HomeMy WebLinkAboutMiscellaneous - 39 HEWITT AVENUE 4/30/2018Date. . .......
...............
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
11�
This certifies that ........ .......................................................
has permission to perform ... ...........................................
........ ............ ..........
wiring in the building of ....
............... I .............................................................
at North Andover, Mass.
................................................. i .............. .
Fee /�< ............ Lic. No. . ..............
INSPE
Check #
7 6 14
f1X Commonwealth of Massachusetts Official Use Only
Permit No.
Department of Fire Services 1:7L
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 perforined in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMA TION) Date: ?-E-6-7
I CityorTownofi NORTHANDOVER To the Inspector of Wires:
By this. -application the undersigned gives notice of his or her intention to perforn-i the electrical work described below.
Location (Street & Number)
Owner or Tenant <,,, A,
Owner's Address
Is this permit in conjunction with a building permit? Yes
Purpose of Building 11 -do
Existing Service Amps Volts
New Service Amps Volts
Telephone No.
No F� (Check Appropriate Box)
Utility Authorization No.
Overhead 0 Undgrd 0
Overhead F1 Undgrd M
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: iop,
No. of Meters
No. of Meters
3T* --3
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above In
grnd. grnd.
No. ot Emergency, I Lighting
Battery Units I -
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS �
INo. of Zones
No. of Switches
No. of Gas Burners
No. of Detection And
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
I Number., -
IXRR� .........
. K.W ...........
..... ......
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
M nicipal
LocaIE] C u [:] Other
onnection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of 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
OTHER: ie c -",v
11 _hAr AnA el CA r 6or\ d h 0 Ac -r 9
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: 0 -7 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 El BONDE] OTHER El (Specify:)
I certify, under the pains andpenalties ofperjury, that the information on this application is true and completa
FIRM NAME: LIC. NO.: -
Licensee: 'Ra6t+ Fer(Ace> Signature LIC. NO.:, q I 10 (f, E
(If applicable, enter "exem�k in the licelse number line) V
r? 3 Bus. Tel. No. -
Address: St . H CtAa AA Alt. Tel. No.J_
. :& QSa 3
*Per M.G.L c. 147, s. 57-61, security4ork 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. m signature be I hereby waive this requirement. I am the (check one) EJ owner El owner's a t
Owner/Agent 74
Signature 1,
Telephone No.&�f7 �OS_ IT FEE: $
V JPERM
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov1dia
Workers' Compensation Insurance Affidavit: Bui Ide rs/Cont r act o rs/El ectri cians/Plum bers
Applicant Information Please Print Le2iblv
Name (Business/Organization/Individual):
Address:
City/State/Zip:&AUep, 11MA 0)&/V Phone #:-9-7a- -aTe– 3S-4�d--'
Are you an employer? Check the appropriate box:
1. F1 I am a employer with 4. El I am a general contractor and I
_/employees (full and/or part-time).*
2. 1 arn a sole proprietor or partner-
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
3. 1 am a homeowner doing all work
myself. [No workers' comp.
insurance required.] f
have hired the sub -contractors
listed on the attached sheet.
These sub -contractors have
workers' comp. insurance.
5. El We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, § 1 (4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. E] New construction
7. E] Remodeling
8. F� Demolition
9. 2Building addition
10.1!!!J Electrical repairs or additions
I I.R Plumbing repairs or additions
12.EJ Roof repairs
13.1-1 Other
iAny appiwam tnat cneCKS DOX If I must also till 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.
tContractors that check this box must allaclied an additional sheet showing the name ofthe sub -contractors and their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is thepolicy andjob site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do herely certify under the pain) andpenalties of'perjury that the information provided above is true and correct.
Z101 A -
Phone #:
Official use on�v. Do not write in this area, to be completedkv ci(v 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 #:
Date)- 16 - 0'+'
...........
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ........
has permission to perform.,/., -'Q-). .............
plumbing in the buildings of . t�!� . . . . . .
at -3j. .............. North Andover, Mass.
, G�P-
Fee/6.L� Lic. No.-*`I95V . ...........................
PLUMBING INSPECTOR
Check # '501
744
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUM13E, G
(Type or print)
NORTH ANDOVER, MASSACHUSEM /0 Date
Building Loqtion 3? 14de Owners Name h�-44P Permit #
7 Amount
Type of Occupancy
New 1:1 Renovation
177- 51 ZI a
Kjq;r111
R 11 � F-ce I
F, 11 � I T I z
Replacement Plans Submitted Yes
1
1.9
Trint or type) 4C - -
InstaUing CompanyName U1, /, j � (eLj-0
Address
No 1:1
Check one: Certificate
Corp.
