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Miscellaneous - 365 BOSTON STREET 4/30/2018
Date . ;� - . ?- S -.—�/Z— TOWN OF •ANDOVER * *PERMIT FOR ��SSACHU- ,- S���� This certifies that ..... % - .. T ... x0/` 0 `...... s ............. permission SPc ur< 1 has to perform ...�.�y wiring in the building of ........ !/..le � . T .ir! ....... attG.-?....Ze... ........... , North An over, Mass. Fee ... -�.... Lic. No.7?7. �ECTRICAL IN ECTOR Check # O11� ,Y9 ✓✓✓✓✓✓ 'V1 .04 IRS J351i�r3-�� Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS (Please add zip codes & electrician's cell #; contract # & bid permit # if applicable.) Official Use Only Permit No. _ &.1/ d Occupancy and Fee Checked :ev. 1/07] (leave blank) APPUCATI®N FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: A) - An" V-4"" To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 3 4 Location (Street & Number) (� %fji Q S 1 �Y` Owner or Tenantjyl e -d,. e, / toc t— L-/1 U/'1 Telepho e 1>Io, pZ 3 Ti Owner's Address _- 31K & M " Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Niiin�er ofFeeclers and Ampacity Location and Nature of Proposed Electrical Work: Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters ,J 't .j 1 eM No. of Recessed Luminaires ,...� 01-P-5 No. of Ceil.-Susp. (Paddle) Fans ..uric iauy ue wuivea Dy the inspector of wires. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ o. o mergency rg 1 ng rnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonsl No. of Alerting Devices No. of Waste Disposers Heat Pump Number " ' ' Tons KW No. of self -Contained Totals: Detection/Alertino, Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal Other Connection No. of Dryers Heating AppliancesI{W Security Systems:* No. of Water No. of No. No. of Devices or Equivalent Heaters KW of Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: P ` Attach additional detail if desired., or as required by the Inspector of Wires. Estimated Value of Electrical Work: `1 (When required by municipal policy.) Work to Start: 4,4 04 Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVE GE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER X (Specify:) Self Insured I certify, under the pains and peualtles ofperjury, that theinformtztiozoil this application is true and complete. FIRM NAME: ADT LLC DBA ADT Security Z2 LIC. NO.: C-172 Licensee: Thomas J. Lee ignature f' �-y LIC. NO.: C-172 (If applicable. enter "exempt" in the Z' ease nur�zber line.) �11 - Address• �' C—t n � ', � • Va o \ VS ty \� (3 a 4 � Bus. Tel. No. -fin U3 `� c� � "Security System Comractor lacense required for this work; if applicable,' enter the license number here: No.:001779 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent �r Signature Telephone No. FERMIT ,FEE. $ � COMIItiIQN"dVEf-'al..` H UF MASSACHUSETTS WR ELECTRICIANS A`. REGISTERED SYSTEM CONTRACTO . ISSUES THE ABOVE LICENSE TO: ..:ADT L:LC. DBA ADT SECURITY:' "' 1 H0t9A;S J LEE..'(J 410 UNIVERSITY AVE WESTWOOD MA 02090-231 . 172 C 07/31/13 201934, fi y Fold, then Detech along All Pediomilons � At pf 74, 0 o.A— e S , S CHUS Date...... ....................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....................... Ste. ............ . .............. ...... has permission to perform ........ / ............. wiring in the building of ..... ............... at ......... ......................... . North Andover, Mass. Fee...';.:57:-�-" Lic. No. ................ ....... Check # 8305 4 (fommonwea& o f Maseac4uJetfa Official Use Only Apartment ol3ire Services Permit No. F 3 n S, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MBC) 527 CMR 12.00 (PLEASE PRINT ' OR )' E ALL INFORMATION) Date: oit� City or TownYC21I�r To the Inspeclo of Wi es: By this application ersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or TenantL Owner's Address Iii% Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building- Utility Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �J Telephone (Check Appropriate Box) tion No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion of the 1ollbivink table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans TransTotal Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool rnd. El d. ❑ o. o mergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. I Detection and Tnitiatin Devices No. of Ran es g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number 139.p.s I KW No. of Self Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW al Conriec ion No. of Dryers Heating Appliances Kms, Security Systems: No. of Devices or- Equivalent No. of Water Kms, Heaters No. of No. of Signs Ballasts Da sof No. of Devices or -E utva ent D No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as requn•ed by the Inspector of Wires. Estimated Value of Electrical Work:f F5 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such co erage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the 'its and penalties of perjury, that the informtion on.this application is true and complete. FIRM NiME: (� L) i LIC. NO.: 7 4 C Licensee: Signature fE r LIC. NO.:S %99 D (Ifapplicable, enter 11xempl'ithe li er se number line.) /� Bus. Tel. No..q'17S—(05?_ �3 Address: % _� Q �n 6u % A 01 S�7 Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Imblic Safety "S" License: Lic. N6(�o OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: S �%j Date./ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that^.....:. �-� +.. ....................... has permission to perform ...,.��...,............. ...,........................................... wiring in the building of ..!. .......... .. ..�✓........... North Andover, Mass. Fee. .�%.. Lic. No. ��.fl........:.._.....................t................... i a7 ELECTRICAL INSPE(ftR-.-,4 Check # -ZOII- � (//I 7015 Commonwealth of Massachusetts Official Use only 99 Department of Fire Services Permit No. �� ,t.:r Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 3 (Q S- 60,S-yc)lr1 10 Owner or Tenant t\-RA,(7-Veck CC;V„x9/C VL.So Telephone No.W(-}7V Owner's Address 2- 6 ��� &2:Q Is this permit in conjunction with building permit? Yes t� No ❑ (Check Appropriate Box) Purpose of Building A)C- W �� 1QA\i ✓ 4-4 Utility Authorization No. t•t{-J::�(QO!jr Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service ZOO Amps (7U /2 LLO Volts Overhead ?- Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed LuminairesNo. ti U of Ceil: Susp. (Paddle) Fans No. of' Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. grnd. o. of Emergene—y-L-i-gETin-g-- Battery Units No. of Receptacle Outlets C) No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners Z No. o Detection and Initiating Devices No. of Ranges No. of Air Cond. 2 Tonal No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons I KW No. of Self -Contained /� Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW Local ❑ Mun'cipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent i No. of Water KW Heaters No. o. No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent to OTHER: '� U Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) ` Work to Start: J0- Z 26_ InspeLions to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Er BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: � `� r�, L C— LIC. NO.:A-16 cz- 4 Licensee: �`(� C,yt^� Signatur LIC. NO.: �323o,7 (If applicable enter "exempt" in Me license nulnber lin . Bus. Tel. No.:7`6�"'27�'t�� Address: 6 ��ke ok—=Iyr`ler�� Alt. Tel. *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ' e�� 1/2�qz� -- 1 01 M I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 3(7/10/071 Date: February 26, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 365 Boston Street MAY BE OCCUPIED AS: Single Family Dwelling INACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Litchfield Company, Inc. 83 Cambridee Street BuriinAM Massachusetts 01803 K�Building Inspector cm C• y O r H = 1i C O S m y O=m0 m C� Cp !9 C 0 R1 v Z y -* �. = V�=,_ Hso go -� CLrn :a o T C m __4O m y O y O O'O : m = _• > > O CO) m O Cf co n O Z C COD O y n cc CD C') CD O 'C, tI'j CLCD CL =a CD CO2 co 0 CD CD m O _� CCL m CL_' y n C�7 '_ CD tp �. 0 m H a Z y D. =r Q O 0 COd 14 D ,� Ccri a m CO) m CCO D CCD H Q m �� �' m co CD �� y ° rn um CAIV CD o-o CD m co W O m O c, c� CD Z y � � '• � D co C=D o' m y O H CD o, Co -� ... Cl) cm 3 o CD C O• .P.r" �J y 0 9 0 c MORTH ►°''�- �y°OCL APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit # ADDRESS/LOCATION OF PROPERTY S - map to Parcel Lot Number DATE REQUESTED FILED/READY FOR INSPECTION Z-Zb- � c� CLOSING DATE ON PROPERTY: 2 - Z �,- U 16 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. I Permit Issued to: Address3�( 3oS���, SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER r SEWERMATER CONNECTION LF-7ZA NOT DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW���} Signature File: Application for OC form revised Jan 2007 a Gf MD oT a Try CERTIFICATE OF USE & OCCUPANCY 3SS^cHus t� -- TOWN OF NORTH ANDOVER Building Permit Number 23 (7/10/07) Date: February 26, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 365 Boston Street MAY BE OCCUPIED AS: Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Litchfield Company, Inc. 83 Cambridge Street COP`Burlington, Massachusetts 01803 Building Inspector 7il ki 7 y4/ v �, m m m x Ch YI m c y C � O '0 0 Q nzy r Q C C/) � o C7 >=l n cn CDQ o- d CD O CD o CD w CO CD OCA M CDcm r I 0 -tea d o CD z CD CDo H W CC ?� O• Ot = N O C• N x G Cp w m C/! O m n n O C7 Z N m C M. N C=L = �omd C Cm/d CDN o IE m m o n > > NO CzCA I� O C Cl) iO p O y OZ COOP : O O W (� CO) c,yr.; O CO) CD m 0 C 1 c a 3 a :ems 1 N � O d N 0• N O O N N N �, O m .Ort N .'C O m • O .Ort m o 'C O CIDCD T N CD C �co d a, C. !_ oW �z 0 Wy 0 19 Cf) C/) Oil, , �j `� 0- ��pE x G Cp w (J• a 4w r 0. y =. CzCA I� p1tj �Vi Date ....k-,:/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. ........ L 1� . ........... has permission to perform .................... .......... ................ wiring in the building of .... .................................................. at ..................... .......... ....................... ............ North Andover, Mass. ..... . .. Fee ..�� ......... Lic. No.,9.11!��4 ................. ... CAL INSPECTOR Check # —/'qe'qw- 7593 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: X2 -U City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) &R S�EUt� S r Owner or Tenant Ly-k-kc—iOrl Co Telephone No.7�j Owner's Address �� C.a. r .. br, -I c 1`tll�i 'I V1,1 V4- <3 j — , Is this permit in conjunc ion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building s e- Utility Authorization No.vgamw Existing Service Amps / Volt Overhead ❑ Undgrd ❑ No. of Meters New Service Z -u Amps 12v /'-tet(} Volts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity S /L .-7 Y60 Location and Nature of Proposed Electrical Work: No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans uure rrluy ue watvea by theinspector of wires. No. of Total Transformers KVA No. of Luminaire Outlets] No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above [:]In- E] rnd. rnd. -No. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches S' No. of Gas Burners ''Z, No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Totals Number - Tons KW No. of Self -Contained / Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Water aaeaters KW No. of No. of Signs Ballasts No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent Q No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attacn aaaltional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: %sad (When required by municipal policy.) Work to Start: $-2 2^ci? Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME • — I L LIC. NO.: 416 U Z y Licensee: I l \- 0,�o 14 1 Signature LIC. NO.:1 3 (If applicable, entg, exempt " in the icense number line.) Bus. Tel. No.: ?$1 e� Address: e1i v1 ctraj ; t 1 erl'e�ei VY!✓�G IisZl Alt. Tel. No.: - Z *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $,:�,-49 ep' d'7 <v7 �7r o-7 Al' 7.2 n--e925-1� ��� 0�7 '441"i'l44i, i 1 The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 Washington Street Boston, MA 02111 f'-, www n2ass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aanlicant Information (� j Please Print LeQibiy Narrie (Business/OrQanization/Individifall: R('1 -n. k� i I ( P r • I p.;1 -r, Address: 6 City/State/Zip:_i`� k-��Q,ue Cct M A- C) t` 2 � Phone #:. q ?87— Are you an employer? Check the appropriate box: 1. M I am a employer with 4. ❑ 1 am a general contractor and 1 Type of project (required): _ employees (full and/or part-time).