 384 Osgood Street k FIRE DEPARTMENT -Temp DuAi r on site yes no Located at 124 Main Street r/ / ;> Fire Department signature/date d l'/ l/01 COMMENTS Dimension Number of Stories: l/-t, Total square feet of floor area, based on Exterior dimensions.2 ZZO 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 2011 June/mi Location No. Date ,.ORTq TOWN OF NORTH ANDOVER O:t� o ,o'�ti0 F - s 9 �o Certificate of Occupancy $ s�CH c� Building/Frame Permit Fee $ Foundation Permit Fee $ /00 Other Permit Fee $ TOTAL $ Check # /37 r 24449 f Building Inspector V%ORTh1 .Asindower .. . o)vn Of No. /o Y /Z G - dover, Mass., ?, 0 , DQ COCHI HEWICK ORATED PP�.�'t� BOARD OF IiEALTR �S Food/Kitchen Septic System BUILDING INSPECTOR PERMI .......................... Foundation ................ THIS CERTIFIES THAT.................................... Rough ... buildings on O � ....:�........................... himn y has permission to erect............::........... p t. G _ ( `! `e•••.l'ai'r••'•• plica ion on filein Final, �sv•..... .G.......... to be occupied as............................. ...... .. that the person accepting this permit shall in eve s relat n t to ther nspection m tor Alteration aof the nd Construction of PLUMBING INSPECTOR provided t P this office, and to the provisions of the Codes and By-Law g Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final m�-:S �T 6 MONTHS ELECTRICAL INSPECTOR PER1vIIT Ems' it V STARTS Rough UNLESS CONSTRU I Service .............. ......... • BUILDIN G INSPECTOR • '••"""' "" Final GAS INSPECTOR occupancy permit Required to Occupy Building Rough • Conspicuous Place on the Premises — Do- Not Remove Final Display in a Co P Wall TO Be Done FIRE.DEPARTMENT No Lathing or Dry acted and Approved by the Building Inspector. Burner Until inspected Street No. Smoke Det. SEE REVERSE SIDE Archit" J.DPlanners LaGrasse & Associates, Inc. Joseph D.LaGrasse,AIA Arc itects,Engineers & Lana Thomas F.Galvin,n,AIA Juliana L Hoch,RA November 6, 2013 Brian Leathe Local Building Inspector 1600 Osgood Street North Andover,MA 01845 Re: 50 Martin Ave Mr. Leathe, As the designing architect I have prepared the plans for the addition to the existing structure. This addition has been designed according to the 8th edition Massachusetts Building Code and International Building Code 2009. 1 am responsible for the design of the structural components. Respectfully, �AGt'yiT�� Na.20285 C." WAKEFIELD Thomas Galvin �°Y MASS. GAJ TH OF One Elm Square T 978.470.3675 1420 Celebration Blvd. Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 AA26001333 www.lagrassearchitects.com 4 Generated by REScheck-Web Software Compliance Certificate Project Title: Follansbee Residence Energy Code: 2009 IECC Location: Essex County,Massachusetts JOAN i.LaE ttAATE , Construction Type: Single Family I ELM SO Glazing Area Percentage: 10% ANDOVER,MA Q1810 Heating Degree Days: 6499 Climate Zone: g I1lt�HIMTS*ENMNEERS 9 LAND PLAN 911WO-367s Construction Site: Owner/Agent: Designer/Contractor: Martin Avenue North Andover,Massachusetts 01845 Compliance:0.9%Better Than Code Maximum UA:316 Your UA:313 The%Better or Worse Than Code.index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross • Assemblyor or D•• Perimeter • Wall:Wood Frame, 16in.o.c. 2802 19.0 2.0 133 Window:Vinyl Frame,3 Pane w/Low-E 228 0.350 80 Door:Glass 60 0.380 23 Floor:All-Wood Joist/Truss Over Uncond.Space 1368 30.0 0.0 45 Ceiling:Flat or Scissor Truss 915 30.0 0.0 32 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-Web and to comply with the mandatory Lrequirements listed in the REScheck Inspection Checklist. 