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Miscellaneous - 111 PHEASANT BROOK ROAD 4/30/2018 (2)
111 PHEASANT BROOK ROAD 210/106.B-0227-0000.0 a I / Eli MASSACHUSETTS UNIFORM APPLLCATION:FOR PERMITTO OOVPL.UMS!(���t+��'�$ ` (Type or Print) NORTH ANDOVER ,Mass. , - Date. Building Location l ii �e5,4iu7' i"o�1e1 DoT �` Permit Owners Nam All Fi v New Renovation Replacement 0. Plans Submitted ' FIXTURE tQ hh- O as O Z � � Wr i j 9 2 , . O 41 W f- w Ql la. V W .( Vl iL z ` � J lr C O Z a Q O z cc p, Q v z o �• �' w � a4 03 n a Q3 z a a aF c t- t- O .l acc aL IC is w x a �• O z X. Y a O t- 4 Q w i N U Y l✓ O x d O N (" z O VJ z W l' .O 'Q t' < a x rn. arf Q a 0 a p a s rr a .Q O �3 x .� m � o o -� 3 x t- a, u. o � o •c 3 a os o. +•� � '� ` SuB--BSMT. BASEMENT t {', 1ST FLOOR s . 2ND FLOOR t jI &,i e x r 3RD FLOOR 4TH FLOOR , f Nt 3 t STH FLOOR �a �:it 6TH FLOOR ' r k E k; c3 r r 7TH FLOOR 8TH FLOOR (Print or Type) '. Check 'o'ne' Certiflcate � Installing Company Name �f9/"I� G� 9-fNe Address 5,- A. � Partner, µ X40.. M1 i A7 C7"�Ll,--A. , A-A 4 Aye Cj F i r..m/'EQ Business Telephoned �a� g 3-� 5.��5 } . r Name of Licensed Plumber: s Insurance Coverage: Indicate the type of insurance coverage by checking the, fi , 44 appropriate box: Liability insurance policy Other type of indemnity Bond �, Insurance Waiver: I, the undersigned, have been made aware`t:that%the licensee_Af t this application does not have any one of the above three insur .ncea:co�rerag�e Signature of owner/agent of property Owner Agent') , I hcceby certify tial all of the details and information 1 Nave submitted(or entered)in above appliolion are true and ratrao Utq•Ixtt -- knowledge and that all Plumbing work and installations performed under Permit issued for this application will be incompliancewith all PCttuuM pro visions of the Massachusetts State Plumbing Code and Clapter 142 of lite General Laws. j By Title gignature of Licensed Plumber. a` Tvpg_ of Plumbing License 4 I City/Town: / 8" `7 S APPROVED (OFFICE USE ONLY License Number ❑ Master [ Journeyman 6 34 3 81 ,OR TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING Ar- ACHUS Thi� ce i I that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9tz//A--- - - - - - - - has per�nissi6n-io?pe'rforni---;,.-,A.,C"�. 4g�ee .�. plunibing thembuildings of . . . . . . . . . . . . . . . . . . . 'at. . . North Andover, Mass. F g:rV' . 17 .0, . . . . . . . . . . . . . . . . . . . . . . . . e Lic. 05;�� PLUMBING INSPECTOR 08/14/97 12:14 270-00 PAID WHITE�Applicant CANARY: BUilding Dept. PINK: Treasuier Date . .F: Zn TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . � . !S! -z . . `''. . t . . . . . . . . . s �o . . C„5��2 f has permission to perform . . . . .. . wiring in the building of . . . . . . . . . . . . . . . . . . . . . . at . . � P � T',C���� . .4 . . . . ,No�rt—h- Andover, Masi. ©� r Fee � . . . . Lic. No. a. . . . . . /U . . . . ELECTRICAL INSPEC OR �W Check# 31 ZSO 1. 0993 l 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or cotporatiowstated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time ofongoing construction activity,and may be-deemed-by.the 7nspector_of_Wires abandoned-and.invalidaf_he—__. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 1)/278 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permi ❑Permit Extension Act—Permit/Date Closed: Commonwealth of Massachusetts Official Use Only " Permit No. � Department of Fire Services } Occupancy and Fee Checked 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] J" (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 119, City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) " RPh eos&r� 9/../<F la Owner or Tenant v r /y Q/S 2/1 Telephone No. Owner's Address xQ the a 5 / c Ab/�, Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building res,J e e-c Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: fn 5J, o T P !moi I j F�C- 1 9' + /bC✓t1 m G h aC r- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. TotTons No.of Alerting Devices ais Heat Pum Number Tons KW No.of Self-Contained No.of Waste Disposers osers Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Sectio.of System :or Equivalent P No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H a Bathtubs No.of Motors Total HP Y Y dromassa g Telecommunications Wiring:No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Ylecyical Work: lio 0 O (When required by municipal policy.) Work to Start: 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [/]BOND ❑ OTHER ❑ (Specify:) I certify,under the p ins and penalties of erjury,that the information on this application is true and complete. FIRM NAME: . f a lug AC f erg LIC.NO.: Q 152,6 A- Licensee: A A41f Ei d Signature LIC.NO.: /,3&o 3 g (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: 9'/ Asf /A �eA/aurs IYA Alt.Tel.No.: 971509 *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. � y i ._ �i,�.l�i(L;�.Ci.�1.r,Eist�/(�E�-�r[J i.IF'/fJ.�yA.���yyepS.�•I�®�� pP�`Qpj;{,a�•(' //''�� ��t�l�J'.i�aSll.'V.l'4 .0 V�1+.o ME � �nspectoxs'�ap�e�ts: • LEE (JCnsp eeoxs� zguatuxe x oitiaTs) Slate �'asse�•--j � �'aiTet�--j � � �e-xnspectso�,xe�uixe�(��Or00)-•j � _ . 3it�pectoxS'coJnm�exits: . ps�adoxsl ftnatare•-310 xxtxtials) Slate 'assed•-j � �'a�Iec�_C � �e-fus�ectzo�,xer�uixe�(��4.00)�j � r awectors,comments. ��uspectoxs' ignatuxe�aoit=aTs) ]ate ' NMI--C � �e xnspectiox�xequire�( 50.00)�j � ' ,,pectbxs'eoxnme�fs: . Oc4spectoxs,8ipature--io MUS) Date ted.