HomeMy WebLinkAboutMiscellaneous - 30 COACHMANS LANE 4/30/2018 (2)rl)
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Town of North Andover
BUILDING DEPARTMENT
October 2, 2007
Mr. Maghochetti
30 Coachmans Lane.
North Andover, Ma.
in regards to the recent incident, on September 10, 2007
Mr. Magliochetti,
Due to the scope of the damage done to the entire grounding and associated wiring
system. I am requiring a complete electric system renovation at 30 Coachmans Lane.
This accident has severely compromised the entire electrical system throughout this
dwelling. During the incident the entire house was electrically charged through the grounding
system. The grounding system attached to the copper water main and a raceway above the panel,
charred the wood beams along the basement ceiling. It also melted a die-cast coupling on a3/4
EMr pipe run ten feet away from the service entrance to the building,
Although insulation resistance testing with a megger or other specialized equipment may
be helpful in determining or giving some indication of the condition of the wiring. A total visual
verification of the internal cable breakdown cannot be determined without a visual inspection.
For the future, the integrity of the existing NM cable (romex) is in question and would be
impossible to make a complete evaluation. It must be removed from this home.
Thank you,
Pet r
El trical Inspe or
Community Development Division, 1600 Osgood Street, North Andover, Massachusetts 0 1845
le
N 2' 3
Date...,
...............................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that� ........
....................... ............................................................
has permission to perform ........................ .... :.: ...................................................
wiring in the building of .................. ..............................................................
at .... ? ......... . .................................................. ; ....... . North Andover, Mass.
............ Lic. NOZ? ......
Fee
................................................
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TBEC0MV0NWE4LTH0FMAMCHUMM
DEPAR73MWOFPUBMCSAFEIY
BOARD OFFIREPREVEMONREGUL4TIOAN527GUR 12.00
Office Use only
Permit No. :&ZE!
Occupancy & Fees Checked A
PPLICATION FOR PERAW TO PEUORM ELE=CAL WORK
ALL WORKTOBE PERFORMED IN ACCORDANCE WITHTHE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datq
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street J
Owner or Tenant
Owner's Address -507-"C,
Is this permit in conjunction with a building permit: Yes [U No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead Underground M No. of Meters
New Servi Amps Volts Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. ofHot Tubs
No. ofTransformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
El
Below
Generators
KVA
ground
wound
No. of Receptacle Outlets
7
No. ofOil Burners
No. ofEmergency Lighting Battery Units
No. pf Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. of Zones
No.ofRanges
No. of Air Cond. Total
40
Tons
No. of Detection and
No. ofkDisposais
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Othrr'
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER. A:5o pyh---d I �r� Vvl,- ) r- -�- R&Vkasc� Z -Z-)q�,��� C--� �
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Iha%ea=ftLmbdtyks==PcbL�YmAxkgCar#AkOpem6orisCovwdWcritsmbstride4ivakit YES L= NO
IhmeahTuaBdvabdprocfofsamlotheOffm YES r5,rNO If�xuha%edvdwdYESpimemdc*tctAxcfwmaEpbydWmgte
. bcx
MRANCE r!7;1 BONDM 01HER M ?MeSpe* LA *\,P�V�
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Eslirr"edVahrofl]0ClrkalWcrk$ 1630 -CU
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OWNEP,Sp,&JRANUWAIVER;I.anmmhttbeliomwdomnot G=rJ Laws
andditnTy*ukw<nftp=*Wphmbmvm'msftreqL'mmicriL
(Please check one) Owner Agent 1:1 Telephone No. PERMIT FEE
N2 33
Date ..............
TOWN OF NORTH ANDOVER
'0
"0
PERMIT FOR WIRING
This certifies that .� . . .....................................................................................
has permission to perform .... ........................... Z� ......
wiring in the building of ...............................
at ..-? ...................
...... ............... .:;North Andover, Mass.
Fee—z" I ..... . ...... Lic. ..................... . ............................
ELECTRICAL INSPECTOR
Check # /' �- <" -
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Official Use Only
Permit No. 3 d,-)L-
ILVT C09WV0WKZ4LVf 01F 9I1,4SSACffVSEqTS
QDepartment offtbfic Safety Occupancy & Fee Checked-�6
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Aji work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00
Date 'NA -0 I
(Please Print in ink or type all information) To the inspecTob r of Wires:
Town of North Andover
The undersigned applies for a permit to perform the eJectrical work described below.
4�L -
Location (Street & Number Zg
3P --O "-r
owner or I ena
owner's Address_ 54111
Is this permit in conjunction with a building permit Yes J�, No 0 (Check Appropriate Box)
Purpose of Buildin Utility Authorization No.
Existing Ser%Ace_____________�Amps______-----YOits
New Service :1,040 Amps ZL&��2O voits
- 7—
Overhead 0 Undgmd 0 No. of Meters
Overhead 0 Undgmd A No. of Meters
Number of Feeders and Ampac
LoCdtion and Nature of Proposed Electrical Work rely -L- t
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES - NO
have submitted valid proof of same to the Office YES - NO - If you hmt�hecked YES please indicate the type of coverage by checking the appropriate box -
INSURANCE = BOND OTHER = (PI e Specify) (Expiration Date)
hstirnated Value Ell 7e- 0
400
Work to Start frispection Date Resquested Rough Final
Signed under the Penalties of pedury:
FIRM NAME— 41611A.15041A) - r J - I LIC. NOm
NO. !:n:� -1 C-7
wwhu-4us. Tel No. 'r7b -1?- 3- ?lye
Address Aft Tel. No. 17,5' 3 74 - q J!4 Z --
OWNER'S NSURANCE wAlvER: I am aware"that the Licenses does not have the insurance coverage or its subs6niial-equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No PERMIT FEE 1%,
(Signature of Owner or Agent)
Total
No. of Lighting Outlets
No. of Hot fuse
No. of Transformers KVA
Above 0
In 0
No. of Lightiag F,2�ures
Swimming Pool gmd 0 gmd 0
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets 25
No. of Oil Burners
Battery Units
No. of Switch Outlets
No of Gas Burners
FIREALARMS No.ofZone
No. of Detection and
Total
No. of Rang-,
No of Xr Cond
Tons
A
Initiating Devices
Heat Total Total
No. of Diposal
No. Pumps
Tons
KW
No. of Sounding Devices
NOJ of Self Contained
No. of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
1] Municipal 0 Other
No. of Dryer.
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
—TN..
Signs
Bailases
Wiring V—E�
No. Hvdro Massacie Tuds I
of Motors
Total HP
L
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES - NO
have submitted valid proof of same to the Office YES - NO - If you hmt�hecked YES please indicate the type of coverage by checking the appropriate box -
INSURANCE = BOND OTHER = (PI e Specify) (Expiration Date)
hstirnated Value Ell 7e- 0
400
Work to Start frispection Date Resquested Rough Final
Signed under the Penalties of pedury:
FIRM NAME— 41611A.15041A) - r J - I LIC. NOm
NO. !:n:� -1 C-7
wwhu-4us. Tel No. 'r7b -1?- 3- ?lye
Address Aft Tel. No. 17,5' 3 74 - q J!4 Z --
OWNER'S NSURANCE wAlvER: I am aware"that the Licenses does not have the insurance coverage or its subs6niial-equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No PERMIT FEE 1%,
(Signature of Owner or Agent)
andover
consultants
,inc.
March 20, 2001
Ms. Heidi Griffin
North Andover Planning Board
27 Charles Street
No. Andover, Mass. 01845
RE: 30 Coachman Lane - Lot 3
North Andover, Mass.
Dear Ms. Griffin:
1 East River Place
Methuen, Massachusetts 01844
Tel. (978) 687-3828
Fax (978) 686-5100
This office has prepared a site plan dated July 19, 2000 for the above referenced lot.
That plan shows the existing dwelling and a proposed swimming pool, cabana, gazebo,
and garage. The garage will be 1 % stories and will have bathroom facilities connected
to the town sewer system.
The existing dwelling is connected to the Town sewer system in Coachman Lane.
The proposed pool will utilize a cartridge filtration system that eliminates the need for
any backwash cycle. The pool will not have any drains or discharges.
The proposed cabana, gazebo, and garage will not have any gutters or downspouts.
Based on the above facts, it is my opinion that no new surface or subsurface
discharges are proposed with the construction shown on our plan. -
If you need any additional information feel free to contact me at any time.
Sincerely,
A\A OF
ANDOVER CONSULTANTS INC.
WILLIAM S
'MocLEOD
CIVIL
31478
GIST0,L
William Mac eod, E., P.L.S.
President
A'A L
)"ON
Bill/Lefter/ H. Griffin Coachman.doc
Civil Engineers * Land Surveyors o Land Planners
INSTRUCTIONS: This form is used to 4prify th ' at all necessary approvals/permits from
Scards and Departments having lurisdiction have been obtained, This does riot relieve
the applicant andlor landowner from,compliance with any applicable or requirerrents,
FILLS OUT THIS SECTION -
APPLICANT PATRI[CIIA MAGLIOCHETTI
PHONE 978/749/8949
LOCATION, Ass-semes Map Number �0 PARCEL
SUBDIVISION rn LOT (S)
STREET COACH14ANIS LANE M ST. NUMBER #30
---------- OFFICIAjb�SgO
M (.0 f�
RECOMMENDATIONS OF TOWN AGENT M.. 0
/ 12rii- LA-U-_C�51-e
CONSERVATION ADMINI!jTRATOR
COMMENTS. 6e,,jt^,
�\WV'J bk�_. AA�A AQ_eA A107
DATE APPROVED
DATE -REJECTED MM
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TOWN LANNER OATE A�PPR
DATE 85JGC"T90
COMMENT.5 1�74 kz
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117, a-rl /
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FOOD INSPECTOR -HEA. i DATE APPROVED
DATE REJECTED /7�� 4f &,L
DATE APPROVED ViT
SEPTId-INSPECTOR-HEALTH 6,7
DATE REJECTED
COMMENTS.
PUBLIC WORKS . SEW51R/WATER CONNECTIONS
DFUVEWAY PERMIT 4
FIRE DEPART.MENT
RECEIVED BY BUILDING INSPECTOR —DATE
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ONSTRUCIION SUPFUISOR ll�[N'J[
ILI 1�er
Pestrided lo:
-071. .. —/6
HOME IMPROVEMENT CONTRACTOR
If Registration 105485
Type - PRIVATE CORPORATION
E �Pi ra' 0 7 17 0,'
SOUTH SHORE GUNITE POOL SPA
RICHARD BENOIT
I ADLEY ST
.-2��YiMBILLERICA MA 01862
ADMINISTRATOR
f'ECEIVED
HAY 2 6 1999
BUILDINO DEP-r
System M modular media
filtration puts your mind
at ease.
For more than 50 years, Sta-Rite has
been an industry leader in pump and
filtration technology. Of course, what
keeps us at the forefront of research and
design is our willingness to listen to the
needs of our customers.
And we hear you: Simply building
durable, high-performance products is
not enough for today's consumer. To be a
true cut above the others, our products
must also offer safe operation, great
efficiency, carefree maintenance and,
of course, unbeatable looks.
Consider the following features of our
System:3 modular media filter. By
combining them with the many other
benefits we build into our products, you
can rest assured that pool maintenance
will not be a worry.
• Our Ultra Capacity Filtration Tm has a
dirt -holding capacity that can be up to
50 times greater than other filters in
equivalent -sized tanks. As a result,
you enjoy virtually maintenance -free
operation.
• Our unique "filter within a filter"
design uses all areas of the filtration
media equally. By maximizing the
filtering capacity, this design lets you
enjoy extended time between
cleanings.
• Infrequent cleanings are a snap:
simply remove the tank top and rinse
the filtration modules with ease.
Their removal is not necessary for
normal maintenance.
With a Sta-Rite modular media filter,
you can avoid the headache of frequent,
complicated pool maintenance. To find
out whether it's the right choice for you,
see your professional dealer for details.
S4434PS-MPG (Rev. 3/96)
System :3 filters work hard so you doWt have to.
0) Split -tank design opens easily to
(4) Easy -to -read operating label
allow convenient access for cleaning or
keeps important instructions in plain
changing filtration media.
view for quick and easy reference.
(�)Posi-Lok'm clamping system is
(6) Sleek black tank profile blends
safe and easy for adult access, yet
well into any landscape design.
tamper resistant for kids.
(4) Dura-Glaso exterior is durable,
Modular media filtration
lightweight and corrosion resistant for
assembly.
years of trouble-free operation, regard-
U.S. Patent Nos. 5,190,651, 4,537,681,
less of temperature extremes. Features
3,988,244. Other patents pending.
10 -year warranty on filter tank.
I . ! I
MASTER POOLSO
%h,OW.* 4Xrdmy CWft..h0
System.:3 TM modular media may cause memory lapse,
With so much going on in my life, I
sometimes feel as if my mind is swim-
ming in details. Of course, juggling
jobs, family responsibilities and main-
taining a home didn't stop me from
wanting a pool for my family.
Good thing frequent pool maintenance
is not one of my worries. In fact, it's
something I can comfortably put out of
my mind. That's because I followed the
advice of my professional pool dealer
and purchased a System:3 modular
media filter.
As my dealer explained, these filters
have a remarkably long cycle time.
Which means they can sometimes go
an entire season without needing any
attention at all. Of course, I also have
more time to let cleaning my filter slip
my mind. Oh well, I needn't worry. My
System:3 modular media filter picks
up where my memory leaves off.
But, there is one thing you should
never forget when it comes to pools:
And that is to consult your profes-
sional Sta-Rite dealer about carefree
System:3.
%1w Mo* ofXqmdary 6*w"uFop P A R T N E R S S 1 '6 2"' _' Professional
... .... . .... . 2 ...
.......... V. . . �
PRODUCER (603)893-9450 FAX (66i 3-
-akeside Insurance Agency, Inc.
88 Stiles Road
Salem, NH 03079
INSURED
South Shore Gunite Pools
12 Hadley St
N Billerica, MA 01862
��O—V L :, -%G E S
DATE IMMIDD/YY)v
04/07/1999
THIS GhK I IHUAI h IS ISSUIzU AS A MA I I hK OF INFOKMA I IUN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY
Transportation
Ext: A
COMPANY
Transcontinental
B
COMPANY
Valley Forge
C
X
COMPANY
D
THIS S TO CFL -IA� iE PC�L'C4-3 OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TOTME INSURED NAMED ABOVE �bk THEPoLicY i5mibb
INDICATED, 1 -.'r. STAN Ld NG ZY 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 POLICY EFFECTIVE POLICY EXPIRATION:.
LTP. TYPE OF INSURANCE POLICY NUMBER LIMITS
DATE (MM/DD1YY) DATE (MWDDIYY)
G EW RAL LIABILITY
GENERAL AGGREGATE S 2,000,000
.......................................................................................
X COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG S 2,000,000
CLAIMS MADE X OCCUR: PERSONAL& ADV INJURY S
1,000,000
...........
A j ....... C143430331 04/01/1999 04/01/2000 ..... . ...............................................................................
OWNER'S & CONTRACTOWS PROT EACH OCCURRENCE S
1,000,000
FIRE DAMAGE (Any one fire)
................................................ S0,000
.......................................................................................
