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HomeMy WebLinkAboutBuilding Permit #795 - 57 CANDLESTICK ROAD 6/7/2010BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �q r Date Received OF '4101 01 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 Other Septic - I d-- -Floodplain-'-�W ' ei�!a n s Watershed '! DESCRIPTION OF WORK TO BE PREFORMED: Please Type or Print Clearly) OWNER: Name: e: ARCHITECT/ENGINEER )541, �O////' arz Phone: !Zza--2�4<--A Address:.P-0 Reg. No. FEE SCHEDULE: BULDING PE IT- $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COT BASED ON $125.00 PER S.F. 0- ep Total Project Cost: $ cocl 0-3 FEE: 1%; c,) Check No.: Receipt No.:',') ©A y6e NOTE: Persons contracting with registered contractors do not have access to the guaranty fund ignature�&-contractor, : Signature of Agent/Owner ner Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comm Conservation Decision: Com Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: 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 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 No 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 E3 Copy of Contract o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ 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) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign'off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) a Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract --- ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products, NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2008 E O F=4 U/7 z k 1 W M V CC '44 O w Cf) aa) cn U co r, O w O u2 E'Z (> u U m G w a W O a m G w a W U W p a y cn C tr. � O w' G w ZWO W z W 2° b U) D o E U, d.. H Z r.+ N O CD N C A m m 0 cm c 'c N CD Z O Z O J O z 0 U C/) f r T co - co W O O v Z co CL O H C C co cm !0 -0 y O O �E m CO CD C3 CD CL ~ i � O G O _O O Q ME C Q CO2 c C� C7 .c Zts CD 0 CL V H O C C C 0. CO) 0 c o ;CD o .. o . C L O N C % C C. C o COD= + : C CD : •� m `v O C ca co .. y O .r m C �i N CC L O �' 3 CD J GO �p CD C C � �_ m -� N A N CD te ci m 'CM --NtadZ ~ cao CL CD cmc = o mr o COD LLI aw LL •N D O C �... CL ..+ co .Q V! O O-0 02 N Z •O+ C. d.. H Z r.+ N O CD N C A m m 0 cm c 'c N CD Z O Z O J O z 0 U C/) f r T co - co W O O v Z co CL O H C C co cm !0 -0 y O O �E m CO CD C3 CD CL ~ i � O G O _O O Q ME C Q CO2 c C� C7 .c Zts CD 0 CL V H O C C C 0. CO) 0 The Commonwealth of Massachusetts Department of Industrial Accidents Off"ace of Investigations 600 Washington Street Boston, Mia 02111 Workers' Compensation Insurance Affidavit Build s/Contrac 3pllcant Information tors/Eleetricians/Plumbers Name (Business/Orcmmizationdndividual): ••J� i i iui 1�e:IDIV i Address: 1/2 City/State/Zip:-r " r7 11in- / J Phone #: 72 Q — you an employer? Check the appropriate box:❑ [Are I am a employer with 4. ❑ I am a o beneral contractorand Type of project (required):--_ (full and/orpart-time),* I Iemployees have hired the sub -contractors 6. ❑ New construction. am a sole proprietor or partner- ship and have no employees listed on the attached sheet t 7• ❑ Remodeling working for me in any capacity. These sub -contractors have workers' comp. insurance. 8' Demolition [No workers' comp. insurance 5. ❑ We are a corporation 9' ❑ Building addition 3. ❑required] I am a homeowner doing and its officers have exercised their 10•❑ Electrical repairs additions . all work Myself P y .. [No workers comp. right of ex emptidn per MGL c. 152, � I (4), and we have 11. ❑ Plumbing repairs or additions insurance required.] t no employees- [No workers 12.0 Roof repairs comp, insurance required.] `•= oZ' applicant that cheks box �, must aso RE, ouC fc se ee•ov 13 0 Other =not ^rj +� a,�w • homeowners who suomit this affidavit indica ting the ,are dog aLwork and then hire outside contractors roust_ subm t a new +Contractors that ehec.'c this box must attached an additional affidavit indicating such. sheet showing the same of the sub -contractors and their workers' c� ,. , is , :-t--- -.. r_--- -- aM an employer mat rs providing workers' compensafion in y e or m information. f mployees. Below is the policy and job site Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration Pao e (showing olicy Failure to secure coverage as required under Section 25A of MGL 152canlead to ththe e impos�bof c er nrimmal penalties d expiration datea 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 of fine Of up to $250.00 a day against the violator. Be advised that a copy of statement maybe forwarded to the Office a Investigations of the DIA for insurance coverage verification I do hereby certify