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Building Permit #081-16 - 56 CASTLEMERE PLACE 7/20/2015
i LF' W_-TOWN BUILDING PERMIT o`N°oT "6qo i OF NORTH ANDOVER o - ' AJJ, PPLICATION FOR PLAN EXAMINATION * Permit No#: � � `, no � Date Received 4 r / �gssgc�+uss��5 Date Issued: 1 t"� IMPORTANT: Applicant must complete all items on this page j LOCATION Ck '5171 5 Nr f r, j int PROPERTY OWNER � cNolP�.�S Print 100 Year Structure yesp MAP :3`�� PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑Two or more family ❑ Industrial Alteration ' No. of units: ❑ Commercial i ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition_ ❑ Other Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: k,,OS ig eX)s 1/fy 6�_ jam" f 1TT1(3 Identification- Please Type or Print Clearly OWNER: Name: N t CIA 0)_,0 _P971W, Phone: Q 7 -69'6 602 FO Address: �I`O �e9L� v C 4 i Contractor Name: .<_Q rilsTPhone: 7 8 f `S Email: !:]7o-Mrj gS-o �120C_ o Address: 2 15 ST A)DO J 6 Supervisor's Construction License: C _Exp. Date: f ///S" -Home Improvement License: 1131310 Exp. Date: S / , j T ARCHITECT/ENGINEER 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: $ 8 . Quo FEE: $ ���•�� Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acces the guaranty fund ' I Location No. e7 /-� Date 2° • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ ` Building/Frame Permit Fee 7 Foundation Permit Fee $ Other Permit Fee TOTAL $ Check#3 t 2 5/ U 0 0 0 S tcJA L Building Inspector �~� } I 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e 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 m � , i OsgoodStreet `,FIRE�DEPAR�TMENT r ;f;�emp Dumpster,�gntsite.� j,L dted]at�12.4 MainlStreet� }�Fre�,�Department�signafur4eldate�...,. i i -- -- --- --- Dimension I Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I � f ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector yes No DANCER ZONE LITERATURE: lies No MGL Chapter 166 Section 21A—F and G min.$1o0-$1000 fine NOTES and DATA— (For department use) � I i i ❑ Notified for pickup Call Email Date Time Contact Name I Doc.Bnilding Pennit Revised 2014 r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 1 Building Permit Application Certified Surveyed Plot Plan :,. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 Building Permit Application 4 Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses 4, Workers Comp Affidavit 4, Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) �. Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost A000.00 m $ 456.00 Plumbing Fee $ 57.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 57.00 Total fees collected $ 670.00 56 Castlemere 081-2016 on 7/20/15 Kitchen Remodel close in existing patio NORTH q own of . � E . 1, ' Andover 0 � - h ver, Mass, O COC NIC[WICK A�RATEO PPa,��Cy S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT .......... 1./..�. ....... .f� C ^ ................................................................................. BUILDING INSPECTOR has permission to erect buildings on6Foundation ... Rough to be occupied as ............. �? 1. .. ....�1...... 4.� .....�1���, 1. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration anal Construction of Buildings in the Town of North Andover. C,)" Cr f641 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough Service ................... .F �.1d;..`................................ 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. Y ' REScheck Software !Version 4.6.2 Compliance Certificate Project Nick & Nancy Petrucci Energy Code: 2012 IECC Location: North Andover, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 31% Climate Zone: 5 (6322 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 104 Castele mere Street Nancy&Nick Petrucci Bob Wheeler North Andover,MA 18 Castlemere Street Residentialplans No Andover, MA 11-H.Riverview Ave. Mashpee,MA 02649 781-856-3208 Residentialplans@aol.com Compliance: 25.3%Better Than Code Maximum UA: 87 Your UA: 65 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. Envelope Assemblies cc . v Ceiling 1: Flat Ceiling or Scissor Truss 442 49.0 49.0 0.011 5 Wall 1:Wood Frame, 16"D.C. 436 20.0 20.0 0.026 8 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 80 0.340 27 Door 1: Glass 56 0.330 18 Floor 1:All-Wood joist/Truss:Over Unconditioned Space 442 30.0 30.0 0.016 7 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 2012 IECC requirements in RESche k Version 4.6.2 and to comply with the mandatory requir ents listed in the REScheck Inspection Checklist. 