Partner.'
aFirm/Co.
Name of Licensed Plum 0 C C -
Insurance Coverage: ltdtle the type of insffunce coverage by checking the app7p—riate bo)c
Liability insurance policy El Other type of indemnity El Bond
[it
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the Above
three)fist�wce
Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and instaHations performed under Perm'
AJssu,"r this application will be in
compliance with all pertinent pmvisions of the MasWIW59SWe-Pll�bin t 14 of the General Laws.
By:
'Signawre o -D-e-r
Title o Plum mg License
Cityfrown 366,sr-0 —� MasteT
APPROVED (OFFICE USE ONLY License Nuinrer Journeyman 13/
6dinas 5hcturd �qineeriN LLC
Daniel L. Gelinas, P.E.
579A North End Blvd.
Salisbury, MA 01952-1738
October 12, 2007
Gerald A. Brown
Inspector of Buildings,
400 Osgood Street
Town of North Andover
North Andover, MA 0 1845
Phone 978.465.6436
Fax 978.465.5160
email danlpelinas@comeast.net and aol.com
Fax 978.688.9542
Phone 9545
Copy:
Sebastian-Patane----
F_ R 'Hewitt Ave
North' Andover, MA 0 1845 'cwbedu@comcast.net'
SUBJECT: LVL Framing, addition at 39 Hewitt Ave
Dear Mr. Brown:
Per the request of Mr. Patane, Gelinas Structural Engineering LLC (GSE) went to the above site on 10. 11.07.
The purpose of this trip was to perform a walk thru and confirm the LVL fi-aming satisfies code. The
following are the results of our observations:
Executive Summary:
All LVL framing observed is per the drawings and satisfies the Massachusetts State Building Code 6th
Edition Chapter 36. Analysis sheets are attached.
Please call with any questions.
OF
DANIEL L.
GELINAS
STRUCTURAL
No. 33994
Very Truly Yours,
:aniReIL�Gte innas, P VEam
D07151 Letter Patane LVL framing ok.doc
BY: Dan LG Date: iO.11.07
Job No. 07151 Patane Hewitt Ave N Andover MA
els/Beams ... >
11.875 <=b,d
LOADS: psf #/ft
PR LL Low 0 00
above dead 0 0
Attic LL 0 0 ! a
above dead load 0 0
2nd FLR CL— 0 00
above dead . 0 0
1st FLR LL 40 12 480
above dead 10 12 120
Misc LL 0 —06—
above dead lood 15 —00
DECK load 60 00
-ibove dead—load 10 00
LIVE Load
bearling wall dead Ld no LL 16-0 0
beam sff, 19
total
619
w(live load
Irl
�x �/Bim
480
0 �;M
Labels/Beams->
raMng
5M 1 d L—=
Walmanized
W = Wd+l= 619.6
L = span 17 -SM
j
IT
M =W LA2 I a 23,715
notef labels/ _Wfions > BM 1 drawing 6
Comment n/a, >
@ Fb= ps! 3110-0—
E= psi 2,000,000
Req'd ...
Ix in�
.5. ��P3)[12-NrJW(D 1 s I 'd
-.
Ix 'd @ EJ360 & W five ... in' 868.21
dals/Use @.,.
b= for steel beam sizol in T266
d = tw steel in 11.875
1
5eft Weight 40 pd #/ft —
17.3
Sx = bd216 [lumber onW in' 123.4
fb
Ir-- in 4 732.6
— fb = M (12 psi 2,306
— interaction raUon=Fbtfb.. %... 0.744 OK
M allow = ��1/9 for LVi:s on
31�,913
0.892 <I lin,
ou'�2 235 ok
Ipti—iii Cho —=in 91
0.6 1
—(-LL
304 ok
Deft� [Dei = CD+L
0.201
OK U480 lumberr360sfl
Shear/columns plu—s
1,045
ok A 480
Rd+l = TL—)2— #
— 11—
5,420
275
R allow--Fvbd2/3 wood #
— % of Fv—, —i -e.. fv / F,, --M allow
tv 3R/2 Psi
]reduce Mdepth to d
11,4301
0.4710K
130
j
width b
R r uc a lo
'reduced 3 —vu--Fvbd2n wood
W reduced R Fv, i,e., tv / Fv--
of v i
allow
Bring at Fp =[wood 425, LVL 750,
425 50
b !� in
Length via bearing wan, etc in
n wan, etc in
I-Allomble
25
525 5.25
3 go
3.50 3.150 .<LVL
Reaction
ti
809
7, 9 13,781 OK
Comments:
OK
SM 1 drawing 6
Beam acceptable
C>K,
OF
DANIEL L.
