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Home My WebLink AboutMiscellaneous - 412 MASSACHUSETTS AVENUE 4/30/2018 412 MASSACHUSETTS AVENUE 210/045.A-0014-0000.0 UUILDINGFILE Date.... ................ NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING HU This certifies that . ......................................................... ................... ......................................... has permission to perform .x ....... wiringin the building of.............. .....A........................................................................................... at .....4112 North Andover, ass. ................ Ife (............Lic. No.C;2b ................... ............... 7. ........ . .. ........ ELECTRICAL* 1 N S P E 1667 Check -7 -7 ' Commonwealth of Massachusetts Official7U�se�Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersi ued ivej notice of 's or her intention to perform the electrical work described below. Location(Street&Number) I Owner or Tenant Telephone No. Owner's Address Is this permit in conjun,4ion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. f 'roI s o ylo Existing Serviceq Amps J / Its Overhead �Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r J` -� y:rr— c(q) re IC4i7 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 [jIn- ❑ o.o Emergency Lighting rnd. grnd. Batter Units 1 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ..................................................... Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: r Attach additional detail if desired,or as regidred by the Inspector of Wires. Estimated Value of lectrical Work: (When required by municipal policy.) i 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 cover ism force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under thwxalns d pe alties ofperjury,that the information on this application is true and complete. FIRMNAME: r - re,(,)(in �h c. LIC.NO.: Licensee: tnE; Signatu LTC.NO.: l(��j� (If applicabl enter "exempt" ' e license nit r ft .) Bus.Tel.No.•17 ' Address: e Alt.Tel.No.: *Per M.G.L c. 147,s.0'51--61,security wor requires epartment of Public Sa ty"S"LicenseF 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:,$ -� ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. " Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑ Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: j Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass R Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPEC N: Pass M V Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: 6- 9 �3 DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 '` www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 00kPlease Print Legib Name(Business/Organization4ndividual): C /t Address: C f� City/State/Zip: e-f c, Phone#: ��0 Q u � 4� Are you an employer?Chec appropriate box: Type of project(required): 1.Lel 0.1m a employer with employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition []r1e*ctrical 4.n I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10ding addition ensure that all contractors either have workers'compensation insurance or are sole 11. repairs or additions proprietors with no employees. _ 12.[]Plumbing repairs or additions 5.❑lam a general contractor and I have hired the sub-contractors listed on the attached sheet. l3.FJ Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submif 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. c Insurance CompanyName: d ��/(J ✓l�, Policy#or Self-ins.Lie.#: �/ aW ��/ — Expiration Date: ( [ p Job Site Address: l /�► ,i i A�� City/State/Zip-Al-I / !` U YJ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiratio date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under 4&e-pains a alties of perjury that the information provid d ybov is true correct. Si natu Date: f� Phon ( 4 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t 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•156 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 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia MONWE liT ACF'l OF MAS USETTS: f • o o id a �! BOAR O i ELECTRICIANS # ISSUES THE. FOLLOWING LICENSE AS E FtE;G I S7I RED MASTER. ELECTR'I GRINW CONTRACTING INC FRANC I S< J f 1TZGERALD 96 TEMP-LE DRIVE W is '''METHUEN - . :. .. :.:.: MA 01844 1461+ 20408::::A 07/31/x6: 50138 tCOMMONWEALTH OF MASSACRUSETTS. • . . • BOAC .. Rl Cl ANS I i SSUES THE FOLLOWING:: L1 CENSE # <" AS A REG JOURNEYMAN ;;ELECTRI_'CIAN F.RA;N.0 I S J F I TZ G E R`A C D 96 TEMPLE t M V" �,\� 4 1 l ; 1.E1 HUEN :MA 01844-14 I . . 10364 B o 7/3 1/1.6 64 II .. . . 39219 l` Date...,'�..l.3 O S 00RT/y TOWN OF NORTH ANDOVER o3i * * PERMIT FOR WIRING ,Ss,CMUS��.I This certifies that .� °�-�. ..` '� �,f'R n lh has permission to perform ... ..........................................vSe �c• `.- ............ ............................................ f wiring in the building of.........1 ............................................................................. 'at .. I. -... C,S / ..........................e-:................................. .. North Andover, ass. Fee.... �...