HomeMy WebLinkAboutBuilding Permit #1103-15 - 67 SETTLERS RIDGE ROAD 6/22/2015 BUILDING PERMIT o`�,t,.Eo ,6gtio
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION `•
Permit No#: I Date Received 7 �,<?ATE
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gSSACHUs��
Date Issued: �d
� IMPORTANT: Applicant must complete all items on this page
LOCATION �U of P('S
rin
PROPERTY OWNERDVfat
a ffit^
Print 100 Year Structure yes no
MAP _PARCEL:�c d� ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building k-ehe family
❑Addition ❑ Two or more family ❑ Industrial
0Iteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
Rater/Sewer
DESCRIPTION OF�WORK TO BE PERFORMED:
4 SCac
Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address:
Contractor Name 6''�` Wulso Phone: a -
Email: c,m-
Address:
Supervisor's Construction License: CS'109 D Exp. Date: Y d Y d
Home Improvement License: t Exp. Date:
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: $ l goo FEE: $
Check No.: l v�i Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have a c o the uaranty fund
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
0
TYPE OF SEWERAGE DISPOSAL
L Public Sewer ❑ Swimmin Pools ❑
Tanning/Massage/Body Art ❑ g
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF o U FORM
PLANNING & DEVELOPMENT Reviewed On(/ ;;�50/j- SignatureAW,,:-�,_.
OMMENTS��i«wl� ,(�-
CONSERVATION Reviewed on as I,S Sign ture
�'� L A—
COMMENTS
r'vj
HEA:zTH Reviewed on Signature
COMMENTS l v
2L—��4
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Cons-Irvation Decision: Comments
Wafter& Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street_
FIRE�DERARaTMENtT Tempi®umpster onsite ,yes„_ _ sno�___ a
�. ._. _
-
► Locatedlat 12,4tMaintSf�eet
Fre D:epartmentr s_gnature/ a ,-_
COMMENTS, -
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
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
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)
;r! 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)
• Building Permit Application
• Certified Proposed Plot Plan
Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
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
Location
r
No. 6 Date
. - TOWN OF NORTH ANDOVER
Flo)16as
Certificate of Occupancy $
Building/Frame Permit Fee
x
Foundation Permit Fee !$_
Other Permit Fee —
TOTAL $
Check#1
`� .b Building Inspector
Peluso
PAINTING & RESTORATION
Patrick Comeau
patrick@pelusoservices.com I C 978.337.4438
325 Main Street, North Reading, MA 01864 1 P 978.664.4300
• Exterior Painting
• Interior Painting
• Wood Rot Repair "
• Decks&Patios
• Carpentry
• Construction Site
Management
• Listing Enhancements
• Home Concierge Service
NORTH
Town of E71" ndover
0
No. -
h ," ver, Mass,
OI-AK 1,
A_ COC"I C.t WKu V
Jd AOR�ITED �`P���S
S
BOARD OF HEALTH
PER IT T D Food/Kitchen
Septic System
•
THIS CERTIFIES THAT ............1.... Y&..�-t.f.(.*4 W. ...... ............. .
BUILDING INSPECTOR
Foundation
has permission to erect .......................... buildings on .40 ...... r� . . .. ...... ... .f. ..............
p Rough
1 . 1. ?is ........t.
to be occupied as .... .. ..... ..................................................................................... Chimney
provided that the person acceptingpermit 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 and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONT S ELECTRICAL INSPECTOR
'51UNLESS CONSTRUCTION A Rough
Service
..................... ........ ... ..... ................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Services, LLC
325 Main St.Suite 301
North Reading,MA,01864
Tel: (978)-664-4300
Website:www.pelusoservices.com
Email:patrick@pelusoservices.com
Invoice Number:
To: Phone: Date:
Sarah and David Torrisi (617) 320-1324 06/04/2015
Street Address:
67 Settlers Ridge Road
City: State: Zip Code:
North Andover MA 01845
Job Name: Job Location:
DavidTorrisi@comcast.net
Job Description:
Construct new 16x14 deck
Project Start Date:Tuesday June 16th, 2015
Project End Date:Thursday July 2nd, 2015
Payment Plan for proiect
1st payment: $3,000.00 Deposit
2nd payment: $5,000.00 ( Due Thursday June 18th, 2015)
3rd payment:$4,000.00(Due Wednesday,June 24th, 2015)
Final Payment: $1,875.00 (Due Thursday July 2nd, 2015)
Total Due:$3,000.00
Please make checks payable to Peluso Services,LLC
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Post SKU Description
0 CUT FROM Radiance Express Post Sleeve.8'. Black
• DT-251044RADEBL Radiance Express Post Sleeve.39", Black
DT-251044RADEKO Radiance Express Post Sleeve.39", Kona
DT-251044RADEKO Radiance Express Post Sleeve,39". Kona
DT-251044RADEKO Radiance Express Post Sleeve.39". Kona
DT-251044RADEKO Radiance Express Post Sleeve.39", Kona
Rails
Section X-ref Cut From
D DT-25108RADELBL (Radiance Express Rail Pack 8'. Black)
C DT-26108RADELBL (Radiance Express Rail Pack 8', Black)
A DT-25108RADELBL (Radiance Express Rail Pack 8', Black)
B DT-25108RADELBL (Radiance Express Rail Pack 8'. Black)
G 9 DT-25108RADESBL (Radiance Express Str Rail Pack 8'. Black)
E 10 DT-25108RADESBL (Radiance Express Str Rail Pack 8', Black)
I-{ DT-25108RADESBL (Radiance Express Str Rail Pack 8'. Black)
F DT-25108RADESBL (Radiance Express Str Rail Pack 8', Black)
Design: Deck15160 *** SilverScreen Solid Modeler 9.23.0 Demo License ***
Deck. 2 of 2
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LABEL LENGTH COUNT SPACING
A 15' 10 1/2" 3 7' 2 1/2"
Post spacing is measured center-to-center.