MED EXP (Any one person) $ 000
A TOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
X
SCHEDULEDAUTOS
>,
HIF�FDAUTCS
X
t � DN - 0,,Vt 4 -- -- f, U T 0
COMBINED SINGLE LIMIT S
BODILY INJURY
S
(Per person)
10572299S1 04/01/1999 04/01/2000
63DILYIN - �'.R
(Per
1,000,000
... ... .. . . ...... PROPERTY DAMAGE S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT S
ANY AUTO
OTHER THAN AUTO ONLY:
..................
EACH ACCIDENT S
. ..................................... ..............
.................... - ............................................... ................
AGGREGATE S
EXCESS LIABILITY
EACH OCCURRENCE S
1,000,000
A X UMBRELLAFORM 182102948 04/01/1999 04/01/2000 *A ... ^.'G' ... R IEG**A"TE' ... ...... ........... 1, 0, 0* 0 , 0,0, 0
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND x TVVLYZ) I A I U- U I H -
OR ..........
LIMITS ER
EMPLOYERTLIABILITY
EL EACH ACCIDENT $
C THE PROPRIETORI WCC144784168 04/01/1999 04/01/2000 ................................................................... 5.0.0..'..0.0.0.'
PARTNERS/EXECUTIVE INCL EL DISEASE - POLICY LIMIT $
500,000
OFFICERS ARE:
EXCL
EL DISEASE - EA EMPLOYEE $ 500,000,
OTHER
ring work performed by the insured.
M/M MAGLIOCHEr
-T11
30 COACHMANS,
NORTH ANDOVER. MA..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTALIVES.
Sta-Rite quality withstands
the test of time.
For over 50 years, Sta-Rite has led the
industry in pump technology. Our
products prove we're innovators in both
design and materials.
Our Dura-Glas pump is just one example.
As the first product to use our glass -
reinforced thermoplastic technology, this
pump holds up magnificently when
exposed to the elements. Its sleek black
housing not only withstands years of ultra-
violet rays and temperature extremes, but
also works well with any landscaping
designs.
In addition, thermoplastic components
inside the pump provide quiet, trouble-free
operation. Plus, they move large volumes
of water with comparatively small amounts
of electricity, which is so good for the
environment.
Several models are available to meet your
pool and spa applications indoors or out,
residential or commercial. Available with
1/2 — 2 HP motors, single or dual speed.
Your dealer can help you select the perfect
match for you.
Many of our design innovations — like
those you see on your right — have set new
industry standards. In fact, these features
are often the benchmark against which
other pumps are judged. While others
have tried to copy Dura-Glas features and
performance, no one has even come close
to creating the quality, reliability and
performance you'll find in this classic.
DURA-GIAS ir
Dura-Glas pumps - an industry classic.
(1) New trap, basket and 0 -ring
minimize pool maintenance by collecting
large amounts of debris without clogging
or starving your pump.
4) Elevated pump base allows easy
access to the motor without disturbing the
piping.
Sta-Rite Pool/Spa Group
293 Wright St. - Delavan, WI 53115
North America: 800-752-0183 1 Fax: 800-582-2217
International: 414-728-5551 0 Fax: 414-728-7550 - Telex: ITT 4970245
E -Mail: stapool@starite.com
Oxnard, CA - Union City, TN - Delavan, WI * Mississauga, Out
S4650 -PS (Rev. 3/98) Dura-Glas@ and Dura-Glas 110 are registered trademarks of Sta-Rite Industries, Inc.
@1998 Sta-Rite Industries, Inc. - STA-RITEI a WICOR company
(4) Finger -opening drain plugs let you
winterize your pump without using tools.
(4) Thermoplastic housing withstands the
elements and temperature extremes.
% Control room design encloses the
motor to prolong pump life, yet provides
easy access for installation/service.
Simply smai*r.
"Some classics need a bit more attention
My Dura-Glas Ipretty much ignore."
A true classic withstands the test of time.
Of course, some classics need a little help
as they age. But others — Eke my
Dura-Glas pump — seem like they don't
age at all.
I always try to buy lasting quality. So
when my dealer said the Dura-Glas pump
has been the industry standard for over
20 years, I was immediately sold.
He explained how the pump's body and
trap are made of a unique material Sta-Rite
engineered specially for pools and spas.
It's corrosion and weather resistant,
lightweight, yet exceptionally strong.
Both the motor and the pump have been
designed so well that normal maintenance
and installation are a snap.
Durability ... reliability ... value. With
qualities like these, no wonder the Dura-
Glas pump has been an industry classic
two decades running. Of course, this
proves what I've always said: True quality
never goes out of style.
simply SM471*r.
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/1\7andover
consultants
inc.
March 20, 2001
Ms. Heidi Griffin
North Andover Planning Board
27 Charles Street
No. Andover, Mass. 01845
RE: 30 Coachman Lane - Lot 3
North Andover, Mass.
Dear Ms. Griffin:
1 East River Place
Methuen, Massachusetts 01844
Tel. (978) 687-3828
Fax (978) 686-5100
This office has prepared a site plan dated July 19, 2000 for the above referenced lot.
That plan shows the existing dwelling and a proposed swimming pool, cabana, gazebo
and garage. The garage will be 1 Y2stories and will have bathroom facilities connected
to the town sewer system.
The existing dwelling is connected to the Town sewer system in Coachman Lane.
The proposed pool will utilize a cartridge filtration system that eliminates the need for
any backwash cycle. The pool will not have any drains or discharges.
The proposed cabana, gazebo, and garage will not have any gutters or downspouts.
Based on the above facts, it is my opinion that no new surface or subsurface
discharges are proposed with the construction shown on our plan.
If you need any additional information feel free to contact me at any time.
Sincerely,
OF
ANDOVER CONSULTANTS INC.
A
WILLIAM S.
MacLEOD
C L
IVI
N1 0. 31478
William S. MacLeod, E., P.L.S.
GISTE?
President
NAL
Bill/Lefter/ H. Gdffin Coachman.doc
Civil Engineers * Land Surveyors * Land Planners
-7
Building Inspector
Location' -
No.
Date
,40RTPI
TOWN OF NORTH
ANDOVER
,,a., +
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #
-7
Building Inspector
I Building Commissio—ner/12yector of Buildings Date
I SECTION 1- SITE INFORMATION I
1. 1 Property Address:
3
1.2 Assessors Map and Parcel
3 -� A-
Map'Number
Number:
- I I ti
Parcel Number
v -Pa-+ t)jraA lq 0 C -k C;ff i
1.3 Zoning Information:
Zoning District Proposed Use
Name (Print) �j Address for Service
1.4 Property Dimensions:
Lot Area (sf)
Fromage (R)
1.6 WELDING SETBACKS (ft)
. __% ���----�,,Telephone
- !2�7e t�g�r>
-q393,
Front Yard
Side Yard
Name Print Address
Rear Yard
ReqWred Provide
ReqWred
Provided
R�red
Provided
1
Not Applicable 0
1.7 Water Supply M.G.I-C.40. 54)
Public 0 Private 0
1.5. Flood Zone Information:
zone Outside Flood Zone 0
Is
municipal
Sewerage Disposal system:
0 On Site Disposal System 0
-%w�A a '1-PVV1'1MJMaxxLx-1-AV 11-111,.V
2.1 Owner of Record
v -Pa-+ t)jraA lq 0 C -k C;ff i
3o ocuc [A� t, -A ot w
Name (Print) �j Address for Service
Sigrre
z%j
. __% ���----�,,Telephone
- !2�7e t�g�r>
-q393,
2'2 O;fner orord"
Name Print Address
for Service:
Signature Telephone
SIRCTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable 0
Licensed (4onstruction Super -visor:
S
�w �, Vjo J
License Number
Address V
&�2 /' 0
00/
Expirati 2� Date
T . elephone
Signatu901 '
�- i2yu�
66u-" '
3.2 Registered Home lmpro//-ent Contractor
Not Applicable
b') 0 'j-, 5
lld-l;�6
Company Name I
7/6
Registration Number
It)- 5
Address',
_9
�7 1 '6' �5�
Expirafion— Dp(te
Tele PhL
[-Signature Telephone
I SECTION 4 - WORKERS COMPENSATION'MG.L C 152 § 25c(6) I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
New Construction 0
Existing Building 0
Repair(s)
0
Alterations(s) 0
Addition 0
Accessory Bldg.
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
6arq-4,-e.
iVJ� --4'eCC)V6Q r7op F'
4-- 8a,f ��ooM o-jU 5eccv9- r-leroy- oe-eo dc,
C -J
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) t�-be
Completed by permit applicant
1. Building
,;2,P1 09)
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number -T
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, A4 PA�A-ecc,
\J
ho e U
Hereby aut ri —�e
behal , all m eldtive to work a
a
S�ignature of er
as Owner/Authorized Agent of subject property
to act on
-permit application.
Date
SECTION 7b��� �®RIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and infon-nation on the foregoing application are true and accurate, to the best of my knowledge
and belief
Print Name
Signature of Owner/Agent
NO. OF STORIES
Date Bloom
SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TINMERS I ST
2 ND 3 M
SPAN
DlMENSIONS OF SILLS
DMENSIONS OF POSTS
DiMENSIONS OF GIRDERS
MGHT OF FOUNDATION
TIUCKNESS
SIZE OF FOOTING
X
MATERIAL OF CHMNEY N6VP—
IS BUILDING ON SOLH) OR FILLED LAND
IS BUILDWG CONNECTED TO NATURAL GAS LINE
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FORM U LOT RELEASE FQRMT.,� 40 U310-
INSTRUCTIONS- This form is used to verify ffiX all -necessary approva I permitstrom
Boards and Departments. having jurisdiction have been obtaled. This does not relieve the
applicant and* or landowner from compliancewith any apphca'ble requirements.
APPLICANT PHONE
ASSESSORS MAP NUM13ER — 13n 8 LOT NUMBER
SUBDIVISION LOT NUMBER
Cb 40
STREET STREETNUMBER
OFFICLAL.USE ON -LY
...............
RECOMNffi-NI)ATIONS OF TOWN AGENTS
...... noun was a
DATE APPROVED
DATE REJECTED
CoNflvffimrs k�b. 1=
TOWN
DATE APPROVED
DATE REJECTED
DATE APPROVED
FOOD INSPECTOR --HEALTH DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
CONRvENTS
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DPJVEWAY PERMrr
DATE APPROVED
FIRE DEPARTN4ENT
DATE REJECTED
CONRvENTS
RECEWED BY BUILDING INSPECTOR -
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 112176
Expiration: 0310212003
Type: Private corporation
DUPUIS SERVICES. INC.
DOMINIC DUPUIS
716 LOWELL ST
METHUEN, MA OJ844 A IminiStrRtor
I
License or registradon valid for individul use only
before the expiration date. if found return to:
Board of Building Regulations and Standards
One Ashburton Place !'Im 1301
Boston, ma. 02108
Not valid without gnature
A4e
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number. CS 058317
RiAhAM- 1 -1 H1014 09.2
Expires: 11108/2001 Tr. no: 8658
Restricted To: GO
DOMINIC F DUPUIS
720 LOWELL ST
METHUEN, MA 01844
zz� -e,4z,41
Administrator
ACORD09/25/2000
,. CERTIFICATE OF LIABI LITY.1 NS U RANCE
T -DATE (MM/DDNY)
I
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
M.J. FOSTER INSURANCE SERVICES
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9 WAVERLY ROAD
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL,TER THE 6OVERAGE AFFORDED BY THE POLICIES BELOW.
NORTH ANDOVER, MA 01845-241
LIMITS
P:978-686-2266 F:978-686-6410
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: GRAPHIC ARTS MUTUAL
Dupuis Services Inc
INSURER B:
716 Lowell Street
INSURER C:
INSURER D:
Methuen MA 01844-
INSURER E:
FIRE DAMAGE (Anyone fire) S 50,000
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
Y EFFECTIVE
PDOALTCE IMWDDIM
POLICY EXPIRATION
DATE (MM/DDIYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
BOP3001953
06/01/2000
06/01/2001
FIRE DAMAGE (Anyone fire) S 50,000
1:11 CLAIMS MADE NXII OCCUR
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY
E]
E]
GENERALAGGREGATE
GE AT LMITAPPLIESPER:
PRODUCTS - COMP/OP AGG $
PRO -
E] POLICYFE jECT F LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident) 500,000
A
F11
ALL OWNED AUTOS
1 SCHEDULED AUTOS
BAC3001954
06/01/2000
06/01/2001
BODILY INJURY $
(Per person)
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
E]
GA GE LIABILITY
AUTO ONLY - EA ACCIDENT $
A NY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY
EACH OCCURRENCE $
F-11OCCUR FE-11CLAIMS MADE
AGGREGATE
$
FQ DEDTJCTIBLE
1
10:1 RETENTION $
$
WORKERS COMPENSATION AND
H -
N TOCRYSI�L 10 1 OETR
A
EMPLOYERS' LIABILITY
3001955
06/01/2000
06/01/2001
E.L. EACH ACCIDENT . $ 100,000
E.L. DISEASE - EA. EMPLOYEE $ 100,000
E.L. DISEASE - POLICY LIMIT $ 500,000
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSE ME NTIS P ECIAL PROVISIONS
RE: 30 COACHMANS LANE
NORTH ANDOVER, MA
L;t--K I IFIUA It HL)LUtK I " I ADDITIONAL INSURED; INSURER LETTER: — L;ANL;tLLA I IUN
TOWN OF NORTH ANDOVER
Building Department
North Andover MA 01845-
ACORD 25-S (7197)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYSWRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESERTATIVE-
@ACORD CORPORATION 1988
V
Town of North Andover tAORTH
+
0
Building Department
.V
27 Charles Street 4
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
44TIO
3 cHu
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, s I 50a.
The debris will be disposed of in /at:
+,I- trurkl,vuo + D��;i)osa
acility locdtion
Signature of Applica4t
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
716 Lowell Street
Methuen, MA 01844
(508) 687-7930
RESIDENTIAL CONTRACTING AGREEMENT
Read this agreement and make sure you understand it before signing it.
This agreement has legal force and effect and binds those who sign it.
Notice: All home improvement contractors and subcontractors engaged in home improvement contract-
ing, unless specifically exempt from registration by provisions of Chapter 142a of the general laws,
must be registered with the Commonwealth of Massachusetts. Inquiries about registration and
statusshould bemade to the Director,Home Improvement Contract Registration, One Ashburton
Place, Room 1301, Boston, MA 02108.
Designated Registrant's Name: 0 0 M 'tN �r_ vi� U
Registration Number: I*r
Salesperson's Name:
This agreement is made on between Vp Q \�s _1�e r tr 1-te _5 1w C -
q�TET I (CONTRACMR)
c�f 7/6 /-Ovie/f 5f. med� � mp, &8,Y11 17 281-681"? 29-3a
(ADDRESS) (PHONE NUMBER)
hereinafter called "Contractor" and
rra, k. I I' z +
V (OWNER)
of 70 6cac�v,-t-aLA-) Lei- R44outr MA- -69-S (7-3 7 -3
(ADDRESS) (PHONE NUMBER)
hereinafter called "Owner".
1. DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following:
DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in performing the above described work consist of the following:
QA 4( FraV4 P01611:1- + IIIJAAjel 1�� Yua i
1;
_�1-1
+
4- YeQ_� P're_3r-_bA)5i1Q)J�L1
d &fvei-5_�
F�40,-
kjjo V t�
4 C---;CPQ)kj1GL1>§7
Xk, �- I ne'
10 ror'ese,Aj' .