`............Lic.No..2o'.."G.. ` ........... . EC ICA L INSPE R Check# 96 J "� r% Commonwealth of Massachusetts official Use oily r`` a Department of Fire Services Permit No. I 1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(IvIEC),52 12.00 \ (PLEASE PRINT IN HK OR TYPE ALL INFORMATION) Date: Ar)I / City or Town of: NORTH ANDOVER To the Inspector of Wires: �j By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) y la Mcj f Owner or Tenant G? I'd 14Ap,A Telephone No. Owner's Address Is this permit in conjtpction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building PQ Utility Authorization No. - Existing Service Amps 94to Volts Overhead ©�Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �V,>^� f 11 e w bqA �0 1 04ff LI Completion of thefo7lowing 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 a Swimming Pool Above ❑ In- F1_ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.'of Switches �j _ No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. - Total Tons No.of Alerting Devices No.of Waste Disposers — Heat PumpNumber Tons KW No.of Self-Contained Totals: - " **•''""'" "•'• ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances - KW Security Systems:* No.of Devices or Equivalent '`.. No.of Water _ No.of No.of Heaters �' Si - Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs -- No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTAER: Attach additional detail if desired,or as required by the Inspector of Wires. EstiniAted Value of Electrical Work: (When required by municipal policy.) Work to Start: 3 Insp ctions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCEGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under iWaa�ins t pe #ties of perjury,that the information on this application is true and complete. FIRM N 1AC_- LIC.NO.:a Y6Z-,4 Licensee: t Signatu LTC.NO.: 163�t/: (If applicable,enterr"exem t" the licens nit erline.) Bus.Tel.No.•q Address: CPG eitt/A j . r , "-jam Lt Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requ�s apartment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ _ Signature Telephone No. r- ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit:application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an j. electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the -� notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses conceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending-through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ I ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass IM Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Co nts: Inspectors Signatu Date: FINAL INSPECTION: Pass[M Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com or The Commonwealth of Massachusetts Department of IndustrialAccidents d I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address:- % City/State/Zip: t4 4 M& M'I Phone#:_CL?_ 7 Are you an employer?Check a appropriate box: Type of project(required): 1.DA am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling i any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F1I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Buil Ing addition 4.F-1I am a homeowner and will be hiring contractors to conduct all work on my property. I will � ensure that all contractors either have workers'compensation insurance or are sole 11. lectrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.F]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any-applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have emplol?ees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: fu Cr F.% 5 Policy#or Self-ins.Lie.#: /��_�'" ExpirationDate: Job Site Address: !I / cc4�� /` R City/State/Zip:Ay-_o Aidj w- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer,' de 1 pains and peva ties of perjury that the information provided a ove is tru and correct. Si nature: Date: = Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• . f7 s.. l R Information and Instructions r 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 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia <:GOMMONWEALTH OF MASSACHUSETTS:;:;:< : - • • ELR`'I Gil ANS ISSUES THE FOLOWN G<}GI CLN <> S E ..: . ... .. AS;>A:`1 1G J'OURNEYMAN;_ELEC TR:I'C`IAN;;;:''<<W= f t .-T. S >J F I TZG : ER'A±t'b 96 TEMPL<E''># tW z 01844-1464:... 10364 ` `> o`"> 9219 _<GOMMONWEALTH OF MA$SACHISETTS;_ IIJ 61 • • - • • .0 OF . ` E:L`E:ETR 16:1 A:NS<;<:::: ISSUES ..TH;E; FOLLOWI NG ``L>f CENSE �AS R'E; `'ISR? D MAST:E<R:;.;fLECrTR_� IAN':: (( > ........ ... 1 CONTRACTING INC ri F _ NCI:S::.J'<:€f1<TGERALD rt M Iul 96 TEMP>L'E"'DRIVE `'� ��' ' _ .. iJ `r`H U` N _ ' MA 01844 1464 20408> -1, 5o 1 8 3 y 4 1� i 1 .� TT id K°xTN °`t"`°:•_'"° TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING ;,SS^CMUSEt This certifies that 0!! ... T2 � � has permission to perform ....... i"`.`. T..................................... wiring in the building of..................... ....................................... at....T....�z �S-S � - orth Andover,Mass......... .... ..... ............. .........I.......... D �• Fee..................... Lic.No. �O�..Z/4 ! ELECTRICAL INSPECTOR/� Check #-`•'y z Y 10854 XZ ti I Commonwea&of///addachud.tta Official Use Only �e 16 Permit No. �.part�wnt o`�ir.