GELINAS
STRUCTURAL
No.33994
Me
864SIffriple 1-3/4" x 14"
BC CALCO 9.5 Design Report
VERSA -LAM@ 2.0 3100 SP Floor Bearnk ... Beam SM -2 drawing 7
- US
Build 91
I span I No cantilevers 10112 slope
Thursday, October 11. 2007 21:26
Job Name: Patane
File Name:
0 product-BC,BCC
Address: 39 Hewitt Ave
Description: Beam BM -2 drawing 7
City, State, Zip: North Andover, MA 0 1845
Customer
Specifier
Designer:
Dan L. Gelinas, PE
Gelinas Structural Engineering LLC
Codereports: ESR -1040
Company:
Misc.
579A North End Blvd., Salisbury, MA 01952-1738
nhnn=07QAr.CQA1j--
L)L I Out$ IDS LL 2660 lbs
SL 1140 lbs DL 1808 lbs
SL 1140 lbs
Total Horizontal Product Length = 0"e-00
Load Summary
Tag Description
Load Type
—
Live
Dead ;now Wind Roof Live
1 2nd fIr
Unf. Area (psf)I
Ref. Start End 100%
Left 00-00-00 09-06-uu 40
90% 115% 33% 126% Trib.
10
2 wall
3 attic
Unf. Area (psf)I
Left 00-00-00 09-06-00 0
12-00-00
10
4 roof
Unf. Area (psf)
Left 00-OMO 09-06-00 10
08-00-00
10
Unf. Area (pso
Left OD -00-00 09-06-00
08-00-00
10 30
08-00-00
Controls Summary
Pos. Moment
value % Allowable
12514 ft -lbs 25.0 11/0
Load Disclosure
Duration Case S an Location Completeness and accuracy of input
End Shear
3985 lbs 24.8%
115% 2 1 - Internal
115% 2
must
be verified by anyone who would rely on
Total Load Defl.
L/I 389 (0. 081) 17.3%
1 - Left
2
output as evidence of suitability for
Live Load Defl.
U2050 (0.054") 17.6%
1
2 1
Particular application. Output here based
on building code -accepted design
Max Defl.
Span / Depth
0.081, 8.0%
7.9 n/a
2
Properties and analysis methods.
installation of BOISE engineered
0
wood
Products must be in accordance with
Bearing Supports
% Allow % Allow
current installation Guide and applicable
building codes. To obtain Installation Guide
BO Post
Value
2-1/2" x 3-1/2" 608 lbs
Pport Member. Material
n1a 85.5% Unspecified
or ask questions, please call
(1111)234-0056 before installation,
Bi Post
2-1/2" x 3-1121, 5608 lbs
n/a 86.5% Unspecified
BC CALCO, BC FRAMERS AjS-,
Cautions
ALUOISTIV, BC RIM 8 '
CARD-, BCI@
Member is not fully suPpo ed at )st BO. A connector is required at this bearing.
BOISE GLULAm-, SIMPLE FRAMING'
SYSTEMO, VERSA-LAMe, VERSA -RIM
Column at Bearing BO analyzed for bearing only, column
Member is not fully supported at B1. A
analysis has not been performed.
PLUSO, VERSA-RIM41),
VERSA-STRANDO, VERSA -STUDS
Column at Bearing B1
post connector Is required at this bearing,
analyzed for bearing only,
are
trademarks of Boise Wood Products,
Column
analysis has not been performed.
L.L.C.
Design meets Code minim 40) Total load defleTion —crftedz
Design meets Code minimum (L/360) Live load deflection criteria.
Design meets arbitrary 0") Maximum load deflection criteria.
Merneber connection is o as is with NO "connector" required here. Program
generates this note when full width bearing is not used
Page 1 of 2
�%A OF
DANIEL L.