--j � �+'aztec�•-j �. '�te�nspectioxtxeguiYe�(��O.ODJ�j � ectox�'covtm.e.ats: ' S ' �liRspectoxa' zgnatuze x�o nitfals) Pate ' 5 n-R TA G-..q AV To RT+`-Off'{V,,-O OITT An TXFt T W,RYTO+,'dT-+`WSC;.AI?'F A,TO BE MSTEO'ED Pq NOT The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly f Name (Business/Organization/Individual): �� l ( � u q Address: City/State/Zip: M-44n�ler Phone 4: 9 2 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. $ E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. w kers' comp.insurance. Y p tY• 9. ❑Building addition [No workers' comp.insurance 5. a are a corporation and its 1 required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL ILEI Plumbing repairs or additions myself. [No workers' §1,152 4 c.comp. ,and we have no p ( 12.0 Roof repairs insurance required.]i employees. [No workers' //�� comp.insurance required.] 13. Other /moo r C,r 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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. ram an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 'nformation. assurance Company Name: v s�cy, c c. e l5i/ U I'- . ?plicy#or Self-ins.Lic.#: ( 15Y Expiration Date: 9 2 S 2©f2 'ob Site Address: 2 C �e t Cu a e City/State/Zip: �51�� ,. $tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ,ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ha >i nature: Date: .7 / 'hone#: 79 SU 9 /7 l/ 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#: f Date. . f. . 95'i TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING . �504 SSAtMUs� ,/f This certifies that . . . IC.4..4. . . . . . . le"9. . . . . . . . . . . . . . . ;F. l is has permission to perform . . . ,Awr . . . . . . . . . ., plgbing in the buildings of . . . . l/1�ef,.sc� . . . . . . . . . . . . . . . . . . . . at . . .1�� . l/. tk. w ., Orth Andover, Mass. " . r z. Fee. t1�O!�.Li c. No. � 1� !' f7. ✓" . . . . . . '> PLUMBING INSPECTOR Check ff r; Date. � / .. . ... f pORTF� ti0 o? °` TOWN OF NORTH ANDOVER. 410 • PERMIT FOR GAS INSTALLAVON h � �,SSACHUSESt �. '. This certifies that . . . . . .9. . . . . . . . . . . . . . . . rf. . . . . . / has permission for gas installation . . Al. in the buildings pf . . . . /l2 . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .144 —A q-�1!??'. . . . . . . No h An ov , M s Fee, .&Gq. . Lic. NO.. / . . . . . .: ; GASINSPECTOR f Check# '21 Z 8.277 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK - = CITY NORTH ANDOVER MA DATE 07/30112 PERMIT# JOBSITE ADDRESS[111 PHEASANT BROOK LANE OWNER'S NAME NELSON G OWNER ADDRESS TEL[::::::::=FAX .. . ... TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL Ej RESIDENTIALE' - PRINT CLEARLY NEW:01 RENOVATION: REPLACEMENT:E3 PLANS SUBMITTED: YESE] NOM -- -- APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 .11 12 13 14 BOILER 1 ��. _ .."�_ 9 . BOOSTER . .' -.� m..�....� ,-... .. CONVERSION BURNER ' .��,� �. COOK STOVE .., .. _ 3 _... ...F. DIRECT VENT HEATER DRYER _ i.,• - . FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER I µ f LABORATORY COCKS _ ' FI MAKEUP AIR UNIT 6 � OVEN AE- POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER ' UNVENTED ROOM HEATER _ WATER HEATER OTHER a. ". 1 � a I INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES F',�NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ! OTHER TYPE INDEMNITY Ej BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER l AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME 1 JEFF HUTNICK LICENSE 1 . N,.... SE# 5212, SIGNATURE MP MGF JP(: LLC[] LPGI CORPORATION #[21-� PARTNERSHIPS#I L LLC # _ COMPANY NAME: CALLAHAN AC&HTG ADDRESS 91 BELMONT ST CITY NORTH ANDOVER ^ ^� STATEMA ZIP'0184.4 r TEL 978-689-9233 _.. _� FAX CELL[ EMAILPLUMBING@CALLAHANAC COM MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK _. CITY NORTH ANDOVER MA DATE 07130112_._ PERMIT# JOBSITE ADDRESS LI11 PHEASANT BROOK LANE OWNER'S NAME NELSON P OWNER ADDRESS _.. . . .. _.._.. . TEL TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL El RESIDENTIAL PRINT CLEARLY NEW:El RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR- BSM 1 2 3 4 5 6 7 1 8 9 10 11 12 13 14 BATHTUB CROSS,CONNECTION DEVICE DEDICTED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM _. ... DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM _.. DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN, INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY 4 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING _ i 3 ? , E OTHER BACKFLOW FOR BOILER 1 v .. ... _ ......... - 3 3 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Ej OTHER TYPE OF INDEMNITY BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER El AGENT ) hey certify that all of the details and information I have submitted or entered regarding this application are a accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in colyppa ce 'h all P rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. NAME JEFF HUTNICK LICENSE# 15212 TURE LUMBER'S _.. MPE]I JP[I CORPORATION # 284Q.. PARTNERSHIP LLC E]# _ COMPANY NAME CALLAHAN AC&HTG ADDRESS 191 BELMONT ST CITY I NORTH ANDOVER STATE MA E ZIP LL1845 TEL 978-689-9233 FAX ' CELL EM PLUMBING@CALLAHANAC.COM Co�tzrnonwealth o Ifs �tTSSaCktuetl'S f -(Tartment of-111a"aast`rialAGcicl6ats 0- ace ofInvestigations W10shirr toll Street ,80stOn,ALA 02-71-1 \ti't�zi,els' C'orllpeusatiGn hastzntnce Affidavit: Y3tt ode s �tlar$fir:n / ct:ezz pi;i- i--- r Inf'oz nuaiiuzr l��ta�cz�ira /y lurubcrs 1"' " —�.—_ li'"1Z�t.Se• �SriuQ L,i:�'il.ily, ' ��'?!� (husinea�siOr�,ulizatiolt/lndividual) ' _ • . ----,�,�:__1�)�7� i 1,t,'— CS>�f7'�`-/ - :✓ %- — C1ll`/state '- ' -- :/Llp. j•;/ -r-� ,- Cid -----------._---- _-`.r yUu a - ---- i'holle �7-`: r,•� '",! 