�irvicsd � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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 WOW TION) Date: L51231 /Z, City or Town of: All 441 14n/ t1V&i,- 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) /2 45J (� Owner or Tenant G*Q odJ V-p Telephone No. Owner's Address afs Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boa) ( Purpose of Building Utility Authorization No. I Iz Existing Service 200 Amps /LO/ ZKJVoits Overhead Undgrd ❑ No.of Meters 7 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:-� 'Z 24,o /► IV Z 14 4,}i Completion o the ollowin table ma be waived by the L?y2 ector 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 Luminalres Swimming Pool Above ❑ n- ❑ o,of Emergency LighEng rnd. grnd. Battery Units No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detectio--n-and Initiatin Devices No.of Ranges No.of Air Cond. Tota No.of Alerting Devices Tons g No.of Waste Disposers eat Pump ._ umber_ ns . _. o.o ntamed Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW �t S Local❑ Municipal El Other Connection No.of Dryers Heating Appliances KW Security S ystems: No.of Devices or Equivalent Heaters o.o Water KW o.o No.s Data Wiring: Slims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total BY a ecommu ca ons inng: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: /&06 (When required by municipal policy.) Work to Start: 2 /1Inspections 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 covepge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under thepains and penalties of�.erjury,that the information on this application is true and complete- FIRM NAME: CLQn� 1.., r✓S Co a I LIC.NO.: Licensee: KRAJ t y% tl . ESCm IT7Signature LIC.NO: sv�2 (Ijapplicable,enter"«etnpt"i the license er line.) �/ Bus.Tel.No.: 97f� Sb �f/�j3 Address: 6 i l'l D 1/d �� O/Ul�l Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,s curity 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)E]owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ i ren � / .l. E 600 Z W n r � i d a i0,� SJey 69" 9 3k, A".x yel De Govenofrick C/Efa �� D�7Df�16'1� Thomas G.Gatzunis,P.E. eiv Commissioner Timothy P.Murray � �6� ,��-�,�OD�� f� ,��>�,�' Lieutenant Governor � Brian Gale Mary Elizabeth Heffernan ltefxq /G/-DD1eY Chairman Secretary Sandy MacLeod / Vice Chairman 7lLQ.dQ�.¢GLlJ� Robert'Anderson Administrator Date: August 8, 2012 Name of Appellant: Gerald&Regina Kean Service Address: Dan Walsh Owens Corning Basement Syst. 60 Shawmut Road Canton,MA. 02021 In reference to: 412 Massachusetts Avenue North Andover,MA. 01845 Docket Number: 12-1147 Property Address: 412 Massachusetts Avenue North Andover,MA. 01845 Date of Hearing: 07-17-12 Enclosed please find a copy of the decision on the matter aforementioned. Sincerely: BU -L ING CODE APPEALS BOARD Patricia Barry,Clerk cc: Building Code Appeals Board,Building Official 1 COMMONWEALTH OF MASSACHUSETTS SUFFOLK, ss. BUILDING CODE APPEALS BOARD DOCKET NO. 12-1147 Gerald & Regina Kean, ) Appellants ) V. ) Town of North Andover, ) Appellee ) BOARD'S DECISION ON APPEAL Introduction This matter came before the State Building Code Appeals Board ("Board") on Appellant's appeal application filed pursuant to G.L. c.143, §100 and 780 CMR 113.1 ("Application"). Appellant sought relief from 780 CMR AJ601.4 with respect to a basement renovation project at Appellants' home, located at 412 Massachusetts Avenue,North Andover, MA. Procedural History On or about May 30, 2012, the Building Department for the Town of North Andover issued a letter to Appellants,noting that improper ceiling heights were observed at the rough inspection of their basement renovation project, citing a failure to comply with 780 CMR AJ601.4. The Board convened a public hearing on July 17, 2012, in accordance with G.L.c. 30A, §§10 & 11; G.L.c. 143, §100; 801 CMR 1.02. All interested parties were provided an opportunity to testify and present evidence to the Board. The Board also considered the following documentary evidence: (1) State Building Code Appeals Board Appeal Application, received June 8, 2012, including supporting materials. Discussion A basement area was being renovated to create a family room,using an Owens Corning Basement System. Existing duct work for Appellants' new HVAC system limited ceiling height to 6' 2"in the vicinity of the duct work. The configuration of the duct work cannot be changed to create more height without adversely affecting the operation of the HVAC system (a new geothermal system). The balance of the ceiling height will be 6' 10". (The house was constructed circa 1912). The contractor for Appellants represented that a pads will be attached to the duct work lower corners and that the duct work will have a different color so it will be readily discernable. Conclusion The Board considered a motion to allow a variance from 780 CMR AJ601.4 based on the facts described above and on the conditions that the duct work be padded and that the lower ceiling height areas caused by the duct work be readily discernable ("Motion"). The Motion was approved by unanimous vote. 0 CWT H. lacob Nunnemacher Brian Gale, Chair Alexander MacLeod Any person aggrieved by a decision of the State Building Code Appeals Board may appeal to Superior Court in accordance with G.L. c.30A, §14 within 30 days of receipt of this decision. DATED: August 8, 2012 2 � NORTy q LE COPY SSACHus� BUILDING DEPARTMENT {ommunity Development Division May 30, 2012 RE: Gerald & Regina Kean 412 Massachusetts Avenue North Andover Ma 01845 Dan Walsh 60 Shawmut Road Canton MA 02021 As observed in our meeting May 29, 2012 Improper Ceiling heights were observed at the rough inspection. Section AJ601.4 Ceiling height: ht: Habitable spaces