GEUNAS
STRUCTURAL
No. 339M
tsy Uan LU Date; 10-11.07
Job No. 07151 Patens Hewitt Ave AndMW MA
3 substitute
LOADS,
7,250 <=b,d
sf
Roof LL L
#/ft
0 00
above dead
-Wft—icLL
0 00
0 0 0
above dead load
0 0 0
2nd FLR LL
0 00
above dead
0 00
I st FLR LL
40 .33 53
a dead
10 1. 1 - ji-3
Misc LL
0 0
above dead hyj
15 0 0
DECK Live load
-c
1� 601 0 0
i6 �.dead losd�
—LIVELoad
H 101 00
----7
Vall OW Ld no LL
10 0 0
W
3
ota
T-70
live load
53 #M
Labels/Beams.-., >
oist, B :sZubs:tft�ute
W = Wd+[= Wrt
69.9
L = span = ft
9=000
M =W LA2/8 ft . # 708
6' note/ labels/ opfioi%... >
Joist, BM -3 subs&
ment n/a,
Flo psi
.@E= psi
1,4=00,
R 'd ... :
Ix Wd @ L14M & w liva ... in 4
...
-1 5WLA4(��efta)j 24.9 Ireq'd
Ix reqd 0 L/360 & W live ... in'
18.7
Trials/Use P.- - -
I
- b [Or steel bum size] In
1.500-
- in
7250
tw steel on
_ �jelf Weight a 40 pef Nft
—3.0
Sx = bdA2/6.1lumber orim jr�
- br-
47.61
-0
b - fb = M (12) psi
646
Interaction ration=17b/fli�A%...
0.534 OK
Mallow= FbSx/12 �021d)All/g for LVL1s on
- ft -4
1,401
Delta
����El -- 0.155 <1in,
=L/
698 ok
Delta in
0.118
=U
-- 917 ok
Delta De D+L - LL
T0037
0
OK U48 lumbe Os
2,9M
ar/003
Shear/columns us
n
�-
ok A480
Rd+I Lr2 #
�,F
3
v (n
�Sos �Iifttslche�ck—s
275
R allow:-Fvbd2/3 wood #
—F
1,994
% of Fv, i.e., fy / v--R/R allow
0.16 OK
tv =[3Rt2bdj = psi
—tod
43
reduce i�th
width b
R' reduced i1-1Ow=Fvbd2/3 wood
W reduced of Fv, i.e., fv/ Fv-- —allow
Beadn at F =G— —
n t_ 17425. LVL 750]
750]
' 425 750
b in
1.50 -TS-0
Lon th via bearIN wall, etc in
wa
—3.50 136 -ZL—VL
Allowable KeaCtion #
—2,-231 .9-38 =K
Comments:
Joist. SM -3 substitute
No BM -3 required
i0sit spans longler
j 6VZ7-
00 5PA-i+
f� 4 3
e,500 f af L ->'Vo
ro-b ft -
302E
DANIEL L.
GIEUNAS
STRUCTURAL
No.33994
a
n-Wiffriple 1-3/411 x 14" VERSA-LAMO 2.0 3100 SP Floor Beaml ... Beam BM -4 drawing 7
BC CALCO 9.5 Design Report - US I span I No cantilevers 10/12 slope
Build 91 Thursday, October 11, 2007 21:26
Job Name: Patane
Address: 39 HevAtt Ave
City, State, Zip: North Andover, MA 0 1845
Customer
Code reports: ESR -1040
File Name:
D product.BC.BCC
Description:
Beam SM -4 drayOng 7
Specifier
Dan L. Gelinas, PE
Designer:
Gelinas Structural Engineering LLC
Company:
579A North End Blvd., Salisbury, MA 01952-1738
Misc:
phone 978.465.6436 [Fax51601
UL IL -01 IDS LL 3400 lbs
DL 1057 lbs
Total Horizontal Product Length = 20-OC)-oo
Load Summary Live Dead Snow fflnd Roof W
Tao Descriotion L
1 2nd floor loading
Unf, Area (ps�
Left 00-0 'IV ft
0-00 20-00-00 40
Controls Summa!y
value
% Allowable
Duraflon
Load
Case
SpanLoci
Pos. Moment
End Shear
21274 ft -lbs
48.8%
100%
1
....
1 - Interr
Total Load Defl.
3807lbs
U385 (0.609-)
27.3%
62.3%
100%
1
1 - Left
Live Load Defl.
U505 (0.465")
71.3%
1
1
1
Max Deft.
0.6090
60.9%
1
Span / Depth
16.8
n/a
0
BearingSupports
DIrn.(LxW)
Value
% Allow
uppo
% Allow
Member
Material
BO Post
BI Post
3-1/2" x 5-1/4"
457 lbs
.
n/a
.