11. PRICE ?
Contractor agrees to do all work described in Section I for the total price of $
III. PAYMENT
Payment will be made as follows:
[33 1/31 % ($ 6 0 ) upon signing Contract;
% -3 00 )upon completion of —
7
upon completion of _
and the remaining % ($ ) upon verification of
the work by Owner and Contractor as having been satisfactorily com-
pleted, which verification shall take place promptly after completion.
Notice: No agreement for home improvement contracting work shall require a down payment (advance
deposit) of more than one-third of the total contract price or the total amount of all deposits or
payments which the contractor must make, in advance, to order and/or otherwise obtain delivery
of special order materials and equipment, whichever amount is gLreater.
IV. COMMENCEMENT AND COMPLETION OF WORK
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, ; unless
specified here in writing. Contractor will begin the work on or about — -ACZ) (date). Barring delay cau,-.-d by
circumstances beyond Contractor's control, the work will be completed by (date). The Owner hereby
acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor
shall not be considered as violations of this Agreement.
V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
The Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason
that he deems himself or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite
to continuing the work described herein, that the balance of the payments under this contract that are in the control of the Owner,
shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal.
VI. INSURANCE
Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his
employees or his subcontractors in the performance of, oras a result of, the work under this Agreement. Contractor agrees to carry
insurance to cover such damage or injury.
VII. SUBCONTRACTING
Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor
is responsible to Owner for completion of all work described in a timely and workmanlike manner.
VIII. CONSTRUCTION -RELATED PERMITS
The followin construction -related permits will be necessary in order to complete the scope of work included in this Agreement:
The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related
permits. 'Me Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,
pen -nit granting or inspectional agencies, authorities or individuals.
Notice: If the homeowner obtains his own construction -related permits for the work described under this
agreement, the homeowner is hereby advised that in the event of a dispute, judgment and
nonpayment of thecontractor, thehomeowner will not be entitled tomakea claim toorcollect from
the guaranty fund established by Chapter 142A, M.G.L.
IX. MODIFICATION
This Agreement, including the provisions relating to price (Section 11) and payment schedule (Section III) cannot be changed
exupt by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance
with the Notice of Cancellation (annexed).
X. WARRANTIES
M
The Contractoy) warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period
of LO J�� -a-, following completion and shall comply with the requirements of this Agreement. In the event
any defect in w4kmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is
discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith
remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or
workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such
equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner
may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate
suchwarranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty,
shall not create any responsibility for the Contractor to warranty such equipment.
This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under
Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for a particular purpose.
XI. COMPLETENESS OF AGREEMENT FOR EXECUTION
The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked
as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are
attached hereto.
XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER
This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof
given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and
transmittal to the owner of a copy thereof.
RIGHTS TO CANCEL
The owner may cancel this agreement if it has been signed by the owner at a place other
than an address of the contractor which may be his main office or branch thereof,
provided that the owner notifies the contractor in writing at his main office or branch
by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the
third business day following the signing of this agreement. See attached Notice of
Cancellation.
4
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
&4a� — =g&—.7001
Contractor's Signature ]late Signed
H - GG 25M 6/92
Location -Fo C0ArfiUfjA1% lh-Aj--f
No. .D7�;- / Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # (6 9 3
15131 Bu ilding Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI$ RENOVAT!� OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ii t
BUILDING PERNUT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissio� of Buildings Date
SECTION I- SITE INFORMATION
1.1 Property Address:
V),A CA
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (sf) Frontage (ft)
1.6 WELDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public 0 Private 0 Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSE"IAUTHORIZED AGENT
2.1 Owner of Record
f-(-0AVK +- Pat 0 Q I V- 0 C �,(!,ff 1, 7& C OCAC V\4 a),u 5 /,&),
N int) Address for Service
3
Name Print Re�ord: Address for Service:
Signature Teleph
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
C-
Licen"Sed CoWstruction Supervisor:
Me
Address
xa 617 7 0
9 � 8 6
S ig �n. T81ephone
Not Applicable 0
0 S-I?3/
License Number
1116 ri)a
Expir�a�ln Date,/
3.2 Registered Home Improvement Contractor
AQ Up U
Company Ame
Fz=r-�- Owev
Not Applicable 0
Registration Number
Expiration(Date I
Address
Z)oq74�
Signature Telephone
ou
M
x
ic
--i
z
0
I
SECTION 4 - WORKERS COWENSATION (MG.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check appficable)
—7ilion
New Construction 0
Existing Build I ing [I
Repair(s) 0
Alteration . s(s) 0
11
Accessory Bldg. 0
Demolition 0
Other El Specify
Brief Description of Proposed Work:
n iv
U
13dc k- op New 65,MW
16) 1. Sf-lq k T- W C�-q 4-0 G f -C U A4
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
.............
OMCIALI
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUHDING PERMIT
1, , as Owner/Authorized Agent of subject property
e by u o e -SAf- 4J \-C 'es 3: (I -/e - to act on
building permit application.
Signature of Owner Date
SECTION 7b OWNEE40THORIZED AGENT DECLARATION
1, 4e 'J �ce as ONvner/Authorized Agent of subject
property'
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
pe" -N i -c .5
Print ?rn�e
k /C t
Signalire-of Owner/Agent Date(
NO. OF STORIES SIZE
BASENENT OR SLAB
SIZE OF FLOOR T11VMERS I ST 2ND 3 RD
SPAN
DPvENSTONS OF SILLS
DMIENSIONS OF POSTS
DFMENSIONS OF GIRDERS
HEIGHT OF FOUNDAMN TFUCKNESS
SIZE OF FOOTING X
MATERIAL OF CHEMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUU-DING CONNECTED TO NATURAL GAS LINE
FORM U - EOT 4RELEASE FORM
C1 — (9=0 t
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION**********************�1
APPLICANT ��ro
PHONE -1 7V 97
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT (S)
STREET— CA 41 W-5 ST. NUMBER 30
USE
I RECPAWENDATtONS OfF TOWN AGENTS: I
CONSERVATION ADMINIST�'A_T614
COMMENTS " (AJ
t,V4,A-f_ I?- LX
A LD TOWN
Aso -Aa C" /0
FOOD INSPE&OR-HEAL!
a-f,_d-_-_, L,->
SEPTIC INSPECTOR -HEALTH
COMME
DATE APPROVED I to i
DATE REJECTED I
DATEAPPROVED
DATE REJECTED
-k hy - //j/ /I )f lf e -y- la77'
DATE APPROVED
DATE REJECTED
DATEAPPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
-0/
Building Department
27 Charles Street
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-.9542
DEBRIS DrSPOSAL FORM
0
110
-rt, )�V , t5
In accordance with the provisions. Of MGL c 40 s 54, and- a condition of
Building perinit-# - the debris resulting from the work shall. be -disposed
of in a properly license I s,61i Fwaste disposal, facility as defined by MGL c I I
s I 56a.
The debris -will be disposed of in /at:
LO 15 7110
Facility
Cc �
lull - -----
Signature of -Applica-nt
71SZO-
Date
NOTE: A demolition permit ftom the Town of North Andover must be obtained for t
project through the Officc of the Building Inspector. his
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number GS 058317
Birthdate:, 11/0811963
Expires -..11/08/2001 Tr.no: 8658
lot Restricted To: 00
DOMINIC F DUPUIS
720 LowELL ST
METHUEN, MA 01844 Adminisb-ator
08? 1.0
PRIV
3/0 fOl
SERVICES i 1KC
S
ST-
�ET"UEN-AA 01$44
RA
AD Jos
I
\J
Location: S4!� C60-CLMCtIV5 A)
city A), --a OAL f u r�A 14 4ITq'�— Phone
F-1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
FTI I am an employer providing workers� compensation for my employees working on this job.
se� r V -1c e -
Address 2 / 6e, /— o Lj e I f
City: �e fk u c �u W 0, -5 t 'RL14( Phone 16 �� 7 7 9' 3 (5
Ins rance Co. Poli #
Comony name:
Address
City: Phone
insurance Co. -Policy #
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herby certffy underpiq pains and penalties
Print name
-(Z-
that the information provided above is true and correct,
Official use only do not write in this area to be completed by city or town official'
nCheck if immediate response is required Building Dept
Contact person: Phone
FORM WORKMAN'S COMPENSATION
Phone # 2,,7g1 -S7 7,�'-3 6)
F-1
Building Dept
0
Licensing Board
0
Selectman's Office
0
Health Department
0
Other
andover
consultants
inc.
October 8, 2001
Ms.Heidi Griffin
North Andover Planning Board
27 Charles Street
No. Andover, Mass. 01845
RE: 30 Coachman Lane — Lot 3
North Andover, Mass.
Dear Ms. Griffin:
1 East River Place
Methuen, Massachusetts 01844
Tel. (978) 687-3828
Fax (978) 686-5100
This office has prepared a plan showing proposed additions dated September
27, 2001 for the above referenced lot. That plan shows the existing dwelling,
swimming pool and cabana/garage.
The plan was revised on October 8, 2001 to show a proposed deck on the rear of
the cabana/garage.
The existing dwelling is connected to the Town sewer system in Coachman
Lane.
The owner and their architect have stated that the additions to the dwelling and
cabana/garage will not have any gutters or downspouts.
Based on the above facts, it is my opinion that no new surface or subsurface
discharges are proposed with the construction shown on our plan.
If you need any additional information, feel free to contact me at any time.
Sincerely,
ANDOVER CONSqLTANTS NC.
OF
WILLIA
MacLEOD
CIMIL
"!o. 31478
William S. MacLeod, E., P. L. S.
President
C/BHULefters/H.G�ffin Coachman 3
Civil Engineers e Land Surveyors * Land Planners
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Location c)C� )V�Ak,-)S A)
No. Date 00
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ r)
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ J Ts" -
Check # q () 8 ?
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
4,
BUILDING PERNUT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/lEsLxctoro�Buildings Date
SECTION I- SITE INFORMATION
1.1 Property Address:
CC)6-C�kOKOV5 �-W-
1.2 Assessors
Map Number
Map and Parcel Number:
Parcel Number
1.3 Zoning Information:
Zoning Diaiict Proposed Use
1.4 Property Dimensions:
Lot Area Frontage (ft)
1.6 BUIELDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Recitlired Provide RegWred Provided
RecNired
Provided
1.7 Water Supply 1,CG.L.C.40. 54) 1.5. Flood Zone Information:
Public 0 Private 0 zone — Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHM/AUTHORIZED AGENT
2.1 Owner of Record
.1 -
t I rRvJX j�--PbA P!A�q (P o r.� e 30 Co0,dA"Qyj-S LIJ. 0 AVL 0�-r-
Name (Print) Address for Service
A A L-4-4+-,
Signaturr, eleph ne
— X 6 6 8�5T3
LY 3
2.2 owner otlecord:
Name Print Address for Service:
Signature Tele ho
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Constipction Supervisor:
f) (f Oj -S e -f \.Y TA)(
Licensed k"struction Supervisor:
Address
78' -�Q?775�30
6
Signature Telephone
Not Applicable 0
License Number
/ // 0 6 2,�- co
Expiratidn Date
3.2 Registered Home Improvement Contractor
D'J-Q,J�-s 5
Not Applicable 0
Company *ame
06-JMUA)�-c , '7gF6 k
Registration Number
Expirati6n Date I
Addresspi/I 0 4 - 0 s- V
9 3 _0
Signature Telephone
I
40
"_r— � - -
r SECV IV4 - WORKERS COMPENSATION (KG.L C 152 25c(6)
Viqrkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (che",ck applIcable)
New Construction 0
Existing Building 0
Repair(s) 0
Alterations(s) 0
Addition 0
Accessory Bldg. �(
Demolition' 0
Other 0 Specify
Brief Description of Proposed Work:
Y e 0awd"wa tel Ploms bVi-I I
V
E I e c t or ki c a I
3J)' 66 V-A (e'
U
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit ap ficant
T.,
25. 41'
1. Building
2 Q-00 - 0 0
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
.3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
,-6_ Total (1+2+3+4+5)
Check Number
\SEC a OWNER AUMPRIZATION TO BE COMPLETED WHEN
OMJNER A INTAOR CON*ACTOR4ppLw,$; FOR BUILDING PERrMT
L as Owner/Authorized Agent of subject property
Hereby authorize �-Ce3 _t70C, to act on
My beh rdlative. to work authorized by this building permit application.
X 57/ g 7 /�2-6
Signature of Owner Date I
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION T
1, 00-M 1-1 YJ L'c 0 1J u k- s Se r �, �C e S 1;��as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
D 6 M-, N cc L
Print Na4&)
/0 7
Si ature of Owne=ent' Date
-NO. OF STORIES SIZE PW 417"'5c A /,Y
BASEMENT OR SLAB fly, -1 5 e --� —
-SIZE OF FLOOR TUVIBERS 2 NO 3
SPAN
DEVIENSIONS OF SILLS
Dl1VMNSIONS OF POSTS
-DINENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING aLl // X
MATERIAL OF CHIMREY /U 6 1 U e
IS BUILDING ON SOLID OR FI1,LED LAND
I 1�, bUILDINU CUNNECIEDIO NATURAL GAS LINE ILIC) I
M
kl�p
to \�3D- G -z 171AA44e� y s Q
FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to venify that all -necessary approval / permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
Ira VU 1< I C
APPLICANT 4HONE q79 93 0 Co �,i (AAh,
j677 "
ASSESSORS MAP NUMBE9 0/8J—,)(LOT NUMBER
SUBDIVISION LOTNUMBER
STREET COC
tC6L40A-15 kN -TREET NUMBER ju
among W0280mas annows asson SNUMBEEM
OFFICIAL US;�E N;LY
tons a
RECONMIENDATIONS OF TOWN AGENTS
...........