11 } ° CLteck tlli appropriate box: [12.Ej J -t,! 1 ulllae>?lployt,r with ? 4. ❑ I am a general contractor and Ial'pt-ujcIti (rcyraircd): 1plo)-ees (full and/or part-tune).* have hired the sub-contractors: m a Solt,proprietor or 1`�cw eollstruetloit sill parhler- listed on the attached sheet. keliludclihave no employeesThese sub-contractors have o for 111e iIl any capacity, employees and have workers' Demolllloll I�'o workers' comp. illstuatice comrz.quied,] p. insurance,t Building atldi.liolt 5• ❑ 'We are a corporation and its 11lonleowner doing all worlc officers have exercised their'[]oto workers' comp. right of exemption per NIGLltlmbirlg repai s ur dtltlitiun�L'sura.ilce required. t oofrepails ] 152, §1(4), and we have noemployees. [No workers' llier 'sur ce re �'� sFPii,�ti that checks boa#1 must also rill out t"t;section below showing aeu work rs�compensation Policy T 'ho submit this a.tttdavit indicatui�lhzy are doing all work and then hire outside compensation contractors the i this �x must attaclxed art additional sheet showing.t'1le narne of the sub-contractors p `s a mit uatlon. eelPl.yees. lr the sub must submit u new al`li lavil indicu!1no such. onrraotors have employees,they must provide their workers'comp.policy numUer_and state wlrctlter or not 1110sc cutitics Uavc jam W. etrrployer that isprovidizz� � _ rrrjorfrzutiuez a workers corrzperzsellion insurance for rzzy errzployees. .ZieCorp is thepolicy ural jab site lnsu�r1CC COMPany Name: ��t.t Gc.r P011Cj' Or Salt-urs. Lic. #: Job Expiration Daie:— - �rrCdazss: ACCaCL a copy of the tirorkers' co City/State/Zip:— F ilure to seCtu-e coverav x�ipensation policy declaration page ----- = 1? g (showlug the policy number a:ud expinAtiou crate). Ll.u- oe as required under Section 25A of MGL c. 152 c �'"� S1,500.00 and/or one-ye.,inl an lead to the imposition oferimi.nal penallies ol'a >f a to S2` pI'lsolullellt, as well as civil penalties iIl file forlil of a STOP W OI:K 01:DEk:klll(1 a line P )0.00 a day against the violator, Be advised that a copy of this statement may be forwarded nvcsri�ations of the DLA for insurance coverage verification. to the Oliice of :iJ tier�by certc fY under the pains unit penalties ofperjaary thatthe=the abu ve ntl correct. --- 1`r!13i1!rc C?j1;C,• 1 use Only. vo �zat►F�rite in dir.'s urea, tv be eoxrapleted by city or lawn official � - Ciry ur'fo)t•lt: ' lssuir7gg A itili .I�ermit/Livell.w t)ri 1. 1>oar'd ry (circle one): Uof Flealtll 2, Building I)epal•tllient 3. City/x'own Clerk 4. `---- 6. Otter Electrical.Inspectoz- 5. I,lulalbilig l.la.spt°ctor Contact Person: 1'h one#: Office Use Only u of :ffitto6ot4UB3dS Permit No. i9epartment of Publit %fetq Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 iso (leave bunk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1 s,ZY-9`— Q& or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) f�� PST 6c2�o iR.fD GF7! 9 Owner or Tenant Owner's Address 507 Is this permit in conjunction with a building permit-7r--�Yes No ❑ (Check Appropriate Box) Purpose of Building Q,Zoe—:540 460-0� Utility Authorization No. ® l6® Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service ;�:CX9 Amps 1AQJa:KQ Volts Overhead ❑ Undgrnd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work j&I�Z�" ! — Total r1J No. of Lighting Outlets No. of Hat Tubs No. of Transformers KVA � ISwimming Pool Above In- No. of Lighting Fixtures grnd. ❑ grn d. ❑ IGenerators KVA 3 No. of Emergency Lighting /No. of Receptacle Outlets I No. of Oil Burners I Battery Units J No. of Switch Outlets �/) I No. of Gas Burners / FIRE ALARMS No. of Zones Ranges No. of Air Cond. Total No. of Detection and No. of Ran 9 tons Initiating Devices No. of Disposals Dis No.of Heat Total Total P Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices I / Municipal �' No. of Dryers 6 Heating Devices KW Local 11 Connection Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP 4ir. O OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES A, NO = I have submitted valid proof of same to the Office. YES X, NO = If you have checked YES, please indicate the type of coverage by checking the appropriate box. e Specify) �.719,704)INSURANCE , BOND r OTHER -_ (Pleas _ (Expiration Date) Estimated Value of Electrical Work S 6S to'Cj Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME � O rvl C, , 0 4 LIC. NO. Licensee Signature LIC. NO. �r �. Bus. Tel. No. Address .3;15,1229 /c U ®�'�� �� D Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Age I (Please check one) 3 Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-6565 5 .::...:ji::vi:iii:::::::::is iiiiiifii:......>:: : ...........i.....,.....`....�........iii:iiiiiiiiiii::............:'ii :: :: i:.il.ii'.i...... :ii:is iiiii:ii.i; ..... .. iiiii:titititi:iiiii iiii» :Iii iiiiiii:$::;:, ... r DATE MM/DD/YY) >:.:::; .>:.:: .: :i: :i:EE:�:.;+: ..;...... ::: i::cc> i:::i: *i::i:i:: :;;: . p:.�## ;::.;:i: ii.i iiiiii:EE i:ii:i:i:i:iiii:>: 7 .RTI : G:::•::. :i'.::::. .Cil.� ::::.I � :. .:::::::::::::::::::::::::::::::::::::::::::. 07N0/9 ............... ........................... ..................... ............................................................... .................. ................................................. .:::::::.::::::::::::::::::.:::::::::.::::.:::.::::::::::::::.:::::.:::::::::.::.::::::.::::::.:::::.:::.::::.:::::.::.:::::::::.::::::..:...::::.::::::::::::::::::::::::.:::::..::::::.::......::::::::::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE For INSugWINSWIMICE GROUP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Eastpoint Plaza•Suite 103 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. • p COMPANIES AFFORDING COVERAGE 130 Main Street Salem NH 03079.3173 °oMPANY A National Grange Mutual INSURED COMPANY Chuck LaRoche B Depot Electric Service COMPANY PO Box 235 C Salem NH 030790000 COMPANY D :iii :.