32.3%
Unspecified
3-1/2" x 5-1/411
4457lbs
n/a
32.3%
Unspecified
Column at Bearing BO analYzed r bearing only, Column anal s has not been performed.
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed.
Notes
Design meets Code minimum (L/240) Total load_;e�flection
Design meets Code minimum (L/360) Live load deflection criteria.
Design meets arbitrary (1") Maximum load deflection criteria.
Connection Diagram
r—d
a I
0§5
;91
a minimum = 2" c= 10-1
b minimum = 2-112"d = 2411
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Bolt
Page I of 1
11
Disclosure
Completeness and accuracy of input must
be Verified by anyone who would rely on
Output as evidence Of suitability for
particular application. Output here based
on building code -accepted design
Properties and analysis methods,
Installation of BOISE engineered wood
Products must be In accordance with
current Installation Guide and applicable
building codes. To obtain Installation Guide
or ask questions, please call
(888)234-0056 before installatlon.
BC CALCV, BC FRAMERS, AisTu,
ALUOISTqD, BC RIM BOARD-, BCIS
BOISE GLULAMTI,,SIMPLE FRAMING'
SYSTEMS, VERSA -LAMS, VERSA -RIM
PLUS@, VERSA -RIM@,
VERSA-STRANDfD, VERSA-STUDOM
trademarks Of Boise Wood Products,
L.L.C.
7*U
DANIEL L.
GELINAS
STRUCTURAL
No.33994
i1ple 1-3/4" x 16" VERSA -LAM@ 2.0 3100 SP Floor Beaml ... Beam BM -5- drawing 7
BC CALCO 9.5 Design Report - US 1 span I No cantilevers 10/12 slope
Build 91 Thursday, October 11, 2007 21:26
Job Name: Patane
Address: 39 HevAtt Ave
City, State, Zip: North Andover, MA 0 1845
Customer:
Code reports: ESR -1040
File Name: D product.BC.BCC
Description: Beam BM -5- dravAng 7
Specifier: Dan L. Gelinas, PE
Designer: Gelinas Structural Engineering LLC
Company: 579A North End Blvd., Salisbury, MA 01952-1738
MisC: _ phone 978.465-6436 [Fax 51601
LL 5100 lbs
OL 2786 lbs
Total Horizontal Product Length = 20-00-00
Load Summary
Tag Description Live Dead Snow Wind Roof Live
Load Type Ralf. Start End 100 ; 90% 116% 133% 1250/a TrIb.
1 2nd floor loading Unf. Area (Psf)l Left 00-0 -00 20-00-00 40 10
2 wall Unf.- Area (PSI) Left 00-00-00 20-00-00 08-06-00
3 attic Unf. Area (psf) Left 00-00-00 20-00-00 0 10 08-06-00
20 10 08-06-00
Controls Summary Value % Allowable Duration Load Disclosure
Pos. Moment 37645 ft -lbs ----9!!E----Sj)an Location Completeness and accuracy of input must
67.2% 100% 1 1 - Internal be v8rifi9d by anyone who would rely on
End Shear 6605 lbs 41.4% 100% 1 1 - Left Output as evidence of suitability for
Total Load Defl. U325 (0.722") 73.9% 1 1 Particular application. Output here based
Live Load Defl. U502 (0,467") 71.7% on building code -accepted design
Max Defl. 0.722" 72.2% 1 properties and analysis methods.
1 Installation of BOISE engineered wood
Span / Depth 14.7 n/a 0 Products must be in accordance with
current Installation Guide and applicable
% Allow % Allow building codes. To obtain Installation Guide
BearingSupports PIn1-(LXW) Value Member Material or ask questions, please call
BO Post 3-1/2" x 5- 1 /4,, 7886 lbs n/a 57.2% Unspecified (888)234-0056 before installation.
BI Post 3-1/2" x 5-1/41, 7886 lbs n/a 57.2% Unspecified BC CALCE), BC FRAMERO, AJS?u
Cautions ALUOIST(o, BC RIM BOARO'rm, B610
BOISE GLULAMTu, SIMPLE FRAMING
Column at Bearing ou analyzed for bearing only, c umn analysis has not been performed. SYSTEM@, VERSA-LAMO VERSA -RIM
PLUSO, VERSA-RIMO, '
Column at Bearing BI analyzed for bearing only, column analysis has not been performed. VERSA-STRANDO, VERSA-MD8 are
Notes trademarks of Boise Wood Products,
Design meets Code ininimum (U240) Total load deflection criteria. L.L.C.