145-15 re15t" Name- itle gnature Date Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Pagel of 8 REScheck Software !Version 4.6.2 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Re .ID 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PRM energy code compliance for the []Not Observable 10j building envelope. ❑Not Applicable 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for ❑Not Observable [PR311 lighting and mechanical systems. ;4/1 Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: ❑Complies 403.6 sized per ACCA Manual S based Btu/hr Btu/hr []Does Not [PR212 on loads calculated per ACCA Cooling: Cooling: y Manual J or other methods ❑Not Observable approved by the code official. Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 2 of 8 i Section # Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 A protective covering is installed to ❑Complies [FOlip protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below I grade. ❑Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: BLHigh Impact(Tier 1) 12 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 3 of 8 Section J # I Framing/Rough-In Inspection Plans Verified Field Verified Complies? i Comments/Assumptions tions & Req.ID Value Value p P 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). 402.3.3, ❑Does Not table for values. 402.3.6, ❑Not Observable 402.5 []Not Applicable [FR2]1 303.1.3 U-factors of fenestration products ❑Complies (FR4]1 are determined in accordance ❑Does Not V, with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies i [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/1.5.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4.4 IC-rated recessed lighting fixtures ❑Complies [FR16]1 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 Supply ducts in attics are R- R- ❑Complies [FR12] insulated to zR-8.All other ducts R_ R- ❑Does Not in unconditioned spaces or - outside the building envelope are ❑Not Observable insulated to>_R-6. ❑Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR1311 air handlers,and filter boxes are ❑Does Not sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15] ducts or plenums. ❑Does Not ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies [FR17]2 above 105 QF or chilled fluids ❑Does Not V below 55 4F are insulated to>_R- - 3• ❑Not Observable 403.3.1 Protection of insulation on HVAC ❑Not Applicable❑Complies [FR24]1 piping. ❑Does Not ONot Observable ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- R- ❑Complies [FR18]2 zR-3. s,? ❑Does Not ❑Not Observable 403.5 Automatic or gravity dampers are ❑Not Applicable❑Comp plies [FR19]2 installed on all outdoor air es intakes and exhausts. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions.- 1 High Impact Crier 1) 2 Medium Imeart!Tier 71 a ,Lo v Impact it 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 4 of 8 section Plans Verified Field Verified # Insulation Inspection Value ( Value Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not t, provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. (IN1)1 ❑ Steel ❑ Steel � ❑Not Observable ❑Not Applicable 303.2, Floor insulation installed per ❑Complies 402.2.7 manufacturer's instructions,and ❑Does Not [IN211 in substantial contact with the i,,; underside of the subfioor. ❑Not Observable ❑Not Applicable 402.1.1, Wall insulation R-value.If this is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least Y2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall (IN3)1 exterior,the exterior insulation C] Mass ❑ Mass ❑Not Observable ._,r• requirement applies(FR10). Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies (IN4)1 manufacturer's instructions. ❑Does Not tt ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1.High impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 6 of 8 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Com anplies? Comments/Assumptions & Req.ID 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, E] Wood 0 Wood ❑Does Not table for values. 402.2.2, Steel 0 Steel 402.2.6 []Not Observable [FI1]1 ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F1211 Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [FI3]1 insulation_>R-value of the ❑Does Not _r adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= ❑Complies [FI17]1 ach in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa.For rough-in []Not Observable tests,verification may need to ❑Not Applicable occur during Framing Inspection. 