>:.;. ............:............::::.:::.::::::::::•::::::::::::•:::•:::::::::.::..::::::::.:.....:........................................*........:::.::...........:::............. *..:: ;;:.;:.::.::.::.;: ...:::.::::::::::::.::.... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY MPP74743 06/10/97 06/10/98 GENERAL AGGREGATE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 CLAIMS MADE 1 7X OCCUR PERSONAL&ADV INJURY $ 500,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE(Any one fire) $ 500,000 MED EXP(Any one person) $ 10,000 AUTOMOBILE LIABILITY ANY AUTO — COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ t, ........................................ .......... ....................... ........................................ ANY AUTO OTHER THAN AUTO ONLY: $ 7 EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU- 0TH- FRI EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERSEEXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE Is a r OTHER DESCRIPTION OF OPERATIONSA-OCATIONSNEHICLES/SPECIAL ITEMS i M1 G f.7`1::;::i�<:is:.<ic::::::::>:: ; ; > > r< »': >..............................'' ;<' '?> sz' > > ':>«> >[>;;< f >:;;';:'' }iso .;: :> > > >>< s < <> > :< » z > >< > << ...... ><>'s>> >> >><':> > . FlCiri ;:HOLIIER.............. ....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of N. Andover MA EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Electrical Inspector 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 146 Main Street N. Andover MA 01845 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED :.:.2:.:.2:.:...........R...E. .P..R ..E..S..E..N»..T:.T...I...E Terri T► hn 2:: .... :2. .. . ........ AGOF:::; — ;:;:: R:;: ... TKS y „4 1Y1� F COMMONWEALTH OF MASSACHUSETTS DIVISION OF REGISTRATION t i OF ..El EtTR-I C I A N S REGISTERrE�dICIAN l m1 F DBA DEPOT ELECTRIC SERVICE y CHARLES �W', LARDCHE cn ; 35 GROVE AVE I SALEM NH 03079-22484 j EXPIRA I ION DATE SERIAL NO. I LICENSE NO. SEC SYS CONTRACTOR LICENSE Birthdate: Expires. Nub t SS CO 0P@418 88116�]ga7 pg,',Ei;"qg Restricted To:. 08 C .,' SA gm AVE 1 t fy `1 r; '4E' f , l:d 6'. tt)MNiONVY� � ON EALTH OF MASSACHUSETTS .. OF ELECTRICIANS K" jlr" A. G JOIajtNEYNI'kN ELECTRIC A ! ?� u ISSl1Ea5'7HIS LiG1=NSE TO ! I rA � H. m f V 5 1 m CiC1VEt SALEM N1 X3079-2248 N 24b9 E 07/31/98 987707 ,.ti 'tom...: .. ..-. .. .'�,..» ._...,_.._......,.. :. DEPARTMENT OF :UF"AC ' SEG MCDNTRAETOR IIGENSE Number Fx fres: Birthdate 9PP`4it 081i6�1og7 96 161;9 R j icted To: Q8 es tr � R 1 f� , CNRRLES 4! lBROEu,c 1 � �j 35 GROVE pVE I ��,, , I�; ' ,,cam• rt 4 t t Date... 7. P" 402 108 �?�,�„, ... •,41 O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING US This certifies that ......... �° ( . ... .-%. �. !.. � j M has permission to perform ........� .6ccl...L.T i"Nj ... .... . ,4I-q di' wiring in the building of..... .l.....5:. ... .....................'.t- ...................�t fGsl ..409a)k... ,North Andover,Ivla�.. at................. r� Fee... .! s C ! Lic.No. 5�.. .................... ......... ELECTRICAL INSPECTOR t WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Location No.- . .. Date _ ott"O;T: � TOWN OF NORTH ANDOVER. Certificate of Occupancy $ Building/Frame Permit Fee $ $ s+cMUS`� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ OR Water Connection Fee $ ��. TOTAL $ M #� 94,6 Building Inspdctor Div. Public Works pw Location S r G / /No Date /7gT N°RTh TOWN OF NORTH ANDOVEg 0 Certificate of Occupancy $ BuiJding/Frame Permit Fee $ l.+ Eta', Fund.ation'Permit Fee $ S�cMus o�. Other Permit Fee $ ewer Connection Fee $ 720 :`Watlr,-6-onnection,Fee $� © z• TOTAL $ il i Ins Div u is Works MIT NO. 7 / APPLICA 1ON FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 4AO. �A��%� LOT NO. d? 2 RECORD OF OWNERSHIP JDATE BOOK jPAGE ZONE U v I SUB DIV. LOT NO. 1 - ?_�J.-(a-� I /_ I �j Y/ LOCATION I 13 q � -PURPOSE OF BUILDING d (G SII �'hcASf- �r00lt RJ � r/nP„� ,y,P1 ? j _ /I/�t�t) ga1raQ. OWNER'S NAME NO. OF STORIES SIZE (J _ a 7/y(71f Fes. OWNER'S ADDRESS 1�?Y' p�f,J' f JJ/Y,�j�, �� BASEMENT OR SLAB /7�1��j ARCHITECT'S NAME /rJ�� / ✓v �. xr,`0vr /Pl812E OF FLOOR TIMBERS f/ iST�x'�rD 2NDX'JO 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING wJ p��G�7 ✓f''9' DIMENSIONS OF!SILLS.°!.. DISTANCE FROM STREET ('%�! POSTS ICO-I re'�`Tv. �l�e� DISTANCE FROM LOT LINES -SIDES GIRDERS REAR/aDIP GIRDERS AREA OF LOT ;n!/ (, E7 OZ' FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW .� SIZE OF FOOTING ����© X IS BUILDING ADDITION$ MATERIAL OF CHIMNEY IS BUILDING ALTERATION �� IS BUILDING ON SOLID OR FILLED LANb WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �� IS BUILDING CONNECTED TO TOWN WATERY Ye V1- '/ BOARD OF APPEALS ACTION. IF ANY t� IS BUILDING CONNECTED TO TOWN SEWER ! O IB BUILDING CONNECTED TO NATURAL GAB LINE INSTRUCTIONS s PROPERTY INFORMATION LAND COSTyr"coD - SEE BOTH SIDES q /� EST. BLDG. COS / - d(X!i[7L "tin . . PER 0 . FT. 0 0”' PAGE 1 FILL OUT SECTIONS 1 - 3 9 ESTBLDGCOOT 44�7 � EST. BLDG. COOT PER ROOM PAGE 2 FILL OUT SECTIONS t - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR • DATE FILED ^M COUILDINQ INOP<CTOR SIGNATURE OWNER OR AUTHORIZED AGENT F E E OWNER TEL.l PERMIT GRANTED ��°,�. CONTR.TEL.