Design meets Code minimum (U360) Live load deflection criteria,
Design meets arbitrary (1") Maximum load defection criteria.
Connection Dlaaram
I I b d It% OF
a
DANIE
C GELI
STRUCTURAL
No. 33994
e%
a minimum = 211 c = 12"
b minimum = 2-1/2"d = 241,
Member has no side loads.
Connectors are: 1/2 in. Staggered Through Boft
Page 1 of I
'7
No
i
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that
—, .................... ( ........
has permission to perform ........................... .........
plumbing in the buildings of ................. ...................
at'-�� . /? ... ....... North Andover, Mass.
Fee V--.'
( ..... Lic. No .......... .
Check # PLUM Gj2PECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS Date
Building Location Owners Name Sete P#9 7,9 A, e- Permit -4-
Amount
Type of Occupancy i2e, S
New 10 Renovation M Replacement F1 Plans Submitted Yes F1 No 11
(Print or type) Check one:
Installing Company Name 11 Corp.
Address �L L11 -t -C *11, Li Partner.
V_Me-TifC-rA�1 M 6
3usin s Telenhone Cf 0 Firm/Co.
Name of.Licensed Plumber STe&-PX., �- Fle 1� J'- (�
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 1z Other type of indemnity F1
Bond 11
Certificate
Insurance Waiver L the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner M Agent M
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By: edeaaz-7—
Signawre of Eicensea Plumber
Type of Plumbing License
Title ql� 8-
City/Town Eicense IN umber Master Journeyman
APPROVED (OFFICE USE ONLY
Location 1301
N o.
/0 Date
TOWN OF NORTH ANDOVER
0
AL
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
CMUS
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
0 1-002099 14:30 91-00 PAID
Div. Public Works
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Ofte PlAires9galiggs
600 Washington Street
Boston, Mass. 02111
Workers' Compensation Insurance Afridavit
'N.W i;m I'll I I ____
Failure to secure coverage as required under Section 25A of NIGL 15;�2 - n lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or
one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify under the
ofperjury Mat the information provided ahove is true and cor"'rect.
Signature Z:( ( At/ L�Q ) -
le %—) Date I__9C1
Print name kg-A)AJ E_ jll,'� e-e�,J- Phone #
4.
,r1official use only do not write in this area to be completed by city or town official
city or town:
permittlicense #
171Building Department
t- en�
in
0 check If immediate response is required 0Lic:eiising'Bdard'
g oa
cc in 'S ffi
C]Selectmen's Office
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[]Health Department]
contact person: phone #; I r
—Other
(revised 3/05 PIA)
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All dimensions & size designations THE his Is an original desitn and rm Scale: maximum
T V n and must A27044E7 Design: 10/23118
given are subject to verifi tion on or . . less Date : 12/149)8
Fnol be mItt.g.d or copped unless
job site and adjustment tocat job HOME DEPOT ; Sebastian Patens
I applicable fee has been paid or job
conditions. 1 order placed, 39 Hewitt Ave Designer
No. Andover kelly L.
yd
KEEN CONSTRUCTION CO.
21 HEWITT AVENUE
NORTH ANDOVER. MA 01845
Fax: (978) 682-3231
Tel: (978) 691-5201
Submitted
To:
.30/
Adoul-rIll- 04�
PHONE DATE
— 697-3S93 I Y -/:F-99
> C/S = Customer Supplied S + I = Supply + Install
We hereby submit specifications and estimates for work to be performed and materials to be used:
N2: 13 9 6
PROPOSAU
All home improvement contractors and subcontractors
engaged in home improvement contracting, unless
specifically exempt from registration by Provisions of
Chapter 142A of the general laws, must be registered with
the Commonwealth of Massachusetts. Inquiries about
registration and status should be made to the Director,
Home Improvement Contract Registration, One Ashburton
Place, Room 1301, Boston, MA 02108 (617) 727-8598.
Owners who secure their own construction related
permits or deal with unregistered contractors will
be excluded from the Guaranty Fund Provision of
MGL c. 142A.
REGISTRATION NO. F. I. D. NO.
MA.-H.I.C. 108383 1 04-325-8052
............ ..... ... ... ........ . .... .. ..... . ... ....... . .
4 Peat) z.9 . . ........
12a,t)6 ... ........ 4,S to.., 7-11
J 0 0 Jq CF., C_ "J. 1pcoWer-_ Nsem%A
' C_ iLM,151J'J_ Jt/WZ M. '_-7ii7_T7t4 %Ml taw.