DATEAPPROVED 6!915100
CONSERVATION ADMINISTRATOR
DATE REJECTED
CONM4ENTS 0
14tylp If zln,� DATE APPROVED in) �;ID L)
V
TOWN lkaFNtR
va DATE REJECTED
CONB&ENTS 1�&-kl
FOOD INSPECTOR - HEALTH
SEPTIC INSPECTOR - HEALTH
DATE APPROVED
DATE REJECTED
DATEAPPROVED
DATE REJECTED/
CON34ENTS S -e �-v --r- r—
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAY PERA41T
FIRE DEPARTMENT
DATE APPROVED
DATE REJECTED
CONOJENTS
RECErVED BY BUILDING INSPECTOR DATE
0 LU jU -e (9 9 57 , 93 '�'3
Cl)
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BOARD OF BUILDING REGULATIONS
TRUCTION SUPERVISOR
License: CONS �
Nuniber. CS 058317
Birthdate -,11/08/1963
Exp 1�es:-il/08/2601 Tt. no: 8658
Re�stilcWdTo: 00
DOMINIC F DUPUISI��4�
720 LOWELL ST
METHUtN, MA 018" AcIministrator
gg"
01E
'AT860A
oIB44
AD
41
A -CORD CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYY)
09/25/2000
PR&DUCER
THIS CERTIFICATE -IS ISSUED AS A MATTER OF INFORMATION
M.J. FOSTER INSURANCE SERVICES
ONLY AND CONFERS NO RIGHTS UPON THE CEgTIFICATF
9 WAVERLY ROAD
NORTH ANDOVER, MA 01845-241
HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P:978-686-2266 F:978-686-6410
INSURERS AFFORDING COVERAGE
INSURED
INSURERA: GRAPHIC ARTS MUTUAL
Dupuis Services Inc
716 Lowell Street
INSURER B:
INSURER C:
Methuen MA 01844-
INSURER D:
INSURER E:
FIRE DAMAGE (Any one fire) $ 50,000
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDfYYI
POLICY EXPIRATION
DATE IMM/DDIYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE S 1,000,000
A
[91 COMMERCIAL GENERAL LIABILITY
E]I CLAIMS MADE FXIOCCUR
BOP3001953
06/01/2000
06/01/2001
FIRE DAMAGE (Any one fire) $ 50,000
MED EXP (Any one person) $ 10,000
E]
PERSONAL & ADV INJURY $
1:1
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
Ro� 111 LOC
1:11 POLICY IEJ] JPEC
-AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT $ 500,000
(Ea accident)
A
F]
x
ALL OWNED AUTOS
SCHEDULED AUTOS
13AC3001954
06/01/2000
06/01/2001
BODILY INJURY $
(Per person)
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $
(Per accident)
01
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
E] ANY AUTO
0
OTHERTHAN EA ACC $
AUTO ONLY: AGG S
EXCESS LIABILITY
E] OCCUR CLAIMS MADE
EACH OCCURRENCE $
AGGREGATE $
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
ATU TH-
.IMI_�
I TOCRYS IT S 10 1 OER
A
EMPLOYERS' LIABILITY
3001955
06/01/2000
06/01/2001
I.L. EACH ACCIDENT $ 100,000
E.L. DISEASE - EA EMPLOYEE $ 100,000
E.L. DISEASE -POLICY LIMIT S 500,000
OTHER
I
I
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: 30 COACHMANS LANE
NORTH ANDOVER, MA
%,F -n I lrl%lp% I r_ rRiLAir-M I" I ADDITIONAL INSURED; INSURER LETTER: _ LAN%,r_LLA I 1UN
TOWN OF NORTH ANDOVER
Building Department
North Andover MA 01845-
(7/97)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYSWRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESMTATIVE-
@ACORD CORPORATION 1988
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DUPUISSERVICIES I'll,
I .............. V ....... I ............. MR .. �0_C;
716 Lowell Street
Methuen, MA 01844
(508) 687-7930
RESIDENTIAL CONTRACTING AGREEMENT
Read this agreement and make sure you understand it before signing it.
This agreement has legal force and effect and binds those who sign it.
Notice: All home improvement contractors and subcontractors engaged in home improvement contract-
ing, unless specifically exempt from registration by provisions of Chapter 142a of the general laws,
must be registered with the Commonwealth or Massachusetts. Inquiries about registration and
statusshould be made to the Director, Home Improvement Contract Registration, One Ashburton
Place, Room 1301, Boston, MA 02108.
Designated Registrant's Name: 0 0 -bA �tj ��K' pu
Registration Number: -:r-F I I cl 1 -76
Salesperson's Name: /IMIWI-C 0(4,OVT5
This agreement is made on 5/94//00 between Dt Ls S-ecvic'e-S :Pt�,)C.
I (DA7M (COMMACrOR)
of :711, Lowe t st - mef�. MA- dt8l/zoe 9 79-697? V30
(ADDRESS) - (PHONE NUMBER)
hereinafter called "Contractor" and
of 30 Cowt () (OWNER)
_kmajys /_ AAldex) e r- 979 62 5-93 (73
(ADDRESS) (PHONENUMER)
hereinafter called "Owner".
1. DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work detailed below.- Such work consists of the following:
DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in performing the above described work consist of the following:
ip,
t' 10 6n 6 -itj d -� E �(_- 6 1 H10er1,-Ax ) <NAt' 1 d ll-srmo A i. 'm 1/) )
aVT IF)CPelusc-5 &P
11. PRICE
Contractor agrees to do all work described in Section I for the total price of
III. PAYMENT
Payment will be made as follows:
[33 1/31 % (S !2Q 0 0. 0 0 ) upon signing Contract;
5-31-3 00 0 - 0 C, )upon completion of —
% 00o - upon completion of —
and the remaining X % ($ -/-0' f�l ) upon verification of
the work by Owner and Contractor as having been satisfactorily com-
pleted, which verification shall take place promptly after completion.
Notice: No agreement for home improvement contracting work shall require a down payment (advance
deposit) of more than one-third or the total contract price or the total amount of all deposits or
payments which the contractor must make, in advance, to order and/or otherwise obtain delivery
of special order materials and equipment, whichever amount is greater
IV. COMMENCEMENT AND COMPLETION OF WORK
Contractor will not begin the work or order the materials before the third day o ow . ng e signing of this Agreement, unless
specified here in writing. Contractor will begin the work on or about — - 0 _ (date). Barring delay caused by
circumstances beyond Contractor's control, the work will be completed by/, (date). The Owner hereby
acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor
shall not be considered as violations of this Agreement.
V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
The Contractor may not require payments tobemade inadvanceof the times specified in SectionIll (Payment)above forthereason
that he deems himself or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite
to continuing the work described herein, that the balance of the payments under this contract that are in the control of the Owner,
shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal.
VI. INSURANCE
Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his
employees or his subcontractors in the performance of, or as a result of, the work under this Agreement. Con tractor agrees to carry
insurance to cover such damage or injury.
VII. SUBCONTRACTING
Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor
is responsible to Owner for completion of all work described in a timely and workmanlike manner.
VIII. CONSTRUCTION -RELATED PERMITS
The following construction -related permits will be necessary in order to complete the scope of work included in this Agreement:
The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related
permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,
permit granting or inspectional agencies, authorities or individuals.
Notice: If the homeowner obtains his own construction -related permits for the work described under this
agreement, the homeowner is hereby advised that in the event of a dispute, judgment and
nonpaymentof the contractor, the homeownerwill not be entitled tomakea claim toorcollect from
the guaranty fund established by Chapter 142A, M.G.L.
IX. MODIFICATION
This Agreement, including the provisions relating to price (Section II) and payment schedule (Section III) cannot be changed
except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance
with the Notice of Cancellation (annexed).
X. WARRANTIES
'Me Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period
of QOL following completion and shall comply with the requirements of this Agreement. In the event
any defect in workWariship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is
discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith
remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or
workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such
equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner
maybe required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate
such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty,
shall not create any responsibility for the Contractor to warranty such equipment.
This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under
Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for a particular purpose.
X1. COMPLETENESS OF AGREEMENT FOR EXECUTION
The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked
as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are
attached hereto.
XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER
This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof
given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and
transmittal to the owQer of a copy thereof.
RIGHTS TO CANCEL
The owner may cancel this agreement if it has been signed by the owner at a place other
than an address of the contractor which may be his main office or branch thereof,
provided that the owner notifies the contractor in writing at his main office or branch
by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the
third business day following the signing of this agreement. See attached Notice of
Cancellation.
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
ate Si ed
Contractor's Signature �Date %gried
H - GG 25M 6/92
-4
ENTER DATE OFTRANSACTION
NOTICE OF CANCELLATION
You may cancel this transaction, without any penalty or obligation, within three business days from the above date.
If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument
executed by you will be returned within ten business days following receipt by the Contractor of your cancellation
notice. And any security interest arising out of the transaction will be cancelled.
If you cancel, you must make available to the Contractor at your residence, in substantially as good condition as when
received, any goods delivered to you under this agreement; or you may, if you wish, comply with the instructions of
the Contractor regarding the return shipment of the goods at the Contractor's expense and risk.
If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty days of
the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you
fail to make goods available to the Contractor, or if you agree to return the goods to the Contractor and fail to do so,
then you remain liable for performance of all obligations under the agreement.
To cancel this transaction, mail or deliver a signed and dated copy of this
Notice of Cancellation or any other written notice, or send a telegram to
at
(NAME OF CONTRACTOR)
(ADDRESS OF CONTRACTOR'S PLACE OF BUSINESS)
NOT LATER THAN MIDNIGHT OF
I HEREBY CANCEL THIS TRANSACTION.
(DATE)
(OWNER'S SIGNATURE)
(DATE)
(OWNER'S ADDRESS)
H - GG 25M 6/92 [Two copies of this form to be attached to the Residential Contracting Agreement]
The following terms may be added, if desired, to clarify situations in which the Contractor will not be responsible for
delays (for example, delays due to hidden conditions, etc.):
VARIATIONS IN SCHEDULED START AND COMPLETION OF WORK
The actual dates that construction will commence and be completed may vary due to: thetimerequired
to apply for and obtain necessary permits, delays caused due to necessary inspections; delays in the
scheduling of work crew(s); the presence of hidden conditions or necessary additional work
discovered during construction; or delays in the receipt of equipment and/or materials which must be
ordered and/or delivered to the site.
NOTICE OF SCHEDULE CHANGES
The Contractor agrees that when any such delays become known to the Contractor, the Contractor will
advise the Owner as soon as is reasonable.
DELAYS IN COMPLETION DUE TO HIDDEN CONDITIONS
The Owner hereby acknowledges and agrees that in certain remodeling work, the demolition of
portionsof thepreexisting structure may reveal additional defects, conditions or the need for additional
work, which must be repaired, altered or carried out in order to commence or to complete the work
described under this contract. In such case(s) the Homeowner agrees that the duration of the work and
the scheduled date of completion may differ from the date contained in Section IV, above, and that such
variation which is not avoidable by the Contractor shall not be considered to be a violation of this
Contract.
If the Contractor wants to provide leeway for adjusting the overall price when hidden conditions increase the amount of
work required, the following term should be included:
HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK
Hidden conditions may require adjustment in the overall price of the necessary work related to this
Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and where
necessary a written amendment of this Agreement will be negotiated and executed by the Contractor
and Owner.
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PERMIT FOR GAS INSTALLATION
This certifies that ... ................
has permission for gas installation ... C /P .........
in the buildings of . o-' �/ .................
at
4 f -i ........... North Andover, Mass.
Fee. 2 tr- Lic. No..?-(. �1.
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'GAS . INSPECTOR V -
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6156
MASSACHUSEM UNHORM APPLICATON FOR PERM TO DO GAS FnTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations 3 Permit#
Owner's Name Amount $ OL J...,
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New 0 Renovation 0 Replacement 0 Plans Suirmitted 0
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Name of Licensed Plumber or Gas Fitter A,- f h --. — X —
INSURANCE COVERAGE Check one:
I have a current liability Insurance, policy or it's substantial equivalent. Yes 13-- NoO
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 131� Other type of indemnity 13 Bond 0
Owner's insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner 13 Agent 13
I hereby certify that all of the details and infbm—ation I have submitted (or entered) in above ap—plication are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massach e 9� Code and,�hapterA of the goneral Laws.
BY:
Title
City/Town
1 —1
I APPROVED (OFFICE USE ONLY) I
Signature of Licensed Plumber Or Gas Fitter
[3'Plumber
[3Gas Fitter License Number
1:3—master
13 Joumeyman
Xcel Fire Protection Inc.
Fire Sprinklers Save Lives and Property
Roy Dobbelaar cell. 978- 618-8747 email. rdobbq-bao1.com
Attn: Fire Prevention
Re: Magliochetti
To Whom it May Coi
, MA
September 15, 2008
This is to advise that the sprinkler rougli-in work recently completed at the above referenced project was
completed in accordance with the Massachusetts State Building Code, sixth edition, the standards of the
National Fire Protection Association (NFPA) Pamphlet #I 3D, 2002 edition, and local codes. The sprinkler
system has also been installed in accordance with the sprinkler design criteria established for this
occupancy (permit 4 5881 dated 4/15/08).
CPVC piping installed has passed a 200# hydrostatic test (certificate attached).
If you have any questions, please do not hesitate to contact this office.
Very truly yours, . IQ 14 " I I
Roy Dobbelaar
Sr. Project Manager
978-618-8747 cell
rdobbaaol.com
603-898-9999 fax
Xcel Fire Protection Inc.
MA Contractor License # 3858
HA Industrial Way, Unit 1, Salem, NH 03079 off 1"ce: 800-53 7-3331
fax: 603-898-9999 email (cadfilles): design@xceyi"re.com
Xc-4-Fire Protection. Inc.
Fire Sprinkler Installation, Sales, and Service
HA Industrial Way,
Salem, NH 03079
(800) 537-3331, Fax (603)-898-9999
Contractoes Material and Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work, inspection and test shall be made by the contractor's representative and witnessed by an owner's
representative. All defects shall be corrected and system left in service before contractoes personal finally leave the job.
A certificate shall be filled out and signed by both representatives. Copious shall be prepared for approving authorities, owners, and
contractor. It is understood the owner's representatives signature is no way prejudices any claim against the contractor for faulty
material, poor workmanship, or failure to comply with approving authority requirements or local ordinances.
15ROPER-TY NAME- MAGLEOCHETTI
PROPERTY ADDRESS 30 COACHMAN'S LANE
NORTH ANDOVER, MA
PLANS
ACCEPTED BY APPROVING AUTHORITIES (NAMES)
NORTH ANDOVER, MA
ADDRESS
INSTALLATION CONFORMS TO ACCEPTED PLANS X YES No
EQUIPMENT USED IS APPROVED X YES NO
IF NO, EXPLAIN DEVIATIONS
INSTRUCTIONS
FWS -PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS X YES NO
TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE X YES NO
OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? X YES NO
1. SYSTEM COMPONENTS INSTRUCTIONS X YES NO
2. CARE AND MAINTENANCE INSTRUCTIONS X YES NO
3. NFPA 25 X YES NO
LOCATION OF
SYSTEM
SUPPLIES 10TH FLOOR
YEAR ORIFICE TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QUANTITY RATING
TYCO LFII CONC PEND 1/2 108 155 Degree
SPRINKLERS
TYCO FRB UPRIGHT 1/2 6 155 Degree
TYCO DRY HSW 112 2 155 Degree
TYGO DRY PEND 1/2 7 155 Degree
i i i i t
PIPE AND
FITTINGS
TYPE OF PiPh PhK W -11A
TYPE OF FITTINGS PER NFPA
ALARM
VALVE
OR FLOW
INDICATOR
ALARM DEVICES
'MU TIME TO OPERATE
�H=OUGH
TEST CONNECTION
TYPE MAKE MODEL MIN SEC
Shot Gun N/A N/A 0
0
DRY PIPE VALVE
Q.O.D-
MAKE T MODEL SERIAL NO.
MAKE I MODEL SERIAL NO.
TYCO
DRY PIPE
OPERATING
TEST
TIME TO TRIP
THROUGH TEST WATER AIR
CONNECTION PRESSURE PRESSURE
TIME WATER
TRIP POINT REACHED
AIR PRESSURE TEST OUTLEI
ALARM
OPERATED
PROPERLY
MIN SEC PSI PSI
PSI MIN SEC
EYENO
S I
WITH
Q.O.D.
W/o
O.O.D.
IF NO, EXPLAIN
OPERATION
Pneumatic Electric Hydraulics
PIPING SUPERVISED Yes Nol D;= media Yes No
ised
Deluge and
preaction
valve
DOES VALVE OPERATE FROM THE MANUAL TRIP, OR BOTH Yes No
CONTROL STATIONS
I
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT
FOR TESTING Yes No
If no, explain
I
Does each circuit operate
supervision loss alarm
Make Model Yes No
Does each circuit operate
valve release
Maximum time to
operate release
Yes No
Yes No
Pressure
reducing
Location Make and Setting Static pressure Residual pressure Flow
and floor Model (flowing) Rate
valve test
Inlet (psi) I Outlet (psi) Inlet (psi) I Outlet (psi) Flow (gpm)
Xcel Fire Protection. Inc.