created in existing basements shall be permitted to have ceiling heights of not less than 6 feet 8 inches. Obstructions may project to within 6 feet 4 inches of the basement floor. Existing finished ceiling heights in nonhabitable spaces in basements shall not be reduced. Thank you for your attention to this matter. If you have any questions,please call the office of the Building Department at 978-688-9545. Very truly yours, Brian Leathe Building Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9545 Fax 918.688.9542 Web www.townofnorthandover.com Kean,Gerald&Regina 412 Mass Ave _ North Andover,MA 01845 978-688-8403 WIN CONTRACT Customer Name Customer Signature ' i"" G , SKETCH Contract Date 7 2 Sales Represq9tative Signature � ATTACHMENT Customer Phone D '-_ Contract Pric '7S J '/ 1 2 3 1J 76 6 7 0 0 10 11 12 13 14 15 16 17 10 10 `�21� h 23 24 25 26 27 28 29 30 3t 32 33 34 35 36 37 35 39 40 41 42 4; 44 45 40 47 48 49 50 51 52 53 54 55 58 57 50 59 6o �y yir 4 CNt>,v-J 8 ' 12 �1A G'PEN��G 20 J. 23 24 25 0c, 27 rCx. _i , r : r 1 • r r ' S, $ i r 20 30 , r 3234 33 • i 351 1 I I NOTES: s 'Each box equals one foot unless otherwise noted.This sketch is a good faith /A .1 representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light 4t !' fixtures,plugs,jacks and/or switches are subject to change if necessary. mcm 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 51.00: continued R301.2.2 Exception Delete the following text:`located in Seismic Design Category C' R301.2.4 Delete the exception,only. R301.2.4.1 Delete subsection. R303.3 Add two sentences as follows: Mechanical ventilation is required for bathrooms with a shower or bathtub. Also see 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation(State Sanitary Code, Chapter II)and 248 CMR 10.00:Uniform State Plumbing Code as these codes may also have mechanical ventilation requirements. R303.6 Add a first sentence as follows: `Stairway illumination shall comply with 527 CMR 10.00:FirePrevention,General Provisions.' -and retain the remaining text of the paragraph. R303.8 Add a last sentence as follows: `See 105 CMR 410.000:Minimum Standards offitness for Human Habitation(State Sanitary Code, Chapter II)for rental property.' R305.1 Delete the text`and portions of basements containing these spaces' R305.1.1 Replace the paragraph as follows: • `Basements areas,including but not limited to areas with suspended ceilings,shall have a ceiling height of not less than six feet eight inches.'Retain the Exception. R306.5 Add subsection: R306.5 Other Regulations. Requirements of Section R306 shall be in conformance with the Board of Fire Prevention Regulations at 527 CMR,248 CMR 10.00: Uniform State Plumbing Code,310 CMR 15.00: The State Environmental Code,Title 5: Standard Requirements for the Siting, Construction, Inspection, Upgrade and Expansion of On-site Sewage Treatment and Disposal Systems and for the Transport and Disposal of Septage and 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation(State Sanitary Code, Chapter II). R307 Replace in its entirety as follows: R307.1 Toilet,Bath,and Shower.Requirements of Section R307 shall be in conformance with 248 CMR 10.00:Uniform State Plumbing Code. R308.1 Add a last sentence as follows: `Also see M.G.L.c. 143 §§3t,3u,and 3v' R310.1.1 Add a second exception: Exception. Double hung windows shall have a minimum net clear opening of 3.3 square feet (0.31 m2). R310.1.2 Replace as follows: R310.1.2 Dimensions. The minimum net clear opening dimensions shall be 20 inches by 24 inches in either.direction. R310.1.3 Reserved. 2/4/11 780 CMR-Eighth Edition-214 BUILDING PLANNING R305.1.1 Basements. Portions of basements that do not SECTION R307 contain habitable space,hallways,bathrooms,toilet rooms TOILET, BATH AND SHOWER SPACES and laundry rooms shall have a ceiling height of not less R307.1 Space required. Fixtures shall be spaced in accor- than 6 feet 8 inches(2032 mm). dance with Figure R307.1,and in accordance with the require- Exception:Beams,girders, ducts or other obstructions ments of Section P2705.1. may project to within 6 feet 4 inches(1931 mm)of the R307.2 Bathtub and shower spaces. Bathtub and shower finished floor. floors and walls above bathtubs with installed shower heads and in shower compartments shall be finished with a nonabsorbent surface. Such wall surfaces shall extend to a height of not less than 6 feet(1829 mm)above the floor. SECTION R306 SANITATION SECTION R308 R306.1 Toilet facilities.Every dwelling unit shall be provided GLAZING " with a water closet,lavatory,and a bathtub or shower. R308.1 Identification.Except as indicated in Section R308.1.1 each pane of glazing installed in hazardous locations as defined R306.2 Kitchen.Each dwelling unit shall be provided with a in Section R308.4 shall be provided with a manufacturer's desig- kitchen area and every kitchen area shall be provided with a nation specifying who applied the designation,designating the sink. type of glass and the safety glazing standard with which it com- plies,which is visible in the final installation.The designation R306.3 Sewage disposal.All plumbing fixtures shall be con- shall be acid etched, sandblasted, ceramic-fired, laser etched, nected to a sanitary sewer or to an approved private sewage dis- embossed,or be of a type which once applied cannot be removed posal system. without being