# •%���"�367jell .1 .,. 9 MAM� CONTR.LIC.# D9 9J if I���o H.I.C.1 MAY 2 2 1997 -4 g 560 i BUILDING RECORD I 1 OCCUPANCY 12 INGLE FAMILY S'OKIES - THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE CONCRETE BUK. PINE !� _ BRICK OR STONE HARDW D __-.7 _ PIERS PLASTER _ _ DRY VJALL _ UNFIN. 3 BASEMENT AREA FULL I FIN. 8"M"T" AREA FIN. ATTIC AREA K! NO 8 MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN �} 4 WALLS 9 FLOORS �,�r 7 CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE ' �_ WOOD SHINGLES EARTH I ASPHALT SIDING HARDW 0 ` ASBESTOS SIDING COMlACN VERT. SIDING ASPH. TILE vv STUCCO ON MASONRY_ STUCCO ON FRAME y, 1 1 Y ATTIC STIRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. C.1 STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR r I OIaS� Q /v ADEQUATE I� NONE l f�. rfd 5 ROOF 10 PLUMBING GABLE IIV HIP BATH 13 FIX.1 _ �¢ L GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK j SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR t.Q�1 f�t1✓1'y TILE DADO JJ B FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 3 COILS. HOT W'T'R OR VAPOR WOOD RAFTERS 3 AIR CONDITIONING ✓� �/ RADIANT H'T G �j a•l%C/J y UNIT.HEATERS 7 NO. OF ROOMS GAS OIC (' B'M'T 2nd ELECTRIC -1 , lit 13rd I NO HEATING Ln YYy7 �()�-(7�T�- Rct J FORM U - LOT RELEASE FORM i INSTRUCTIONS: This form is used to verify that all necessary a pprovals/permits from Boards and Departments having jurisdiction tion have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: gRse 7, f lnn - Phone J_M LOCATION: Assessor's Map Number Parcel Subdivision Etler2leeyj rJr4j"49-1 Lot(s) Street 1A e-g,r St. Number ************************Official Use only************************ RECOMTWYATIONS OF TOWN AGENTS: Date Approved✓ ��a ' / . Conservation Adminis rator Date Rejected C mments Date :Approved own Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Z Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections ( 1742 driveway permit Fire Departmec�nt L �/nticr �t 2eteived e O 2 ti� luc, ,�C��by Building Inspector l r Date MAY 2 21997 d '_:EPARTiMT OF PUBLIC SAFETY 46 6ONE ASHBURTON PLACE , RN wo 90 BOSTON , HA 02108-1618 CONS,• -mTi m :C- 10 NII S, EIR fir1SOR T CENSE Numbel : Expires : Birthdate ; r�'_V 03/ 03 9/ 199 03109/ 1960 ResWActed On 00 r n 2 5 1996 N, r L - --- -- ---- - '-. _ zL" n t H A,R S AN r� �r - - -- — ------ ---- 03 FOREST ST 5ark , rrrm.,rr,,��•, LrA _ _HUEN , i-_ 01a 4 Keep - _p for te _-Qt and .;il_ nge Ci ad r'Ss ili ! _ _ 1_._0 . . ��, �/t.0 TJO�IY/�1J7,0��2ClleCLGCf2 O����CLCJ2cLQB��ci Restricted To: 00 - � DB UMENT 0F MKIC �, 46690 KI�C SA�e,, CO!�S^RUCTION SL:p3RrRSOR. 'CUSS a one !tiler; r�': RiLti:dcte; !,h iason_•y opjy CS 035957 0,3N4AM m/09/'.960 A - - & ' _m_'w' as esthe ed To: 00 Mm to pums a cunal Moon of W: lf.�.�.v�S v sss:lusetts S a, 3 1i_,_:u ,»A. R�_�ct !,!) `'�:Y. �.N. NETHEN, NA 0184- MAY 2 2 1997 � i Uniformly Loaded Floor Beam[AISC 9th Ed ASD 1 Ver.V4010533 By:Charles Tanzi,Architecture Plus+on:04-27-1997 Protect: Finn-Location:Garage Basement Summary: A36 W12x19 x 16.0 FT Section Adequate By:17.8% Controlling Factor: Moment Deflections: Dead Load: DLD= 0.09 IN Live Load: LLD= 0.34 IN=L/558 Total Load: TLD= 0.44 IN=U439 Reactions(Each End): Live Load: RL= 7040 LB Dead Load: RD= 1912 LB Total Load: RT= 8952 LB Bearing Length Reqd.: BL= 0.81 IN Beam Data: Span: ; L= 16.0 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect.Criteria: U 360 Total Load Deflect.Criteria: U 360 Floor Loading: Floor Dead Load: DL= 10 PSF Side One:Floor Live Load: LL1= 40 PSF Tributary Load Span(Side One): TW1= 11.0 FT Side Two:Floor Live Load: LL2= 40 PSF Tributary Load Span(Side Two): TW2= 11.0 FT Wall Load: WALL= 0 PLF Averagd Uniform Live Load: LLave= 40 PSF Beam Loading: Beam Total Live Load: wL= - 880 PLF Beam Self Weight: BSW= 19 PLF Beam Total Dead Load: wD= 239 PLF Total Maximum Load: WT= 1119 PLF Controlling Total Design Load: wTcont= 1119 PLF Properties for:A36 W12x19 Yield Stress: Fy= 36, KSI Depth: d= 12.16 IN Web Thickness: tw= 0.23 IN Flange Width: bf= 4.01 IN Flange Thickness: tf= 0.35 IN Distance to Web Toe of Fillet: k-- 0.81 IN Moment of Inertia About X X Axis: Ixx= 130.0 IN4 Section Modulus About X-X Axis(Calculated): Sxx-- 21.3 IN3 Radius of Gyration of Compression Flange+ 1/3 of Web: rt= 1.00 IN Design Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= 5.72 Allowable Flange Buckling Ratio: AFBR= 10.83 Web Buckling Ratio: WBR= 51.74 Allowable Web Bucklinq Ratio: AWBR= 106.67 Controlling Unbraced Length: Lb= 0.0 FT Limiting Unbraced Length for Fb=.66*Fy: Lc= 4.227 FT Allowable Bending Stress: Fb= 23.76 KSI Web Width to Thickness Ratio: hAw= 44.8 Limiting Width to Thickness Ratio for Fv=.4*Fy: AWSL= 63.3 Allowable Shear Stress: Fv= 14.4 KSI Design Requirements Comparison: Nominal Moment Strength: Mn= 42174 FT-LB Controlling Moment: Mu= 35808 FT-LB Nominal Shear Strength: Vn= 41149 LB Maximum Shear: V= 8952 LB Moment of Inertia: Ireq= 107 IN4 1= 130 IN4 i i MAY 2219 ;'d.Yr fl66 E Y 4 Uniformly Loaded Floor Beamf 93 BOCA National Buiidinq Code(91 NDS)]Ver.V4010533 By:Charles Tanzl ,Architecture Plus*on:05-08-1997 Proiect: -Location: Summary: 5.25 IN x 14.00 IN x 16.0 FT /2.0E ES Parallam-TRUS JOIST-MACMILLAN Section Adequate By:21.0% Controlling Factor:Moment of Inertia Deflections: Dead Load: DLD= 0.18 IN Live Load: LLD= 0.26 IN=U744 Total Load: TLD= 0.44 IN=U436 Reactions(Each End): Live Load: RL= 3360 LB Dead Load: RD= 2383 LB Total Load: RT= 5743 LB Bearing Length Reqd.: BL= 