* have hired the sub -contractors 6, Q New construction 2. ❑ 1 am.a sole proprietor or partner- listed on the attached sheet. x 7• ❑ Remodeling ship and have no employees These sub -contractors have 8. 0 Demolition working for me .in any i�' [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its 9, Q Building addition required.] officers have exercised their I O Q Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work right of exemption per MGL 11.[] Plumbing repairs or additions myself. [No workers' comp. c. 1.52, § 1(4),' and we have no 12. ❑ Roof repairs insurance required.] t employees. [No workers' 13 Q Other comp. insurance required.] jAny applicant that checks bort # l must slso fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy infomradon. I ant an employer that is.providing workers' compensation insurance for my enWloyeeL Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. Expiration Date: Job Site AddresCity/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert fY andf r th/e�pa' and p Haloes of perjury that the information provided above is true and correct SiQrtature� �i/1iL1 iLt/ // �.!G• ---- n_�__ �'- 77-�/� '^� Phone #: Offxial use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #' 4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written" An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. 'However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licdnsing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance 'coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to cavy workers' compensation insurance. if an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not -the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their Self-insurance Iicense number on the appropriate tine. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of lnvestigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia AN Date .. 4 � d� "0 TOWN OF NORTH ANDOV PERMIT FOR PLUMBINjO ,SSACMUSE� This certifies that .....,..1..... Svtv0x-14v,-v // . . has permission to perform ...... ... f .........`.1 ....... plumbing in the buildings of ............ .. .........../ ...... . 0 at,,. -3 ...8, -s�G n .. ........... No h -ndover, Mass. Fle:?1O.... Lic. No.&g0'U. ...... .(.. .......... 5 5,- PLUMBING INSPECTOR Check # i �_ 7481 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTSDate ��"� 00 Building Location CQ e� Owners Name c`rl�c 0�`� G-�� C�0permit #�� . Amount T e of Occupancy New E] Renovation [:] Replacement 1:1 , Plans Submitted Yes [:] No FIXTURES (Print or type) Certificate Installing CCompany Name �' ` VuC \dam V r,� k Corp. �Q ( Address ` Partner.' Business Telephone El Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 - Other type of indemnity El Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner El Agent I hereby certify that all of the details and information I have submitted (or entered) in above applicatio a and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issur thi -application will be in compliance with all pertinent provisions of the Massach Plumbing C and hapt 14 Laws. By: Signaulm of Licensecium er Type of Plumbing Licens Title �,� City/Town rcense A111110 MasterJourneyman APPROVED (OFFICE USE ONLY I Er The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �` Boston, MA 02111 '' ov/d' www.mass. g ra Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): L1 TtIqr l Oj ✓1J COM 16 A Address: City/State/Zip: g(,(, &TV A,M/4 QJ� hone #: AYI) 947t? (Oe5q AreAu an employer? Check the appropriate box: 1. Y1 I am a employer with __ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. [dNew construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 1 l.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box # I must also fill out the section below showing their workers' compensation policy information. fi Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name Policy # or Self -ins. Lic. #: I�A1 SS AW c4 a Expiration Date:_ q Job Site Address: w City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer i under the pains and penalties of perjury that the information provided above is true and correct. Signature: (/1/1/L Date: 7 Phone #: (Ig 1)1 A,) 1�pp�-q J . Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other 11 Contact Person: Phone #: 11 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code RES checkSoftware Version 3.6 Release 1 Data filename: C:\Program Files\Check\REScheck\Lichfield CL-330.rck PROJECT TITLE: CL -330 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) WINDOW / WALL RATIO: 0.17 DATE: 04/08/05 DATE OF PLANS: 4-06-05 PROJECT DESCRIPTION: 28 x 40 Colonial. — ctur w, 7. 16 x 24 Fam/Gar Wing 3' x IT Front Extension Lot 3 - Gray Street N Andover, MA DESIGNER/CONTRACTOR: Litchfield Co. 26 Ray Avenue Burlington, MA 01830 COMPLIANCE: Passes Maximum UA = 488 Your Home UA = 441 9.6% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R_ -Value -Value-Fac T� Ceiling 1: Flat Ceiling or Scissor Truss 1170 30.0 0.0 41 Ceiling 2: Cathedral Ceiling (no attic) 443 30.0 0.0 15 Wall 1: Wood Frame, 16" o.c. 1598 23.0 0.0 69 Window 1: Vinyl Frame:Double Pane with Low -E 219 0.370 81 Window 2: Vinyl Frame:Double Pane with Low -E 12 0.340 4 Window 4: Vinyl Frame:Double Pane with Low -E 14 0.350 5 Window 5: Vinyl Frame:Double Pane with Low -E 37 0.310 11 Door l: Solid 20 0.350 7 Door 2: Glass 40 0.400 16 Wall 2: Wood Frame, 16" o.c. 1218 17.0 0.0 68 Window 3: Vinyl Frame:Double Pane with Low -E 144 0.370 53 Window 6: Metal Frame with Thermal Break:Double Pane with Low -E 18 0.340 6 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 932 19.0 0.0 44 Floor 2: All -Wood Joist/Truss:Over Outside Air 636 30.0 0.0 21 Furnace 1: Forced Hot Air, 85 AFUE 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 RES checkVersion 3.6 Release I (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection 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 A-&.A.k "L. �G/7 Date (%S REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE: 04/08/05 PROJECT TITLE: CL -330 Bldg. Dept. Use [ ] [ J [ ] [J [l [ J [l [ ] [l Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Main Box 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Family Room Above -Grade Walls: . 1. Wall 1: Wood Frame, 16" o.c., R-23.0 cavity insulation Comments: 2 x 6 - I st floor w/ R4 Craneboard Sdg. 2. Wall 2: Wood Frame, 16" o.c., R-17.0 cavity insulation Comments: 2 x 4 - 2nd Floor w/ R4 Craneboard Sdg. Windows: 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.370 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: D. H. Harvey Vicon 2. Window 2: Vinyl Frame:Double Pane. with Low -E, U -factor: 0.340 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes ( J No Comments: casement 3. Window 4: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ J Yes [ ] No Comments: sidelights 4. Window 5: Vinyl Frame:Double Pane with Low -E, U -factor: 0.310 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal, Break? [ J Yes [ ] No Comments: 1/2 round, picture unit 5. Window 3: Vinyl Frame:Double Pane with Low -E, U -factor: 0.370 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: D. H. 6. Window 6: Metal Frame with Thermal Break:Double Pane with Low -E, U -factor: 0.340 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ J No Comments: casement Doors: [ ] 1. Door 1: Solid, U -factor: 0.350 Comments: front entry [ J, 2. Door 2: Glass, U -factor. 0.400 Comments: patio door Floors: [ ] 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: [ ] 2. Floor 2: All -Wood Joist/Truss:Over Outside Air, R-30.0 cavity insulation I Comments: Heating and Cooling Equipment: 1. Furnace 1: Forced Hot Air, 85 AFUE or higher Make and Model Number Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope, recessedlighting 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 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 cfin (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 lbs/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: [ ] 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/spaees used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's 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: [ ] 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: 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 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating RMouts Circulating_ Mains and Runouts _ Temperature ( Fl Up to 1„ Up to 1.25" 1.5" to 2.0" Over 21' 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 HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran&e ( F 2" Runouts V and Less 1.25" to 2" 2.5" 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, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Project Number & Title: Cc - 3'30 - Lor 3? Calculations for Floors LXW■Area Area of floor over unconditioned (unheated) space (L X W) 2-6 Y 34 " Oq(j 3 u (2, 36 X 3 2 Total = Area of floor over outside air (L X W) 1 t3xy I STvny - `$Ay tAJ AJIJ ►L -j 1200YVI 5�2 2�Z 112 x(Z) ✓ . Ly m A(N �JSL� E3xZO Zz� Total = Projdct Number & Title: Calculations for windows & Doors Table of areae for Double Hung windows table of areas for Casement windows APPROXIMATE WIDTH APPROXIMATE WIDTH A 3'S' X 4.1. D 4'5 M 4'9' M 5'1" ISz 1'10" 2'2" 21" 2'8" 2'10" 3'0" 3'2" 34" 3'6" 1'5" 1'8" 2'0" 2'4" 2'10" 3'n" 3'9" 41n" 4'0" a'n" 6.26 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11.96 6.87 8.13 9.38 10.0 10.6111.25 11.88112.49 13.13 7.47 8.85 10.21 10.89 11.6712.25 12.93 13.60 14.29 8.18 9.57 11.04 11.78 12.62 13.25 14.10 14.71 15.58 8.80 10.29 11.8812.67 13.57 14.25 15.16 15.82 16.75 9.30 11.0.2112.71113.56 10.25 14.39 15.25 16.10 16.93 17.79 10.03 11 .74 13.54 14.45 15.46 16.25 17.28 18.04 19.09 zal-n Calculation table for D.H, windows Unit size Area of unt x quanity " Sub Total 2.to`` 5S t 4 U 4.0 2L. �� X$5 to 6.83 1 0<« S,X5s 12.0 rL 60,s - cox 5.43 6.59 6.99 7.96 9.32 11.07 Lt Z 4.25 5.01 6.0 6.99 tc1� 9.0 10.25 to •Slo zLuxi35 . 4.84 q"-7 q.- q 7.96 9.67 13.67 16.23 20.5 5.67 6.68 total Calculation table for Glass Doors Unit size Area or unit X quanity ■ Sub Total 2'0" � 2'4" 3 3.0, D 3'5- 4 = 4'0, 5'0" 5'S" Calculation table for exterior doors Door size Area or unit X quanity , Sub Total 'W I .-�oi,I I ?n I ► 120 I 2'6" = 16.67 5'0" = 3335 total ' 135 28 = 17.81 60 = 40.00 3'0" = 20.0 8'0" = 5336 Area of various doors 668° height) 2.83 3.34 4.0 4.66 1 5.66 6.0 6.83 1 8.0 9.5 12.0 3.26 3.89 4.66 5.43 6.59 6.99 7.96 9.32 11.07 13.98 4.25 5.01 6.0 6.99 8.49 9.0 10.25 12.0 14.25 18.0 4.84 5.71 6.83 7.96 9.67 10.25 11.68 13.67 16.23 20.5 5.67 6.68 8.0 9.32 11.32 12.40 13.67 16.0 19.0 24.0 7.08 8.35 10.0 11.65 14.15 15.0 17.09 20.0 23.75 30.0 7.67 9.05 10.83112.62115.33116.25118.51121 .67 25.73 32.5 S, t,. k(2 l4A 9tcT, Calculation table for Casement windows Unit size Area of unit X quanity - Sub Total Calculation table for other glazing Unit size Area of unit X auanitu " Sub Total Total 2 L2- 0 is 3i 3l Total -71 Calculation table for interior doors Door size Area or unit X quanity " Sub Total • Project Number & Title: dL33u- Calculations for Square Footage of Walls A A H let Floor Plan B p 2nd Floor Plan E Perimeter 1 (PI) = A + B + G + p+E+F+G+H Perimeter 2 (P2) = A + B + G + D H2 P1 X HI =1st floor wall area (Al) HI P2 X H2 = 2nd floor perimeter area (A2) 1`13 X H3 = 2nd floor wall area (A3) Al + A2 + A3 = Total wall area 2nd Floor Ist Floor Wali calculations Work Area 21� w�1�r,S Lsfi FL -(z 56-t3�3-H-5+1,5''Zbt dpi = �lLAL45 , 3% -V c2cl Q fYN r- S i r .40 t -Its► iM - Lt 2- 4.5 q.S 15 2._ Sub total = r Window Total Sq. Ft, area to be deducted Exterior poor Total Sq. Ft, area to be deducted = Zv Total = Project dumber & Title: L L-- 35u- U- Calculations for Square Footage(s) of Ceiling(s) Flats Vaulted or Cathedral Ceiling E-----------� v--- L2 ----- Section Length al ---------+- (LI + L2 + L3) X W --Area Wldth (W) L X W = Area Plan View Attic Access Area = Work Area Ceiling area calculations �'YZ,►a,,� - 2 Na �4 �z . Z� x �-t.c� t l2 0 b l"ctrl , T3,Ai : Z- -IC z x `IZ KZ� i AvIL,6y iZoom ZCO-417 '>I-- It" � L(Z(o1-7Z Rm ► Tz� I - i I Sub total = i(Qt3 2Z