46 11 Name-Title Signature Date Project Title: Follansbee Residence Report date:07/28/11 Data filename: Page 1 of 4 z . 2i.1.0.-IMP a!$Ea•TW Rtel vODOZ+C w« 04194R ! 9520, . ������hf■������ � _ � 1 Generated by REScheck-Web Software Inspection Checklist Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity+R-2.0 continuous insulation Continuous insulation specified for this above-grade wall has consistent R-value rating across full area of the wall. Comments: Windows: ❑ Window:Vinyl Frame,3 Pane w/Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door:Glass,U-factor:0.380 Comments: Floors: ❑ Floor:All-Wood Joist/Truss Over Uncond.Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall. Project Title: Follansbee Residence Report date: 07/28/11 Data filename: Paoe 2 of 4 Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: ❑ Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp 1 P joints for round metal ducts have a contact la of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: 0)Postconstruction leakage to outdoors test:Less than or equal to 202.8 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 304.2 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 152.1 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 101.4 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. ❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Project Title: Follansbee Residence Report date: 07/28/11 Data filename: Paqe 3 of 4 Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Follansbee Residence Report date: 07/28/11 data filanama• De A -f A s. s 2009 IECC Energy Efficiency Certificate .Insulation Rating �R-Value Ceiling/Roof 30.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Door Rating �U.Factor SHGC Window 0.35 0.30 Door 0.38 0.30 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: 1 Sy je7 4- T7 fi / � lz Ss _ ff d4 5l r7 -70 �0 f33 LIBERTY MUTUAL FIRE INSURANCE COMPANY Liberty P.O.Box 9090 Dover NH 03821-9090 Mutual. Telephone: (800)653-7893 Fax: (603)334-8162 Email:IMS@LibertyMutual.com Quote Number: 465210-01 Insured: E&F BUILDERS INC AND SCOTTSDALE CORP Quote Period: 08/16/2011- 08/16/2012 PO BOX 398 Issue Date: 06/02/2011 NORTH ANDOVER MA 01845 Legal Status: CORPORATION FEIN: 042881961 Principal Title V SCOTT FOLLANSBEE PRES/TREAS DEBORAR PICARD CLERK Workers compensation insurance offered by this quote applies to the following states: MA Employer's; Liability Limits of Coverage: Bodily Injury by Accident: 100,000 Each Accident Bodily Injury by Disease: 500,000 Policy Bodily Injury by Disease: 100,000 Each Employee Location Number and Address (Notify us promptly of any location changes to avoid issues regarding coverage.) 001 37 WALKER ROAD,NORTH ANDOVER,MA 01845 Loc. Class Estimated Ratel State M Code Description Exposure $100 Premium MA 001 5221 CONCRETE OR CEMENT WORK-FLOORS, 0 6.24 0 DRIVEWAYS,YARDS 5474 PAINTING OR PAPERHANGING NOC& SHOP 0 5.09 0 OPERATIONS,DR 5606 CONTRACTOR-EXECUTIVE SUPERVISOR OR 0 1.62 0 CONSTRUCTION 5645 CARPENTRY-DETACHED ONE OR TWO FAMILY 0 8.68 0 DWELLINGS 0042 LANDSCAPE GARDENING&DRIVERS 0 4.03 0 6217 GRADING OF LAND NOC&DRIVERS 0 4.35 0 8742 SALESPERSONS,COLLECTORS OR MESSENGERS- 0 0.15 0 OUTSIDE 8810 CLERICAL OFFICE EMPLOYEES NOC 35,700 0.09 32 Location Total 32 IM 0090 0311 Account Number: 1459623-0000 Page 3 of 4 The Commonwealth of Massachusetts Department of Industrial Accidents 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): r ( r C V�.C�c V ,<�c o ��\�cu, Address: 37 aOVH*, r4"Jt9 Q t i City/State/Zip: — — rhonc 4: �� ��3 Artm an employer?Check the appropriate box: Type o -project(required): 1. a employer with 4. El am a general contractor and I 6.Type construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sh%et. t 7. E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers' comp.insurance. 