1.46 IN Beam Data: Span: L= 16.0 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect.Criteria: U 360 Total Load Deflect.Criteria: U 360 Floor Loading: Floor Dead Load: DL= 20 PSF Side One: Floor Live Load: LL1= 30 PSF Tributary Load Span(Side One): TW1= 7.0 FT Side Two:Floor Live Load: - LL2= 30 PSF Tributary Load Span(Side Two): TW2= 7.0 FT Live Load Duration Factor: Cd= 1.00 Wall Load: WALL= 0 PLF Average Uniform Live Load: LLave= 30 PSF Beam Loadinq: Beam Total Live Load: wL= 420 PLF Beam Self Weight: BSW= 18 PLF Beam Total Dead Load: wD= 298 PLF Total Maximum Load: WT= 718 PLF Controllinq Total Desiqn Load: wTcont= 718 PLF Properties For:2.0E ES Parallam-TRUS JOIST-MACMILLAN Bendlnq Stress: Fb= 2900 PSI shear stress: Fv= 290 PSI Modulus of Elasticity: E= 2000000 PSI Stress Perpendicular to Grain: Fc_perp= 750 PSI Adjusted Properties: Fb'(Tension): Fb'= 2851 PSI Adjustment Factors:Cd=1.00 Cf=0.98 Fv: FV= 290 PSI Adiustment Factors:Cd=1.00 Design Requirements: Maiamum Moment: M= 22972 FT-LB Shear W d from beam end): V= 4905 LB Comparisons With Required Sections: ' i Section Modulus: Sreq= 96.7 IN3 S= 171.5 IN3 Area: Areq= 25.4 IN2 I Moment of Inertia: A= 73.5 IN2 Ireq= 992.4 IN4 1= 1200.5 IN4 r Uniformly Loaded Floor Beamt AISC 9th Ed ASD 1 Ver.V4010533 By:Charles Tanzi ,Architecture Plus+on:04-27-1997 Proiect: Finn-Location:House Basement Summary: A36 W12x26 x 14.0 FT Section Adequate By:6.0%. Controlling Factor:Moment Deflections: Dead Load: DLD= 0.09 IN Live Load: LLD= 0.29 IN=U587 Total Load: TLD= 0.37 IN=U452 Reactions(Each End): Live Load: RL=, 13720 LB Dead Load: RD= 4102 LB Total Load: RT= 17822 LB Bearing Length Reqd.: BL= 2.46 IN Beam Data: Span: L= 14.0 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect.Criteria: U 360 Total Load Deflect.Criteria: U 360 Floor Loading: Floor Dead Load: DL= 20 PSF Side One: Floor Live Load: LL1= 70 PSF Tributary Load Span(Side One): TW1= 14,0 FT Side Two: Floor Live Load: LL2= 70 PSF Tributary Load Span(Side Two): TW2= 14.0 FT Wall Load: WALL= 0 PLF Average Uniform Live Load: LLave= 70 PSF Beam loading: Beam Total Live Load: wL= 1960 PLF Beam Self Weight: BSW= 26 PLF Beam Total Dead Load: wD= 586 PLF Total Maximum Load: WT= 2546 PLF Controlling Total Design Load: wTcont= 2546 PLF Properties for:A36 W1 2x26 Yield Stress: Fy= 36 KSI Depth: d= 12.22 IN Web Thickness: tw= 0.23 IN Flange Width: bf= 6.49 IN Flang a Thickness: — tf— 0.38 IN Distance to Web Toe of Fillet: k= 0.88 IN Moment of Inertia About X X Axis: Ixx= 204.0 IN4 Section Modulus About X-X AxisCalculated ! ) Sxx= 33.4 IN3 Radius of Gvration of Compression Flange+ 1/3 of Web: rt= 1.72 IN Design Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= 8.54 Allowable Flange Buckling Ratio: AFBR= 10.83 Web Buckling Ratio: WBR= 53.13 Allowable Web Buckling Ratio: AWBR= 106.67 Controlling Unbmced Length: Lb= 0.0 FT Limiting Unbraced Length for Fb=.66*Fy: Lc= 6.851 FT Allowable Bending Stress: Fb= 23.76 KSI Web Width to Thickness Ratio: how= 45.5 ` Limiting Width to Thickness Ratio for Fv=.4*Fy: AWSL= 63.3 Allowable Shear Stress: Fv= 14.4 KSI Design Requirements Comparison: Nominal Moment Strength: Mn-- 66132 FT-LB Controlling Moment: Mu= 62377 FT-LB Nominal Shear Strength: Vn= 40473 LB Maximum Shear: V= 17822 LB Moment of Inertia: Ireq-- 163 IN4 1= 204 IN4 Uniformly LnAded Flnnr Rraamr AIR('4th GA A-Qn 1 v�r vAnann,a, s • i Uniformly Loaded Floor Beam(93 BOCA National Buildinq Code(91 NDS)j Ver.V4010533 By:Charles Tanzi ,Architecture Plus+on:05-09-1997 Proiect:Finn-Location: Family Rm.Ridge Summary: 5.25 IN x 14.00 IN x 16.0 FT /2.0E ES Parallam-TRUS JOIST-MACMILLAN Section Adequate By:52.9% Controlling Factor: Moment of Inertia Deflections: Dead Load: DLD= 0.08 IN Live Load: LLD= 0.27 IN=L1711 Total Load: TLD= 0.35 IN=L/551 Reactionsc Ea h End Live Load: RL= 3520 LB Dead Load: RD= 1023' LB Total Load: RT= 4543 LB Bearing Length Regd.: BL= 1.15 IN Beam Data: Span: L= 16.0 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect.Criteria: L/ 360 Total Load Deflect.Criteria: L/ 360 Floor Loading: Floor Dead Load: DL= 10 PSF Side One:Floor Live Load: LL1= 40 PSF Tributary Load Span(Side One): TW1 5.5 FT Side Two: Floor Live Load: LL2= 40 PSF Tributary Load Span(Slde Two): TW2= 5.5 FT Live Load Duration Factor: Cd= 1.00 Wall Load: WALL= 0 PLF Average Uniform Live Load: LLave= 40 PSF Beam Loadinq: Beam Total Live Load: wL= 440 PLF Beam Self Weight: BSW= 18 PLF Beam Total Dead Load: wD= 128 PLF Total Maximum Load: wT= 568 PLF Controllinq Total Desiqn Load: wTcont= 568 PLF Properties For:2.0E ES Parallam-TRUS JOIST-MACMILLAN Bendinq Stress: Fb= 2900 PSI Shear Stress: Fv= 290 PSI Modulus of Elasticity: E= 2000000 PSI Stress Perpendicular to Grain: Fc_perp= 750 PSI Adjusted Properties: Fb'(Tension): Fb'= 2851 PSI Adjustment Factors:Cd=1.00 Cf=0.98 FV: Fv'= 290 PSI Adjustment Factors:Cd=1.00 Design Requirements: Ma)amum Moment: M= 18172 FT-LB Shear A d from beam end): V= 3880 LB Comparisons With Required Sections: Section Modulus: Sreq= 76.5 IN3 S= 171.5 IN3 Area: Areq= 20.1 IN2 A= 73.5 IN2 Moment of Inertia: Ireq= 785.1 IN4 1= 1200.5 IN4 li i i i I f i I By:Charles Tanzi,Architecture Plus+on:0427-1997 W12x26/W Shapes/Steel Beam Project:Finn-Location: House Basement i i WL=1960 PLF j Wd=586 PLF i L=14.0 Ft RL=13720 LB RL=13720 LB RD=4102 LB RD=4102 LB RT=17822 LB RT=17822 LB I i i i i f Uniformly Loaded Floor Beam(93 BOCA National Building Code(91 NDS)]Ver.V4010533 By:Charles Tanzi ,Architecture Plus+on:05-09-1997 2.0E ES Parallam/TRUS JOIST-MACMILLAN/Laminated Veneer Lumber Project:Finn-Location: Family Rm. Ridge 4 l { y i{{ f 1 i wL=440 PLF wd=128 PLF i I L=16.0 Ft 1 RL=3520 LB RL=3520 LB 4 RD=1023 LB RD=1023 LB RT=4543 LB RT=4543 LB f i 4 I I M o i I l i 1 I 1 i Uniformly Loaded Floor Beam[93 BOCA National Building Code(91 NDS)]Ver.V4010533 By:Charles Tanzi ,Architecture Plus+on:05-08-1997 2.0E ES Parallam/TRUS JOIST-MACMILLAN/Laminated Veneer Lumber Project: Finn-Location: Ridge Beam ,l I i ' I I i wL=420 PLF wd=298 PLF i i I i L=16.0 Ft RL=3360 LB RL=3360 LB RD=2383 LB RD=2383 LB RT=5743 LB RT=5743 LB i i i ail I I I i •rasYo�YYIYy -v----YIVVI Y.