destroyed.A label shall be permitted in lieu of the manufacturer's designation. R306.4 Water supply to fixtures.All plumbing fixtures shall Exceptions: be connected to an approved water supply.Kitchen sinks,lava- tories, bathtubs, showers, bidets, laundry tubs and washing 1. For other than tempered glass,manufacturer's desig- machine outlets shall be provided with hot and cold water. nations are not required provided the building official WALL 15'IN WALL 0 30 IN. WALL S O 30 IN. MIN. 21'IN CLEARANCE f � 21'IN 24 IN.CLEARANCE IN CLEARANCE FRONT OF OPENING SHOWER WATER CLOSET OR BIDET WALL WALL 15 IN.. 15 IN. if TUB 1C2 1 IN. 21 IN. EARANCE CLEARANCE WALL TUB WATER CLOSETS WALL For SI: 1 inch=25.4 mm. FIGURE R307.1 I MINIMUM FIXTURE CLEARANCES 2009 INTERNATIONAL RESIDENTIAL CODE® 55 � z BUILDING PLANNING also exist in any room that has a sloping ceiling. The ment.The dimension must be measured to the lowest low height makes those portions of the room generally projection from the ceiling. unusable for adults(see Commentary Figure R304.4). For rooms with sloped ceilings, in accordance with Exception 1,the code requires only that the prescribed ceiling height be maintained in one-half the area of the SECTION R305 room. However, no portion of the room that has a ceil- CEILING HEIGHT ing height of less than 5 feet(1524 mm)must be used in the computations for minimum floor area (see Sec- R305.1 Minimum height. Habitable space, hallways, bath- tion R304.4). Sec- rooms,toilet rooms,laundry rooms and portions of basements Exception 2 defines the required minimum ceiling containing these spaces shall have a ceiling height of not less height over toilet, bath and shower fixtures. This ex- than 7 feet(2134 mm). ception would allow a sloping ceiling over toilet,bath or Exceptions: shower fixtures if the minimum ceiling height of 6 feet, 1. For rooms with sloped ceilings,at least 50 percent of 8 inches(2036 mm)is maintained over the front clear- the required floor area of the room must have a ceiling ance area(see Figure R307.1).If the fixtu re can still be height of at least 7 feet(2134 mm)and no portion of used effectively, the ceiling height can be lower over the required floor area may have a ceiling height of the fixture itself. For example, the ceiling height over less than 5 feet(1524 mm). the tank and bowl of the toilet can be below 6 feet, 8 inches (2033 mm), provided that the clearance was 2. Bathrooms shall have a minimum ceiling height of 6 high enough to allow someone to sit on the toilet. feet 8 inches (2032 mm) at the center of the front R305.1.1 Basements.Portions of basements that do not con- clearance area for fixtures as shown in Figure R307.1. tain habitable space, hallways, bathrooms, toilet rooms and The ceiling height above fixtures shall be such that the laundry rooms shall have a ceiling height of not less than 6 feet fixture is capable of being used for its intended pur- g inches(2032 mm). pose. A shower or tub equipped with a showerhead shall have a minimum ceiling height of 6 feet 8 inches Exception:Beams,girders,ducts or other obstructions may (2032 mm) above a minimum area 30 inches (762 project to within 6 feet 4 inches(1931 mm)of the finished mm)by 30 inches(762 mm)at the showerhead. floor. ❖Minimum ceiling heights are required for habitable ❖Portions of basements that are not addressed in Sec- space, hallways, bathrooms, toilet rooms, laundry tion R305.1 need to have a ceiling height of only 6 feet, rooms, as well as portions of basements that contain 8 inches (2033 mm) or more, with at least 6 feet, 4 the areas listed.The minimum required height of 7 feet inches (1932 mm) of clear height under beams, gird- (2134 mm) helps maintain a healthy interior environ- ers, ducts and similar obstructions. 5 FT MIN FOR PORTION OF ROOM USED FOR MIN AREA FURRED CEILING 8 FT 7 FT 6 FT,8 IN. 1 THE SHADED PORTIONS OF EACH ROOM WOULD NOT BE CONSIDERED IN DETERMINING THE MINIMUM REQUIRED FLOOR AREA. For Si: 1 inch=25.4 mm, 1 foot=304.8 mm. Figure R304.4 HEIGHT EFFECT ON ROOM AREA 2109 INTERNATIONAL RESIDENTIAL CODE®COMMENTARY 3-71 Directions to the Academy at Taunton FROM THE NORTH: From 1-95 South take.495 South (Exit 6A). Follow 495 South to Exit 9 (Bay Street). At the end of the ramp follow the signs for the Industrial Park Road. You want to stay on. Bay Street do not go into the Industrial Park. You. will go through several sets of lights (passing a Bj"s, Ruby Tuesdays, and. Wendy's all. on your left). The academy is about 1. 1/4 miles from.the exit on the -.right. Tlie sign. is clearly marked. 1380 Ba N' Street. Stay to the left and. take your first left. Then. take your first ri. J a ght. You. will. see the 911. Building on the left. You. can. park anywhere on the right side. You.have to walk around to the front of the building to enter (Follow Cottage Circle). FROM BOSTON: 'fake the Expressway (93 South) to Exit 4 / Route 24 South. Take 24 South to 495 North (Exit 14B). fake 495 North to Exit 9 (Bay Street) At the end of the ramp follow the signs for the Industrial Park Road. You, want to stay on Bay Street do not go into the Industrial Park. You will go through several sets of lights (passing a Bj's, Ruby Tuesdays, and Wendy's all on your left). The academy is about 11/4 miles from. the exit on the right. The sign. is clearly rnarked '1380 Bay Street. Stay to the left and take your first left. Then take your.first right. You will see the 91.1. Buildi.n.g on-the left. You can.park anywhere on the right side. You. have to walk around. to the front of the building to enter (Follow Cottage Circle). Handicap parking is available around the circle near the building and. the front entrance is at the circle via the handicap ramp. 1380 Bay Street,Taunton,MA-Google Maps ' r`;f...