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..........................................
... ..... . ................
4- A
0 UJ -1 3>80 A— Lk 413o 2 -s
.......... ................. .........
WORK SCHEDULE
ContractTill, e work or order the materials before the third day following the signing of this Agreement, unless specif d h ctor will begin the work on or
about 2vin th ie ere;U tt`5 4F
- I -(date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by iplr (date). The Owner hereby
acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement.
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall
comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, Its subcontractors, employees or agents, is
discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied,
repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of :
ro qnj�_oiw P —Tlo osa"S -i Two YL) 4t�&_ dollars($ zt> v
Payment to be made as follows- *
% ($ -) upon signing Contract;
% ($ -) upon completion of
% ($ -) upon completion of
shall be made forthwith upon
% ($ -) completion of work under this contract.
KENNETH B. KEEN
Name of Contractor / Designated Registrant
21 HEWITT AVE.
Street Address
N. ANDOVER, MA 01845
City / State
(978) 691-5201 (978) 682-3231
Phone Fax
Notice: No agreement for home improvement contracting work shall require a
Name o! alesman
> down payment (advance deposit) of more than one-third of the total contract price
or the total amount of all deposits or payments which the contractor must make, in
'u'A .
h , 4 ,
advance, to order and/or otherwise obtain delivery of special order materials and ne gna
equipment, whichever amount is greater. Note: This proposal may be withdrawn by us it not accepted within — days.
Acceptance of Proposal - I have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated
I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. Cancellation must be done in writing.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Signature
Date
Signature
Date
IMPORTANT INFORMATION ON BACK 110-
Town of -North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street
North Andover, Massachusetts 0 1845
WILLIAM J. SCOTr
Director
(978) 688-9531
Fax (978) 688-9542
In accordance with the provisions of MGL c 40 S 54, a condition of Building
Permit
Number is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by IVIGL c 11, S
150 A.
The debris will be disposed of in:
(Location of Facility)
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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N2 i - - /-/ - �r/
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TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
This certifies that ......... J. U
.......................................................
has permission to perform ...... ......
wiring in the building of ..... ...... ........
at ....... ...... . ...................... North Andoy4f, M6s/.
Fee.A,L,.dU ... Lic. No. ............... e . .. .. ........ ..... ...... ..............
ELECTRICAL INSPECTOR
� iD
iLE��
00 PAID
WHITE: Applicant CANARY: BuIldin 'ep 7.PINK: Treasur(er
0
4C &MMVnWf3Jt4 of .4R35gaC4Ugrtt6
Department of Public 1��afrtU
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
) - �C'�al
V Office Use Only
Permit No.
Occupancy & Fee Checked
3/90 (leave blank) /
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE�,,LL PINFIOP ON) Date
City or Town of— To the Inwector/of wires:
The udersigned applies for a permit to perf orm the electrical work described below.
Location (Street & Number) 7 -7 -
Owner or Tenant _5
Owner's Address
Is this pert -nit in conjunction with q building permit
Purpose of Building
Existing Service /—.!2 _0 Amps /S�7 2- ?_-O Volts
New Service cP-V 0 Amps e_*'(__,C_c23_0Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Ye s No Fr (Check Appropriate Box)
Utility Authorization No. '7
n Z_ 255'
Overheao 1_0 Undgmd I— No. of Meters
16<1
Overhead 4— Undgmd No. of Meters
�Jo.
of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No.
of Lighting Fixtures
Swimming Pool Above—
In-
grnd. __
grnd.
Generators KVA
No. of Ernergency Lighting
No.
of Receptacle Outlets
No. of Oil Burners
Battery Units
No
of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Ranges 4
Total
No. of Air Cono. tons
No. of Disposals
No.of Heat Total Total
Pumps
Tons
KW
No. of Sounding Dovices
No. of Self Contained
No.
of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
Local Municipal Other
No. of Dryers
Heating Dovicps KW
Connecw�n
No. of No. of
Low Voltage
No.
of Water Heaters KW
I Signs Ballasts
Wiring
N o.
Hydro Massage 'Tubs
1 No. of Motors Total HID
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 11�� NO
have Submitted valid proof of same to the Office. YES - NO If you have checked YES, please indicate the type I coverage wj
checking the appropriate box. 01
INSURANCE K)- BOND OTHER —_ (Please Specify) r 17�-2,0
Estimated Value of Electrical Work $ I WJ 01 6 a (E7piri�6on Date)
Work to Start Inspection Date Requested: Rough Final
Signed under the Penalt I
�Wperlury
FIRM NAME LIC. NO.