403.2.2.1 Air handler leakage designated ❑Complies (Fl24]1 by manufacturer at<=2%of []Does Not design air flow. ❑Not Observable ❑Not Applicable 4031.1 Programmable thermostats ❑Complies [Fl9]2 installed on forced air furnaces. ❑Does Not ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FIJO]2 on heat pumps. ❑Does Not H ❑Not Observable ❑Nat Applicable 403.4.1 Circulating service hot water ❑Complies [Flll]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 403.5.1 All mechanical ventilation system ❑Complies (F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable 404.1 75%of lamps in permanent ❑Complies [F16]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable 1 High impact(tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 7 of 8 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req-ID 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [F17]2 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Nick& Nancy Petrucci Report date: 07/16/15 Data filename: Untitled.rck Page 8 of 8 I 2012 MCC Cinergy Efficiency Certificate Above-Grade Wall 40.00 Below-Grade Wall 0.00 Floor 60.00 Ceiling/ Roof 98.00 Ductwork (unconditioned spaces): .. uha@ ©; Window 0.34 Door 0.33 Heating System: Cooling System: Water Heater.• Name: Dater Commend- The Commonwealth of Massachusetts . Department oflndustrialAccidents r 1 Congress Street,Suite 100 Boston,MA 02114-2017 :. www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Orgmn zation/Individual): -R.assp 404:z7f oo //0 P> Address: Z6_c:T ,u b( r; --,-'% 0 tw City/State/Zip: JF 14 0' Phone#: ? 78 4800- b 0 J Are you an employer?Check the appropriate box: Type of project(required): 1.dam a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3..❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑ 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. • 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ $ 13.E]Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.F1 We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.El Other 152,§1(4),and we have nQ employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit Us 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 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 pfoviding workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: 1_l 691 01-1-0 A �- Policy#or Self-ins.Lie.#: W ' 3 r " 39,2 11 ©expiration Date: Job Site Address: S�' L-�� �� City/State/Zip:A)B, A A1,00 d Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify u dartliepains andpenalties ofpetjury that the information provided above is true and correct. Signature: Date: Phone#: 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#: 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 any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)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 foi•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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia s i I imite �oVa»zo)?auerrld,1/11 041.Jacllrrje#j — Office of Consumer Affairs&Business Regulation _ OME IMPROVEMENT CONTRACTOR egistration: 113130 Type: Y Expiration: 5/18/2017 Private Corporatior GRASSO CONSTRUCTION CO.,INC. JOHN GRASSO 865 TURNPIKE ST _ N.ANDOVER, MA 01845 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-022988 JOHN GRASSO 865 TURNPIKE ST °"4) s NO ANDOVER MIA 0 45 r Expiration Commissioner 10/31/2015 Wipa .r r a dA, c ` 16,17 sn �� Au— �.. RW Cf�, (Se4S) i. : • - pi Ml At _ P. �'Jf+ly1 ""A•�r r Ok, r r . 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Copyriaht O Rve dentialpl�ns. designed b�+�T . tl!t 11...www�r.sidttitialplans.�oai .. � Note.All diesroensions given are subject to job site tdate= St►ractural details by others. Notes Perspective drawings repgssent tiaa xrtisCs nterprt�tation of the genual verification and adjustment to fit job Sita conditions. appearance of the roam arrd are q t intsnaed tea be a precise depiction. The first ste in the design prpcess...see it before ou be in ! r iGale:-� L s -St c date; a�Ov Residenti • t� :� c.u.s,.tam,._r.�.i.�.�.n.tiu.l_..Ka.L�.�a�s_I�x.g._+..dca��.n... rev t, E :{tjxerview Awex ue,A+lesshpee. MA-02649 .. :�•�.�--. Copyright O Residentialplans.• designed by . �!i? Cel.# 761-65.6308 Itilota: All $ernens'sons given etre subiect to job site Note! 