Attic Access to be deducted = _ Skylight Total Sq. Ft, area to be deducted = Total 13.zL- June 1, 1999, Revised 06-01-02 DATE: TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Telephone (978) 685-0950 Fax (978) 688-9573 DRIVEWAY PERMIT (Please Print) STREET & NUMBER: :�65 t�— LOT NUMBER: CONTRACTOR: ADDRESS: TEL: FAX: OWNER: 1—i IC6 �r'e6l a TEL: ADDRESS: PROPOSED PLAN OF DRIVEWAY ATTACHED: PROPOSED SITE DISTANCE: DIG SAFE NUMBER: l� SITE INSPECTION IS REQUIRED BEFORE FINAL SURFACE IS INSTALLED AND A FINAL INSPECTION WILL BE MADE WITHIN 48 HOURS OF NOTIFICATION OF COMPLETION. INITIAL INSPECTION DATE: BY: FINAL INSPECTION DATE: BY: FAIL URE TO COMPL Y WITH THESE CONDITIONS OR TO OBTAIN REQUIRED INSPECTIONS AND APPROVALS VOIDS THIS PERMIT. APPROVAL OF THIS PERMIT DOES NOT RELIEVE THE APPLICANT FROM MEETING ALL OF THE REQUIREMENTS FOR SAFETYAND DRAINAGE. A SEPARATE STREET OPENING PERMIT IS REQUIRED FOR WORK PERFORMED WITHIN THE STREET PAVEMENT. Attachments made a part of this permit: Form U & Driveway Application Requirements Sketch "A" Proposed Drive y Ply, dated 06-01-99 Sketch `B" Typical Driv y , d 6-01-99 APPLICANT SIGNAT DATE: DIVISION OF PUBLIC WORKS SIGNATURE: DATE: 4 `22 —05� Form U & Driveiva)' Applications Rev 6-7-01 RTO qti TOWN OF NORTH ANDOVER b`sr� DIVISION OF PUBLIC WORKS R 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 9ss^CHUSEt Telephone (978) 685-0950 Fax (978) 688-9573 FORM U & DRIVEWAY APPLICATIONS REQUIREMENTS PROPOSED DRIVEWAY PLAN: A plan is required to show the dimensions of the lot, the location of the proposed driveway and the building(s) it services, the type of street pavement, type of existing sidewalk, type of curbing, location of any permanent structures within ten (10) feet of the driveway such as trees, signs, utility poles, hydrants, catch basins, stone bounds, etc. The plan shall be submitted to the Engineering Department for review. If the plan is approved then a driveway permit can be issued. (See Sketch Plan "A" Attached) SAFETY SITE DISTANCE REQUIREMENTS: Minimum Horizontal or Vertical Safe Site Distance Requirement is 200 feet from a point in the proposed driveway 7 feet back from the edge of road, at an eye height of 3.75 feet above ground surface, to see an object 0.50 feet above the roadway surface at a point 3.00 feet into the road from the edge of roadway. Existing driveways to be widened or moved to new location must show that the new site distance will be the same or better than currently exists. DRAINAGE REQUIREMENTS: Runoff from the driveway shall not be allowed to enter the travel lane, and the existing drainage pattern shall not be altered to create ponding on the roadway pavement or shoulder. (See Sketch B). The required plan must show the existing drainage, all proposed drainage improvements, and how roadway runoff will be collected or diverted. EXISTING SIDEWALK SURFACES: If there is existing curbing and/or sidewalk the new driveway shall match the existing material and shall be a minimum of 4 inches thick. The contractor shall provide a detail showing the type and thickness of material, number of layers, reinforcement, and base and sub -base. DIG SAFE NUMBER: The applicant shall provide a valid Dig Safe number. CONTRACTOR: The Contractor doing the work shall have all insurance required and be in good standing with the Town. STREET OPENING PERMIT: Any work in the road right-of-way requires a separate street opening permit. DRIVEWAY PERMIT: The permit shall be valid for ninety (90) days from the date of issuance and may not be transferred without prior written approval by the Division of Public Works. INSPECTIONS: The Contractor must notify the Division of Public Works 24 hours prior to commencing construction. The Contractor shall provide notice of completion and request a final inspection. The completed work must be inspected and the permit must be signed by the Engineering Division. Form U & Drivewav Applications Rev 6-7-02 I/ gORTk Of i*`iO '61'1'0 K= ax �4SSACHUS Std TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS .. „ STREET OPENING PERMIT AND PERFORMANCE BOND AGREEMENT 12/7/2005 ' On this day in compliance with North Andover Town Bylaw Chapter 161-3 Street excavation Permit, and subject to all the terms, conditions, and restrictions printed or written below and/or attached, permission is hereby granted to: Waelty Construction DBA Craig Waetly To enter upon: 345 & 365 Boston Street For the purpose: Installation of new water services TIMOTHY J. V1JtLETV,WATER SUPERINTENDENT Division of Public Works, North Andover, MA WHEREAS Pursuant to the provisions of Chapter 161 Section 161-3 of the North Andover Town Bylaws, the Grantee agrees to provide a plan and a bond in the sum of $10,000.00 bound unto the Town of North Andover and an additional refundable* amount of $2,000.00 to assure proper performance and completion as defined in the conditions below and as attached. In witness whereof the grantee (s) have here unto. executed this agreement. Signature Print name 5:2 �? 66, Y z, Z -Co -e-<-4L�Fs 724 13�_-) ('_' Day time telephone Emergency (24 hour) telephone 1. Dig Safe Number: 2005 470 0477 2. Certificate of Insurance on file: YES 3. Expiration Date of Paper Bond: 4/16/06 4. Amount of Cash Bond: $2,000.00 Check Number: 028246 & 028247 5. Person whom Cash Bond will be returned to: Litchfield Co., 26 Ray Ave., Burlington, MA 01803 General Specifications: Pre-cut road with saw or jackhammer. Compact in one -foot lifts. Install gravel or crusher run in top two feet of trench. Apply a heavy coat of emulsion to all trench edges. Pavement shall be 2" binder course and 2" top course. Infra -red treatment may be necessary prior to bond release. Grantee shall maintain trench for 2 years from the date of this permit. It 1392 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 19 Application by the undersigned is hereby made to connect with the town water main in T� Street, subject to the rules and regulations of the Division of Public Works. , The premises are known as No. 15� Street or subdivision lot no. f y ee9.- Owner Address p - Contractor tv� Address icant's Signature PERMIT TO CONNECT WITIA WATER MAIN rl The Board of Public Works hereby grants permission to z1 / C G to make a connection with the water main at subject to the rules and regulations of the Division of Public Inspected by Date Street �7 oard of Public Works By See back for rules and regulations d V � � Z r a s LLob _ {`IIS 4 r .`•� .� W3 � 7 �: O u -a 'tu LU (17 CL um Q Gj O O C Go a 114( z E C X0.1 2'} w O m 3 LLJ 0 Cz:o 0 c1 £E c > ;= o x�: ~ ® r - 0 o °oa°� Coe) u LLN In o t0 +•�.+ U F, vs 2-C X C9 w E ay c V a °� r.. w s �� M � O ' z +� o E E aj d c H c m +_+ a01 Ln L c 3 = o o m -U U n w, l w alc a -o C 3 E .' a, aj m a c O O C c N of LL a, a t N m O m Z O c L `O- O L U 0 II�w LLI v/ uj N cc W W ce W U) uto •ain;on.qs u, n000 of jopd pei!n ei Aouedn000 10 918OU lae0 ( (peau 98) 00.OE$ - cal uoipadsu!-aa wipedsui jol pannbai sjlelS tieaodwal -ainlanuls 6uiAdn000 of joud pannbei Aouedn000 jo aleoggia0 •alaldwoo 6u!pej6 joualx3 •sa!els jelloo uado ap!s6uole pannbai sl!ejpjen0 •lsod Ilemou/Ilene of pawnlai sl!eJpueH :HSINIJ •aseq a!els le ped •OuoO 'At, umop s6w400l Jaid sl!ej pue sisod Ile Bel •6uloejq leaalel/m slsod gxg asn 'apea6 anoge ,g JOAO aalueo uo „g coeds xew jalsnleq 'q6!y n g£ •u!w sl!eH •6u!yseg ap!Awd 'asnoq of Bel :pannbai l!wjed aleiedeS :SX03a i,nS •lsngwoo @ pllos „g 'slulol uealo '6u!6jed yloowS yslu =1 - aagweUO SNOWS - 6u1100j le sumpadsul •pai!nbei 3!wjed ejejedaS :S30`d1d38lj 96ejols jol pasn i! mels japun opom! j •slueA 96pu pannbei pue lglos 'vluaA j9doidn - sooeds 011le luau •joop jo mopu!m ssai6a bZxOZ •u!w pannbei swowpaq •algeuedo eq llegs 6ulzel6 pajmbaj to y •eaje joog to %8 of lenbe 146!l leinleN :GASH lsnW woo8 elgel!geH tiaA3 jo appapS mopu!M sanols 2 sooeldaig aouejealo a0. to awed poom b/S apooand •(iglos ul lou) joualxa of pnp lelaw aney of suet isneyxe yleq (yZxg� u!w) •ssaooe coeds Ime10 •(anoge wowpeaq ,£/m OMZ U1w) ssamv 0174V sweaq aapun Uemnels - seouejeolo wowpeaq Noa40 -Ole sweaq/sJapeaH jol:poddns 6uueaq pgoS •sassnil s,lAl/sweaq jol pannbei •suo!lelnoI6 paggiaO •spue le 6u!oeaq lejalel sla�lOod uollepunol ui sep!s le coeds i!e . 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Town of North Andover HEALTH DEPARTMENT SsCHU CHECK #: o�� DATE: ZIM, /O1 LOCATION: H/O NAME: _ CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ . ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑�ztlee Inspector f $ Report ,/Ypll C //I hV $ 0, �UvAo1&17'gP1 ❑ Other: (Indicate) $ Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer Owner information is required for every page. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1�1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover City/Town MA 01845 7/12/2012 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information _ d� 1. Inspector: JUL 16 2012 Neil James Bateson ITMAIM nC Name of Inspector HEALTH DEPARTMENT Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover City/Town 978-475-4786 Telephone Number B. Certification MA 01810 State Zip Code S115 License Number I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority c 7/12/2012 Inspector s Signatu Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 god or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 1 of 17 Owner information is required for every page. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ISI ILEI Commonwealth of Massachusetts Title 5 OfficiAl Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover Cityrrown MA 01845 State Zip Code 7/12/2012 Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information d 1. Inspector: JUL 16 2012 Neil James Bateson ITAWKI ^c Name of Inspector HEALTH DEPARTMENT Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover City/Town 978-475-4786 Telephone Number B. Certification I certify that I have personally inspected the information reported below is true, accurate was performed based on my training and ex sewage disposal systems. I am a DEP appr Title 5 (310 CMR 15.000). The system: ® Passes ❑ Needs Further Evaluation by the Loc fil 0A , c i. Inspector's Signatu MA State S115 o�Iva �Pr�hC�r° 01810 Zip Code the ie inspection of on site 1.340 of The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5in5 • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 1 of 17 Owner information is required for every page. t5ins - 11/10 Commonwealth of Massachusetts Titile 5 Offlciel Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E / always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ED N ❑ ND (Explain below): Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 2 of 17 Owner information is required for every page. t5ins • 11/10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will. pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 3 of 17 -M! Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than % day flow t5ins • 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 365 Boston Street Property Address Thomas Clancy Owner Owner's Name quine d fotifor is eNorth Andover MA 01845 7/12/2012 require every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No El® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: E]® Any portion of the SAS, cesspool or privy is below high ground water elevation. El® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. El® Any portion of a cesspool or privy is within a Zone 1 of a public well. El® Any portion of a cesspool or privy is within 50 feet of a private water supply well. El® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section D. Yes No ❑ D the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El ❑ the system is located in a nitrogen sensitive area (Interim Wellheaci Protection Area — IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 5 of 17 i ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section D. Yes No ❑ D the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El ❑ the system is located in a nitrogen sensitive area (Interim Wellheaci Protection Area — IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner Owner's Name information is required for North Andover MA 01845 7/12/2012 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D.. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): 550 t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 365 Boston Street Owner information is required for every page. Property Address Thomas Clanc Owner's Name North Andover Cityrrown D. System Information Description: MA 01845 7/12/2012 State Zip Code Date of Inspection Design flow (based on 310 CMR 15.203): Gallons per day (gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? _ ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non -sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins -11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 7 of 17 Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage 9 ( Y 9 (gPd))� Yes Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day (gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? _ ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non -sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins -11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street D. System Information (cont.) Last date of occupancy/use: Other (describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: Date 7/12/2012 Date of Inspection Pumped May 2011, owner 1500 gallons Measure tank Inspect tank & tees ® Yes ❑ No Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ , Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the l/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 8 of 17 Property Address Thomas Clancy Owner Owner's Name information is required for North Andover MA 01845 every page. City/Town State Zip Code D. System Information (cont.) Last date of occupancy/use: Other (describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: Date 7/12/2012 Date of Inspection Pumped May 2011, owner 1500 gallons Measure tank Inspect tank & tees ® Yes ❑ No Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ , Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the l/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 365 Boston Street Property Address Thomas Clancy Owner Owner's Name information is required for North Andover MA 01845 7/12/2012 every page. Citylrown State Zip Code D. System Information (cont.) Date of Inspection Approximate age of all components, date installed (if known) and source of information: 5 years old, 12/11/207, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer (locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): 4" PVC thru wall to septic tank. 3" PVC in house, no leaks visible. Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 1 feet ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Dimensions: 10'x5'x4' Sludge depth: 4" ❑ Yes ❑ No t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 9 of 17 Commonwealth of Massachusetts Title"5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M , 365 Boston Street Owner information is required for every page. t5ins - 11/10 Property Address Thomas Clanc Owner's Name North Andover RIA Citylrown State D. System Information (cont.) Septic Tank (cont.) 01845 Zip Code Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 26" 6" 8" 11" 7/12/2012 Date of Inspection How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet tee ok. Outlet tee ok. Depth of liquid above outlet invert, found clogged outlet filter. Clean same, level back to normal. No evidence of leakage: Pumped septic tank. Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Scum thickness ❑ fiberglass Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: feet ❑ polyethylene ❑ other (explain): Date Title 5 official Inspection Forth: Subsurface Sewage Disposal System • Page 10 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner Owner's Name information is required for North Andover MA 01845 7/12/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: . Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Capacity: Design Flow: gallons gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: Date of last pumping: Date Comments (condition of alarm and float switches, etc.): ❑ Yes ❑ No " Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 11 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Cityrrown D. System Information (cont.). State Zip Code Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Date of Inspection Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D -box level & distribution equal, has flow levelers. No evidence of leakage. No evidence of carrvover. Pump Chamber (locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump cycled on then off. Alarm has both visual & audible. Floats ok. Access cover to grade Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins • 11/10 Title 5 official Inspection Form: Subsurface Sewage Disposal System • Page 12 of 17 Owner information is required for every page. t5ins • 11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover City/Town D. System Information (cont.) Type: ❑ leaching pits ❑ leaching chambers ❑ leaching galleries ® leaching trenches ❑ leaching fields ❑ overflow cesspool State 01845 7/12/2012 Zip Code Date of Inspection number: number: number: number, length: number, dimensions: number: Infiltrator trenchs 37'6" long ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil ok. Vegetation ok. No sign of ponding to surface. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth — top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 13 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 14 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clanc Owner's Name . North Andover Cityrrown D. System Information (cont.) nnn Old lC 01845 7/12/2012 Zip Code Date of Inspection Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand -sketch in the area below ❑ drawing attached separately Y, yI, To"&k l.t 340 = 2 ► I t5ins • 11/10 1 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 15 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street Property Address Thomas Clancy Owner's Name North Andover MA 01845 7/12/2012 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record , If checked, date of design plan reviewed: 1/1.3/2005 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: Design plan ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: As per test pit data on design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins • 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 365 Boston Street E. Report Completeness Checklist 7/12/2012 Date of Inspection ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information.— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins -11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 17 of 17 Property Address Thomas Clancy Owner Owner's Name information is required for North Andover MA 01845 every page. Cityrrown State Zip Code E. Report Completeness Checklist 7/12/2012 Date of Inspection ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information.— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins -11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 17 of 17 -C-\ Commonwealth of Massachusetts City/Town of w° System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house, Left front of house,Cf3t��g�tfron of houses Left rear of house, Right rear of house. Left rear of building. Right rear of building. Address 3 n Is a -A- neeA- City/Town 2. System Owner: Name Address (if different from location) City/Town B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe) AAAA-ou o< - State Zip Code Date Cesspool(s) State �SS— Z�pode Telephone Number Y — 2. Quantity Pumped: Gallons eptic Tank ❑ Tight Tank 4. Effluent Tee Filter present? es ❑ No If yes, was it cleaned? es ❑ No 5. Condition of System: rAeo-u� SPLAM tau 6. System Pumped By: �J o{` t�.� `� Neil Bateson Name Bateson Enterprises Inc Company 7. contents were disposed: � Lowell Waste Water F5821 Vehicle License Number —la,—tC--�, t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 Summary Record Card generated on 6/27/2012 1:45:37 PM by Karen Hanlon Town of North Andover Tax Map # 210-107.D-0134-0000.0 Parcel Id 22690 365 BOSTON STREET THOMAS CLANCY KRISTEN WEBSTER 365 BOSTON STREET NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1.75 Acres FY 2012 UB Mailina.lndex Name/Address THOMAS CLANCY KRISTEN WEBSTER 365 BOSTON STREET NORTH ANDOVER, MA 01845 LITCHFIELD CO. 26 RAY AVENUE BURLINGTON, MA 01803 UB Account Maint. Account No Cycle. Bldg Id. 22677.0 - 365 BOSTON STREET 1090528 01 Cycle 01 UB Services Maint. Account No. 1090528 Service Code MISCFEE ADMIN FEE WTR WATER UB Meter Maintenance Account No. 1090528 Type Loan Number Owner Previous Customer Active/Inact. From Inactive 7/31/2008 Occupant Name Active/inactive Last Billing Date 5/2/2012 Active Rate Charge Multiplier/Users 0.635/8 7.82 1/ 01 ALL METER SIZE 57.00 1/1 Serial No Status Location Brand Type 34769966 a Active 00 b Badger w Water Date Reading Code Consumption Posted Date 4/23/2012 214 a Actual 15 5/9/2012 1/23/2012 199 a Actual 14 2/13/2012 10/24/2011 185 a Actual 19 11/14/2011 7/22/2011 166 a Actual 17 8/15/2011 4/22/2011 149 a Actual 15 5/16/2011 1/25/2011 134 a Actual 14 2/11/2011 10/21/2010 120 a Actual 13 11/12/2010 7/22/2010 107 a Actual 12 8/16/2010 4/22/2010 95 a Actual 14 5/12/2010 1/21/2010 81 a Actual 15 2/12/2010 10/22/2009 66 . a Actual 12 11/11/2009 7/23/2009 54 a Actual 11 8/12/2009 4/24/2009 43 a Actual 15 5/13/2009 1/23/2009 28 a Actual 12 2/10/2009 10/22/2008 16 a Actual 16 11/12/2008 7/29/2008 0 f Firial Bill 0 7/29/2008 4/23/2008 0 a Actual 0 5/19/2008. 2/26/2008 6 n New Meter 5/19/2008 Size 0.63 0.63 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ., b 77 4,6 o Residential TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne famil Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic 'Well'.' `b Floodplain Wetlantls' _ 1Natershed District TUVatec/Sewer , 2 _ r PTION OFWORKTO BE PREFORMED: r De, ('t .. Identification Please Type or Print Clearly) OWNER: Name: Ok ')4N- Z-0— ARCHITECT/ENGINEER Dan -t l Phone: Address: _15 plcti✓1N Z Z M30' Reg. No. 33 yK "I FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 3L10 N 3% . oS FEE: $ , `� 6 Check No.: 311 �, Imo, 404.3 7 9, 3117 7 7- P M, d Receipt No.: W3 7/ NOTE: Persons contracting with unregister54 contractors do not have access to the ggaranty fund 0IUIIdLU1e UI'GUIILIciGIUr. 1�i✓/ v : Location--f&J A$ 77r7 Sy -- No. Date 7--/!-- 0 ?-- Gf V40RTh TOWN OF NORTH ANDOVER 0 o Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 37. Check # 31177 3 off. 37 #741,00 5037 203 Building Inspector Location��S &07-M S;r No. oM Date &ORTN TOWN OF NORTH ANDOVER f � y r Certificate of Occupancy $ /0 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 7 Check #8.11-21 Y U 77 2G6vJ Building Inspector P 9 Plans Submitted Plans Waived - Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONS ERVATI COMMENTS HEALTH COMMENTS DATE REJECTED TE REJECTED DATE APPROVED DATE APPROVED 200 DATE REJECTED DATE Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street BUILDING PERMIT o�tttdo "ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION T H Permit NO:� Date ReceivedRT�o SACH�1`-+ Date Issued: -7 IMPORTANT: Applicant must complete all items on this page LOCATION s t� Print PROPERTY OWNER Lf 1� � t� C� iPrint lnl rint MAP NO: le70 PARCEL: ZONING DISTRICT: PUL Historic District yes io Machine Shop Villatae ves 60 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building(:ne famiI Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well FloodplainWetlands Watershed District Water/Sewer ,M OWNER: Name: DESCRIPTION OF WORK TO BE PREFORMED: �- 5,-Y_ ,_ -L, , I--/ %111�11sc, v: 4-h GA,to , ,ation Please Type or Print Clearly) I co," Phone: Address: SS n CONTRACTOR Name: L- AP1A C rY. n•'I Phone: "70 Z-7,)-6 S-_ Address: Supervisor's Construction :License: - 601 4'1579 Exp. Date: L_ Z � �Zpa CA Home Improvement License: Exp. Date: ARCHITECT/ENGINEER n'.ti I I 1`- S Phone: Address: 25 Bc11cuk R L 61`t3©, t11-. Reg. No. 33 Iff "I FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F Total Project Cost: $3"1T 1-7. oS FEE: $ ; `1 Check No.: 3� %34404.37 Z 3[177 47q/,PP Receipt No.: �_3`�.3 NOTE: Persons contracting with unregistere contractors do not have access to the g aranty fund Signature of Agent/Owner R Signature of contractor y. Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) r Building Permit Application IZ i Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS TE REJECTED CONSERVATI COMMENTS_ DATE APPROVED DATE REJECTED DATE HEALTH COMMENTS ED ,7 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Com Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site es no Located at 124 Main Street I %/�� Fire Department signature/date Azi.0b4�"�` COMMENTS Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ,16 c SP. ELECTRICAL: Movement of Meter location, mast or servic rop requires approval of Electrical Inspector Yes o DANGER ZONE LITERATURE: Yes SO MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ❑ Notified for pickup- Date Doc.Building Permit Revised 2007 m m m m CA y v m v y d C � _. S d CO) Cl) CD a Z y CL ? O C _• y >to c v CD CD o CL cr ftc CD CD O CD C CD yCD� CL CD O y C I � v COD O CD Z �D O � O CD z r m r v (n (A Cri'ijt �• CA O CS Vi rO D �.O C O c -®C 1 m y a� N 0 06 C2 n T Z •� �-0 y -� = �a - n r► CD O M N O y N OIE �m_ O = > > CD n mCL = 0 00 oZyC • o � c � C42 a � �m fi CLto +� • O .� O CD C_ d ' d CA y � lZ . O O y d y G . o �� a CA r• CD o m "•► � D y F y `� �J s O m ; NCD C'1 L I � C0 CO O tea: col CO n� N CD �. 01 CD m m n,• O y C O O �• O � r v (n (A Cri'ijt � Ct7 t" / 1 7d a� ' a- /yam a CLOil Im 25' 1•w y * 1 i �4 � t By Date APR- 14, '055, File No. Sheet No. OMI ULGEE ASSOCIATES, INC. WCK q rd t PS 7 RICH STREET 1PSWIC Subject . T ,1t)►J1P1=2 _ — Cti,y�,,,�. t MASSACHUSETTS 01938 P-20 Fk--'AMiJ-i mfl L== 16"+ S = t2' UY >,,W = 3 5 ost- (2) 14 x ril�it # 2 L= ?':t 5 7.5 35 3x 4;(x 35 = 475 PD; U s� (I ) I k x 4 LVL . OR 03) Zx 10 VAta.i ( RAPTEtz ' L = W = � � x2 x 50 = 5c N� .1283 x �o� K 3170 r=r-m 05L 2-x 1 0 /1/\, I'lu MMS tz RAFTIR L c 12� Ft-:- 1,1X1% LvL a{Z (3) 2,xJ0 ATTIC FQAMI A!1 , t3&# -3=3c. L� _ I}:5' L_2 — ►1.5� S�a4� l x bm -# 3 , 5 .- 14' kAFL- 3a A A Tp r4 x Ot r_ PIM *35--L--7-5 PUS 30A +2219 = '5210 PD 1&&&-1- 0,73. 2560 PQM # Ste- .�� � 30 A : ►� S�� 14, )z, = 3S �5♦ C 3) 14 op- (4) x 141 1_.V L - SECOND F`RNAIQCA r I L = I45 5 AAYL= 30 1JD - IS u5t< (9-) LA, ot2- (3) I' X l).-" L.,/U C,QMULGEE ASSOCIATES, INC. 311 HIGH STREET IPSWICH, MASSACHUSETTS 01938 9-1'"8-356-7833 feco►JD FLOOR (��+JT�p� Nks -*5A 4 58 By Date File No. Sheet No. WGIC APRIL 4 X05 2-5048 2 0!* Subject - L jUollpf 9 I -- AAA.f-"U G WATF I ELI) RES, N. AM DoJEV, q4 l._VL_. P:= 2('50, 10,25' A 1775 PLS 31 oo PD = I1-75 @ 14' O'CMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938 _SEWt. D Ft.00R (CoNTID) BY Date APR 14, 105t`. File No. Sheet No. WGK SETT 2q, 'C4 2504'5 Subject T" Jtj�A1Pf-RT, — AME-t.I 4A0SEJ GNATfif- .D P.5, W, AO DOVER BtitG, 9,5� S�=%/ UJ"�= 20 Urp. 15 SZ- 8' JAL. 3o4Ar'D 15 0,5f--(3� I 1 x q4 LVL f-msq r -Loop- I~R Ak1QC, FSM #--I PL = ZZ S 3360 5'6 5 Po =1485 + S off 3 5� � 2� A -T1- 4O aiD y 15 -115SQA 14, ='� W�j- t$ '5.=12! aL:40 = 15 4 I 2 � K K oPTlotdA-L GoL K- 11.7 >"F�' ALFNA 5I MPLf- ALPNA A S I o 3 24 I SS 201. 3q emT 285 -nA ,GG nl3 S r.&q S.-¢ aC. 0 fjjT .74 f..Q ` 8 v .'1,f n u5f W Mx 5-3 `b�= 1p „ 00-C4) I9 x III LGL I� � 4!:�A* 7A PL�12 , 2 t2' By Date ARR. 14, '05 File No. Sheet No. 0CMULGEE ASSOCIATES, INC. wcK25©41 ;317 HIGH STREET Subject -n-V JUOI�� IPSWICH, MASSACHUSETTS 01938 FIR;T FLOOR FRAMIOG CoWfb), F=M ltze> 7865 e -IV AT A,13,C,D N-) 14 SIS A -f 13 D F-- I ;f x I& (4) 141' 14 L-Y'L' 6o -L A --T C Usf-- (4) ►4x I -Y( - Wo WD-WAK4 WO! .V- 5 wL AT b (4) t l8 Lyt, c-4- AT A �b x t� L\1L' WAYNG C. KING N& UBW Roof Framing ® Business Ridge Beam #1 AREyahaeuw TJ-Ba2rrt�6.1 44:24*Number.7oo3oos747 User. 2 9/29/04 4:24:43 PM 2 PCs of 13/4" x 14" 1.9E Microllam® LVL Faget Eng1ne Version: 1.15.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0112 Roof Slope0M2 E 16' All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: l2' Primary Load Group - Snow (psf): 35.0 Live at 115 % duration,15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/rotal 1 Stud wall 3.50" 3.30" 3360 / 1548 / 014908 L1: Blocking 1 Ply 13/4" x 14" 1.9E Microlian* LVL 2 Stud wall 3.50' 3.30" 3360 / 1548 / 0 /4908 L1: Blocking 1 Ply 13/4" x 14" 1.9E Microllam® LVL -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4806 -4014 10707 Passed (37%) RL end Span 1 under Snow loading Moment (Ft -Lbs) 18824 18824 27897 Passed (67%) MID Span 1 under Snow loading Live Load Defl (in) 0.406 0.522 Passed (U463) MID Span 1 under Snow loading Total Load Dell (in) 0.593 0.783 Passed (U317) MID Span 1 under Snow loading Por'Z u= •3' t 3ik- s(i PSL Pa = 5281 -Deflection Criteria: Specified(LUL/360,T1. /240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 8' 3" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANT! The analysis presented Is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIERS / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION - The Juniper I Litchfield Co., Burlington, MA. Colonial Drafting NH OA File 24122 Sept.29, 2004 Copyright C 2004 by True Joist, a Weyerhaeuser Business Microllam® is a registered trademark of True Joist. �A OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: 978-356-7833 Fax :978-056-3465 OCMULGEE@TIAC.NET I)NAYNE C. KING J Roof Framing pen- �` �� Bum Header Beam #2 User62�y/29f04y2709PM 6.15 Number 7003009747 3 PCS of 11/2" x 91/4" 1.4E Solid Sawn Spruce Pine Fir #2 Pagel En&ineVersion:1.15.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: OM2 Roof Slope0M2 All dimensions are horizontal. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: T 6' Primary Load Group - Snow (psf): 35.0 Live at 115 % duration,15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow(1.15) 475 205 4'6" - SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length al2 1 Stud wall 3.50' 1.50' 141916471012065 2 Stud wall 3.50' 1.50' 14191647/0 /2065 6804 Passed (75%) 0 -90 Q. All dimensions are horizontal. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: T 6' Primary Load Group - Snow (psf): 35.0 Live at 115 % duration,15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow(1.15) 475 205 4'6" - SUPPORTS: Input Bearing Vertical Reactions (Ibs) Width Length Live/Dead/UpIM/Total 1 Stud wall 3.50' 1.50' 141916471012065 2 Stud wall 3.50' 1.50' 14191647/0 /2065 Detail Other Product Diagram is Conceptual. By Others - Rim: Rim Board 1 Ply 1 112' x 91/4' 1.SE TimberStrandO LSL By Others - Rim: Rim Board 1 Ply 1 112' x 91/4' 1.5E TimberStrandO LSL -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): By Others - Rim: Rim Board Maximum Design Control Control Location Shear (Ibs) 2001 -1658 2234 Passed (74%) RL end Span 1 under Snow loading Moment (Ft -Lbs) 5073 5073 6804 Passed (75%) MIO Span 1 under Snow loading Live Load Dell (in) 0.107 0.289 Passed (0972) MID Span 1 under Snow loading Total Load Dell (in) 0.155 0.433 Passed (1-/669) MIO Span 1 under Snow loading -Deflection Criteria: Speafled(LL:L/360,TL:L/240). -Allowable moment was Increased for repetitive member usage. -Bracing(Lu): All compression edges (top and bottom) must be braced at 9' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of Increase. -Analysis based on vertical loads only and assumes structural supports as noted in the input Axial bads are not considered in this analysis. -Ana"s assumes continuous member. Lap joints, splices and finger joints significantly reduce member performance and have not been considered. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented Is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -Solid sawn lumber analysis is In accordance with 1997 NDS methodology and Is solely presented for comparison purposes. Program limitations and assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the performance of solid sawn lumber materials. -Allowable Stress Design methodology was used for Building Code IBC analyzing the said sawn lumber material listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. _..�we.c..._ PROJECT INFORMATION: The Juniper I Litchfield Co., Burlington. MA. Colonial Drafting NH OA File 24122 Sept29, 2004 Copyright 0 2004 by True Joist, a Weyerhaeuser Business OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: 978-356-7833 Fax :978-356-3465 OCMULGEE®TIAC.NET Roof Framing .�- Busi = Header Beam #2 User.2m9/2 1 44:26:Number 7003009747 13/4" x 9 114" 1.9E Microllam® LVL User. 2 9129!04 426:25 PM Pagel Engine Version; 1.15.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: OM2 Roof Slope0M2 All dimensions are horizontal. LOADS: Analysis Is for a Header (Flush Beam) Member. Tributary Load Width: T 61 Primary Load Group - Snow (psf): 35.0 Live at 115 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow(1.15) 475 205 4' 6' SUPPORTS: Input Bearing Vertical Reactions ([be) Width Length Llve/DeadlUplWatal I Microllam LVL beam 3.50' Hanger 14191629/0/2048 0 All dimensions are horizontal. LOADS: Analysis Is for a Header (Flush Beam) Member. Tributary Load Width: T 61 Primary Load Group - Snow (psf): 35.0 Live at 115 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow(1.15) 475 205 4' 6' SUPPORTS: Input Bearing Vertical Reactions ([be) Width Length Llve/DeadlUplWatal I Microllam LVL beam 3.50' Hanger 14191629/0/2048 2 Microllam LVL beam 3.50' Hanger 1419/6291012048 See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): H6: Face Mount Hanger Pry Depth Nailing Detail Depth Product Diagram is Conceptual. Other 1 9.25' WA H6: Face Mount Hanger None 1 9.25' N/A H8: Face Mount Hanger None HANGERS: Simpson Strong Support -Tie® Connectors Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species 1 Face Mount Hanger HUS1.81/10 0112 0 NO WA WA WA 2 Face hunt Hanger HUS1.81110 0112 0 No WA WA WA -Nailing for Support 1: Face: 30-10d, Top WA, Member 10.10d DS -Nailing for Support 2: Face: 30-10d , Top WA, Member 10-10d DS DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 1937 -1644 3537 Passed (46%) RL end Span 1 under Snow loading Moment (Ft -Lbs) 4791 4791 6442 Passed (74%) MID Span i under Snow loading Live Load Deft (in) 0.207 0.281 Passed (U489) MID Span 1 under Snow loading Total Load Deft (in) 0.298 0.421 Passed (L/339) MID Span 1 under Snow loading -Deflection Criteria: Spedfied(LL1/360.TLAJ240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 6' 11' do unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented Is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analysing the TJ Distribution product fisted above. PROJECT INFORMATION: The Juniper 1 Litchfield Co., Burlington, MA. Colonial Drafting NH OA File 24122 Sept.29,2004 OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 0193"19,1 Phone: 978-35&7833 Fax :978356-3465 OCMULGEE®TIAC.NET Copyright ° 2004 by True Joist, a Weyerhaeuser Business Microllam° and Microllam° are registered trademarks of Trus Joist. Simpson Strong -Ties Connectors is a registered trademark of Simpson Strong -Tie Company, Inc. ��VAAPIWRoof Framing m kychaeuurBusinaa TrimmerBeamr User.2TJ-Beam9 9/044:28:38PMdaI M700300g747 3 Pcs of 11/2" x 91/4" 1.4E Solid Sawn Spruce Pine Fir#2 Pagel Entine Version: 1.15.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: OM2 Roof Slope0/12 a, ,a 12, i All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: V Primary Load Group - Snow (psf): 0.0 Live at 115 % duration, 0.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow(1.15) 1420 630 4-6- - SUPPORTS: Input Bearing Vertical Reactions (lbs) Width Length Uve/Dead/Uplift/rotal 1 Stud wall 3.50" 1.50" 893 1 447 / 0 /1339 2 Stud wall 3.50' 1.50" 527 1 285 / 0 / 812 Detail Other By Others - Rim: Rim Board 1 Ply 1 1/2' x 91/4' 1.5E TlmberStrandO LSL By Others - Rim: Rim Board 1 Ply 1 1/2'x9 1/4* 1.5E TimberStrandO LSL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): By Others - Rim: Rim Board DESIGN CONTROLS: Maximum Design Control Control Location Shear (lbs) 1338 1330 2234 Passed (60%) Lt. end Span 1 under Snow loading Moment (Ft -Lbs) 5718 5718 6804 Passed (84%) MID Span 1 under Snow loading Live Load Dell (in) 0.179 0.389 Passed (L/783) MID Span 1 under Snow loading Total Load Defl (in) 0.267 0.583 Passed (U525) MID Span 1 under Snow loading -Deflection Criteria: Specified(LL:U360,TL:L/240). -Allowable moment was increased for repetitive member usage. -Bracing(Lu): All compression edges (top and bottom) must be braced at 9' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been Increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. -Analysis based on vertical loads only and assumes structural supports as noted In the input. Axial loads are not considered in this analysis. -Analysis assumes continuous member. Lap joints, splices and finger joints significantly reduce member performance and have not been considered. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in a000rdance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. Solid sawn lumber analysis is In accordance with 1997 NDS methodology and is solely presented for comparison purposes. Program limitations and assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the performance of solid sawn lumber materials. -Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. -Note: See TJ SPECIFIERS / BUILDER'S GUIDES for multiple ply connection. -Dead load on portion of joist area is less than minimum allowed. -Live load on portion of joist area is very low. Aorto'_� y_ PROJECT INFORMATION: The Juniper I Litchfield Co., Burlington, MA. Colonial Drafting NH OA File 24122 Sept.29, 2004 Copyright 0 2004 by Trus Joist, a Weyerhaeuser Business • •, WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: 978-356-7833 Fax :978-356-3465 OCMULGEE@TIAC.NET Attic Floor Framing AV y BSN Beam #3 k-rdiaeuserem Beam®6.16 Serial Number. 7004113895 User. 2 4/14/05 9:46:19 AM 3 PCs of 13/4" x 9 1/4" 1.9E Microllam® LVL Us Paget EngmeVersion:1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ul�w LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead SUPPORTS: Overall Dimension: 26' 'a —11' 6•' ' Product Diagram is GoncelAual. Input Bearing Vertical Reactions (lbs) Ply Depth Nailing Detail Other Width Length Live/Dead/Uplift/Total Depth 1 Wood column 3.50" 1.50" 2658 / 1306 / 0 / 3964 NIA N/A N/A L1: Blocking 1 Ply 13/4" x 9 1/4" 1.9E Microllam® LVL 2 Wood column 3.50" 2.64" 6786 / 3610 / 0 / 10396 N/A N/A N/A L5 None 3 Microllam LVL beam 3.50" Hanger 2218/ 8931013111 1 9.25" N/A H1: Face Mount Hanger None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking,L5,H1: Face Mount Hanger ,,11 HANGERS: Simpson Strong-Tie@Connectors �► (3) 2x (o �- l{554 Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species Or -4),(-,, 3 Face Mount Hanger HHUS5.50/10 0/12 0 No N/A N/A N/A -Nailing for Support 3: Face: 30-10d , Top N/A, Member: 10-10d p 3Zx 5, P5L 1 q �Cptj DESIGN CONTROLS: x to 3g(P Maximum Design Control Control Location Shear (Ibs) -5567 -4978 9227 Passed (54%) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) -13706 -13706 16806 Passed (82%) Bearing 2 under Floor loading Live Load Dell (in) 0.424 0.478 Passed (0406) MID Span 1 under Floor ALTERNATE span loading Total Load Defi (in) 0.598 0.717 Passed (0288) MID Span 1 under Floor ALTERNATE span loading -Deflection Criteria: Specified(LL:U360,TL:L/240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 10' 6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot 3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Copyright ° 2004 by True Joist, a Weyerhaeuser Business Microllam® and Microllam® are registered trademarks of Trus Joist. Simpson Strong -Tie" Connectors is a registered trademark of Simpson Strong -Tie Company, Inc. Attic Floor Framing AWyerhaeuser 8usisess Beam #3A TJ-Beam4/1 3.16 59:48: Number: 7004113895 4 PCs of 13/4" x 91/4" 1.9E Microllam@ LVL User: 2 4/14/05 9:48:16 AM Pagel Engine Version: 1. 16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED r_ EllwE _14! 6.. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead SUPPORTS: DESIGN CONTROLS: Input Bearing Vertical Reactions (Ibs) Ply Depth Width Length Live/Dead/Upliftlrotal 1 Wood column 3.50" 1.50" 3019 /1638 / 0 /4657 N/A N/A 2 Microllam LVL Beam 3.50" Hanger 3071 /166610 / 4738 1 9.25" -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): L1: Blocking,H1: Face Mount Hanger HANGERS: Simpson Strong -Tie@ Connectors Support Model Slope Skew Reverse Top Flange Flanges Offset Face Mount Hanger HHUS7.25/10 0/12 0 No N/A Nailing Detail Other Depth N/A L1: Blocking 1 Ply 13/4" x 91/4" 1.9E Microllam® LVL N/A H1: Face Mount Hanger None Top Flange Support Wood Slope Species N/A N/A -Nailing for Support 2: Face: 30-16d , Top N/A, Member: 10-16d DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4549 -4049 12303 Passed (33%) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 15968 15968 22408 Passed (71 %) MID Span 1 under Floor loading Live Load Dell (in) 0.438 0.468 Passed (0385) MID Span 1 under Floor loading Total Load Defl (in) 0.676 0.702 Passed (U249) MID Span 1 under Floor loading -Deflection Criteria: Specified(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 11'7" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. 0 of -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. �`��g� _ PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot -3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 OPE OR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Copyright ° 2004 by Trus Joist, a Weyerhaeuser Business Microllam® and Microllam® are registered trademarks of Trus Joist. Simpson Strong -Tie® Connectors is a registered trademark of Simpson Strong -Tie Company, Inc. 40n `%� ,►. Attic Floor Framing -AV:kyerhaeuser Business Beam #36 Beam4/1 16 Serial 4/05 9:51:25 AM Number: 7004113895 User. 2 4/1 3 PCs of 13/4" x 9 1/4" 1.9E Microllam® LVL Us Pagel Engine Version: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 1 7.6" Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: V Primary Load Group - Residential - Sleeping Areas (psf): 0.0 Live at 100 % duration, 0.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 5290 2560 3'9" - SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Wood column 3.50" 1.50" 2645 /1330 / 013975 L1: Blocking 1 Ply 1 3/4"x 9 1/4" 1.9E Microllam® LVL 2 Wood column 3.50" 1.50" 2645 / 1330 / 0 / 3975 L5 None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking,1_5 DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 3973 -3961 9227 Passed (43%) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 14151 14151 16806 Passed (84%) MID Span 1 under Floor loading Live Load Dell (in) 0.130 0.239 Passed (U660) MID Span 1 under Floor loading Total Load Defl (in) 0.195 0.358 Passed (U442) MID Span 1 under Floor loading Pos -fx4 pax,;vz Pa '?000 > � 175 -Deflection Criteria: Specified(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 7' 6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance With TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. 05of" -Dead load on portion of joist area is less than minimum allowed. -Live load on portion of joist area is very low. PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot Yj Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright 0 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Attic Floor Framing -AVG�yerhaeuser Business Beam #4 TJ-BiiUser.2m®6/059:53:27AMer:7004113895 4 PCS Of 1 3/4" X 9 1/4" 1.9E Mierollam® LVL User. 2 4/14/05 9:53:27 AM Paget Engine version: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Ell a D -12' Product Diagram is Concelrtual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 8' 6" Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(pif) Snow(1.15) 490.0 0.0 0 To 12' Adds To SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/Total 1 Wood column 3.50" 1.50" 4470 / 872 / 0 / 5342 L1: Blocking 1 Ply 13/4" x 91/4" 1.9E Microilam® LVL 2 Wood column 3.50" 1.50" 4470 / 872 / 015342 L5 None -See TJ SPECIFIER'S / BUILDERS GUIDE for deta!I(s): L1: Blocking,1_5 DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 5194 -4396 14148 Passed (31%) Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 15149 15149 25769 Passed (59%) MID Span 1 under Snow loading Live Load Defl (in) 0.378 0.389 Passed (L/371) MID Span 1 under Snow loading Total Load Defl (in) 0.451 0.583 Passed (L1310) MID Span 1 under Snow loading -Deflection Criteria: Specified(LL:L/360,TL:L/240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 11'7" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot, .3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright C 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Attic Floor Framing Beam #4 TJ-6earr>na 6.16 Serial Number: 7 044113895 'User. .4/14/05 9:53:51 AM 3 PCs of 13/4" x 11 1/4or 1.9E Microllam® LVL P 1 E age ngineVerslon.1.16.s THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Ell o 0 o 12" - Protluct Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 8'6" Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(pif) Snow(1.15) 490.0 0.0 0 To 12' Adds To SUPPORTS: -Deflection Criteria: Specified(LL:U360,TL:U240). -Bracing(Lu): Al compression edges (top and bottom) must be braced at 10'6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. "t6< (whl +� PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot IS.` Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright C 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/DeadlUplift/Total 1 Wood column 3.50" 1.50" 4470 / 863 / 0 / 5333 L1: Blocking 1 Ply 13/4" x 11 1/4" 1.9E Microllam® LVL 2 Wood column 3.50" 1.50" 4470 / 863 / 0 / 5333 L5 None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L1: Blocking,1_5 DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 5185 -4240 12905 Passed (33%) Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 15122 15122 27837 Passed (54%) MID Span 1 under Snow loading Live Load Defl (in) 0.288 0.389 Passed (0485) MID Span 1 under Snow loading Total Load Dail (in) 0.344 0.583 Passed (U407) MID Span 1 under Snow loading -Deflection Criteria: Specified(LL:U360,TL:U240). -Bracing(Lu): Al compression edges (top and bottom) must be braced at 10'6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. "t6< (whl +� PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot IS.` Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright C 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET 46n Second Floor Framing I A�4yerhaeiuer Business Ti-BeaBeam #5 User. 7004113895 3 PCs of 13/4" x 111/4" 1.9E Microllam® LVL User. 2 4/14/05 5:44:17 PM E Pagel ngineversion: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 0� �F21 Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead SUPPORTS: Input Bearing Width Length 1 Microllam LVL beam 5.25" Hanger 2 Stud wall 3.50" 2.06" Vertical Reactions (Ibs) Ply Depth Nailing Live/Dead/Upliftlrotal Depth 3102 / 1671 / 0 / 4773 1 11.25" N/A 2988 / 1610 / 0 / 4598 N/A N/A N/A -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): H1: Face Mount Hanger,A1: Blocking Detail Other H1: Face Mount Hanger None Al: Blocking 1 Ply 13/4" x 111/4" 1.9E Microllam® LVL HANGERS: Simpson Strong-Tie(g) Connectors Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species 1 Face Mount Hanger HHUS5.50/10 0/12 0 No N/A N/A N/A -Nailing for Support 1: Face: 30-16d, Top N/A, Member: 10-16d DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4491 3885 11222 Passed (35%) Lt. end Span 1 under Floor loading Moment (Ft -Lbs) 15600 15600 24206 Passed (64%) MID Span 1 under Floor loading Live Load Dell (in) 0.319 0.347 Passed (U524) MID Span 1 under Floor loading Total Load Defl (in) 0.490 0.695 Passed (U340) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL:U480,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 10'6' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY[ PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. e -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES. for multiple ply connection. eoa %" 44,1_ WAYNE C" KM "_ PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot ;3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Copyright a 2004 by Trus Joist, a Weyerhaeuser Business Microllam® and Microllam® are registered trademarks of True Joist. Simpson Strong -Tie® Connectors is a registered trademark of Simpson Strong -Tie Company, Inc. ®�e4(fj� ,►j��� Second Floor Framing . C'mhw �)r6� 13us yea Beam #5 User.2TJ-Beam4116.1655:45:Number.70oa113895 4 PCs of 13/4" x 9 1/4" 1.9E Microllam® LVL User. 2 4/14/05 5:45:05 PM Pagel Engine Version. 