�`.1gl maps-Address F { -FROM RTE 1-4'9`5; rD a" -a^ n i' �� s^ .gym .,x '3G7."'•"' �,4•.:: � T�t�. _ i � .* :"�`} +i'r lTj��.�r •{ f'V./ „ ,� #,/ . . _ e�.r.�'� « b 4�'_�'"it ,�,,�. - ~``.1 -•-i'� 4 f SIS. /- S��jyy�� Nit, p*ow% Gj If- ��'� � �: "`K„» �f. }..�- �- M r��wr.• Jia r'',.}`•^ � 't` ,i ��_,fir 1 Y'f ..J,.a* sem+, t4. � "�.�'• ,r '' _�_.... LTER _J I�c---. CHECK IN. AT �6 t _ .NATE PARKING 4. �' . ./�yJy� Ti�AI'LER rz BU I LDI -G9 I.- �, . ENTER- HERE; . =, =P ►RKyIN.:CIRCLE--' r .,. ?:. t y This document contains important fnformatian. Este documento contiene informacion imporfante. aR �CT �a �� pilo Please have if translated immediafefy_ par favor,hagalo fraducir de inmediato, rh AL � o bokiman lila genyen enfomasyori ki enpbfan. Questo documenfo contiene informazioni importanti. Tanprf fa on moun tradwi 1 you ou imedyatman. Questo modulo va fradotEo immediafamenfe. Este documento contem informag6es important as. Tai lieu nay baa gym thong fin quare Prong, beve ser fraduzido pronfamenfe. xn dich ban ne y ra n gore ngu cua quy vi:ngay. Office of Consumer Affair and Business egulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement';Contractor Registration -_= Registration: 137943 Type: Supplement Card Expiration: 1/29/2013 OWENS CORNING BASEMENT -N1SNING` _ DANIEL WALSH _ 60 SHAWMUT RDa . kr CANTON, MA 02021 Update Address and return card.Mark reason for change. 50M-04/04-G •CA1 Co E] Address E] Renewal [:] Employment Lost Card ��1jj01216pQ ✓ftC C/JO�I?747Z0�lZCIl O�✓(�(�C�itttQeGi6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration- 3;943 Type: 10 Park Plaza-Suite 5170 Expiratgn 1J2^9%261.3 Supplement Card Boston,MA 02116 OWENS CORNIN6BASEMEtyT:FINISHING SYS DANIEL WALSH-Q1-"= " 60 SHAWMUT RD`Z,,;';=` CANTON,MA 02021 Undersecretary Not valid without signature �Iaxsachusctts- Dep.1 -tnlent of puhlic Safeth Boar(i of Building R ; t Construction SupervisorLicensetrttl.tt d♦ License: cS 79893 DANIEL F WALSH 488 KENDALL RD TEWKSBURY, MA 01876 + Expiration: 10/5/2013 ('unmiissiuni•r . Tr#: 6504 f f + i I ORTFI N { oo � Atidover- T " N. o. 97 " M � 1.^ - _- ss. o�� d over Ma I�OLAKE � COCMIG EWICK y� f 7�ADRATE D p'P � S V BOARD OF HEALTH I Food/Kitchen I � . Septic System PERMIT T D BUILDING INSPECTOR • THIS CERTIFIES THAT....... . �"fr- ��.... C�ct.. v................................................................................................. Foundation has permission to erect..........:.::.......................... buildings on. /. .../.. ��G'r.�.... ........................................... Rough to be occupied as........ . f��7.!� �.�.�..:...."-..........��sf:yr?,� ' ................ .......:................... Chimney provided that the person accepting thi,�p rmit shall in every respect conform to the terms of the application on file in Final- this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in'the Town of North Andover, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TS Rough Service UILDG'l;TSPECTOR \\ Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do- Not Remove Final No Lathing or Dry Miall To Be Done FIRE-DEPARTMENT- Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. uue'on UoMpletlon — - - - DO NOT SIGN THIS CONTRACT UNTIL ALL APPLICABLE BLANKS ARE COMPLETELY FILLED IN AND UNTIL YOU FIRST READ AND UNDERSTAND THE ENTIRE CONTRACT,INCLUDING ANY ADDENDUM ATTACHED HERETO,AS WELL AS ANY ATTACHED SKETCHES, MATERIAL LISTS OR THE LIKE,AND THE TERMS AND CONDITIONS ON THE BACK OF THIS CONTRACT DOCUMENT. YOU ARE ENTITLED TO A COMPLETE, FULLY EXECUTED COPY OF THIS CON TRACT AT THE TIME OF EXECUTION. Witness our hand(s)and seal(s)below on this 5/�T day of iltfl,L�aP Ba; ate Bas me et stems, LLC./Authorized Representative: v Sig re and Title w4e,'A? Print Name DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Customer'.- Customer Sign ure Print Name j ,� Customer Signature T Print Name Contractor may have certain lien rights in the premises until the price is paid in full.You have the right to cancel this contract,without any penalty or obligation, at any time prior to midnight of the third business day after the date you signed this contract. See the notice of cancellation below for an explanation of this right. —Customer acknowledges receipt of a true copy of this contract which was completely filled in prior to customer's execution hereof. NOTICE OF CANCELLATION Date You may cancel this transaction,without any penalty or obligation, within three(3) business days from the above date. If you cancel,you will not be liable for any finance or other charges, and any security interest given by you, including any such interest arising by operation of law, becomes void upon such cancellation. In addition, any property traded in, any payments made by you under the contract of sale,and any negotiable instrument executed by you will be returned within twenty(20)business days following receipt by the Contractor of your cancellation notice. If you cancel,you