Fire Sprinkler Installation, Sales, and Service
I ]A Indastrial Way,
Salem, NH 03079
(800) .53 7-3331, Fax (603)-898-9999
Hydrostatic: Hydrostatic test Shall be Made at no less than ;dUU psi (13.b Dar) Tor 2 hours or bu psi
(3.4 bar) above static pressure in excess of 150 psi (10.2 bar) for 2 hours. Differential dry -pipe valve
clappers shall be left open during the test to prevent damage. All aboveground piping leakage shall be stopped.
Test
Description
Pneumatic: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1.5 psi (0.1 bar)
in 24 hours. Test pressure tanks are normal water level and air pressure and measure air pressure drop, which
shall no exceed 1.5 psi (0.1 bar) in 24 hours
All piping hydrostatically test at ZPQ psi (1;&bar) for _L hours
If no, state reason
Dry piping pneumatically tested Yes Nol
Equipment operates properly X YES No
Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives
of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks
X YES No
Drain
Reading of gauge located near water
Residual pressure with valve in.test
Tests
Test
Isupply test connection: psi
1connection open wide: _ psi
Underground main and lead-in connections to system risers flushed before connection made to
sprinkler piping
Verified by copy of the Contractor's material and X Yes No Other Explain
Test Certificated for Underground Piping
Flushed by installer of underground sprinkler piping X Yes No
Tip—owder-driven fasteners are used in concrete, Yes X No
If no, explain
has representative sample testing been
NONE USED
satisfactorily completed?
Blank testing
Number used
Number removed
gaskets
011-ocations
0
Welding piping Yes X No
If Yes ...
Do you certify as the sprinkler contractor that welding procedures comply Yes X No
with the requirements of at leas AWS B2.1 ?
Welding
Do you certify that the welding was performed by welders qualified in Yes X No
compliance with the requirements ofat least AWS B2.1?
Do you certify that the welding was carried out in compliance with a Yes X No
documented quality control procedure to ensure that all discs are retrieved, that
in piping are smooth, that slag, and other welding residue are
,=nings
oved, and that the internal diameters of piping are no penetrated?
Cutouts Do you certify that you have a control feature to ensure that X Yes No
(discs) all cutouts (discs) are retrieved
Hydraulic
Nameplate provided
no, exp ain
data
nameplate
YES No
Remarks —
Date left in service With all control v—aFve —open
Name of sprinkler contractor
Acel Fire Protection Inc.
Tests witnessed by
t -or prop2.rty owner (Sij ned I itle Date
g j .......
Signatures
0000� I V 0( -2, 4? - 0
g- �A )
XWEprinklAr c n rac (signed) I itle Date
I Armw 01 2 - 0
Additional explanations PTMotes
Date R .......
1110N, TOWN O�"NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that
............. ..
has permission for gas installation ........
in the buildings of ................. y ..........................
at ...... 1. North Andover, Mass.
Fee3' I ...... Lic. W-?!� 9�/ .... —.-I .... .. ............
GAS IN. PE, TOR
Check #
655C
rs"�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town-.' AjU)>0'-Ae0' MA. Date:A7.Z&LC-)-?—)--Permit# 6��o
Building Location: —V Owners Name:
Type of Occupancy: Commercial [I Educational E] Industrial F] Institutional El Res idential
New: 6 Alteration: [] Renovation: C] Replacement: [] Plans Submitted: Yes D No
rs"�
I have a current Ilabilltv insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes Rt/Non
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy P�' Other type of indemnity E] Bond n
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 El Agent M
Si nature Owner or Owner's Agent
By checking this box 0; 1 hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and
accura e to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in
t'
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By
Title
Cityrrown --
APPROVED
LK
LP Installer
S19NQjqLe-PKice8sVd Plumber/Gas Fitter
e*7 C1 � (
License Number: J C— -1 '0
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SUB BSMT.
BASEMENT
V"FLOOR
3 KD FLOOR
C FLOOR
5'" FLOOR
6'" FLOOR
71H FLOOR
_Fff—FLOOR
Installing Company Name: :5
Check One Only Certificate #
Address: City/Town:
Or -corporation a/04
state*/4;V'#4-
Business Tel: Fax: �T2-1414-.?
E] Partnership
U Firm/Company
Name of Licensed Plumber/Gas Fitter: 1,11,7 S-1
I have a current Ilabilltv insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes Rt/Non
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy P�' Other type of indemnity E] Bond n
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 El Agent M
Si nature Owner or Owner's Agent
By checking this box 0; 1 hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and
accura e to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in
t'
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By
Title
Cityrrown --
APPROVED
LK
LP Installer
S19NQjqLe-PKice8sVd Plumber/Gas Fitter
e*7 C1 � (
License Number: J C— -1 '0
(Print of Tpe) 111111-UHM APPLICATION FOR PERMIT TO DO GASFITTING
—NORTH ANDOVERI Mass. Dale__� /
Building Permit
Location _'k
Owner's
Name —a)( // ) r�,, a -ILI
New Renovation [I Replacement Eg----- Plans Submitted: Yes 0 No E]
Sus—esmT.
IASRMINT
12TFLOOR
2ND. FLOOR
SAO FLOOR
4THFLOO;
2
A
N
A
T
0
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A
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4 T HF Loopt
5 5 T FLOOR
TH FLOOR
G sr r LO
THFLOOA
7TH FLOopt
A
STH FLOOR
Check one:
Installing Company Name
Address Corp.
El Partnership
A
11 Flrm/rn
Business Telephone 10 K 60
Name of Licensed Plumber or Gas Fitter 'e
INSURANCE COVERAGE: Check ng—
I have a current liability Insurance policy 'or its substantial equivalent. Yes P90___ No 0
It You have checked yes, please Indicate the type coverage by checking the appropriate box
A liability Insurance policy 'F:� Other type of kWamnfty E:3 - 11
Bond El
Certificate
OWNER*S INSURANCE WAIVER: I am aware that the licensee does n9Lhgyk the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my lIgnature on this permit application Waives this requirement.
Check one:
Signature of owner or Owner's int owner 11 Agent 0
""meby certify that all of the details and Information I have submitted (or entered) In above aPplicallon are true and accurate to the best of my
Itnowledge and that an plumbing work and Installations performed under the permK I
Pertinent provisions of the Massachusetts State Gas Q a —A r*. a ued for this aPplicallon will be mpliance th all
CHY/Town
AM10YED (OFFICE USE NLY)
RP of I 4,Z of un - M.
T nsm: 7na ure� tj
umber of
ter
r
or
J�ste
u License Number
mayman
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0
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0
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Check one:
Installing Company Name
Address Corp.
El Partnership
A
11 Flrm/rn
Business Telephone 10 K 60
Name of Licensed Plumber or Gas Fitter 'e
INSURANCE COVERAGE: Check ng—
I have a current liability Insurance policy 'or its substantial equivalent. Yes P90___ No 0
It You have checked yes, please Indicate the type coverage by checking the appropriate box
A liability Insurance policy 'F:� Other type of kWamnfty E:3 - 11
Bond El
Certificate
OWNER*S INSURANCE WAIVER: I am aware that the licensee does n9Lhgyk the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my lIgnature on this permit application Waives this requirement.
Check one:
Signature of owner or Owner's int owner 11 Agent 0
""meby certify that all of the details and Information I have submitted (or entered) In above aPplicallon are true and accurate to the best of my
Itnowledge and that an plumbing work and Installations performed under the permK I
Pertinent provisions of the Massachusetts State Gas Q a —A r*. a ued for this aPplicallon will be mpliance th all
CHY/Town
AM10YED (OFFICE USE NLY)
RP of I 4,Z of un - M.
T nsm: 7na ure� tj
umber of
ter
r
or
J�ste
u License Number
mayman
Date ....
40RTH TOWN OF NORTH ANDOVER
PER%iF0bW)dWM8&LLAT1ON
MAR 1 2 P9?
�0. An
This certifies that ........ .................
has permission for gas installation
in the buil�ings of . ...............
..... ......
at North Andover, Mass.
Feed ..... Lic. No.. . ..........................
GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
,/' - ( &I
Date.(,� . .-? ..............
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . A' . A .-1, �,f. -.-� .......................
has permission for gas installation
in the building's' 'of ............................
at North Andover, Mass.
I
Fee. 67... Lic. No.. .. ......... ..........
.//GAS INSPECTOR
Check #
--1 0 ". - )
�Jou -
P
MASSACHUSETTS UNIFORM APPUCATON FOR PERNUr TO DO GAS FrrnNG
_9-.) 61
(Type or print) Date (0
NORTH ANDOVER, MASSACHUSETTS
Building LAxations �0
Permit 9
Amount $
Owner's Name
New Renovation Replacement [:] Plans 4ubmitted
(Print or type) 4p�k one: Certificate Installing Company
Name— /7'- Corp.
Address 7— Partner.
Business Telephone (0 r4p 0 0-(- aflnn/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes [3—' No
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0---� Other type of indemnity 1:1 Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
—ac aii vi. mu u 1 and unurmation i nave sut)minea (or enterea) in above application are true and accurate to the
.7 -Ix -y lb
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I A-rr1ALU V LIJ (OFFICE USE ONLY) I
_$ignature of Licensed Plumber Or Gas Fitter
[2"Plumber 'm -�
[:] Gas Fitter License Nu7n-b r
r -_-],-Master
Journeyman
1ST. FLOOR
2ND. TFL—O 0 R
3R D. F L 0 0 R
4 T -H . TL 0 0 !t
'i5T H. FLOOR
6TH. F L 0 0 R
(Print or type) 4p�k one: Certificate Installing Company
Name— /7'- Corp.
Address 7— Partner.
Business Telephone (0 r4p 0 0-(- aflnn/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes [3—' No
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0---� Other type of indemnity 1:1 Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
—ac aii vi. mu u 1 and unurmation i nave sut)minea (or enterea) in above application are true and accurate to the
.7 -Ix -y lb
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I A-rr1ALU V LIJ (OFFICE USE ONLY) I
_$ignature of Licensed Plumber Or Gas Fitter
[2"Plumber 'm -�
[:] Gas Fitter License Nu7n-b r
r -_-],-Master
Journeyman
a
41 6
D t//
. �- . C�) -/ - "-'�
a.........
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that AV. ...... —,I
.............................
has permission to perform
plumbing in the buildings of ......... 77:)"
at ............................. North Andover, Mass.
Fee Lic. No. ..........
PIL
I�GIINSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH.,kNDOVER, MASSACHUSETTS
Building Location
'30 0,'4-C4/Lti4A/5
New 0-*" Renovation M Replacement 1:1
te-,
it #
Amount
Plans Sub ed Yes
9�-Z' No
V 1:1 1:1
(Print or type)
Installing Company Name
Address y
z
Check one: Certificate
F-1 Corp.
r-1 Partner.
[3--Firm/Co.
Name ofLicensed Plumber:
Insurance Coverage- Indicate the type of insurance coverage by checking the appropriate box:
,Liability insurance policy 0-11'�` Other type of indemnity M Bond Fj
Insurance Waiver I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
J three insurance
Signature Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and s ed uj4er Permit Issped for this application will be in
compliance with all pertinent provisions of the Massacht� nS g e and Cha
,p�er 1420e General Laws.
By: =ipaturp of Licensea ------
Type of Plumbing License
Title 3
City/Town License Mumoer Master 131'� Joumeyman
APPROVED (OFFICE USE ONLY
=1;3:,:Jjlmmmmmmmmmmmmmmmmmmmmmmmmmmo
= -�W a 05 Bel
MWWWMMMMMMMMMMMMMMMMMMMMMN
M*;ro-ll,mnmnmmmmmnmmmmmommmmmmmmmmo
(Print or type)
Installing Company Name
Address y
z
Check one: Certificate
F-1 Corp.
r-1 Partner.
[3--Firm/Co.
Name ofLicensed Plumber:
Insurance Coverage- Indicate the type of insurance coverage by checking the appropriate box:
,Liability insurance policy 0-11'�` Other type of indemnity M Bond Fj
Insurance Waiver I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
J three insurance
Signature Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and s ed uj4er Permit Issped for this application will be in
compliance with all pertinent provisions of the Massacht� nS g e and Cha
,p�er 1420e General Laws.
By: =ipaturp of Licensea ------
Type of Plumbing License
Title 3
City/Town License Mumoer Master 131'� Joumeyman
APPROVED (OFFICE USE ONLY
30
Cc? A C 4 M 4 US
Location
No.
Date
0
TOWN OF NORTH
ANDOVER
Certificate of Occupancy
$
MU
Building/Frame Permit Fee
$
00
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #
— /W,(..
1 6,�-3 Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERM[IT NUMBER: DATE ISSUED: le�—
SIGNATURE:
Building Comnirssioner/lEs
.j�Etor of Buildings Date
SECTION I- SITE INFORMATION I
1. 1 Property Address:
30 Cc &Z e tl P11A ti t-aA Q
1.2 Assessors Map and Parcel
G
Map Number
Number:
�R
Parcel Number
Name (Print)
Address for Service
1.3 Zoning Information:
Zoning Di��c—t Proposed Use
1.4 Property Dimensions:
Lot Area (sf)
Frontage (ft)
1.6 BUELDING SETBACKS (ft)
Name Print
Front Yard
Side Yard
Rear Yard
Re(pired Provide
ReqWred Provided
Re
red Provided
Not Applicable 0
Licensed Construction Supervisor:
1.7 Water Supply M.G.L.C.40. 54)
Public D private 0 Zone
1.5. Flood Zone Information:
Outside Flood Zone 0
1.8
Municipal
Sewerage Disposal System:
0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 wner of Record
4:2 11,
Name (Print)
Address for Service
Signature Telephone
2.2 Owner of Record:
1,
Name Print
Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable 0
Licensed Construction Supervisor:
License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable 0
12
Company Name
/O/R- &A -,Y..
Registration Number
��—ov
Address
700— -3-11c�)
Expiration Date
Signature Telephone
00
M
z
0
I
0
z
M
90
0
ic
I , . r
I SECTION 4 - WORKERS COMPENSATION MG.L. C 152 & 25c(6) I
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit %vill result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
.SECTION 5 Description o Proposed Work (check appUcable
New Construction 0
Existing Building 0
Repair(s) [I _[_A�terations(s)
0
Addition 0
Accessory Bldg. 0
Demolition 0
Other 11 Specif�
Brief Description of Proposed Work:
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by pennit applicant
ONLY
1 . Building
9 1 -5-<2 0
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
-3 Plumbing
Building Permit fee (a) x (b)
-4 Mechanical (HVAC)
5 Fire Protection
-6 Total (1+2+3+4+5)
Check Number
2,
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
V/
1, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building perrait application.
-Signature of Owner Date
_J
SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belieG.,?
Print Na
Signature of Owner/Alent Wte
NO. OF STORIES SIZE
_BASENIENT OR SLAB
-SIZE OF FLOOR TRvIBERS 191 2 NO 3RD
SPAN
-DE\4ENSIONS OF SILLS
_DRAENSIONS OF POSTS
-DINENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
-SIZE OF FOOTING X
-MATERIAL OF CHRVINEY
-IS BUILDING ON SOLH) OR FILLED LAND
-IS BUILDING CONNECTED TO NATURAL GAS LINE
The Commonwealth of Massachusetts
Department of Industlial Acciden.ts
F
Office of Investigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
e Please Print
Name:
Location:
city Phone #
I am a homeowner performing all work myself
I am a sole proprietor and have no one worldng in arry capacity'
F71' I am an employer providing workers! compensation for nTy employees woMng on this job.