under the pains andpaWties ofperjury thrtr the formation provided above is true and correct Signature: Date.:._ �— Phone #: 6 Official use only. Do not write in this area, to be completed by city or town offciaL City or Town: Permit/License # Issu.1 . Authority (circle one): 1. Board of Health Z. Building Department 3. Ci /'Town p 6. Other t3' Clerk 4. Electrical Inspector 5. PIumbin,, Inspector Contact Person: Phone r: Information ant d Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every peon in the service of another under any contract of hire express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity; or any two or more of the foregoing engaged in a joint enterprise, and including the Iegal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association o$- other legal entity, employing employees. However the owner of a dwelling house having not more than three apart cuts and who resides therein, or the occupant of the dwelling house of another who employs persons to do mainte3nance, 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 co:impHance 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 un -til 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 cerdficate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLT) with no employees other than the members or partners,are not required to carry workers' comp ensation 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 store to sign and date the affidavit The affidavit should be ivtulued to the vitt' or to -.,,n that the app"ca ion for the pe gmt or jrrenee :4 bei reQ 2eSfed, not the Department of Industrial Accidents. Should you have any questions regarditxg the las, or if you are re�;�ired 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 Inve&dgations 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 like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The allThe Department's address, telephone and fax number.... Tle Commonwealth of Massachusetts DepartMent of Industrial Accidents Office of Investigations (500 Washington Street Boston, MA 0.2111. Tel. # 617-72.7-4900 ext 4Q6 or 1-977-MASSAFE Revised 5-26-05 Fay. # 617-72.7- 7 "/49 vrvTu,.mass.-aovkiia. \ }.0 �. • C) f . :0 _ ® \folO - z wo: ).a a'=Sxa2r.: w OD 2 > o qC L a��zLU § 2' ' / »§) x ' \CIO ? 7 § f < w s I - b/w 0 §.U) k ; o o @ z \ \ ® < \ PROJECT MANUAL FOR 57 CANDLESTICK ROAD, NORTH ANDOVER, MA SECOND FLOOR FRAMING MODIFICATIONS 4.June.2010 prepared by: Structures North Consulting Engineers, Inc. P.O. Box 8560 Salem, MA 01971-8560 (978) 745-6817 for: Scott Devine 439 South Main Street Andover, MA 01810 Drawing Index: Outline Specifications SKS-1 SKS-2 2 pages Reference Elevation Beam Section Edward H. Moll II, P.E. MA Reg. No. 33718 57 Candlestick Road North Andover, MA Structures North 4.June.2010 Outline Specifications for Second Floor Framing Modifications and Associated Supports General Scope of Work 0.0 The intent of this work is to replace an existing section of load bearing wall and provide support to the existing perimeter foundation wall and existing first floor main beam. 0.1 Prior to the removal of shoring, the work depicted in sheets SKS-1 & SKS-2 must be completed. The Structural Engineer shall verify completion of this work prior to removal of shoring. 0.2 Shoring must continuously support all beams where column/post supports are to be removed and replaced or reinforced during the removal and replacement of the column/posts supports until new, permanent supports are in place and the concrete of new footings and grout below bearing plates have cured for at least 72 hours. 0.3 The contractor shall be solely responsible for all means and methods of construction employed on this project including all temporary bracing, support and protection of the existing structure as required to maintain safe and stable conditions. Any sequences of work or methods indicated or implied in the documents are presented only as assumptions on which the design of the permanent installations are based and are to be considered as a suggested option for review by the contractor. Contractor shall be solely responsible for maintaining the safety and stability of the structure and all adjacent structures as well as occupied spaces above the work area during construction. 0.4 Contractor shall field verify all existing conditions and dimensions and shall coordinate all dimensions. Notify the engineer of any discrepancies that would affect the installation as shown. 0.5 All work shall conform to applicable requirements of the Massachusetts State Building Code, Seventh Edition, and accepted construction practice. 