9. E]Building addition [No workers' comp.insurance 5. ElWe are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑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 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. tContractors 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 insuranc for my employees. Below is the policy and job site information. Insurance Company Name: /1,h `V(�l,J,l, Policy#or Self-ins.Lic. (7 ` Expiration Date:_0 I w (Z Job Site Address: 11 V�{ (� r s� 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 y Office of Investigations of the DIA for insurance coverage verification. I do hereby rti under ins an penalties of perjury that the information provided ove is true and correct. Si nature: II Date: Phone#: ' �t3 Offici:Isfe.o7nDnot write in this area,to be completed by city or town official. City oPermit/License# Issuinrcle one): 1.Boa .Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.OthContaPhone#: 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 an two or more of the foregoing engaged in a joint enterprise,an Y J rp d 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 local 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 applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)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 certificate(s)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 permit/license 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 ould like to thankou in advance for Y 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 Corn-mnwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia Massachusetts - Dep.a-tinent of Public Safety Board of Bt ldinty Regulations and Standards Construction Supervisor License License: cs 7732 �_. Restricted to: 00 SCOTT FOLLANS9EE PO BOX 398 N ANDOVER, MA 01845 Expiration: 9/8/2011 ------ ('+1mmilsi1111111Tr#: 3222 J' Architects LaGrasse & Associates, Inc. Joseph D.LaGrasse,AIA JD Architects, Engineers &Land Pla.nners,-. Thomas E Galvin,AIA Julianna E.Hoch,RA February 21, 2012 Brian Leathe Local Building Inspector 1600 Osgood Street North Andover, MA 01845 Re: 50 Martin Ave Mr. Leathe, As the designing architect I have prepared the plans for this property according to the 81h edition Massachusetts Building Code and International Building Code 2009. I am responsible for the design of the structural components including the LVL beams and plywood box beam header. Respectfully, %4 -_ Thomas Galvin R _ One Elm Square T 978.470.3675 1420 Celebration Blvd. Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 AA26001333 www.lagrassearchitects.com 4 Architects LaGrasse & Associates, Inc. Joseph D.LaGrasse,AIA Thomas F.Galvin,AIA & Architects, Engineers Land Planners Julianne E.Hoch,RA AFFIDAVIT ARCHITECTURAL DESIGN Permit No. To the Building Commissioner: I certify to the best of my knowledge and belief,the plans and computations accompanying the attached application concerning: 6o �L4� t,1 Ay,-- /v. . 4A4,e_4,,Precinct: Have been, in my professional opinion, prepared in accordance with the applicable requirements of the 8th edition of the Massachusetts Building Code and other pertinent laws and ordinance. Thomas F. Galvin �SDAgC F. les Architect—MA. Reg#2028 WAKEF1ELD JD. LaGrasse&Associates One Elm Square Andover, MA 01810 NOF 0�, 978-470-3675 Then personally appeared the above-named Thomas F.Galvin and made an oath that the above statement by him is true. Before me, c'As'`\ a,l e r I y Shaw My Commission e�ires: Date: C� -a( I _�_ One Elm Square T 978.470.3675 1420 Celebration Blvd. Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 AA26001333 www.lagrassearchitects.com Job ���CO� 110838721 �: aty PlNorth AndoverMA UFP Belchertown,LICant 17 1 Job Reference o tional Page 14.01 6.6-7 ID:BiyMq�jl Gg g Fu3GIUXJL5myiH94 Z5�TSk Iii S 3klSstries FLFuzkcRUIc. Mon Feb EjH-PsOaeZElzzjFnl 6.6-7 12-9-0 6.2-9 6-2-9 4x6 I I Scale:3116"=1 10.00 12 5 3x6 3x6 Q 2x4\\ 4 6 3 2x4 0 7 � 2 4 .-1 2 89 CO) 3x4 ii 12 11 10 Iv O = 3x4 = = 8-7.5 3x4 3x4 3x4 16.10-11 Plate Offsets X Y: 2;0-t-9 0-13 8:0-1-9 0-1 8 .7.5 8-3-6 25 6 0 LOADING(psf) TCLL 50.0 SPACING 1-0-0 CSI (Roof Snow-50.0) Plates Increase 1.15 TC 0.73 DEFL in (loc) I/deft Uld PLATES GRIP TCDL 10.0 LLumber Increase 1.15 Vert(LL) -0.10 8-10 >999 240 BCLL 0,0 Rep Stress Incr YES SC 0.50 MT20 197/144 WB 045 HorzVert(TL) -0.25 8-10 >999 180 BCDL 10.0 Code IBC2009/TP12007 ) Wind LL) 0.07 2-12 >999 360 (Mat ix LUMBER Weight:109 lb FT=4% TOP CHORD 2 X 4 SPF No.2 BRACING BOT CHORD 2 X 4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 3-10-9 oc purlins. WEBS 2 X 4 SPF No.2"Except" BOT CHORD Rigid ceiling directly applied or 10-M oc bracing. W1,W4:2X4SPF Stud or SPFNo.2 REACTIONS (Ib/size) 2=1267/0-" (min.0-2-0)18=126710-5-8 (min.0-2-0) Max Hort 2=218(LC 6) Max Uplift2=-121(LC 8),8=-121(LC 9) FORCES (lb)-Max.Comp,/Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD 23=1527/306,3-4=-1337/390,4-5=1165/414,5-6=1165/414.6-7=1337/39017-8=-1527/306 -5=1165/414,5.6=1165/414,6-7=1337/390,7-8=-1527/306 BOT CHORD 2-12=113/1039,11-12=22/701,10-11=-22/701,8-10=98/1039 WEBS 3-12=A87/245,5-12=191/622,5-10=191/622,7-10=-487/245 NOTES 1)Wind:ASCE 7-05;100mph;TCDL=5.Opsf;BCDL=5.Opsf;h=24ft;Cat.11;Exp C;enclosed;MWFRS(low-rise)and C-C Extedor(2)zone;cantilever left and right exposed;C-C for members and forces 8 MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1,33 2)TCLL:ASCE 7-05;PF:50.0 psf(flat roof snow);Category 11;Exp C;Partially Exp.;Ct=1 3)Unbalanced snow loads have been considered for this design. 4)This truss has been designed for greater of min roof live load of 14.0 psf or 2.00 times flat roof load of 50.0 psf on overhangs non-concurrent with other live loads. 5)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the responsibility of the fabricator to increase plate sizes to account for these factors. 6)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 7)One H2.5 Simpson Strang-Tie connectors recommended to connect truss to bearing walls due to uplift atjt(s)2 and 8. 8)This truss is designed in accordance with the 2009 International Building Code section 2306.1 and referenced standard ANSI/TPI 1. LOAD CASE(S)Standard �pA OF M40 q� 5 HN N P Cl IL No.43029 Q STER�� This truss is to be fabricated per ANSVI'f'[quNity requirunenrs,I'latesshvilbe Msiunnd type shnom Mdcentved at joints unless aNerwise noted.This design is hesedu building cnmpment to he in called and loaded-ticolly,Applicnbilityofdedgn ParametersMdproperinaalpnrgVon of cotnpmentisresponsibilityofthe Building De igner.Building De-signer shall nld verify alldesign inflnmatlm m this sheet far mnfexmvnu with cmditims and rcqVocpm pamme[crs shown,and is for on individual infrnmmim as it may relate ton specific building.Cenification is valid only whMew,cs fahtirnt�Md grnixnmg epodes Md Irdierances.Building Designs aeeepts-pon dbility f^Ole mrrcclnecs m axurney of the design permanent bracing.Refer in Building CoutPnnmt Sefery Inf rmaiioa(BCS-ter croS.ss i lq'a UFP'-pay.Bracing shown is for lateral wppmt f truss members only d does a.,CPI--ecur of t guidMez regarding storage,delivery,creclim and bracing nvaBable ream SBCA end Tn-plme Institute. Job Truss 11083872, !Truss Type T1GE (GABLE Qty Ply North Andover MA UFP Belchertown,Li_C, an 221 1 1 Job Reference o conal 1.0 ID:BiyMgjgGgwKFu3GIUXJL5myiH94-JIhr71lek U4DInn VI vzPCGp o9e9EjJ4Yp07aPagez1 -0 12-9-0 12.9-0 2560 56 12-9-0 Fn 44- 10.00 FIT Scale=1:68. 