HomeMy WebLinkAboutBuilding Permit #267 - 671 JOHNSON STREET 10/11/2007 V40RT#1
BUILDING PERMIT 01*
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
C CHU
HU
Date Issued:
IMPORTANT:Applicant must complete all items on this page
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47
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FPA"R, M ZONING
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building n iWi
Addition Two or more family industrial
Iteratio No. of units: Commercial
e_pair, rep6_6eihent Assessory Bldg Others:
Demolition Other
Septic J
'District
W",te-t!4.
b d
DESCRIPTION Of WORK TO BE PREFORD:
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Identification P16ase Type of Print Clearly)
OWNER: Name: Phone:
Address:
a. Y .
A" M11"n'l-01 -
b T,
!�MOTqM
4,en
U
P
P.,
ement-LIcens
ARCHITECT/ENGINEER P?,e e3
Phone:
Address: 57 Aye i��_e
1Reg. No.
�-i -�-A L .)e-"4/ ,�l
FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $ IN
Check No.: Receipt No.:
L
NOTE: Persons contracting with unregistered contractors do not have access to th gu antyfund
JgRa ur6
na.qre:.�,bffAa'&hVO.Wner.:i4,_ of contras 'r
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
DATE REJECTED DATE APPROVED
CONSERVATION
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Plannipg Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT Temp Dumpster on site yes no..
L-ocated.at 124=Main Street: . = ;'
f>tre Departmen#sjgnatureXdate
COMt�IfENTS
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.$100-$1000 fine
NOTES and DATA— For department use
❑ Notified for pickup - Date
I
Doc.Building Permit Revised 2007
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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
❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location u �/ z_
No. Date j /- 0 7-
�ORTM TOWN OF NORTH ANDOVER
O��«ao 'a 1MO
►O. 9
* ; ; Certificate of Occupancy $
MU `� Building/Frame Permit Fee $ M b
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # �
2W 41(
uilding Inspector
NORT1y
Tolwm Of
No.
dover, Mass.,
;LQ LAKE
COC MICKE W ICK
S'RATED p` ,�GJ
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
�+ BUILDING INSPECTOR
THIS CERTIFIES THAT..... � ........ . �h. .. r .. ............................................................... Foundation
has permission to erec ...................................... buildings on �. ' .h. l .......... Rough
to be occupied as... ......C.C.1 ......... iy
........ �i '.......� ........ � M, Chmn e
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS ONSTRU O TS Rough
Service
SPECTOR
Final
Occupancy Permit Required to Occupy Building - GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner-`- - - - F
Street No.
SEE REVERSE SIDE Smoke Det.
- I
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
y
s� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / Please Print Legibly
Name (Business/Organization/Individual): L(
Address:
City/State/Zip: Phone #: � (4-516;1—
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑'I am a sole proprietor or partner- listed on the attached sheet. [J Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. [:1 We are a corporation and its
officers have exercised their 10.❑ Electrical repairs or additions
required.]
3.❑ 1 am a homeowner doing all work right of exemption per MGL 1].❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] fi employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information.
f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under th pains and,penalties of per'ury that the i formation provided above is true and correct.
Si nature: [/ OVA Date: / �22-L
Phone#:
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
. PROPOSAL
Allen Consyruction co. Construction supervisors PROPosALNO.
86 Andover st. License0
040927
North Andover,ma.01695 Nia.Reg.#1697 0 SHEET NO.
962.