-IYIL—I--.LII/rY'/ Veil'.—V-TV iVJ — —'-- - --- ------- By:Charles Tanzi ,Architecture Plus+on:04-27-1997 W12x19/W Shapes/Steel Beam Project: Finn-Location:Garage Basement I i I I I wL=880 PLF wd=239 PLF L=16.0 Ft RL=7040 LB RL=7040 LB RD=1912 LB RD=1912 LB RT=8952 LB RT=8952 LB i i i - i Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) S1//Fi%1 - ��g�Ir-ef' T/nn 11L �7W,L;' Alofl� R4�, #37 Map and Parcel : Purpose of Application (check below) Ph n fN�r�be�r of Applicant: _Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. /The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots), below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. Sig ure of Owner qyAuthorized Agent who signed the Attached Building Permit Date Th' form must be attached to the Building Permit upon application for such permit r10RT To'vm of over No. * _ dover, Mass., '9A_COCNIAME ICME WICK E G v (G BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ` THIS CERTIFIES THAT........................ BUILDING INSPECTOR1�.....�./.................. .�'.!�G./.�.1.�.�..��....�/../.�/.�..................... / Foundation has permission to erect...................(..................... buildings on ....n..I...... . •. •••••• Rough to be occupied as.......................................... .1�lC.!G 04.46.......... ,� Pl..... :....... ..,( p `'.. 9 Chimney provided that the person accepting this permit shall in every respect conform to t terms of the appiicat 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 CONSTRUCTION S — Rough .................... ..... ........... Service .... ......, ... ................. ......... B LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rou Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. [Burner FIRE DEPARTMENT treet No. Smoke Det. Cc COLLOPY ENGINEERING CONSULTANTS 65 AYER STREET METHU EN, MA 01844 FRANCIS H. COLLOPYResidence:(508)685.7969 REG.PROFESSIONAL ENGINEER " office:(508)685.8069 CIVIL Fax: n rr ST DYNTAMICS July 5 , 1997 Mr. Ken Surrette North Andover Building Inspector North Andover Municipal Building North Andover, MA 01845 Dear Mr. Surrette, I am writing in regards to the foundation construction at 111 Pheasant Brook at Evergreen Estates in North Andover, being constructed by Jerry Cronin, Contractor. I briefly discussed the • issues raised by your Office regarding this site with you on Thursday, July 3 , 1997 . Following this discussion, I visited the ` site later in the afternoon. There were a few locations where the contractor had cleared away the backfill from the foundation wall and footing so that the bottom of the footing could be observed and various measurements could be made. Two such locations were in the right rear adjacent to the location of the fireplace, and the other location was at the frost wall under the entrance to the garage on the left side of the building. In both locations , the Contractor had poured a footing on top of the parent ledge strata, which is predominant throughout this area . Existing ledge had to be blasted and removed so as to establish this grade . The bottom of the footing at the garage was 4 '-3" below grade , and measured 22"wide by 8" deep, with a 10" wall located above. The width of the footing observed in the rear of the building measured at least 20" wide by 14" deep, also resting on ledge . The construction of the footing and foundation wall appeared to be more than adequate to support the residential building planned for this site . During my site visit, I did observe three areas of concern which I have verbally raised with the builder, Jerry Cronin, and which he has indicated that he will take care of as part of the construction , subject to approval of your Office, namely : 1 . Remove the larger stone and ledge fragments( larger than 6 inches wide/long) which are located near the upper surface of the existing fill(top foot and a half) , namely at the garage door and at various locations along the rear wall . This size stone allows too many large voids in the fill below the basement slab. Even the use of smaller rock fragments for fill may result in the vertical migration of the fill materials placed over the rockfill . Mr. Cronin intends to add an additional 10-12 inches of structural fill , which will be compacted prior to the placement of the vapor barrier and the concrete cellar slab. It would be recommended that a geotextile fabric, MIRAFI 140 N or equivalent , be placed above the rockfill and below the structural fill material as a particle separation barrier to minimize any voids which would cause settling to occur beneath the slab. 2 . Remove any pieces of wood debris and/or any tree roots , branches , paper cups , etc. , and any other organic material which may now exist in some isolated locations within the confines of the foundation wall . 