9 8 10 3x4 ii 7 113x4 6 12 5 13 4 6 5 7 14 3 2 3 4 8 9 15 M 1 S 0 12 S 1 Q 16 M 3x4= 29 28 27 26 25 24 11 23 22 21 20 19 18 3x4= Fn ffsets X Y: 2:0-2-1 0-1-8 16:0-2-1 25 6-0 25.6-0 ING(psf) 50.0 SPACING 1.4-0 CSI now=50.0) Plates Increase 1.15 TC 0.15 DEFL in (too) Udefl Ud 1D.p Lumber Increase 1.15 Vert(LL) -0.01 17 n/r 180 PLATES GRIP 0,0 Rep Stress Incr YES BC 0.07 Vert(TL) -0.01 17 n/r 8D Mi20 187/144 10.0 Code IBC2009/iP120D7 WB 0.26 Horz(TL) 0.01 16 n/a n/a R (Matrix) HORD 2 X 4 SFIF No.2 Weight:145 Ib FT=4% ORD 2 X 4 SPF No.2 BRACING TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins. S 2 X 4 SFF Stud or SPF No.2"Except' BOTCHORD Rigid ceiling directly applied or 10-0-0 oc bracing. ST6,ST5,ST7:2 X 4 SPF No.2 WEBS1 Row at midpt 9-24,8-25,10-22 IONS All bearings 25.6-0. (lb)-Max Horz 2-218(LC 6) Max Uplift:All uplift 100 Ib or less at joints)2,16,25,26,27,28,29,22 21 20 19 18 Max Grav All reactions 250 Ib or less at joint(s)2,16,24,27,28 29 20 (LC 2),26=255(LC 2),22=288 LC 3). 21=255(LC 3) 19 18 except 25=289 ( ) FORCES (Ib)-Max.Comp./Max Ten.-All forces 250(lb)or less excet WEBS 8-25=-283/75,10-22=-263/75 P when shown. NOTES 1)Wind:ASCE 7-05;100mph;TCDL=5.Opsf;BCDL=5.Opsf;h=24ft;Cat.II;Exp C;enclosed;MWFRS(low-rise)and C C Exterior(2)zone;cantilever left and right exposed;C-C for members and forces 8 MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.33 2)Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry Gable End Details as applicable,or consult qualified building designer as per ANSIrrPI 1. 4)Unbalanced snow loTCLL:ASCE 7-05;adsave beesf n roof sidered for this Category design. C;Partially Exp.;Ct=1 5)This truss has been designed for greater of min roof live loads. load of 14,0 psf or 2.00 times flat roof load of 50.0 psf on overhangs non-concurrent with other live 6)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the responsibility of the fabricator to increase plate sizes to account for these factors. 7)All plates are 20 MT20 unless otherwise indicated, 8)Gable requires continucxls bottom chord bearing. 9)Gable studs spaced at;)-"oc. 10)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 11)One H2.5 Simpson Shang-Tie connectors recommended to connect truss to bearing walls due to uplift atjt(s)2,16,25,26,27,28,29,22 21 20 1g and 18. LOAD CASE(S)Standard ced standard 12)This truss is designed in accordance vdth the 2009 International Building Code section 2306.1 and referenndard ANSI/TPI 1. cN OF h2ys oy HN (n P Cl IL No.43029 R � STER�c�\�Q tlticwss is to be fabricated per ANSYM qualityrequirements.flat"shall be ofsimimd type shown and centrred at jninis unless alherwise noted.This dei building cempment to be installed and loackd vertidlly.Applicability of design pnrsmetns and she"indeentmionofcum information ch,this sheet for eer fermnnee,vith conditions said requirementsof the specific building and ralbili8n is based upon pammetas shown,and is far an individual infmmelion as it may relate in a spmific building.Certification is valid only when trues is fabricated bye UFP company,Breci geshown iPfw Ista,nl Nthe Building De ig—,Building De igner shell verify all deign g governing