Depth of concrete footers --- 0"
*** SilverScreen Solid Modeler 9.23.0 Demo License ***
STRESS ANALYSIS FOR LEVEL 2
CUSTOMER: DAVID
DATE: 06/22/15 DESIGN: DECK15160 REF: 15160112 . ZP1
SALESMAN #
- -- -- -- -- --- ------ ------ ------------------------- - -----
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
- -- -- -- ----------------- -------------------------------
JOISTS 2X10 DEFLECTION 123 PSF
16" BENDING 115 PSF
SHEAR 122 PSF
COMPRESSION 242 PSF 115 PSF
BEAMS 3-2X10LM DEFLECTION 265 PSF
BENDING 138 PSF
SHEAR 114 PSF
COMPRESSION 372 PSF 114 PSF
POSTS 6X6 STABILITY 832 PSF
BEARING 588 PSF 588 PSF
-- -------------------------------- -
TOTAL LOAD 114 PSF
DEAD LOAD 10 PSF
LIVE LOAD 104 PSF
- -- - -- - ---- ---- -------- --------------------------------
STRINGERS 2X12 DEFLECTION 56 PSF
BENDING 92 PSF
SHEAR 137 PSF
COMPRESSION 598 PSF
---------------------------------- -
TOTAL LOAD 56 PSF
DEAD LOAD 10 PSF
LIVE LOAD 46 PSF
- --- -- --- ----- ------- - ------------------------------- --
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The Commonwealth of Massachusetts
Department of Industrial Accidents
a 1 Congress Street, Suite 100
Boston, MA 02114-2017
a www mass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED WITH THE PERMITTING AUTHORITY.Applicant Information �� Please Print Legibly
Business/Organization Name: + y=-,.�
Address: _n'I,4i l;✓
� SLJ
City/State/Zip: z4wP iKe #: 4
Are yo n employer?Check the appropriate box: Business Type(required):
1. I am a employer with employees(full and/ 5. ❑Retail
or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no 7.
employees working for me in any capacity. ❑ Office and/or Sales(incl.real estate, auto,etc.)
[No workers' comp.insurance required] 8_ ❑Non-profit
3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152, §1(4),and we have 10.❑ Manufacturing
no employees. [No workers' comp. insurance required]*
4.❑ We are a non-profit organization,staffed by volunteers, I I.[] Health Care
with no employees. [No workers'comp. insurance req.] 12.0 Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information
**lfthe corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:_ ('
Insurer's Address: 27V O f Ak wC<l�,IA)L —:STE 2-6/C)
City/State/Zip: C
Policy#or Self-ins.Lic.# L 3 , 3 p 7_ G
—: x iration Date: ( 1�
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 e. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage ver' kation.
I do hereby certifj-,and the pains and p nalties of perju rat the information provided above is true and correct.
Si nature: Date: r
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.Licensing Board 5.Selectmen's Office
6.Other
Contact Person: Phone#:
++mw mass gov/dia
Massachusetts-Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor r�^�
License: CS4025N
THOMAS M PELVO
200 Chandler Row! ID
Andover MA 0180
Expiration
,Commissioner 04/04/2017
Office of Consumer Affairs&Business Regulation
%E�
IMPROVEMENT CONTRACTOR
n: 169554 Type:
tion: 7/5/2015 Individual
THOMAS PELUSO
THOMAS PELUSO
2 GARFIELD LN.
N.ANDOVER,MA 01810
Undersecretary
i f
�� n�/tc�nrreiirairrnrriflf o����rsscrc�rrscfls
Office of Consumer Affairs&Business Regulation
rOME IMPROVEMENT CONTRACTOR Type
egistration: 159554
Expiration: 7/5/2015 Individual
1
{ THOMAS PELUSO
THOMAS PELUSO
2 GARFIELD LN. mss'
N.ANDOVER,MA 01810 Undersecretary