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MA 02649. >r� C zII 78l-85.6-.3.20$ Copyright ids itesidentialplans. designed byh wwwlesiden.tialplans.coan Note: til dimensions given are subject to job sitettiieter 5#rue.turm( letaaiis by othr.r.. Nate; Perspective drawings represent the artist's interpretation of the general verification and adjustment to fit job site conditions. appearance, of tl+e room and are not intioneleJ to be at precise dvpicti'rrn The first step in the design rocess. ..see it before ou be + n !: I0 0E 4600MLI I y� •vr C l E EI3 OP CAP 99 11/4"x9 1/4" PINE RAIL,N c (TAPERED) Z'SCAP 1. ./y�sAAc8061 SCOTIA a 1:x3 RAILS BOTH SLOES X I'L S _ i fTs� BRosca � N 2x2 BALLUSTERS 0 5w O.C. 6-21 N�/gJt1r 6x6 . + '//� ♦l !rr �n�sc�rycw���ay�D�``t��r r �Y2� 1 x t.: COWER WITH E 1 X4 13ASE W1 g ~ZI wC� �I � 11 f,% 'r�l��+� i(KNI7t ka's 1/2" SCOTIA CAP ! W RAMS BOTH SIDES aTi 6�`t�CJOt575 � pUf� Nor — i 2X/Z P.T. HEADER AIV Mx I9P n 1XiO PINE SKIRT 4N�hMIM�f�IMiMMI�I�iIf�rMM11M1M; ...., , VXV7'f 6C 44f M try • 2 ' 2X %> P.T. HEADER GENERAL.NQ1E9 ANp MATERIAL.SPECIFICATIONS: (Residential IRC Construction) SK-1 WOOD FRAME CONSTRUCTION MANUAL 139 C • Off•11�DATIT�S � � �+ 1 All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. - tie 2. For site location and grading information,see Site Plan,by others. t. 3. Assumednet allowable soil bearing capacity,q-3000g 1p u psf for a medium sand/ ravel composition. Other soils encountered, contact the Engineer of Record. a'a 4. Concrete Minimum 28 day strength,Cc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest a-o issue,maximum slump=4". 1 31 Nailing ScheduleJ t a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter,12"tong,w/2-1/2"hook spaced per Code Checklist,or in Yv C M piers concrete w/Sim ._ p Simpson ABU-series base;SPACED 2'o%for slab-on-grade construction(i.e.Garage,Basement,ere.). b.) All Ovalis to have min.2#4 top horizontal,2"clear,to prevent sWriltagg Number of Number of c.FRADin's longer than 25'shall have vertical control joint with watetstopping between wall joint. { . Joint Description Common Nails Box Nails Nail Spacing ,a 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2,Structural Design Loads: Bead Loads:Actual,Weight of Building Componentsv W Rafter to Top Plate (Toe-nailed) (see Table 3,4A) (see Table 3.4A) per rafter ro et Live Loads:Snow Load =30 psf(plus drift)with applicable reduction t Ceiling Joist to I'vp Plate (Toe-nailed) (see Table 3.4A) (see Tabic 3.4A) per Gist m in,ATTIC Storage=20 psf 1 ,� Living Floor=40 psf I Ceiling Joist to Parallel Rafter (Face-nailed) (see Table 3.9A) (see Table 3.9A) each lap c Sleeping Floor=30 psf Ceiling Joist Laps Over Partitions (Face-nailed) (see Table 3.9A) (see Table 3.9A) each lap "'»+ 42 Decks and Balconies=40 psf Collar Tic io Rafter (Face-nailed) (see Table 3.6A) (see Table 3.6A) per tie >3 O Wind Load:, Criteria used for i 10 MPII Exposure B or C as noted per plans Blocking to Ratter(Toe-nailed) 2-8d 2.10d each end a 3. Sjn�cttual Steel: (as required) Rim Board to Rafter(find-nailed) 2-I6d 3-16d each end �� a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.'rhiu-Bolts: ASTM A307.1/2"diameter;punched holes: 9/16"diameter. WAS[. +iG b. Welds: Shop weld cap and base plates to columns;shop weld beating plates to beams;use E70xx electrodes. ? i Rf E Top Plate to Top Plate (Face-nailed) 2-16d' 2-16d per foot q O Alternatively,field weld by certifted welders. c. Deflection Criteria: 1./360 total toad deflection. Top Plates at Intersections (Face-nailed) 4-16d 5-16d joints-each side ,q . n Stud to Stud (Face-trailed) 2-16d 2.16d 24"ox. 4 !ttnt)er F.tatntn . Header to(•leader(Face-nailed) I6d ,16d I b"o.c.along edges a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better, c b.Pressure treated timber(P.T.):Southern Pine with Flt--1300 psi E=1,600,000 psi,or better, c,Laminated Veneer Lumber,All L.V.L.shall be 1,9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv-285 psi,Fc_per=750 psi, Top or Bottom Plate to Stud (End-nailed) (see Table 3.5A) (set.Table 3.5 A) per stud C m J P Fc,_par=3035 psi. Pataltam(PSL):All PSI,shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Feer-750 psi, M Fear-2900 psi. Note that Microllam and Parailam may be used interchangeably. Bottom Plate to Floor joist.Bandjoist.Eniljoist or 2-16d` 24- 6d ' per foot p +� W I. Deflection Criteria: L/480 Live