must make available to the Contractor at your residence, in substantially as good condition at when you received,any goods delivered to you under this contract or sale or you may, if you wish,comply with the instructions of the Contractor regarding the return shipment of the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty(20) days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice to: Owens Corning Basement Finishing Division 60 Shawmut Road,Canton, MA 02021 Phone: 781-821-0060 Fax:781-821-8552 1 hereby cancel this transaction. Date Customer's Signature I hereby acknowledge receipt of two copies of this Notice of Cancellation advising me of my right to cancel.; 1 i r-N-VJ eft Old Date �' Customer's Signature t / Date Co Customer's Signature CONTRACT TO INSTALL OWENS CORNING BASEMENT WALL FINISHING SYSTEM Owens Corning Basement Finishing Division(the contractor) hereby submits this proposal to sell and install the Owens Corning Basement Wall Finishing System and related items as described herein at the residential premises set forth below.This proposal shall not become a binding commitment unless and until it has been signed by the Contractor and the Customer. Contractor: Owens Corning Basement Finishing Systems a division of Bay State Basement Systems, LLC. 60 Shawmut Road, Canton, MA 02021 Telephone#(781)821-0060 a Facsimile#(781)821-8552 Federal Tax ID# 14-1855297 Mass. Home Improvement Contractor Reg.# 137943 Date 2 Customer: '�` �✓ Customer Name {/"t(' (.7€f.P �t �''•r�Vyh � Street Address.4(!�� City, State,Zip f�4l,�i�TH AJV7"'1U VV42-, IM4;- Telepholie(t s c3 &697"07- ) This is a contract between the Contractor and the above named Customer to sell and install the Owens Corning Basement Wall Finishing System and related items specified herein at the Customer's residential premises identified below: Installation Premises: Street Address City, State,Zip ' �.,�� Scope of Work: Are Sketches and/or specification sheets attached? s'Ye ❑ No 'All attachments are incorporated into and become a part of this contract / c Description of Work/Specifications: I A, 4AGtr 1-4ALZA,1t ....w 1"0' f,0 I��`ryA-:- -9Y -Jz c5 Te � Work Schedule**: Approximate Commencement Date: MAY AY 0.0(-Z- Approximate Completion Date: ("\k`'"'i' **The proposed work schedule is approximate and subject to change Contract Price: �o Total Contract Price: $9G Deposit with order: $ ( ��%CJ7 5 fir' } ❑ Cash � Check# Balance Due: $ ,�V t Terms: ❑ Cash ❑ Finance (Cash terms are 10%deposit,50%on commencement,40%on completion) $_ 1 G Due on Commencement j AORTH Tomm Of No. Ka7 o ,t over, Mass.,tL- LAK COCHICHEWICK A. ORATED P`P � BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System -BUILDING INSPECTOR THIS CERTIFIES THAT (5i! ;uq r� .../L- N/................................................................................................. Foundation � � has permission to erect..........:.::.......................... buildings on .�/.�.../..�..1..,.rl........................................................... Rough t0 he occupied as .Cf �! Do....... "' ................................................ Chimney . . . . .. .. .............. provided that the person accepting thi permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TS Rough Service f` UILD�T�'I1�SPECTOR / Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. NORTH : LE A0 Argo r�~`•(`� �9SSACHU`��t BUILDING DEPARTMENT tommunity Development Division May 30, 2012 RE: Gerald &Regina Kean 412 Massachusetts Avenue North Andover Ma 01845 Dan Walsh 60 Shawmut Road Canton MA 02021 As observed in our meeting May 29, 2012 Improper Ceiling heights were observed at the rough inspection. Section AJ601.4 Ceiling height: Habitable spaces created in existing basements shall be permitted to have ceiling heights of not less than 6 feet 8 inches. Obstructions may project to within 6 feet 4 inches of the basement floor. Existing finished ceiling heights in nonhabitable spaces in basements shall not be reduced. Thank you for your attention to this matter. If you have any questions,please call the office of the Building Department at 978-688-9545. Very truly yours, 'V Brian Leathe Building Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com BUILDING PLANNING located within 10 feet(3048 mm)of an intake opening,such R303.7.1 Sunroom additions. Required glazed openings r opening shall be located a minimum of 2 feet (610 mm) shall be permitted to open into sunroom additions or patio below the contaminant source. covers that abut a street,yard or court if in excess of 40 per- .For the purpose of this section,the exhaust from dwelling cent of the exterior sunroom walls are open,or are enclosed unit toilet rooms,bathrooms and kitchens shall not be con- only by insect screening,and the ceiling height of the sun- sidered as hazardous or noxious. room is not less than 7 feet(2134 mm). ' R303.4.2 Exhaust openings. Exhaust air shall not be R303.8 Required heating.When the winter design tempera- directed onto walkways. ture in Table R301.2(1)is below 60°F(16°C),every dwelling unit shall be provided with heating facilities capable of main- taining a minimum room temperature of 68°F(20°C)at a point openings that terminate outdoors shall be protected with 3 feet(914 mm)above the floor and 2 feet(6 10 mm)from exte- corrosion-resistant screens, louvers or grilles having a mini- rior