Licensee
—_ --Signature $P� _LIC. NO.
Address wo,-� Bus. Te 1. No. -6- 0 3
Co's ?sj
Alt. To 1. No.
OWNER'S INSURANCE WAIVER: I arn(aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws. and that my signature �n this permit application waives this requirement. Owner Agent
(Please check one)
-T? 4016
r
.A
Date.4/ -67e65�1
T. -
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that '.I ... )�/. ./-/
.. .......................
has permission to perform . . & ;f ................
plumbing in the buildings of . ./.31'X*. .................
at ... 3 North Andover, Mass.
Fee. Lic. No. . /. '5/ 2. ......
LUMBING INSPECTOR
04/29/99 14:41 45.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACIRJSETTS
Date
Building Location %33F /%'-�46 Owners Name Permit #-AL0 1
/,/- fw� Type of Occupancy Amount yQ-1
New 0 Renovation Replacement 0 Plans Submitted Yes No
FIXTURES
(Print or type) Check one:
Installing Company Name Corp.
Address A-.- "W1 C/-/' U Partner.
Ctba At TAV A-4 10-4
Business Telephone 976 - Z -S'6 - 3?lgd Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy [a Other type of indemnity 11 Bond
Certificate
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 11
I hereby certify that all of the details and information I have submitted (or ent
best of my knowledge and that all plumbing work and installations performed
compliance with all pertinent provisions of the Massa
By: S-Tgn-a== oi Licensea ritunge-i
Type of Plumbing License
Title / ? -5-,t
Agent M
n -above application are true and accurate to the
P���mits �r this application will be in
�nd Chapter 142 of the General Laws.
I
City/Town Ucense Numuer IVI . aster Journeyman
APPROVED (OFFICE USE ONLY
7on
1
316,0"
I � Date...
VORT#1 TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
'7 / -o'r, J,
This certifies that . .... :�. '� ...................
.............
has permission for gas installation
in the buildings of ....................... ..........
...... North Andover, Mass.
at ... . .... .....
Fee. ......
0: 00 PAIDGAS INSPECTOR
WHITE: Applicant CANARY: Building Di�t- PINK: Treasurer
M
qASSACHUSETFS UNIFORM APPLICATON FOR PERM1T TO DO GAS FlTTING
- or print)
I-IqJK I rl AINVV V JIM, IVIA33Ak-rl U3r, 1 13
-x-
Building Locations —
V. AW 0 rl/11�;C,
Owner's Name
Date 4 - —!, y 19 ?'?
New F� Renovation o--- Replacement 1:1 - Plans Submitted 11
Permit #
Amount
,(Print or type) Check one: Certificate Installing Company
Name— Corp.
Address .2 14 c,--,tA Aa 14 Partner.
C*';;(l *4( IS)e6oa / iOA - - 0/,,p Zfr
Business Telephone 978 2X- & - 5? Irc 7 F� Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes M No
If vou have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other ty I Bond
pe of indemnity M
Owner"s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner El Agent ED
i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of mv knowledge and that all plumbing work and installations performed unoer-PmTmt-�sued for this application will be in
Chapley 142 of the General Laws.
compliance with all pertinent provisions of the Massachusetts State Gas CoAp an
By:
Title
City/Town
ROVED (OHICE USE ONLY)
Signature of Licensed PlumberN Gas Fitter
Plumber - / - ?
[2 -Gas Fitter 7 -c -en-s-e- 17 u m 6 e r
El Master
13-'oumeyman
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,(Print or type) Check one: Certificate Installing Company
Name— Corp.
Address .2 14 c,--,tA Aa 14 Partner.
C*';;(l *4( IS)e6oa / iOA - - 0/,,p Zfr
Business Telephone 978 2X- & - 5? Irc 7 F� Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes M No
If vou have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other ty I Bond
pe of indemnity M
Owner"s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner El Agent ED
i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of mv knowledge and that all plumbing work and installations performed unoer-PmTmt-�sued for this application will be in
Chapley 142 of the General Laws.
compliance with all pertinent provisions of the Massachusetts State Gas CoAp an
By:
Title
City/Town
ROVED (OHICE USE ONLY)
Signature of Licensed PlumberN Gas Fitter
Plumber - / - ?
[2 -Gas Fitter 7 -c -en-s-e- 17 u m 6 e r
El Master
13-'oumeyman