Load,L/360 Total Load Blocking (Face-nailed) a W 2. Optional: Provide shop drawing submittal ofengincered lumber systems for approval prior to materials purchasing. `� 5.Metal Connectors: - As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail Joist to Sill.Top Plate or Girder (Toe-nailed) 4-8d d1 Od perj Gist Z Vf holes filled,with the size nail as specified by mfgr.or herein. Bridging to Joist (Toe-nailed) 2-8d 2,10d each end ' a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Blocking to Joist(Toe-nailed) 2-8d _i2-10d.. each end W Rafter to Ridge Plate; Collar ties min.1x6 cQ 16"o/cat top or Simpson Straps over top of plywood spaced 16"o/c Blocking to Sill or-fop Plate(Toe-nailed) 3-16d 4-I6d each block + b. Rafter ends to top plate: Simpson F12.5A t.,edger Strip ui f3eavn.(k'atc-nailed) 3-16d 4-16d each joist 6.Botts:c. Band Joist: Simpson straps at 4'We: CS-14R-48"centered at band.joist Joist cr Ledger to Beam(Tonaile3-8d 3-I6d th . g perjoist a Bolts in wood framing shall be standard machine bolts unless noted otherwise.Boit holes in wood shall be 1/32"larger than Band Joist to Joist(End-hailed 3-16d 4-16d perjoist bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be Band Joist to Sill or Top Plate(Toc-nailed) 2-16d' 3-16d per foot retightened at completion of job. lt«Ol >916 4a 7.$Icckin C a.Blocking she be solid bldeking,2x minimum,and full depth of member. Structural I'mels Rd 10d (see Table 3.10) b,Stud Walls:provide blocking at 8'-0"o/c,maximum height:: Corners to be blocked at 48"o/c with plywood edge nailing Diagonal BoardSheathing — w to this blocking for the first 48"of these building comers,. • 2-10d per support t"0"or 1'"x8" 2.8d a Nailing Schedule: I x l0':or wider 3-8d 3-10d per support Solid Blocking to Bearing 2-8d toenails ea.side v Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ca.End ( 1► 0 _, r' V d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach W _ ptivw_q4 cdaaes to this blocking p 44fnt Wallbtaard Sd coolers Sd coolers 7"edge 10"field ` Z s N.�I1ntt yen.-zoic ... , ;, ..:,. All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs I6d @ 12"staggered 5tt uctural ttats'els Sd I Od (see Table 3.1 I) a.All nails shall be common wire nails. I r. FibC[I>ctard,lttrfirls ) where; ted to sit 9- eadeb.Sub-bore ood ,T "t tfsm» q'"`^�L""7M'7"""PT•4fR - .. lfiddt"edge'b"field m ess than 4'-0",use all:others per to Bu 3"edge 6"field C"`A � W" Gypsum .60 ON Wallboard M 5d coolers 5d coolers: 7"edge:' 10"field Hardboard 8d 8d (see Table 3.1 1) O C IECC2012—RESIDENTIAL ENERGY EFFICIENCY DETAiLS. � Particleboard Panel, 8d 83 (sec manufacturer) � 3 AJ CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION a � Otagonal Board Sheathing TABLE 402 1.1 (MINIMUM PRESCRIPTIVE INSPLATION&FENESTRATION REQUIREMENTS) I"x6"or 1 'x8" 2-8d ?•1 Od per support • � �� 44- FENESTRATIOid SKYLIGfiT CEILING WOOL)FRAMED WALL OOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL 1"x I�"or wider 3-Rd U-FACTOR LI-FACTOR R-VALUE R-VALUE R-VALUE R4ALUE R-VALUE R-VALUE .3-10d per Support- q 0.35 0.60 +; 20 30 1Of13 t0(2 FT.DEER) 10/13 '' ✓ Structural Panels TYP. ROOF CONST. t TYP. WALL CONST. ' t' or Jigs 8d lOd 6"edge. 12"find of -2x 10 ROOF RAFTERS 1t3'o,c, t ! greatcrthan I" i0d I6d 6"edge:6"field i • 2>f :S'f1JDS @18'as Diagonal Board Sheathing -1/2"CDX PLYWOOD ROOF SHEATHING W/CUPS' 2 112"PLYWOOD SHEATHING n+ oar8 • ,u ASPHALT ROOF SHINGLES i .k W,C.SHINGLE SIDING I-x6"or 1"0" 2-8d 2-i Od per support 15LB.FELT PAPER 4 TYPPAR VAPOR BARRIER(ExTERIOR){ I"x 10"or wider 3-8d 3-10d per support E # MULTi LVL RlpgIE BEAM 1$1111ro, TT INSULATION(R20) l 3tMPSON fir 2 NURR;CANE CLIPS ` 11 X.F1FtE RATED GYP.SRO. 'wiling requirements are based on wall sheathing nailed 6 inches on-center at the panel edge.if wall sheathing is hailed 3 inches on-center at the AT ALL R 49"4 eNDS panel edge to obtain higher shear capacities.nailing requirements for structural members shall be doubled,or alternate connectors,such as shear 1 ICE/WATERSI-ttELD AT BOTTOM plate,,.shall he used to maintain the load path. 3'0"OF ROO)+ t When wall�hc:uhin>is continuous over connected members,the tabulated number of nails shall be permitted to be reduced to 1-16d nail per foot. -AIUMt'NIIM DRIP EDGE I b P -11'BATT s � Corrosion resistant I I gage roofing nails and 16 gage stapics:are permihed.chedk IBC z INSULATION(R: for additional requirements. ' i ,1 fY .,r, N