3 . Remove the empty waterproofing asphaltic can which I observed adjacent to the right rear corner of the building. ih• I am providing Mr. Cronin a copy of this letter for his records as well . If you have any questions concerning this matter, please do not hesitate to call this office . %-v%4 0PAf. Sincerely, COLLOPY ENGINEERING CONSULTANTS FRANCIS H. w , � COLLOPY !r4 sa 2017 rancis H. Col logy, P. E. 1 � �� Structural Engineer 0N41.��� cc : Jerry Cronin CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 260 Date November 17, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON Brian & Margaret Finn MAY BE OCCUPIED AS Si n g I P Fami 1 V n�i 1 i ng IN ACCORDANCE , WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Jeremiah J. Cronin °?�,A.•o . CERTIFICATE ISSUED TO ADDRESS 9 Surr&y Rd Windham NH 03087 46 0 s: j="`"°' Building Inspector 1 i I � r F r10RT .y To 0 - - over No. � Z'�° O * _ - i - o 19 dower, Mass., C _ LAKE COCMICMEWICK 1` A0mink A S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System'l41 BUILDING IN$PE ~_ THIS CERTIFIES THAT �-��C - M1-.�..lT.�............. C�.��.RR.�r�....��.�w�..................... Foundation i ,/ c �t �.a has permission to erect................... .................... building% on ....1.1..1...... 1`t l¢5�............. .............�.......... Ro to be occupied as.......................................... 4 .......:.. � 1..... ........................... ..,(.d .. 9 �� �o� { `7� provided that the person accepting this permit shall in every respect conform tot terms of the applicat on file in anal 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 INS `EC-_r(R VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIONS `/sELECTRIc SPECrO o �' � .................... ..... ........... ....... B DIIVG INSPECPOR / F' Occupancy Permit Required to Occupy Building GAS INSP R Rough3 Display in a, Conspicuous Place on the Premises — Do Not Remove Final • No Lathing or Dry Wall To Be Done until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. /09 q6 — She Det. —OG�o�` /• PERMIT NO. - '� APPLICATION POR PERMIT TQ BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP -NO. Job LOT NO. �29 7 + 2 RECORD OF OWNERSHIP DATE (BOOK ;PAGE ZONE I SUB DIV. LOT NO. 1 LOCATION /// f�e9JAA? B/7➢�� rURrOSE OF BUILDING VF /C OWNER'S NAME 8�la�►�� ',oret- Fin NO. OF STORIES SIZE a�i.I:� `C` f'•f OWNER'S ADDRESS 7�.- t.�Gcl7j In a 0977" - BASEMENT OR SLAB ARCHITECT'S NAME /-. T/9g27 A`,G/ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �f �J,��f" ��lo / SPAN — DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET " - POSTS DISTANCE FROM LOT LINES —SIDES REAR GIRDERS i AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW -' es - SIZE OF FOOTING A It BUILDING ADDITIONt,ep�T ff,G R�O _ MATER.AL OF CHIMNEY IS BUILDING ALTERATI 1N T IS BUILDING ON SOLID OR FILLED LA D WILL BUILDING CONFORM TO REQUIREMENTS OF CODE LPJ IS BUILDING CONNECTED TO TOWN W TER BOARD OF APPEALS ACTION, IF ANY ! IS BUILDING CONNECTED TO TOWN SEW R It BUILDING CONNECTED TO NATURAL GAS LINE 3 INSTRUCTIONS PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGEI FILL OUT SECTIONS 1 - ] EST. BLDG. COST PER SQ. PT. E EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SE"IC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING t APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INCTO E I DATTILED SRJILDING INSPECTOR SIQV4ATURX Ot OWNER OR AUTHORIZED AGENT , Ir E IEJcy OWNER TEL/ - 1 04MM IT ORAMTED �t,�� �5""�--, - -CONTR TEL O—s,..._- is 'E \ Y r� r _ i 4 ' 1 Lu s i i fa� Q I I NI sig 7m' �a€ r4ORT/y 0VM 0 4 over No. ZAYS, � � .6 ;, '7 doves; Mass., 19 I O'94_COCNCHEWICK Z7'4 meq,r E D�QP�y S E BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... .rC.iti.Ig........... /.!7. ..................... / Foundation ................................................................... has permission to erect.../��ijt.��I....d.F�wC buildings on .......1/...I....... !I1�45. .!!........... ......•..............•.... ..•.. Rough to be occupied as...........Sl..�?.. t.. 4.! �.� I�/�t3! ,r�t.Gb�7`....CJ �G. .I,�f .�+� Chimney y . .. . . .. .. . . provided that the person accepfing this permit shal n every respect conform to the terms of the applic ion 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 CONSTRUCTI S ARTS Rough ....................... ... .. . .. � . ... Service .... .. . ............................ BUILDING INSPECTOR Final Occupancy Permit .Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. V i Burner r,C, t v S Street No. Gk, Smoke Det. A F Town of North Andover t NORTN OFFICE OF 3?°,•",20 16 COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street `IL 1 ' wIr I.IAM J.scoTT North Andover,Massachusetts 01845 �,s,,,,;.•P�y 9 SACMUS� Director CHIMNEY APPLICATION AND PERMIT DATE PERMIT # _d LOCATION OWNERS NAME BUILDER'S NAMED MASON'S NAME ` MASON'S ADDRE S 7r '�)P o� �S�-�- ' 1-7 " MASON'S TELEPHONE &'0-?- 'f-17y 7-5-,;;' MATERIAL OF CHIMNEY INTERIOR CHIMNEYEXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES �- ��'/� /- Ply 2 THICKNESS OF HEARTH__ Will chimney or fireplace conform to requirements of the code and have rules and regulations been received: ye,f DATE 9 Jp f 7 SIGNATURE OF MASON .,,..- , CONTR. LIC. # i EST. CONSTRUCTION OST/CONTRACT PRICE 3� PERMIT GRANTED /% FEE ROBERT NICETTA, BUILDING INSPECTOR i INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREM _ l ` 1 I� EuILIANC DEP ,.PT'1.r-1 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 _ PLANNING 688-9535 I � .��1[L 66I/!//!d DEFAF?MEI+ Or PUB',!' St'rETI' i C%N FULi1DI, SUPEni'ISOR �L! EKS� fiU@iuEf: ' rS 0;1k 92 0i IIESif;Cte Te, DONALD i KE GNB,' j 47 TEDESCi) �, METHUE , Mh I14' ,I