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED k° o, ra 0 14.6." Product Diagram is Conceptual" OL ADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Ply Depth Nailing Detail Other Width Length Live/Dead/UpiMrotal Depth 1 Microllam LVL 5.25" Hanger 3102 /168310 / 4785 1 9.25" N/A H1: Face Mount None beam Hanger 2 Stud wall 3.50" 1.55" 2988 /1621 / 0 /4609 N/A N/A N/A A3: Rim Board 1 Ply 11/2" x 9 1/4" 1.5E TimberStrand® LSL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): H1: Face Mount Hanger,A3: Rim Board HANGERS: Simpson Strong -Tie® Connectors Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species 1 Face Mount Hanger HHUS7.25/10 0/12 0 No N/A N/A N/A -Nailing for Support 1: Face: 30-16d, Top N/A, Member: 10-16d DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 4501 4002 12303 Passed (33%) Lt. end Span 1 under Floor loading Moment (Ft -Lbs) 15638 15638 22408 Passed (70%) MID Span 1 under Floor loading Live Load Dell (in) 0.421 0.463 Passed (U396) MID Span 1 under Floor loading Total Load Defl (in) 0.649 0.695 Passed (U257) MID Span 1 under Floor loading -Deflection Criteria: Specified(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 11'7* o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. �4 Note: See TJ SPECIFIER'S /BUILDER'S GUIDES for multiple ply connection. a '00' PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot ':3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Copyright C 2004 by Trus Joist, a Weyerhaeuser Business Microllamm and Microllam® are registered trademarks of Trus Joist. Simpson Strong -Tie® Connectors is a registered trademark of Simpson Strong -Tie Company, Inc. 40n4 Second Floor Framing e'A easiness Beams #5A & #56 TJ-BeaUser. Serial Number. 7004113895 2 PCs of 13/4" x 9114" 1.9E Microllam® LVL User. 2 4!14/05 5:48:22 PM Pagel Engine Version: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimension: 28' 14'14' o - Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: V Primary Load Group - Residential - Sleeping Areas (psf): 0.0 Live at 100 % duration, 0.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 2650 1330 10'3" Point(lbs) Floor(1.00) 3100 1675 14' Point(lbs) Floor(1.00) 2650 1330 17'9" SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Upliftrrotal 1 Stud wall 5.25" 1.50" 500 /184 / 49 / 684 Al: Blocking 1 Ply 13/4" x 9 1/4" 1.9E Microllam® LVL 2 Wood column 3.50" 4.60" 7863 /4219 / 0 1 12083 L5 None 3 Stud wall 3.50" 1.50" 491 / 182 / -43 / 673 A3: Rim Board 1 Ply 1 1/2" x 9 1/4" 1.5E TimberStrand® LSL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): Al: Blocking,L5,A3: Rim Board -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware Is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 3656 3648 6151 Passed (59%) Lt. end Span 2 under Floor loading Moment (Ft -Lbs) -9590 -9590 11204 Passed (86%) MID Span 2 under Floor loading Live Load Deft (in) 0.291 0.461 Passed (U571) MID Span 2 under Floor ALTERNATE span loading Total Load Defl (in) 0.365 0.692 Passed (U455) MID Span 2 under Floor ALTERNATE span loading -Deflection Criteria: Spec!fied(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at V 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis Include alternate member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. OF -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above.,PL -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. -Dead load on portion of joist area is less than minimum allowed. �c WAYM y -Live load on portion of joist area Is very low. C. PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot 5, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright ° 2004 by Trus Joist, a Weyerhaeuser Business Microllam° is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Second Floor Framing 8usinen Beam #6 TJ-Bearr� 9/044:41:Number.7oo3009747 3 PCs of 13/4" x 91/4" 1.9E Microllam® LVL User. 2 9%29/04 4:41:56 PM Pagel Engine Version: 1.15.33 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 8' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration,15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Unifonn(plf) Floor(1.00) 140.0 105.0 0 To 9' 6" Adds To Unifonn(plf) Snow(1.15) 490.0 0.0 0 To 9'6" Adds To SUPPORTS: Input Bearing F_ Other Width Length Live/Dead/Uplift/rotal 1 Stud wall 3.50" 2.36" 4133 /11132/0/5265 Al: Blocking 1 Ply 13/4' x 91/4" 1.9E MicrollarnO LVL 2 Stud wall 3.50" 2.36" a, -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): Al: Blocking ,a Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 8' Primary Load Group - Residential - Sleeping Areas (psf): 30.0 Live at 100 % duration,15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Unifonn(plf) Floor(1.00) 140.0 105.0 0 To 9' 6" Adds To Unifonn(plf) Snow(1.15) 490.0 0.0 0 To 9'6" Adds To SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/rotal 1 Stud wall 3.50" 2.36" 4133 /11132/0/5265 Al: Blocking 1 Ply 13/4' x 91/4" 1.9E MicrollarnO LVL 2 Stud wall 3.50" 2.36" 4133 /1132/0 / 5265 A1: Blocking 1 Ply 1314" x 91/4" 1.9E Mkxoilam@ LVL -See TJ SPECIFIERS / BUILDERS GUIDE for detail(s): Al: Blocking DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 5080 -4087 10611 Passed (39%) Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 11642 11642 19327 Passed (60%) MID Span 1 under Snow loading Live Load Dell (in) 0.233 0.306 Passed (U472) MID Span 1 under Snow loading Total Load Dell (in) 0.297 0.458 Passed (U371) MID Span 1 under Snow loading -Deflection Criteria: Spec1fied(LL:L/360,TL:L/240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 9'6" o1c unless detailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of Its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIERS / BUILDER'S GUIDES for multiple ply connection. PROJECTANFORMATION: The Juniper i Litchfield Co., Burlington, MA. Colonial Drafting NH OA File 24122 Sept.29, 2004 Copyright C 2004 by True Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: 978-356-7833 Fax :978-356-3465 OCMULGEE@TIAC.NET ���►�jj��� First Floor Framing � �� Baalnem TJ-BeaBeam #7 User. 0:Number.70oa113895 3 PCs of 1 3/4" x 14" 1.9E Microllam® LVL User. 2 4!14/05 6:20:44 PM Pagel Engine Version: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 0 8' LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 12' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 5655 2735 8' Unifonn(plf) Floor(1.00) 500.0 240.0 0 To 24' Adds To SUPPORTS: 6' Overall Dimension: 24' Product. Diagram is Conceptual. Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/Total 1 Steel column 5.25" 1.50" 3761 / 533 / -2049 / 4294 L5 None 2 Steel column 3.50" 7.91" 21352 / 9787 / 0 / 31140 L5 None 3 Steel column 7.00" 2.48" 6791 / 2982 / 0 / 9773 L5 None -See TJ SPECIFIER'S / BUILDERS GUIDE for deta!I(s): L5 -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (lbs) 13106 11242 13965 Passed (81%) Lt. end Span 2 under Floor loading Moment (Ft -Lbs) -32163 -32163 36387 Passed (88%) Bearing 2 under Floor loading Live Load Deli (in) 0.374 0.518 Passed (U498) MID Span 2 under Floor ALTERNATE span loading Total Load Deft (in) 0.530 0.777 Passed (U352) MID Span 2 under Floor ALTERNATE span loading -Deflection Criteria: Specified(LUL1360,T1.1/240). -Uplift exceeds 1000 lbs for unbalanced load. -Bracing(Lu): All compression edges (top and bottom) must be braced at 7'3" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check withyour supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot :;3, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright ° 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET First Floor Framing Business TJ-BeaBeam #7A User /14/05 :06:Number. 7004113895 2 PCs of 13/4" x 91/4" 1.9E Microllam® LVL User. 2 4/14/05 6:06:24 PM Pagel Engine Version. 1. 16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED HIM NF21 0 12' 10 Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 1' Primary Load Group - Residential - Sleeping Areas (psi): 0.0 Live at 100 % duration, 0.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 2660 1310 10' SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/UplifKrotal 1 Stud wall 5.25" 1.50" 3651233 / 0 / 598 Al: Blocking 1 Ply 13/4" x 9 1/4" 1.9E Microllam® LVL 2 Microllam LVL beam 7.00" 1.50" 2295 /1184 / 0 / 3479 A3: Rim Board 1 Ply 1 1/2" x 9 1/4" 1.5E TimberStrand® LSL -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): Al: Blocking,A3: Rim Board DESIGN CONTROLS: Maximum Design Control Control Location Shear (lbs) -3475 -3467 6151 Passed (56%) Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 5347 5347 11204 Passed (48%) MID Span 1 under Floor loading Live Load Defi (in) 0.136 0.374 Passed (U993) MID Span 1 under Floor loading Total Load Dell (in) 0.210 0.561 Passed (U641) MID Span 1 under Floor loading -Deflection Criteria: Spec!fied(LL:U360,TL:U240). -Bracing(Lu): All compression edges (tap and bottom) must be braced at 9'2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. O -Dead load on portion of joist area is less than minimum allowed. -Live load on portion of joist area Is very low. yg,c, PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot `• 1, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright 0 2004 by Trus Joist, a Weyerhaeuser Business Microllam® and Microllam® are registered trademarks of True Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET First Floor Framing �r Business Beam #8 User. 1 57:51: Number.70oa113895 4 PCs of 1 314" x 16" 1.9E Microllam® LVL User. 2 4/14105 7:51:44 PM .P age EngmeVersion.1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Ell 6' a 7' LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 6790 3610 6' Uniform(plf) Floor(1.00) 420.0 210.0 0 To 18' Adds To Point(lbs) Fioor(1.00) 7865 4220 18' SUPPORTS: Overall Dimension: 32' 'I :0 —N9' ' Product Diagram is Conceptual. -Deflection Criteria: Spec!fied(LL:U360,TL:U240). -Uplift exceeds 1000 lbs for unbalanced load. -Bracing(Lu): All compression edges (top and bottom) must be braced at 4' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. OF -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. R -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. WaY1118 K'J RIM 27M PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot 33, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright 0 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Input Bearing Vertical Reactions (ibs) Detail Other Width Length Live/Dead/Uplift/rotal 1 Steel column 3.50" 1.50" 4589 /1927 / 0 / 6516 L5 None 2 Steel column 3.50" 3.26" 14483 / 2634 / 0 / 17117 L5 None 3 Steel column 3.50" 7.23" 25695 / 12262 / 0 / 37957 L5 None 4 Pocket in masonry wall 3.50" 1.54" 5584 / 2496 / 0 / 8080 L4 None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L5,L4 -Bearing length requirement exceeds input at support(s) 3. Supplemental hardware is required to safisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 22452 20335 21280 Passed (96%) Lt end Span 3 under Floor ADJACENT span loading Moment (Ft -Lbs) -62175 -62175 62228 Passed (100%) MID Span 3 under Floor ADJACENT span loading Live Load Deft (in) 0.380 0.628 Passed (U595) MID Span 3 under Floor ALTERNATE span loading Total Load Defl (in) 0.555 0.942 Passed (U407) MID Span 3 under Floor ALTERNATE span loading -Deflection Criteria: Spec!fied(LL:U360,TL:U240). -Uplift exceeds 1000 lbs for unbalanced load. -Bracing(Lu): All compression edges (top and bottom) must be braced at 4' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. OF -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. R -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. WaY1118 K'J RIM 27M PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot 33, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright 0 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET First Floor Framing _A�GHyerhaeuser13minez Beam#8 TJ -Bea Serial Number: 7004113895 User. ?. 4/14/05 7:47:29 PM 2 PCs of 13/4" x 9 1/4" 1.9E MicrollamO LVL Us P age l Engine—rsion. 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimension: 32' �I Product Diagram is iConceIALIal. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 6790 3610 6' - Uniform(plf) Floor(1.00) 420.0 210.0 0 To 18' Adds To Point(lbs) Floor(1.00) 7865 4220 18' - SUPPORTS: -Deflection Criteria: Specified(LL:L/360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 9' 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. 4$ -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. WAYM r C. KWIIQ PROJECT INFORMATION: Amenhausar/Chatfield Residence Lot, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright ° 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/UpliftfTotal 1 Steel column 5.25" 1.50" 2812 /1030 / 013842 L5 None 2 Steel column 3.50" 7.96" 14183 / 6718 / 0 / 20901 L5 None 3 Steel column 3.50" 3.67" 6995 / 2643 / 0 / 9638 L5 None 4 Steel column 3.50" 7.23" 13111 / 5879 / 0 / 18989 L5 None 5 Steel column 3.50" 2.41" 4622 /1693 / 0 / 6315 L5 None 6 Pocket in masonry wall 7.00" 1.50" 1898 / 653 / 0 / 2551 L4 None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L5,L4 -Bearing length requirement exceeds input at support(s) 2, 3, 4. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 5369 4078 6151 Passed (66%) Lt. end Span 2 under Floor ADJACENT span loading Moment (Ft -Lbs) -6397 -6397 11204 Passed (57%) Bearing 2 under Floor ADJACENT span loading Live Load Defl (in) 0.072 0.233 Passed (U999+) MID Span 2 under Floor ALTERNATE span loading Total Load Defl (in) 0.089 0.350 Passed (0943) MID Span 2 under Floor ALTERNATE span loading -Deflection Criteria: Specified(LL:L/360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 9' 2" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. 4$ -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. WAYM r C. KWIIQ PROJECT INFORMATION: Amenhausar/Chatfield Residence Lot, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright ° 2004 by Trus Joist, a Weyerhaeuser Business Microllam® is a registered trademark of Trus Joist. WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET First Floor Framing -A Business Beam #8 Ti-BeaUser. 6./0 Serial Number: 7004113895 4 PCs of 13/4" x 14" 1.9E Microllam® LVL User. 2 4/14/05 7:49:41 PM Paget Engine Version: 1.16.5 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 13' LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) . 6790 3610 6' Uniform(plf) Floor(1.00) 420.0 210.0 0 To 18' Adds To Point(lbs) Floor(1.00) 7865 4220 18' - 12' Overall Dimension: 32' �I 3❑ 1:1�4j 7' Product Diagram is ConcelAtial. SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Steel column 5.25" 2.38" 8746 / 3761 / 0 / 12507 L5 None 2 Steel column 3.50" 6.57" 23248 / 11263 / 0 / 34511 L5 None 3 Steel column 3.50" 2.99" 11718 / 4002 / 0 / 15720 L5 None 4 Pocket in masonry wall 7.00" 1.50" 2883 /170 / -2104 / 3053 L4 None -See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): L5,L4 -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) '-17392 -15519 18620 Passed (83%) Rt. end Span 1 under Floor ADJACENT span loading Moment (Ft -Lbs) -46649 46649 48517 Passed (96%) MID Span 2 under Floor ADJACENT span loading Live Load Defl (in) 0.280 0.423 Passed (U544) MID Span 1 under Floor ALTERNATE span loading Total Load Deli (in) 0.383 0.634 Passed (U398) MID Span 1 under Floor ALTERNATE span loading -Deflection Criteria: Specified(LL:U360,TL:L/240). -Uplift exceeds 1000 Ibs for unbalanced load. -Bracing(Lu): All compression edges (top and bottom) must be braced at 4'7" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. A �� PROJECT INFORMATION: Amenhauser/Chatfield Residence Lot 33, Gray Street, N.Andover Litchfield Co., Burlington Colonial Drafting NH OA File 25048 Copyright C 2004 by True Joist, a Weyerhaeuser Business Microllam® is a registered trademark of True Joist. OPERATOR INFORMATION: WAYNE C. KING, P.E. OCMULGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)356-3465 OCMULGEE@TIAC.NET COLUMN DESIGN FORMULAE SOLID SECTION Project: AMENHAUSER/CHATFIELD RES Date: APRIL 15, 2005 OA File: 25048 Wood specie, grade Fc = CD = Cf = Cr = KLe = Fc* E_ FcE= FcE/Fc*= 1+ (FcE/Fc*) /2c = FcE/Fc*/c = CP = Fc = P/inch width -- P/3.511 P/3.5" post = Douglas Fir - Larch No. 2 1350 1 1.15 1 96 inches 3.5 inches 1552.5 psi 1600000 psi 638.0208 0.410963 0.881852 0.513704 0.368083 571.4487 psi +K4 2000.07 lbs/in width 7000.246 lbs. :l COLUMN DESIGN FORMULAE Proj ect : Date: OA File: Wood specie, grade Fc = CD = Cf = Cr = KLe = d= Fc* E _ FcE= FcE/Fc*= 1+(FCE/Fc*)/2c = FcE/Fc*/c = CP = Fc = P/inch width = P/1.5" stud = P/3" stud = P/4.5" stud = AMENHAUSER/CHATFIELD APRIL 15,'05 25048 S -P -F No.2 1000 1 1.1 1 93 inches 5.5 inches 1100 psi 1100000 psi 1154.18 1.049254 1.280784 1.311568 0.707339 778.0724 psi 2x( 2567.639 lbs/in width 3851.458 lbs. 7702.917 lbs. 11554.37 lbs. I rwta[. ria By Date r-2 �No, Sheet No. OCMUL(;EE ASSOCIATES, INC. WCk Af'R. 2l , 'a s 0 4g 317 H+c;H STREET IP-SWCH, MASSACHUSEM 0 19 38 Subject 978-356-7833 *W44AU5 / U-ATflf--� t.1. 1 g 12,i It 1`-►Jd caEBLDG e LL.. pG ROM BM 3A ¢ 3020 1 �D 6610_Z13 RD Q t ,3 2 5 0 9260 9z6o K �, 515s' St. 2x A>, 1..E d �, 2 x 13S , il. w Zx 12 QOM �M I 3360 + X550 244$ x 1,5 73 1(. SX I—F —f mac.— tQ. LU 7f O0J0040.7 MAULULL PAGE 02 BY Date AM. !4, p5 File No. Sheet No. OCMULCEE ASSOCIATES, INC. V11Gc S Pf: 2'9, O4- 25p4D 397 HIGH Srt:EEr subject Ir�swlcH, MASsaCHUSt:TTS 01938 Fi'RST r-W.DR. f-RAWQG ( CoWrb) 36to �2z.� -5vr 14 a,r -�a tiro - t5 A Cc[ S AT A., B, C, D : v st* (V) 141-111- LV L- eoLS AT M 4 D 4L: k -T C . use (t) 15x IS `Yf,._ wa � : N0-Cl�-t� WoI�ICS �avNi, c. Cot AT (4J 1 x a L -v V I na AT A _#g �a) E:� x 16 Lv(, fo� UL 8M -ro U-fT op J60— CZ) i x qf+ LVv SA F�e 'TtLi-1t1 -rO RIC44T OF- b xE.Q ALMA '5?MPLf-AcLPAA 19 P45 2.ol-3I.&K( 5aa 44 .77 ab S wl 12.1 D C o � . b � �►�' S � .63 no .ua-A tit r% v, x 4 ,a2y �- .3g ° = A s lbr- YUO, ust 3. Zx S,:-0 t sss 05f- Villi -x 3s I= 2�5 4 lt5 '-' } '77 ' &� , 6)2 G 04/21/2005 18:15 9783563465 OCHiLGEE PAGE 04 �s Header at of Ho s Aa Right Side of House �J$aam61S.leso" Number.7C04t12895 2 Pcs of 1314" x 9114" 1.9E Microllamt LVL User. 2 4121/05620:D8 PM Pool "Inevarslon:1,16.6 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED A 1 7 Product Diagram is Cotvl:ePWOL LQADS: Analysis In for a Drop Beam Membar. Tributary Load Width: l Primary toad Group - Resldandal - Uving Areas (01: 0.0 Live at too 1'a duration, DA Head Vertical Loads: Type Ctsaa Lire Dead Location Appttcaflon Comment Polntil Flecr(1.00) 6010 9260 1'6° SUPPORTS: Input fill Vertical Rsactiens (lbs) Width Length Uva1DN0/Upilft/rota1 1 Stud wall 3.50" 3.1T 3005 1 1530 1 0 1 4943 2 Stud wall 3.50' 8.12' 30D5 11636 / 0 / 4643 Detail Other Lt: 910ddr1g 1 Ply 1 314' x 91/4' 1.9E Mb0llaMV LVL L1: Blocking 1 Ply 13!4" x 91/4" 1.9E Mlcrcllam9 LVL .Sae TJ SPECIFIER'S / BUILDERS GUIDE for detall(a): Lt: Bkx*inq DFAIGN CONTROM. maximum Design Control Corrb'6I Location Mwr Qbs) 4842 •4631 0151 Passed (75%) Rt. end Sparc 1 under Floor loading Moment (Rt-Lbe) 6151 6181 11204 Passed (55%) MlD Span 1 untlu Floor lading Uva Load Defl (in) 0.024 0.0m Peened (Uses+) MID Span 1 under Floor loading Total Load Doff (in) 0.036 0,133 Passed (IJ651) MID Span 1 under Floor loading -Deflection Crllarls: STAt4QARD(LL1J360,TL•U240), 4kscing(Lu): All oompres°ion odges (tap and botlorn) must be braced at 3' o% unless detailed othsrwiM Proper atiachmant and p031tf0ning of Wwsl bracing L9 required to achiava mernber stability. AI)D1TIO AL NOTE : -IMPORTANT! The analysis presented 6 output from software developed by Trus Joist (TJ). TJ warrants the sizing of he produou by this software will be anoomplishsd In accordance with TJ product design criteria and coda accepted design vaWes, The specific product appl"llon, input design bads, and stated dwienalons have boon provided by the aonwere user. This output has not been reviewed by a TJ Aasoclate. .Not all products are readily available, Check with your supplier or TJ technical rBpmsented" for product availability. .THIS ANALYSIS FOR TRUE JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stmss Design molhodokrgy wsa used for Bulkling Code 1130 enai ng the TJ Distribution product listed above. -Note: See TJ SPCCIFIEWS 19UILDERS GUIDES for muldple ply connectors. -Dead bad on portion of Joist area is less then mWmum allowed. .Uva bad On portion d Joist gee is very low. PROJECT INFORMATION: Amenheuser/Chatfleld RoSidence Lot. , Gray 81rest, N.Andover Utchtidd Co..13t r9inn Colonial Drafting NH OA Rile 25040/Apol 21.2005 Copyr'Saht a 5006 by Trus Jctat, a W45rerheeuaar Buair,ves Microllar+a is a regiaaarae trade rk of Trus Joist. OPERATOR IPIFORNATION: WAYNE C. KING, PA, OCMVLGEE ASSOCIATES, INC. 317 HIGH STREET IPSWICH, MASSACHUSETTS 01038-D193 Phons : (978) 35a-7833 Fax :(978) 356.3465 OCMULGEE@TIAC.NET 04/21/2005 19:15 9783563465 OCMULGEE PAGE 05 C Header at lnreplece x 9 114 1.9E Mlcami e W " roll LVL TJ-43eam*41.16 Sanat Number.7Wt113695 2 Pcs of 1 314 Uaar:2 40/0582301 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS page 1 rine Version: 1.16.5 FOR THE APPLICATION AND LOADS LISTED 1 Or �© o ' Product Diagram is CotncsPtLIW- Analysis is for a Drop Beam Member. TriWtary Load WIO:1' primary toad Group - Residential • Living Areas (Paf): 0.0 Live at 1 DO 56 duration, 0,0 (lead VertloelLoads: Type Gass Live Dead Location Application Comment PcinglW) Floor(i,00) 3380 15W 2' S' , rkuPPQ Input Bearing vertical Reset(Ons obs) Detail Otl+ar Width LerVh LN*DeadfUp>fW01sl 1 Stud wail 3.50" mrr 16601797/012477 L1: BloclMg 1 Ply 1314* x 9 114. 1.9E MicrollamO LVL OF 2 Stud well &ST 1.67' 1680 f 797 10 1 2477 L1: Slool ft 1 Ply 13141 x 9 1/4' 1 AE Mlorotlam8l LUL See TJ SPECIFIERS I flUILDERS GUIDE for detal(s): L1: Blocking WAYM c. r IESIGN -CONTROLS: KING Maltlmum Design Control Control L.ocstlen 11111111- 'pt Shear ((be) 2475 •2468 6151 Passed (40%) Fit. end Span 1 undar Flow loading f$ Moment (Ft -Loa) 5753 6753 11204 Passed (51%) MIO Span 1 under Floor loadingAL L hm Load Deft (In) 0.043 0,156 Period (U999{) MID Span 1 unoor Floor loading Total Load Det (in) 0.063 0233 Passed (U893) MID Span 1 under Floor loading -Deltacton (arteria: STANOARD(LUL1360,TL:U240). -Brecing(Lu): Al Compression edges (top and bottom) must be braced at 5' clo unless 4etalled otherwise. Proper attachment and positioning of leteral bracing is required to achieve member stability. ApOITIONAL N15TE3:_ AMPORTANTI The analysis presented Is output from soRwme developed by Trus Joist JJ). TJ warrents the sizing of Its Products by this noilwere Will los ecCOmpliahed in accordance with TJ product design criteria and code accepted design values. The spad6B product aPplufarl, Input design loads, and stated dimenetOna have been provided by the Sollware user. This Output has not been reviewed by a TJ Associate. -Nal all products are readily available. Choolc with your supplier or TJ tedrilul representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY1 PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS, .Allowable Stress Design methoddog9 was used for Building Cada 18C analyzing the TJ DisirloAan product dieted above. -Note: See TJ 3PECIFIER1I BUILDERS GUIDES for multiple ply connection. -Dead load on por80n of Joist area is less than minimum allowed. .Uva bad on portion Of )dirt area Is very lout. PROJfiCT INFORMATION; Amenhaustr/Chat4ctd Residence Lot 3i. -Gray Street, N.Andover L1hxMeld Co., 5dlnitlgton Colonial Drafting NH OA File 26048/Apnl 21, 2005 Copyright o loot by Tress Joist, a 1rayarhoousar easiness Hictollana is a ragi.stered tOdQaark of Trus Joist. QPERATQR IPIFORMA110Mi WAYNE C. TONG, PJ? OCMULGEE ASSOCIATES, INN, 317 HIGH STREET IPSWICH, MASSACHUSETTS 01938-0193 Phone: (978) 356-7833 Fax :(978)358-3465 OCMULGEEV,TIAC.NET Dimension Number of Stories:__ Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: Or ���( S�• ELECTRICAL: Movement of Meter location, mast or servicrop requires approval of Electrical Inspector Yes 401 DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.s10o-s100o fine RN NV I t, and UA I A — (tor department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 2 m Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) % re �d Building Permit Application tZ� b Certified Proposed Plot Plan d Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 k� A • it I I m � s a � ON 00 .o �'Y��NVINNMN�NV�III�VI■ E:I I�IIIIIIIIIIIIII:: � 861i l �I� � IIIIIIIIIIIIIIIIIIIIINII �', �' �='''' IIIIIINIIIIIN�I�IIIIIIIIIIII�iNuii��°�"°�°', =nuuo 0 umaii� i u0,1� „O'R u01C "011 IIO,t�I - - - - - --- - - - - -- ----- .A ------------------------= --- i t 1 , -- 1 1 �I XSt 11 I I ''� i ii1 d O .D 1 i •, .CO I ° I U � •� 3 a�IL I ° , 1 , UO�� cA QI i...1 x 10 I oDQO EI �e a a LL 1 Zj +— Is 1 Q o a 0 1 I M N I 40 ; 1 L Mme:. 1 0 Q M ° ; I aN Q••� _Q � ; 1 ' Al 1 a _ �- 1 0 :d- • , ; " j� 1 - - � J to ° Iz � ..�� U U O '� i,•; O 1 U I r u 10 u tCD T � I sr `o u u I x u N� c m V = OI 1 V i b M � 1 S it N st N l I � , I O C,- 4 , nl 4 1 1 ' 1 :6ullooj Ilem ISOJJ ,lo wcgjog 1 , I 1, I al Cull �Pr?� mOlaq o01t 1 ; ip PNanO 1101t- x 11 6 p PW 11 1 11016, , , o --------------- -- ----------------- ------------- a:d --------- -1. 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