0.6 Refer to sheets SKS-1 & SKS-2 for additional information and requirements. Shoring and Bracing - Requirements of Work: 1.0 Contractor shall be solely responsible for all means and methods of construction employed on this project, and for all temporary bracing, support, and protection of the existing structure. Provide and install shoring designed to support the temporary structural loads of the supported items. 1.1 Shoring shall be of any material, which is suitable for the application. Timber shoring shall be fully dried and all end grain shall be sealed to prevent absorption of water and associated swelling. Shoring shall be made stable, stiff, and snug fitting so as not to deflect under load. Pre load supported elements for snug fit only. Shoring shall deflect no more than the given span length divided by 600. 1.2 Bearing surfaces of shoring shall provide for proper transfer of loads to supporting and supported elements. 57 Candlestick Road North Andover, MA Page 2of2 1.3 Adequate shoring and bracing shall precede structural alteration. Structures North 4.June.2010 1.4 Screw-type shoring posts or line shoring shall be provided for existing work during the removal of existing bearing walls and structural members and the installation of new structural work. 1.5 Temporary shores shall be placed as close as practicable to the existing structural work being removed. 1.6 Headers shall be placed across top of shoring posts and shall be snug tight against underside of structure above. 1.7 Shoring shall bear on sleepers to prevent damage to the structure below. New/Existing Wood Framina - Requirements of Work: 2.0 Maintain support and bracing to existing structure during work. 2.1 Wood joists, blocking, posts and plates shall be SPF #2 or SYP, #2 or better. Shims shall be cedar. Laminated Veneer Lumber (LVL) shall be "Microlam" as manufactured by Trus -Joist Macmillan, or approved Equal - Fb=2900-psi, E=1,900,000 -psi, Fct=750- psi, Fcpa.11.1=2310-psi, Fcpep 750 -psi, F,=285 -psi. 2.2 New plates for flitch plate assembly shall be ASTM A36. 2.3 Bolts for structural wood connections shall be ASTM A307 with standard cut washers provided between the wood and bolt nut. Bolt holes in structural wood shall be 1/16 inch larger than the nominal bolt diameter indicated. 2.4 No wood members shall be notched unless otherwise noted on the drawings. Notches called out on drawings must not be over -cut, and any members that are over -cut at notches shall be removed and replaced at no cost to the Owner. Existing members that are to be cut to allow for a new flush -framed condition shall be cut no more than required to allow for the installation of new structure, and any members that are cut back beyond 90% of the hanger seat shall be sistered with full-length members at no cost to the Owner. 2.5 All new and existing members to be supported or re -supported by new structure shall have Simpson type LU, HU, HUS or approved hangers. Hangers must fit the full width and depth of supported members, and under no circumstances may the hangers be modified. Under no circumstances may post caps, bases or hangers be bent to fit the dimensions of the structural members; shims shall be used to fill any dimensional discrepancy within 1'/2". Any existing hangers that are installed improperly shall be removed and replaced with new hangers per the above requirements at no cost to the Owner. End of Outline Specifications co II I I I Lo �w IE 1SOd 9X -b MIN C/) w> II �c I o�! wW wz J� (D m� QD cL l V O J O z (nn©z J � xO W U U II QI-- c I OSI T zp OD-j�1 U II (n Cl-cn ---n J O C I I Lli : w U— w W z�LnOQ OW I� J I.. W. cn(n J W NCN I —� ►� w CN Q A � �cn-W— I W z x E w� I I `--•I.I C� co co .._.. i p p II I y v Y Nt X WII ~ p ui Cr)C-) w zP x. ��� � "�►.� as C. U � I,d Z m y v`oj E W (!I O O ® � T C LL Z C O m ® O m 2^� Z � El CO) CD � jZ m °' o 0 _FT NEW (3)13/4x9X LVL FLITCH PLATE 2—ROWS OF 34"0 THRU—BOLTS W/ (2) t4" STEEL PLATES STAGG. (8" OVERALL SPACING) SECTION BETWEEN JOISTS SIMPSON—TYPE HU210 FACE—MOUNT HANGERS 00 ®®® Structures North Salem I Hartford 60 Washington St., Suite 401 Salem, MA. 01970-3517 T 978.745.6817 1 F 978.745.6067 ......fn,rfi,roc_nn.H. __ 2x4 STUD WALL UP TO 2nd FLOOR CEIL'G EXIST. FIN. FLOOR EXIST. SUBFLOOR EXIST. JOISTS REMOVE & PATCH CEILING AS REQ'D PROVIDE LINE SHORING W/ POST—SHORES AS REQ'D, CONTRACTOR IS SOLELY RESPONSIBLE FOR DESIGN, INSTALLATION & SAFETY OF EXISTING CONSTRUCTION SECTION C EXISTING JOISTS JOB NAME: 57 Candlestick Road, North Andover, MA 16" 0. C., DRAWN BY. GMN I CHECKED BY: EHM I SCALE: 1 " = 1'-0" I DATE: 6/4/10 I Beam section SKS-2