<7
Comparwriame. 12��-atl7dfz PCP0-J'-f-',17 ,
M9 ZY
Address
C f W.
Phom*,
Company name:
Address
phone*
Failure to secure coverage as required under Section 25A or MGL 152 can lead tothe irrpwitlon & crinibw penanee�-Gr -a.tkwuo, to S.
and/or one years!
understand that a copy of this statement may belorwarded to the Ofte of Investijabons of the DIA for covenage verVjmMoh.
Official use only do not write in this area to be cornpWW by city or town cffwiar
-; . I
Uty at, Town
[jCheck I ftwmdafe re-Almme is mquked Lkenafng ftm
SelectmaWs a
COntact Phomt Hec-dffi DeparM
Other
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of IVIGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by IVIGL
c 11, S 150A.
The debris will be disposed of in:
LI -5 P0,, , W,
(Location of Facility)
Signahillie, of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
AL FOURNIER Family Roofers & Painters
168 MAPLE ST. INTERIOR, EXTERIOR PAINTING PAPERING
METHUEN,MA01844 CARPENTRY - ROOFING - GUTTERS SNOW BELTS
rEL. 683-5127 FREE ESTIMATES
'30 Coa�A' p -v -'n'5'
Me (-i )?co -P
51r, rr�
r
MOBILE
633-5990
--00
TOTAL 1"'-L 6,
PEPOSIT
5+c,
PA it C E
WHEN COMPLETE
ALL CHECKS TO ALBERT FOURNIER
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7 andover
consultants
inc.
April 25, 2000
1 East River Place
Methuen, Massachusetts 0 1844
Tel. (978) 687-3828
Fax (978) 686-5100
A
Ms. Heidi Griffin
North Andover Planning Board
27 Charles Street
No. Andover, Mass. 01845
RE: 30 Coachman Lane - Lot 3
North Andover, Mass.
Dear Ms. Gdffin:
This office has prepared a site plan dated March 22, 2000 for the above referenced lot.
That plan shows the existing dwelling and a proposed swimming pool and shed.
The existing dwelling is connected to the Town sewer system in Coachman Lane.
The proposed pool will utilize a cartridge filtration system that eliminates the need for
any backwash cycle. The pool will not have any drains or discharges.
The proposed shed will not have any gutters or downspouts.
Based on the above facts, it is my opinion that no new surface or subsurface
discharges are proposed with the construction of the pool or shed.
If you need any additional information feel free to contact me at any time.
Sincerely,
Civil Engineers e Land Surveyors * Land Planners
andover
consultants
///t7 inc.
Apri125,2000
Ms. Heidi Griffin
North Andover Planning Board
27 Charles Street
No. Andover, Mass. 01845
RE: 30 Coachman Lane - Lot 3
North Andover, Mass.
Dear Ms. Griffin:
1 East River Place
Methuen, Massachusetts 01844
Tel. (978) 687-3828
Fax (978) 686-5100
This office has prepared a site plan dated March 22, 2000 for the above referenced lot.
That plan shows the existing dwelling and a proposed swimming pool and shed.
The existing dwelling is connected to the Town sewer system in Coachman Lane.
The proposed pool will utilize a cartridge filtration system that eliminates the need for
any backwash cycle. The pool will not have any drains or discharges.,.
The proposed shed will not have any gutters or downspouts.
Based on the above facts, it is my opinion that no new surface or subsurface
discharges are proposed with the construction of the pool or shed.
If you need any additional information feel free to contact me at any time.
Sincerely,
ANDqVER CONS - ULTANTSINC
William S. MacLeo , P.E., P.L.S.
President
A�A OF
IL IAM S.
MaCLEOD
CIVIL
No. 31478
-/0NAL
Civil Engineers 9 Land Surveyors * Land Planners
M
0
W E
Magilochetti Residence
30 Coachman Rd.
North Andover, MA
Additions and Renovations
1. 11 x 17 Stamped Plans
2. Beam Calcs. (engineered lumber and steel beams)
3. Rescheck (energy audit)
141 Main St., Unit C - Satern, NH 03079
1.800.890.0058 - Tel: 603.890.0058 - Fax: 978.349.6055 - Cell: 978.994.6118
weathertightllc@comcast.net
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Permit #
Permit Date
CREScheck Software Version 3.7.3
�(j Compliance Certificate
Report Date: 07/25/07
Data filename: C:\Documents and Seftings\Frank\Desktop\PJ.rck
Energy Code: Massachusetts Energy Code
Location: Andover, Massachusetts
Construction Type: 1 or 2 Family, Detached
Heating Type: Other (Non -Electric Resistance)
Glazing Area Percentage: 19%
Heating Degree Days: 6322
Construction Site: Owner/Agent:
Designer/Contractor:
30 Coachmans Drive PJ Magliochetti
GC- Weathertight, LLC/ DESIGNED BY
Andover, MA
ORAZIO DESIGNS, LLC
141 Main St
Salem, NH
Compliance: Passes Maximum UA: -1357- Your Home
UA: 1289 5.0% Better Than Code (UA)
Ceiling 1: Flat Ceiling or Scissor Truss: 3626
30.0 0.0 127
Ceiling 2: Flat Ceiling or Scissor Truss: 1125
30.0 0.0 39
Wall 1: Wood Frame, 16" o.c.: 3680
13.0 0.0 234
1 FLR WINDOWS: Wood Frame, Double Pane with Low -E: 424
0.350 148
1 FLR DOORS: Glass: 400
0.350 140
Wall 2: Wood Frame, 16" o.c.: 3560
13.0 0.0 246
2FLR WINDOWS: Wood Frame, Double Pane with Low -E: 377
0.350 132
2FLR DOORS: Glass: 187
0.350 65
Floor 1: All -Wood JoistlTruss, Over Unconditioned Space: 4790
30.0 0.0 158
Furnace 1: Forced Hot Air: 85 AFUE
Furnace 2: Forced Hot Air: 85 AFUE
Air Conditioner 1: Electric Central Air: 13 SEER
Air Conditioner 2: Electric Central Air: 13 SEER
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy
Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard
Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of
the design load as specified in Sections 780CMR 1310 and J4.4.
Builder/Designer Company Name Date
Page 1 of 4
CN /i
Date: 07/25/07
REScheck Software Version 3.7.3
Inspection Checklist
Ceilings:
Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments: 2FLR CEILINGS
Q Ceiling 2: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments: I FLR CEILINGS
Above -Grade Walls:
Wall 1: Wood Frame, 16" o.c., R-1 3.0 cavity insulation
Comments: I FLR WALLS
Wall 2: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments: 2FLR WALLS
Windows:
1 FLR WINDOWS: Wood Frame, Double Pane with Low -E, U -factor: 0.350
For windows without labeled U -factors, describe features:
#Panes - Frame Typ Thermal Break? - Yes - No
Comments:
2FLR WINDOWS: Wood Frame, Double Pane with Low -E, U -factor: 0.350
For windows without labeled U -factors, describe features:
#Panes - Frame Typ Thermal Break? - Yes - No
Comments:
Doors:
1 FLR DOORS: Glass, U -factor: 0.350
Comments:
2FLR DOORS: Glass, U -factor: 0.350
Comments:
Floors:
Floor 1: All -Wood JoistfTruss, Over Unconditioned Space, R-30.0 cavity insulation
Comments: 1 FLR OVER BASEMENT
Heating and Cooling Equipment:
Furnace 1: Forced Hot Air: 85 AFUE or higher
Make and Model Number:
L] Furnace 2: Forced Hot Air: 85 AFUE or higher
Make and Model Number:
Air Conditioner 1: Electric Central Air: 13 SEER or higher
Make and Model Number:
Ll Air Conditioner 2: Electric Central Air: 13 SEER or higher
Make and Model Number:
Air Leakage:
C) Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed.
L) When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements:
1 - Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or
Page 2 of 4
gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 Us) air movement from the the
conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference
and shall be labeled.
Vapor Retarder:
Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors.
Materials Identification:
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on the building plans or
specifications.
Duct Insulation:
C] Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud
bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to
the manufacturers installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not
permitted.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
LJ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the
heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections
780CMR 1310 and J4.4.
Circulating Hot Water Systems:
U Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
Page 3 of 4
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Table 2: Minimum Insulation Thickness for HVA C Pipes
Insulation Thickness in Inches by Pipe Sizes
Insulation Thickness in Inches by Pipe Sizes
Non -Circulating Runouts
Circulating Mains and Runouts
Heated Water
Piping System Types
Rangeff)
Temperature (*F)
Up to 1"
Up to 1.25"
1.5" to 2.0"
Over 2"
170-180
0.5
1.0
1.5
2.0
140-160
0.5
0.5
1.0
1.5
100-130
0.5
0.5
0.5
1.0
Table 2: Minimum Insulation Thickness for HVA C Pipes
NOTES TO FIELD: (Building Department Use Only)
C
N
P
Page 4 of 4
Insulation Thickness in Inches by Pipe Sizes
Fluid Temp.
Piping System Types
Rangeff)
2" Runouts 1 " and Less
1.25" to 2.0"
2.6' to 4"
Heating Systems
Low Pressure/Temperature
201-250
1.0
1.5
1.5
2.0
Low Temperature
120-200
0.5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant and
40-55
0.5
0.5
0.75
1.0
Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD: (Building Department Use Only)
C
N
P
Page 4 of 4
Boise. Single 11-7/8" AJSTm 25 MSR Joistxjl
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
Name: Description: J1
e Specifier:
,,dr ss:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Total Horizontal Product Length = 18-06-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS
1 1 FLOR Unf. Area (psD Left 00-00-00 18-06-00 40 20 16"
Controls Summary
value
% Allowable
Duration
Load Case
Span Location
Pos. Moment
3315 ft -lbs
53.2%
100%
1
1 - Internal
End Reaction
723 lbs
63.2%
100%
1
1 - Left
Total Load Defl.
U580 (0.377")
41.4%
1
1
Live Load Defl.
U870 (0.251
55.2%
1
1
Span / Depth
18.4
n/a
1
( Z
IringSupporltS
Dim.(LxW)
Value
% Allow
Support
% Allow
Member
Material
BO Wall/Plate
2-1/2" x 3-1/2"
740 lbs
n/a
n/a
Unspecified
B1 Wall/Plate
2-1/2" x 3-1/2"
740 lbs
n/a
n/a
Unspecified
Notes
Design meets Code minimum (U240) Total load deflection criteria.
Design meets User specified (U480) Live load deflection criteria.
Composite El value based on 23/32" thick sheathing glued and nailed to joist.
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD TM , BCIS,
BOISE GLULAM-, SIMPLE FRAMING
SYSTEM@, VERSA-LAMO, VERSA -RIM
PLUSOD, VERSA-RIM0,
VERSA -STRAND@, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
801SE'. Single 11-7/8" AJSTm 25 MSR Joist1,12
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
C-",b Name: Description: J2
dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Total Horizontal Product Length = 17-00-00
Load Summary
Tag Description
Load Type
Ref. Start
End
Live
100%
Dead Snow Wind Roof Live
90% 115% 133% 125% ocs
1 1 FLR
Unf.
Area (psf)
Left 00-00-00 17-00-00 40
20 16"
Controls Summary
Value
% Allowable
Duration
Load Case
Span Location
Disclosure
Pos. Moment
2792 ft -lbs
44.8%
100%
1
1 - Internal
Completeness and accuracy of input must
End Reaction
663 lbs
58.0%
100%
1
1 - Left
be verified by anyone who would rely on
Total Load Defl.
L/733 (0.274")
32.7%
1
1
output as evidence of suitability for
Live Load Defl.
L/1099 (0.182")
43.7%
1
1
particular application. Output here based
Span / Depth
16.9
n/a
1
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
CcdaringSulpporltS
% Allow
% Allow
products must be in accordance with
Dim.(LxW)
Value
Support
Member
Material
current Installation Guide and applicable
BO Wall/Plate
2-1/2" x 3-1/2"
680 lbs
n/a
n/a
Unspecified
building codes. To obtain Installation Guide
B1 Wall/Plate
2-1/2" x 3-1/2"
680 lbs
n/a
n/a
Unspecified
or ask questions, please call
(800)232-0788 before installation.
Notes BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD-, BCIO,
Design meets Code minimum (L/240) Total load deflection criteria. BOISE GLULAM-, SIMPLE FRAMING
Design meets User specified (L/480) Live load deflection criteria. SYSTEM@, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued and nailed to joist. PLUS@, VERSA -RIM@,
VERSA -STRAND@, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
Page 1 of 1
BOISE, Single 16" AJSTm 20 MSR Joistk,14
BC CALCO 9.3 Design Report - US 2 spans I Right cantilever 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
b Name: Description: J4
dress: Specifier:
dity, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1144 Misc:
Total Horizontal Product Length = 21-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS
1 1 FLR Unf. Area (psf) Left 00-00-00 21-00-00 40 10 16"
Controls Summary
Value
% Allowable
Duration
Load Case
Span Location
Pos. Moment
3282 ft -lbs
53.4%
100%
14
1 - Internal
Neg. Moment
-33 ft -lbs
0.5%
100%
1
1 - Right
End Reaction
657 lbs
57.5%
100%
14
1 - Left
Int. Reaction
711 lbs
24.3%
100%
1
1 - Right
Cont. Shear
654 lbs
31.6%
100%
1
1 - Right
otal Load Defl.
U797 (0.299")
30.1%
14
1
a Load Defl.
U995 (0.239")
48.2%
14
1
�11..otal Neg. Defl.
-0.042"
8.4%
14
2 - Cantilever
Span / Depth
14.9
n/a
1
% Allow
% Allow
BearingSupportS
Dim.(LxW)
Value
Support
Member
Material
BO Wall/Plate
2-1/2" x 2-1/2"
671 lbs
n/a
n/a
Unspecified
Bi Beam
3-1/2" x 2-1/2"
730 lbs
11.1%
n/a
Versa -Lam 1.7
Cautions
Design assumes Top and Bottom flanges to be restrained at cantilever.
Notes
Design meets Code minimum (U240) Total load deflection criteria.
Design meets User specified (L1480) Live load deflection criteria.
Composite El value based on 23/32" thick sheathing glued and nailed to joist.
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD-, BCIS,
BOISE GLULAMTM' SIMPLE FRAMING
SYSTEM@, VERSA-LAM8, VERSA -RIM
PLUS@, VERSA -RIM&,
VERSA -STRAND@, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
BOISE' Single 16" AJSTm 25 MSR Joist\,15
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
"b Name: Description: J5
:dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Total Horizontal Product Length = 24-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% ocs
1 1 FLR Unf. Area (psfl Left 00-00-00 24-00-00 40 10 16"
Controls Summary
value
% Allowable
Duration
Load Case
Span Location
Pos. Moment
4684 ft -lbs
53.8%
100%
1
1 - Internal
End Reaction
786 lbs
68.7%
100%
1
1 - Right
Total Load Defl.
U628 (0.453")
38.2%
1
1
Live Load Defl.