code said adinanres.Building Designer accept reponsibility fnrthe earr.ni—or accuracyofthe design permanent hmcing.Refer to Building Cortipnneni Safgy Infotmazim(Besq for general guidsna regarding storage,delivery,erxtion and hrticing nvoila�c from SBCA-anly Pla c u Institute aectian and �C Lr 8 64 4 �i lo o r g �oo ro h = p g XISTING (3)2x10 I DER m PL D D D SHEATHING \ / r m O BUTT SEAM AT 0 4 TUDR of GRIPPE Ul 0 m _ Om Or— ?R m O m Z C mrn Z m - ._ Lo m 16" MIN- �' OPENING: 16" MIN_ t. NEM STUD it NEXT STUD BOX BEAM INSTALLATION-- L INSTALL INSULATION IN CAVITIES PRIOR TO CONSTRUCTING BOX BEAM. 4?r� F. rc�, 2- APPLY CONTINUOUS BEAD OF CONSTRUCTION ADHESIVE ALONG EACH FRAME `. MEMBER t 3- INSTALL X1" PLYWOOD SHEATHING TO INSIDE FACE OF OF WALL `a ri No.2(}285 zoQ a_ PLYWOOD SHALL BE C-D EXTERIOR EXPOSURE GRADE.DO NOT USE OSB SHEET a WAi�EF3�LQ cc GOODS MAa. > z b. BUTT SEAM MUST BE CENTERED OVER CRIPPLE STUD. Z c_ BUTT SEAM MUST NOT OCCUR AT SAME STUD AS EXTERIOR BUTT SEAM. -- CSF ,�� o > d INTERIOR SHEATHING MUST EXTEND I6" MIN OUTSIDE OPENING TO CENTER OF m -< NEXT STUD ; EVA T[O 1 0 4. NAIL AT 4" O.C.AROUND PERIMETER AND 8" O:C ALONG WEB MEMBERS W/ 114" RING SCALE:1/1"4-0' -0 N SHANK NAILS. e► ' SECOND FLOOR ELEV- 1101d' 2x12 JOIST " EXTERIOR 2x6 TOP PLATE SHEATHING INTERIOR J1" PLYWOOD SHEATHING (3) 2x10 HEADER W/V" PLYWOOD FILLER, OVER OPENING BOX BEAM INSTALLATION: L INSTALL INSULATION IN CAVITIES PRIOR TO CONSTRUCTING BOX BEAM, 2_ APPLY CONTINUOUS BEAD OF CONSTRUCTION ADHESIVE a%9oAEE DAR�F h%�, ALONG EACH FRAME MEMBER � 3. INASTLLL V' PLYWFOOD SHEATHING TO INSIDE FACE OF O C13 No.20285 ��„ 4- NAIL AT 4" OZ_ AROUND PERIMETER AND 8" O.0 ALONG WAKEFIELD > WEB MEMBERS W/ 1�" RING SHANK NAILS. MASS. (HEADER CUTAI 1 F SCALE.1'-1'-0" aro POLLANSBEE RESIDENCE 9 JANUARY 2012 JD LaGrasse proparo MR. SCOTT F-OLLAN65EE fQ0°0 AS NOTED for.: & Inc. e: o. 2315 shut Achitects-Engineers-Interiors-Land Planning HEADER DETAIL One Elm Square,Andover,MA 018I0 AT 9'-0" OPENING SK-02 T.978-470-3675 F.978-470-3670 ***.lagrassearchitects.wm — E—mail:JDIAMAOLCOM qtk �JkA 0343, c�40S .oil n z2AM 1 ' PAT10 N/r' I BILODEAU FAMILYAOLN REALTY TRUST BILOOEA(1 FAMILY —— __ so.00' �_ 1 REALTY TRUST 1 90.00' i LOT 1 1 II ASSESSOR'S MAP 450 LATS 20 @ 36 18.000 SFt 0.4 0.40 Aft II 1 � I 1 LUPE I I 90 1 XENSTING I 1 $I I FOUNDATION 1 1 Ix 1 NII olo MANNING n _O i `Ix 1 F 15.4' 1 1 x 04PC II i Cn c I d Q N i 3 II 1 ZN OF MqS It -9 _— " I �'� TIMOTHY sq Q DRIVEWAYJ. — x 1 UP WININGS � �'— —�.'�__�"�'__ S88 44�40•E SB V C/J C) 90.00 No.45099 I., UP 9�FESS1���`• i �N "° <. Z ------ _ DRIVEWAY , wMARTIN AVENUE (s0'wIDE- PUBLIC) �_ — NOTES: > C RIVEWAY ------ ® �TMMAARKK1. FOUNDATION AS—BUILT FROM A SURVEY ELM- 100.00 PERFORMED BY PENNON] ASSOC. IN (ASSUMED DATUM) AUGUST 2011. 0 Al 14 --—°SB -- -- GRAPHIC SCALE O (FND) I LC' (FND) O — _ 0 O Q 1 1 I BACON AVENUE 1 ( IN FEET ) z 1 I 1 inch = 20 ft. PENNONI ASSOCIATES INC. PREPARED FOR AS PLOT PLAN AUGUST 25, 20» W Pennons 100 Burtt Road,Site 120 93 Stites Road,Suite 201 MARTIN AVE NOMINEE TRUST O Andover,MA 01810 Salem,NH 03079 MAP 45G LOT 20 V. SCOTT FOLLANSBEE, TRUSTEE CL PENNONI ASSOCIATES INC. ({))978-749-9929 978-749-9920 (P)603-216-1950 :1 WWWpennoni.com (f)603-226-3235 NORTH ANDOVER, MA 37 WALKER RD, NORTH ANDOVER, MA PL-1 CONSULTING ENGINEERS _ � ' _ i i I ; � � — � _ .r I s. �-- -- — — -- � — _ — —— — —— -- — -- . _. ._.._. �. _ _._ �� _ _� _ .�� � � _ _._ — — ------ —— -— — — —_-- -- — —_— _!_ _ �.�_ � . ._ �_ — _ ——-- — � ` � — . .. i — — .� __ . i s i 1 i E w.✓• .. 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