97$-375-6916cell cATESunday Sept.16
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: 200-1
NAME ADDRESS
ryi '-c r nri Soren;, Pon,sovoy 571 t)'oinsofl
ADDRESS iit31? C
671. Johnson s j'.
north Andover,ma.018 5 DATE OF PLANS
PHONE NO. 978-79 -1811 Home ARCHITECT
978-76--7575m ke. cimil
We hereby propose to furnish the materials and perform the labor necessary for the completion of -
Carr i n 7 1--ar+ on the h>a:aCl.;!nis I�vc%1 ' rt t. r rr -2 r s
is e:.posed and h.--s a lal. l.y column in rhp a rox.c�rtnr. It sup art=t the floor,
.,a1 Islany live loads ane other clear', loa,3n.Th.i ---ill ha contiriuous f'ro=.:
tree foundation -all to the othor coi;`tn inside t ire !'all. - 7t �:'11T. he 811in clr' -Lh
SO is --!il ! not protrude c'r'y-ua?'t1. .Th sire Fall will ',)e temporarily
00c'ned up so na,. earn can Zre s7 ide in. Floor ..; 11 'mr, +:l-roorarily supported ,.*hil
yn rrnauvp L4X Stingf I a I I y !nS1dr- t lie `ra I I corner
1 orFaned U .t;H3 floor !!Ill I-e Ctl L o .en so a ne. -! '' 'base can b€� pniirpri .
sun art the concentrated floor ano1 ,.a 'cls --i1I be patched aftr+r bear-
1!4 bear-
1!4inEtalled.Custonsr response le for sup_�ly ng floor les.Fxisting floor joi s
s nets 5eam on -lood v)1ocicing.finish the ce 1 ngn
> ci r.`a t� of a
1 T' ry
All 0 uIll he remin,%rec! _ r
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of
Eight thousand three hundred seventy six Dollars (s $376.000 )
with payments to be made as follows. 500edo'in required 188 .00. Ba lance due at completion
188.00
Respectfully submitted
Any alteration or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge Per
over and above the estimate. All agreements contingent upon strikes, ac-
cidents, elays beyond our control.
r`,t , �,�5+� Note—This proposal may be withdrawn
by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. are authorized Ui do the work
as specified. Payments will be made as outlined above. /
both artier must sign parties 9 propsal Custome0'1�91
prior to the star%; of the job Signature n
Date ""- d� Signature
Contractor;
0, NC 3818-50 PROPOSAL
i
�
Board o Bwl mg egu ations�and tan ars License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registratio t 109740. Board of Building Regulations and Standards
Expirat"an..�/ q/2008 One Ashburton Place Rm 1301
Tye DBA,P
Boston,Ma.02108
ALLEN CONSTRU6TI6N CO ;_ €hM
ROBERT ALLEN
f > s
86 ANDOVER ST
N ANDOVER, MA 01`84'S A '_4 Deputy Administrator Not valid without signature
1�7-lze -r�o�rr�.r�o.uueal� o�../�aQeactauaetta
Board of Building Regulations and Standards
i
Construction Supervisor License
License: CS 40927
Birthdate 4/1957
Pratiori 5/ /2p09 Tr# 12542
0t w
ROBERT W ALLEN
86 ANDOVER ST �y iia"'��-- � -9
N ANDOVER,MA 01845 toipmissioner
w
COLLOPY ENGINEERING CONSULTANTS
65 AYER STREET METHUEN, MA 01844
FRANCIS H.COLLOPY RESIDENCE:(978)685-7969
REO.PROFFESIONAL ENGINEEER OFFICE!FAX:(978)685-8069
CIVIL
STRUCTURAL
DYNAMICS
October 10, 2007
Mr Bob Allen:
Allen construction
86 Andover St
No. Andover, MA 01845
Dear Mr Allen:
I am writing in regards to my site visit and inspection of earlier today at the Pansovoy Residence
at 671 Johnson St., in North Andover. This is a split level style house. I reviewed the existing
framing below the first floor level consisting of 2 x 8 joists being supported by a main beam
consisting of a triple 2 x 12 girder that is supported on tally columns at approximate 12.ft spans.
The Owner wanted to remove a number of these lally columns, resulting in two spans of
approximately 24'-8" and 19'-6". In order to achieve these spans, it was necessary to design two
steel beams to accommodate the design loading of the first floor area above. I have enclosed
herein, an engineering design sheet, Sheet D1, showing the layout and dimensions of the
framing. Also included are the engineering computer printouts of the two beams shown on
Sheet D1. Sheet D1 shows the required support columns, the new required footing under the
two new lally columns near the middle of the house, and a detail for the flush framing necessary
in order to increase the ceiling height in the location of the main beam.