U786 (0.362")
61.1%
1
1
Span / Depth
17.8
n/a
1
% Allow
% Allow
,,6aringSupportS
Dim.(LxW)
Value
Support
Member
Material
BO Wall/Plate
2-1/2" x 3-1/2"
800 lbs
n/a
n/a
Unspecified
Bi Wall/Plate
2-1/2" x 3-1/2"
800 lbs
n/a
n/a
Unspecified
Notes
Design meets Code minimum (L1240) Total load deflection criteria.
Design meets User specified (L1480) Live load deflection criteria.
Composite El value based on 23/32" thick sheathing glued and nailed to joist
0
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD-, BCIO,
BOISE GLULAMTM, SIMPLE FRAMING
SYSTEMV, VERSA -LAM@, VERSA -RIM
PLUS@, VERSA -RIM@,
VERSA-STRANDO, VERSA -STUD@) are
trademarks of Boise Wood Products,
L.L.C.
iSE-
BC CALCO 9.3 Design Report - US
Build 057
b Name:
dress:
C
I y, State, Zip:
Single 9-1/2" AJSTm 20 MSR
I span I No cantilevers 10/12 slope
16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
Description: J6
Specifier:
Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Joist1,16
Thursday, July 26, 2007 09:59
Total Horizontal Product Length = 11 -00-00
Load Summary
Tag Description
Load Type
Ref. Start
End
Live
100%
Dead Snow Wind Roof Live
90% 115% 133% 125% ocs
1 ROOF TOP DECK Unf.
Area (psf)
Left 00-00-00
11-00-00 60
10 16"
Controls Summary
Value
% Allowable
Duration
Load Case
Span Location
Disclosure
Pos. Moment
1338 ft -lbs
39.4%
100%
1
1 - Internal
Completeness and accuracy of input must
End Reaction
494 lbs
43.2%
100%
1
1 - Left
be verified by anyone who would rely on
Total Load Defl.
U1011 (0.127")
23.7%
1
1
output as evidence of suitability for
Live Load Defl.
L11 180 (0.109")
40.7%
1
1
particular application. Output here based
Span / Depth
13.5
n/a
1
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
% Allow
% Allow
products must be in accordance with
..6aringSupportS
Dim.(LxW)
Value
Support
Member
Material
current Installation Guide and applicable
BO Wall/Plate
2-1/2" x 2-1/2"
513 lbs
n/a
n/a
Unspecified
building codes. To obtain Installation Guide
B1 Wall/Plate
2-1/2" x 2-1/2"
513 lbs
n/a
n/a
Unspecified
or ask questions, please call
(800)232-0788 before installation.
Notes BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD-, BCIS,
Design meets Code minimum (U240) Total load deflection criteria. BOISE GLULAMTM, SIMPLE FRAMING
Design meets User specified (U480) Live load deflection criteria. SYSTEMO, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued and nailed to joist. PLUS@, VERSA -RIM@,
VERSA-STRANDO, VERSA-STLID& are
trademarks of Boise Wood Products,
L.L.C.
Page 1 of 1
BOISE, Double 9-1/2" AJSTm25MSR JoistXJ7
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
--,' b Name: Description: J7
dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1144 Misc:
Total Horizontal Product Length = 19-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% ocs
1 ROOF TOP DECK Unf. Area (pso Left 00-00-00 19-00-00 60 10 16"
Controls Summary
Value
% Allowable
Duration Load Case
Span Location
Pos. Moment
4083 ft -lbs
42.4%
100% 1
1 - Internal
End Reaction
867 lbs
37.9%
100% 1
1 - Left
Total Load Defl.
U521 (0.431
46.1%
1
1
Live Load Defl.
U607 (0.37")
79.0%
Span / Depth
23.6
n/a
% Allow % Allow
Value Su000rt Member
60 Wall/Plate 2-1/2" x 7" 887 lbs n/a n/a Unspecified
B1 Wall/Plate 2-1/2" x 7" 887 lbs n/a n/a Unspecified
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
Notes BC CALCO, BC FRAMER@, AJS-,
Design meets Code minimum (L/240) Total load deflection criteria. ALLJOISTO, BC RIM BOARD-, BCI8,
BOISE GLULAMTm, SIMPLE FRAMING
Design meets User specified (U480) Live load deflection criteria. SYSTEM@, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued and nailed to joist. PLUS@, VERSA -RIM@,
VERSA -STRAND@, VERSA-STUDO are
trademarks of Boise Wood Products,
L.L.C.
Page 1 of 1
1SE- Single 14" AJSTm25MSR Joistk,18
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
--,-b Name: Description: J8
)dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Total Horizontal Product Length = 24-00-00
Load Summary
Tag Description
Load Type
Ref. Start
End
Live
100%
Dead Snow Wind Roof Live
90% 115% 133% 125% OCS
1 BONUS ROOM
Unf. Area (ps�
Left 00-00-00
24-00-00 40
10 16"
Controls Summary
Value % Allowable
Duration
Load Case
Span Location
Disclosure
Pos. Moment
4684 ft -lbs
62.4%
100%
1
1 - Internal
Completeness and accuracy of input must
End Reaction
786 lbs
68.7%
100%
1
1 - Right
be verified by anyone who would rely on
Total Load Defl.
U474 (0.601
50.7%
1
1
output as evidence of suitability for
Live Load Defl.
L/592 (0.481
81.1%
1
1
particular application. Output here based
Span / Depth
20.3
n/a
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
% Allow
% Allow
products must be in accordance with
c(earingSupportS
Dim.(LxW)
Value
Support
Member
Material
current Installation Guide and applicable
BO Wall/Plate
2-1/2" x 3-1/2"
800 lbs
n/a
n/a
Unspecified
building codes. To obtain Installation Guide
B1 Wall/Plate
2-1/2" x 3-1/2"
800 lbs
n/a
n/a
Unspecified
or ask questions, please call
(800)232-0788 before installation.
Notes BC CALCO, BC FRAMER@, AJS-,
Design meets Code minimum (U240) Total load deflection criteria. ALLJOISTO, BC RIM BOARDTM, BCI8,
BOISE GLULAMTm, SIMPLE FRAMING
Design meets User specified (L1480) Live load deflection criteria. SYSTEM@, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued and nailed to joist. PLUS@, VERSA -RIM@,
VERSA -STRANDS, VERSA-STUDO are
trademarks of Boise Wood Products,
L.L.C.
Page 1 of 1
Single 14" AJSTm 20 MSR JoistXJ9
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
C_'�b Name: Description: J9
'dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1144 Misc:
Total Horizontal Product Length = 21-06-00
Load Summary
Tag Description
Load Type
Ref. Start End
Live
100%
Dead Snow Wind Roof Live
90% 115% 133% 125% ocs
I 2FLR
Unf. Area (psf)
Left 00-00-00 21-06-00 40
10 16"
Controls Summary
Value % Allowable
Duration Load Case
Span Location
Disclosure
Pos. Moment
3748 ft -lbs 70.8%
100% 1
1 - Internal
Completeness and accuracy of input must
End Reaction
703 lbs 61.4%
100% 1
1 - Right
be verified by anyone who would rely on
Total Load Defl.
U498 (0.511 48.2%
1
1
output as evidence of suitability for
Live Load Defl.
U623 (0.409") 77.1%
1
1
particular application. Output here based
Span / Depth
18.2 n/a
1
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
"'aringSupportS
% Allow % Allow
products must be in accordance with
t A
Dim.(LxW) Value
Support Member
Material
current Installation Guide and applicable
BO Wall/Plate
2-1/2" x 2-1/2" 717 lbs
n/a n/a
Unspecified
building codes. To obtain Installation Guide
Bi Wall/Plate
2-1/2" x 2-1/2" 717 lbs
n/a n/a
Unspecified
or ask questions, please call
(800)232-0788 before installation.
Notes
BC CALCO, BC FRAMER0, AJS-,
Design meets Code minimum (U240) Total load deflection criteria.
ALLJOISTO, BC RIM BOARD-, BC10,
Design meets User specified (U480) Live load deflection
criteria.
BOISE GLULAM-, SIMPLE FRAMING
SYSTEMO, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued
and nailed to joist.
PLUS@, VERSA -RIM@,
VERSA -STRAND@, VERSA-STUDO are
trademarks of Boise Wood Products,
L.L.C.
C
Page 1 of 1
iSE- Single 14" AJSTm 20 MSR Joistxjlo
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
r' -)b Name: Description: J 10
dress: Specifier:
Gity, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1 144 Misc:
Total Horizontal Product Length = 13-00-00
Load Summary
Tag Description
Load Type
Ref. Start
End
Live
100%
Dead Snow Wind Roof Live
90% 115% 133% 125% OCS
1 FLOOR
Unf.
Area (psf)
Left 00-00-00 13-00-00 40
10 16"
Controls Summary
Value
% Allowable
Duration Load Case
Span Location
Disclosure
Pos. Moment
1346 ft -lbs
25.4%
100%
1
1 - Internal
Completeness and accuracy of input must
End Reaction
419 lbs
36.7%
100%
1
1 - Right
be verified by anyone who would rely on
Total Load Defl.
L11 994 (0.076")
12.0%
1
1
output as evidence of suitability for
Live Load Defl.
U2493 (0.061")
19.3%
1
1
particular application. Output here based
Span / Depth
10.9
n/a
1
on building code -accepted design
properties and analysis methods.
1/' __'�
Installation of BOISE engineered wood
�-,4aringSupportS
% Allow
% Allow
products must be in accordance with
Dim.(LxW)
Value
Support
Member
Material
current Installation Guide and applicable
BO Wall/Plate
2-1/2" x 2-1/2"
433 lbs
n/a
n/a
Unspecified
building codes. To obtain Installation Guide
B1 Wall/Plate
2-1/2" x 2-1/2"
433 lbs
n/a
n/a
Unspecified
or ask questions, please call
(800)232-0788 before installation.
Notes BC CALCO, BC FRAMER@, AJS-,
Design meets Code minimum (L/240) Total load deflection criteria. ALLJOISTO, BC RIM BOARD-, BCIO,
BOISE GLULAM1m, SIMPLE FRAMING
Design meets User specified (U480) Live load deflection criteria. SYSTEM@, VERSA -LAM@, VERSA -RIM
Composite El value based on 23/32" thick sheathing glued and nailed to joist. PLUS@, VERSA -RIM@,
VERSA -STRAND@, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
0
Page 1 of 1
BOISE, Single 9-1/2" AJSTm 20 MSR JoistIA 1
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057 16" OCS I Non -Repetitive I Glued & nailed construction
File Name: PJ 07040
,)b Name: Description: J 11
' idress: Specifier:
Gity, State, Zip: , Designer:
Customer: Company:
Code reports: ESR- 1144 Misc:
4
+
14-00-00
BO, 2-1/2"
LL 560 lbs
DL 93 lbs
B 1, 2-1/2"
LL 560 lbs
DL 93 lbs
Total Horizontal Product Length = 14-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS
1 ROOF DECK Unf. Area (psf)I Left 00-00-00 14-00-00 60 10 16"
Controls Summary
value
% Allowable
Duration
Load Case
Span Location
Pos. Moment
2192 ft -lbs
64.5%
100%
1
1 - Internal
End Reaction
634 lbs
55.4%
100%
1
1 - Right
Total Load Defl.
U522 (0.315")
46.0%
1
1
Live Load Defl.
U609 (0.27")
78.9%
1
1
Span / Depth
17.3
n/a
1
% Allow
% Allow
_6aringSupportS;
Dim.(LxW)
Value
Support
Member
Material
BO Wall/Plate
2-1/2" x 2-1/2"
653 lbs
n/a
n/a
Unspecified
Bi Wall/Plate
2-1/2" x 2-1/2"
653 lbs
n/a
n/a
Unspecified
Notes
Design meets Code minimum (L/240) Total load deflection criteria.
Design meets User specified (L1480) Live load deflection criteria.
Composite El value based on 23/32" thick sheathing glued and nailed to joist.
0
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMERO, AJSTM,
ALLJOISTO, BC RIM BOARDTM, BCIG,
BOISE GLULAM-, SIMPLE FRAMING
SYSTEMS, VERSA-LAMO, VERSA -RIM
PLUS@, VERSA-RIM6,
VERSA -STRANDS, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
C
C
6(Lq 42-raL �6urf-'
UniformIV Loaded Floor Beam[ AISC 9th Ed ASD 1 Ver: 5.01b
Bv: ORAZIO DESIGNS LLC, ORAZIO DESIGNS LLC on: 07-25-2007:4:49:46 PM
Project: 07040 - Location: B14
Summary
A36 W1 4x6l x 23.0 FT
Section Adequate By: 20.9% Controlling Factor:
Beam Data:
Span:
Unbraced Lenqth-Top of Beam:
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Floor Loadinq:
Floor Live Load -Side One:
Floor Dead Load -Side One:
Tributary Width -Side One:
Floor Live Load -Side Two:
Floor Dead Load -Side Two:
Tributary Width -Side Two:
Wall Load:
Beam Loadinq:
Beam Total Live Load:
Beam Self Weiqht:
Beam Total Dead Load:
Total Maximum Load:
Properties for: W14x61/A36
Yield Stress:
Modulus of Elasticity:
Depth:
Web Thickness:
Flanqe Width:
Flanqe Thickness:
Distance to Web Toe of Fillet:
Moment of Inertia About X -X Axis:
Section Modulus About X -X Axis:
Radius of Gvration of Compression Flanqe + 1/3
Design Properties per AISC Steel Construction Manual:
Flanqe Bucklinq Ratio:
Allowable Flanqe Buckling Ratio:
Web Bucklinq Ratio:
Allowable Web Bucklinq Ratio:
Controllinq Unbraced Lenqth:
Limitinq Unbraced Lenqth for Fb=.66*Fy:
Allowable Bendinq Stress:
Web Heiqht to Thickness Ratio:
Moment
L=
23.0
FT
Lu=
0.0
FT
L/
360
L/
240
LL1 =
95
PSF
DL1=
30
PSF
TW1=
2.5
FT
LL2=
135
PSF
DL2=
40
PSF
TW2=
10.0
FT
WALL=
160
PLF
wL=
1588
PLF
BSW=
61
PLF
wD=
696
PLF
wT=
2284
PLF
Fv=
36
KS1
E=
29000
KSI
d=
13.89
IN
tw=
0.38
IN
bf=
9.99
1 N
tf=
0.64
1 N
k=
1.44
1 N
lx=
640.0
IN4
Sx=
92.2
IN3
of Web: rt=
2.70
IN
Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy:
Allowable Shear Stress:
Design Requirements Comparison:
Nominal Moment Strength:
Controllinq Moment:
Nominal Shear Strength:
Maximum Shear:
Moment of Inertia:
FBR=
AFBR=
WBR=
AWBR=
Lb=
Lc=
Fb=
h/tw=
h/tw-Limit=
Fv=
Mr=
M=
Vr--
V=
Ireq=
I=
7.75
10.83
37.04
106.67
0.0
10.55
23.76
33.6
63.3
14.4
182556
150996
75006
26260
450
640
&_� (:: � r" .