If you have any questions in this regard, please do not hesitate to call this Office, and we can
discuss it further.
Sincerely,
COLLOPY ENGINEERING
Francis H. Collopy, P.E.
Structural Engineer
Attached: Design Drawing D1
Two Computer Design Printout sheets
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Collopy Engineering Consultants
Structural Analysis
BeamChek v2.4 licensed to.Francis Canopy Reg#7121-1001
Pansovoy First Fir Bm Remove Column_
Bm 1 Prepared by: FHC Date: 10/10/07
Selection FW 8x 58 50 ksi Wide Flange Steel Lateral Support at: Lc=7.4 ft max.
Conditions Actual Size is 8-1/4 x 8-3/4 in.,
Min Bearing Length R1= 1.3 in. R2= 1.3 in. DL Defl 0.21 in Suggested Camber 0.32 in
Data Beam Span 24.7 ft Reaction 1 LL 5508# Reaction 2 LL 5508#
Beam Wt per ft 58.0# Reaction 1 TL 7608# Reaction 2 TL 7608#
Bm Wt Included 1433# Maximum V 7608#
Max Moment 46977'# Max V(Reduced) N/A
TL Max Defl L/240 TL Actual Defl L/381
LL Max Deft L/360 LL Actual Defl L/526
Attributes Section(in 3) Shear int TL Defl in LL Defl
Actual 52.00 4.46 0.78 0.56
Critical 17.08 0.38 1.24 0.82
Status OK OK OK OK
Ratio 33% 9% 63% 69%
Fb(psi) Fv(psi) E(psi x mil)
Values Base Value Fy 50000 50000 29.0
Base Adjusted 33000 20000 29.0
Adiustments YP Factor, Lc 0.66 0.40
Loads Uniform LL:446 Uniform TL: 558 =A
11 OF
+ FRANCIS H,
�
Uniform Load A COLLOPY172
o TE
R1 =7608 R2=7608 rpHA�EN
SPAN=24.7 FT
Uniform and partial uniform loads are lbs per lineal ft.
Collopy Engineering Consultants
Structural Analysis
BeamChek v2.4 licensed to:Francis Collopy Reg#7121-1001
Pansovoy Celler Bm Main Bm
Bm 2 Prepared by: FHC Date: 10/10/07
Selection W 8x 31 50 ksi Wide Flange Steel Lateral Support at: Lc=7.2 ft max.
Conditions Actual Size is 8 x 8 in.,
i
Min Bearing Length R1=0.9 in. R2=0.9 in. DL Defl 0.15 in Suggested Camber 0.22 in
Data Beam Span 19.5 ft Reaction 1 LL 4349# Reaction 2 LL 4349#
Beam Wt per ft 31.0# Reaction 1 TL 5743# Reaction 2 TL 5743#
Bm Wt Included 605# Maximum V 5743#
Max Moment 27996'# Max V(Reduced) N/A
TL Max Defl L/240 TL Actual Defl L/390
LL Max Defl L/360 LL Actual Defl L/515
Attributes Section(in 3) Shear int TL Defl in LL Defl
Actual 27.50 2.28 0.60 0.45
Critical 10.18 0.29 0.98 0.65
Status OK OK OK OK
Ratio 37% 13% 62% 70%
Fb(psi) Fv(psi) E(psi x mil)
Values Base Value Fy 50000 50000 29.0
Base Adjusted 33000 20000 29.0
Adiustments YP Factor, Lc 0.66 0.40
Loads Uniform LL:446 Uniform TL: 558 =A
Uniform Load A
tK OF
R1 =5743 R2=5743 0?
SPAN= 19.5 FT FRANCIS H.
COLLOpr
Uniform and partial uniform loads are lbs per lineal ft. v 20172