FT
FT
KSI
KSI
FT -LB
FT -LB
LB
LB
IN4
IN4
0
1� ( (9 Cqw— V -60A
Multi -Loaded Beam[ AISC 9th Ed ASD I Ver: 5.01 b
By: ORAZIO DESIGNS LLC, ORAZIO DESIGNS LLC on: 07-25-2007: 4:54:34 PM
Proiect: 07040 - Location: B1 5
Summary:
A36 W14x6l x 8.0 FT
Section Adequate By: 244.4% Controlling Factor: Moment
Beam Data:
Center Span Lenqth:
Center Span Unbraced Lenqth-Top of Beam:
Center Span Unbraced Lenath-Bottom of Beam:
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Center Span Loading:
Uniform Load:
Live Load:
Dead Load:
Beam Self Weight:
Total Load:
Point Load 1
Live Load:
Dead Load:
Location (From left end of span):
Properties for: W14x6l/A36
Yield Stress:
Modulus of Elasticity:
Depth:
Web Thickness:
Flanqe Width:
Flanqe Thickness:
Distance to Web Toe of Fillet:
Moment of Inertia About X -X Axis:
Section Modulus About X -X Axis:
Radius of Gyration of Compression Flanqe + 1/3 of Web:
Design Properties per AISC Steel Construction Manual:
Flanqe Bucklinq Ratio:
Allowable Flanqe Buckling Ratio:
Web Bucklinq Ratio:
Allowable Web Bucklinq Ratio:
Controllinq Unbraced Lenqth:
Limitinq Unbraced Lenqth for Fb=.66*Fy:
Allowable Bendinq Stress:
Web Heiqht to Thickness Ratio:
Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy:
Allowable Shear Stress:
Design Requirements Comparison:
Nominal Moment Strength:
Controllinq Moment:
L2=
8.0
FT
Lu2-Top=
0.0
FT
Lu2-Bottom=
8.0
FT
L/
360
LB
L/
240
wL-2=
0
PLF
wD-2=
0
PLF
BSW=
61
PLF
wT-2=
61
PLF
PL1-2=
18256
LB
PD1 -2=
8000
LB
Xl-2=
4.0
FT
Fv=
36
KSI
E=
29000
KSI
d=
13.89
IN
tw=
0.38
IN
bf=
9.99
IN
ff=
0.64
IN
k=
1.44
IN
lx=
640.0
IN4
Sx=
92.2
IN3
rt=
2.70
IN
FBR=
7.75
AFBR=
10.83
WBR=
37.04
AWBR=
106.67
Lb=
0.0
FT
Lc=
10.55
FT
Fb=
23.76
KSI
h/tw=
33.6
h/tw-Limit=
63.3
Fv=
14.4
KS1
Mr=
182556
FT -LB
M=
53000
FT -LB
4.0 Ft from Left Support of Span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s) 2
Nominal Shear Strength: Vr=
75006
LB
Maximum Shear: V=
13372
LB
8.0 Ft from Left Support of Span 3 (Riqht Span)
Critical shear created by combining all dead loads and live loads on span(s) 2
Moment of Inertia: Ireq=
44
IN4
I=
640
IN4
iSE- Triple 1-3/4" x 16" VERSA -LAM@ 2.0 3100 SP Floor BeamI1316 17
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 E9:59
Build 057
File Name: PJ 07040
- b Name: Description: B16_17
,.'d r e s s: Specifier:
Gity, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1040 Misc:
60
LL 9180 lbs
DL 3261 lbs
17-00-00
Total of Horizontal Design Spans = 17-00-00
B1
LL 9180 lbs
DIL 3261 lbs
Load Summary
Value
% Allowable
Duration Load Case
Span Location
Live
Dead
Snow Wind Roof Live
Tag Description
Load Type
Ref.
start
End
100%
90%
115% 133% 125% Trib.
1 FLOOR
Unf. Area (psf)
Left
00-00-00
17-00-00
40
10
12-00-00
2 CEILING
Unf. Area (psf)I
Left
00-00-00
17-00-00
20
10
12-00-00
3 ROOF
Unf. Area (psfI
Left
00-00-00
17-00-00
30
10
12-00-00
Controls Summary
Value
% Allowable
Duration Load Case
Span Location
Pos. Moment
52873 ft -lbs
94.3%
100% 1
1 - Internal
End Shear
10383 lbs
65.1%
100% 1
1 - Left
Total Load Defl.
U266 (0.767")
90.3%
1
1
1 ive Load Defl.
U360 (0.566")
99.9%
1
1
On / Depth
12.8
n/a
1
Notes
Design meets Code minimum (U240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Minimum bearing length for BO is 3-1/8".
Minimum bearing length for B1 is 3-1/8".
Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing +
1/2 intermediate bearing
Connection Diagram
b d
a
c
a minimum = 2" c = 12"
b minimum = 2-1/2"d = 6"
Bolts are assumed to be Grade A307 or Grade 2 or higher.
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJSTM,
ALLJOISTO, BC RIM BOARDTM , BCI8,
BOISE GLULAM-, SIMPLE FRAMING
SYSTEM@, VERSA-LAMO, VERSA -RIM
PLUS@, VERSA -RIM@,
VERSA-STRANDQD, VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
0
I IN
N
Uniformly Loaded Floor Beam[ AISC 9th Ed ASD 1 Ver: 5.01 b
By: ORAZIO DESIGNS LLC, ORAZIO DESIGNS LLC on: 07-26-2007: 09:20:28 AM
Project: 07040 - Location: B24
Summary
A36 W1 Ox45 x 22. 0 FT
Section Adequate By: 35.2% Controlling Factor:
Beam Data:
Span:
Unbraced Lenqth-Top of Beam:
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Floor Loadinq:
Floor Live Load -Side One:
Floor Dead Load -Side One:
Tributary Width -Side One:
Floor Live Load -Side Two:
Floor Dead Load -Side Two:
Tributary Width -Side Two:
Wall Load:
Beam Loadinq:
Beam Total Live Load:
Beam Self Weiqht:
Beam Total Dead Load:
Total Maximum Load:
Properties for: W1 Ox45/A36
Yield Stress:
Modulus of Elasticity:
Depth:
Web Thickness:
Flanqe Width:
Flanqe Thickness:
Distance to Web Toe of Fillet:
Moment of Inertia About X -X Axis:
Section Modulus About X -X Axis:
Radius of Gyration of Compression Flanqe + 1/3
Design Properties per AISC Steel Construction Manual:
Flanqe Bucklinq Ratio:
Allowable Flanqe Buckling Ratio:
Web Bucklinq Ratio:
Allowable Web Bucklinq Ratio:
Controllinq Unbraced Lenqth:
Limitinq Unbraced Lenqth for Fb=.66*Fy:
Allowable Bendinq Stress:
Web Heiqht to Thickness Ratio:
Moment of Inertia
L=
22.0
FT
Lu=
0.0
FT
L/
360
L/
240
LL1=
90
PSF
DL1 =
30
PSF
TW1 =
6.0
FT
LL2=
40
PSF
DL2=
10
PSF
TW2=
5.0
FT
WALL=
80
PLF
wL=
740
PLF
BSW=
45
PLF
wD=
355
PLF
wT=
1095
PLF
Fv=
36
KSI
E=
29000
KSI
d=
10.10
1 N
tw=
0.35
1 N
bf=
8.02
1 N
tf=
0.62
IN
k=
1.25
IN
lx=
248.0
IN4
Sx=
49.1
IN3
of Web: rt=
2.18
IN
Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy:
Allowable Shear Stress:
Design Requirements Comparison:
Nominal Moment Strength:
Controllinq Moment:
Nominal Shear Strength:
Maximum Shear:
Moment of Inertia:
FBR=
6.47
AFBR=
10.83
WBR=
28.86
AWBR=
106.67
Lb=
0.0
FT
Lc=
8.466
FT
Fb=
23.76
KSI
h/tw=
25.3
h/tw-Limit=
63.3
Fv=
14.4
KSI
Mr=
97218
FT -LB
M=
66248
FT -LB
Vr=
50904
LB
V=
12045
LB
Ireq=
183
IN4
I=
248
IN4
1SE- Triple 1-3/4" x 16" VERSA -LAM@ 2.0 3100 SP Floor BeamI1321
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057
File Name: PJ 07040
".)b Name: Description: B21
';d
ress: Specifier:
city, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1040 Misc:
BO
LL 9180 lbs
DL 3261 lbs
Total of Horizontal Design Spans = 17-00-00
131
LL 9180 lbs
DL 3261 lbs
Load Summary
Value
% Allowable
Duration Load Case
Span Location
Live
--A -M"
Snow Wind Roof Live
Tag Description
17-00-00 A
BO
LL 9180 lbs
DL 3261 lbs
Total of Horizontal Design Spans = 17-00-00
131
LL 9180 lbs
DL 3261 lbs
Load Summary
Value
% Allowable
Duration Load Case
Span Location
Live
Dead
Snow Wind Roof Live
Tag Description
Load Type
Ref.
Start
End
100%
90%
115% 133% 125% Trib.
1 FLOOR
Unf. Area (ps�
Left
00-00-00
17-00-00
40
10
12-00-00
2 ROOF
Unf. Area (psD
Left
00-00-00
17-00-00
30
10
12-00-00
3 CEILING
Unf. Area (pso
Left
00-00-00
17-00-00
20
10
12-00-00
Controls Summary
Value
% Allowable
Duration Load Case
Span Location
Pos. Moment
52873 ft -lbs
94.3%
100% 1
1 - Internal
End Shear
10383 lbs
65.1%
100% 1
1 - Left
Total Load Defl.
U266 (0.767")
90.3%
1
1
Uve Load Defl.
U360 (0.566")
99.9%
1
1
(in / Depth
12.8
n/a
1
Notes
Design meets Code minimum (U240) Total load deflection criteria.
Design meets Code minimum (U360) Live load deflection criteria.
Minimum bearing length for BO is 3-1/8".
Minimum bearing length for B1 is 3-1/8".
Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing +
1/2 intermediate bearing
Connection Diagram
b d
a
a minimum = 2" c = 12"
b minimum = 2-1/2"d = 6"
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
C
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARD-, BCI8,
BOISE GLULAMTM, SIMPLE FRAMING
SYSTEM8, VERSA-LAM6, VERSA -RIM
PLUSE), VERSA -RIM@,
VERSA -STRAND@, VERSA -STUDS are
trademarks of Boise Wood Products,
L.L.C.
BOISE- Triple 1-3/4" x 14" VERSA -LAM@ 2.0 3100 SP
BC CALCO 9.3 Design Report - US I span I No cantilevers 10/12 slope
Build 057
Floor Beam\1322
Thursday, July 26, 2007 09:59
BO, 3-1/2"
LL 4830 lbs
DL 1326 lbs
J,
11-06-00
Total Horizontal Product Length = 11-06-00
B1, 3-1/2"
ILL 4830 lbs
DL 1326 lbs
Load Summary
File Name: PJ 07040
4b Name:
Description: B22
dress:
Specifier:
c1ty, State, Zip: ,
Designer:
Customer:
Company:
Code reports: ESR -1040
Misc:
BO, 3-1/2"
LL 4830 lbs
DL 1326 lbs
J,
11-06-00
Total Horizontal Product Length = 11-06-00
B1, 3-1/2"
ILL 4830 lbs
DL 1326 lbs
Load Summary
value
% Allowable
Duration
Load Case
Live
Dead
Snow Wind Roof Live
Tag Description
Load Type
Ref.
Start
End
100%
90%
115% 133% 125% Trib.
1 DECK
Unf. Area (psf)
Left
00-00-00
11-06-00
60
10
06-00-00
2 BONUS FLOOR
Unf. Area (psf)
Left
00-00-00
11-06-00
40
10
03-00-00
3 ROOF
Unf. Area (psf)
Left
00-00-00
11-06-00
30
10
12-00-00
Controls Summary
value
% Allowable
Duration
Load Case
Span Location
Pos. Moment
16317 ft -lbs
37.5%
100%
1
1 - Internal
End Shear
4595 lbs
32.9%
100%
1
1 - Left
Total Load Defl.
U888 (0.149")
27.0%
1
1
Live Load Defl.
L/1 132 (0.117")
31.8%
1
1
Can / Depth
9.5
n/a
1
% Allow
% Allow
BearingSupportS
Dim.(LxW)
Value
Support
Member
Material
BO Post
3-1/2" x 3-1/2"
6156 lbs
n/a
67.0%
Unspecified
B1 Post
3-1/2" x 3-1/2"
6156 lbs
n/a
67.0%
Unspecified
Cautions
Member is not fully supported at post BO. A connector is required at this bearing.
Column at Bearing BO analyzed for bearing only, column analysis has not been performed
Member is not fully supported at post B1. A connector is required at this bearing.
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed
Notes
Design meets Code minimum (L1240) Total load deflection criteria.
Design meets Code minimum (L/360) Live load deflection criteria.
Connection Diagram
C
- OMNI
a minimum = 2" C = 10"
b minimum = 2-1/2"d = 6"
1\
nber has no side loads.
onnectors are: 1/2 in. Staggered Through Bolt
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJSTm,
ALLJOISTO, BC RIM BOARD-, BCIQ),
BOISE GLULAMTM, SIMPLE FRAMING
SYSTEM@, VERSA-LAMO, VERSA -RIM
PLUSID, VERSA -RIM@,
VERSA-STRANDE), VERSA -STUD@ are
trademarks of Boise Wood Products,
L.L.C.
BOISE- Double 1-3/4" x 14" VERSA -LAM@) 2.0 3100 SP Floor BeamI1323
BC CALCO 9.3 Design Report - US 1 span I No cantilevers 10/12 slope Thursday, July 26, 2007 09:59
Build 057
File Name: PJ 07040
,/,-'--,b Name: Description: B23
,'dress: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR -1040 Misc:
22-00-00
BO, 3-1/2"
LL 2200 lbs
DL 702 lbs
B1, 3-1/2"
LL 2200 lbs
DL 702 lbs
Total Horizontal Product Length = 22-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib.
1 FLOOR Unf. Area (psf)I Left 00-00-00 22-00-00 40 10 05-00-00
Controls Summary
Value
% Allowable
Duration Load Case
Span Location
Pos. Moment
15301 ft -lbs
52.7%
100% 1
1 - Internal
End Shear
2517 lbs
27.0%
100% 1
1 - Left
Total Load Defl.
U324 (0.798")
74.1%
1
1
Live Load Defl.
U427 (0.605")
84.3%
1
Span / Depth
18.5
n/a
1
% Allow % Allow
_4aringSupporltS Dim.(LXW) Value Support Member Material
BO Post 3-1/2" x 3-1/2" 2902 lbs n/a 31.6% Unspecified
BI Post 3-1/2" x 3-1/2" 2902 lbs n/a 31.6% Unspecified
Cautions
Column at Bearing BO analyzed for bearing only, column analysis has not been performed.
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed.
Notes
Design meets Code minimum (L/240) Total load deflection criteria.
Design meets Code minimum (L/360) Live load deflection criteria.
Connection Diagram
a b I I [ d
V-0
C
a minimum = 2" c = 10"
b minimum = 2-1/2"d = 6"
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
Page 1 of 1
Disclosure
Completeness and accuracy of input must
be verified by anyone who would rely on
output as evidence of suitability for
particular application. Output here based
on building code -accepted design
properties and analysis methods.
Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(800)232-0788 before installation.
BC CALCO, BC FRAMER@, AJS-,
ALLJOISTO, BC RIM BOARDTM , BCIO,
BOISE GLULAM-, SIMPLE FRAMING
SYSTEMS, VERSA -LAM@, VERSA -RIM
PLUS@, VERSA -RIM&,
VERSA -STRAND@, VERSA-STUDO are
trademarks of Boise Wood Products,
L.L.C.