walls in all habitable rooms at the design temperature.The mum opening size of inch(6 mm)and a maximum opening installation of one or more portable space heaters shall not be size of inch(13 mm),in any dimension. Openings shall be used to achieve compliance with this section. protected against local weather conditions.Outdoor air exhaust and intake openings shall meet the provisions for exterior wall opening protectives in accordance with this code. SECTION R304 R303.6 Stairway illumination.All interior and exterior stair- MINIMUM ROOM AREAS ways shall be provided with a means to illuminate the stairs, R304.1 Minimum area.Every dwelling unit shall have at least including the landings and treads. Interior stairways shall be ble room that shall have not less than 120 square feet habitable provided with an artificial light source located in the immediate (11 one haha to gross floor area. vicinity of each landing of the stairway.For interior stairs the artificial light sources shall be capable of illuminating treads R304.2 Other rooms.Other habitable rooms shall have a floor and landings to levels not less than 1 foot-candle(1 l lux)mea- area of not less than 70 square feet(6.5 m2). sured at the center of treads and landings. Exterior stairways Exception: Kitchens. shall be provided with an artificial light source located in the immediate vicinity of the top landing of the stairway.Exterior R304.3 Minimum dimensions.Habitable rooms shall not be stairways providing access to a basement from the outside less than 7 feet(2134 mm)in any horizontal dimension. grade level shall be provided with an artificial light source Exception: Kitchens. { located in the immediate vicinity of the bottom landing of the stairway. R304.4 Height effect on room area.Portions of a room with a Exception: An artificial light source is not required at the sloping ceiling measuring less than 5 feet(1524 mm)or a furred ceiling measuring less than 7 feet(2134 mm)from the finished top and bottom landing,provided an artificial light source is floor to the finished ceiling shall not be considered as contribut- ing to the minimum required habitable area for that room. R303.6.1 Light activation. Where lighting outlets are installed in interior stairways,there shall be a wall switch at each floor level to control the lighting outlet where the stair- SECTION R305 way has six or more risers. The illumination of exterior CEILING HEIGHT stairways shall be controlled from inside the dwelling unit. R305.1 Minimum height. Habitable space, hallways, bath- Exception: Lights that are continuously illuminated or rooms,toilet rooms,laundry rooms and portions of basements automatically controlled. containing these spaces shall have a ceiling height of not less R303.7 Required glazed openings.Re uired glazed openings than 7 feet(2134 mm). y SGG �r►'1 m cv1 CI ►vu-rT shall open directly onto a street or public alley, or a yard or Exceptions: court located on the same lot as the building. 1. For rooms with sloped ceilings,at least 50 percent of Exceptions: the required floor area of the room must have a ceiling 1. Required glazed openings may face into a roofed height of at least 7 feet(2134 mm)and no portion of porch where the porch abuts a street,yard or court and the required floor area may have a ceiling height of the longer side of the porch is at least 65 percent unob- less than 5 feet(1524 mm). structed and the ceiling height is not less than 7 feet 2. Bathrooms shall have a minimum ceiling height of 6 (2134 mm). feet 8 inches (2032 mm) at the center of the front 2. Eave projections shall not be considered as obstruct- clearance area for fixtures as shown in Figure R307.1. The ceiling height above fixtures shall be such that the ing the clear open space of a yard or court. fixture is capable of being used for its intended pur- i. Required glazed openings may face into the area pose. A shower or tub equipped with a showerhead under a deck, balcony, bay or floor cantilever pro- shall have a minimum ceiling height of 6 feet 8 inches vided a clear vertical space at least 36 inches (914 (2032 mm) above a minimum area 30 inches (762 mm)in height is provided. mm)by 30 inches(762 mm)at the showerhead. 54 2009 INTERNATIONAL RESIDENTIAL CODE® e�� Gil�l/llZGtl � � C W Deval L.Patrick ��/�7t Governor eiv"", Thomas G.Gatzunis,P.E. Commissioner Timothy P.Murray �6� �OD l6�1/�,��,��,�' Lieutenant Governor Brian Gale Mary Elizabeth Heffernan �/6n>/ Chairman Secretary Sandy MacLeod / Vice Chairman Robert Anderson 03-Jul-12 Administrator Mr./Mrs. Leaihe Building Commissioner 1600 Osgood Street North Andover, MA. 01845 Docket Number 12-1147 Property Address 412 Massachusetts Avenue North Andover,MA. 01845 Bearing Location 1380 Bay Street Taunton,MA. 02780 Hearing Date and Time 07-17-12 11:30 a.m. Dear Mr./Mrs. Leathe The appeal for the subject property has been scheduled to be heard on the hearing date and time and location indicated above. A map is enclosed for your convenience. The State Building Code Appeals Board requires your presence or that of your representative at its hearing relative to the above case. Please bring with you a copy of the record. including any plans, sketches, drawings, etc,that::,i!1 help to give the Appeals Board grounds to adjudicate this appeal. The State Building Code Appeals Board hearings are held pursuant to 801 CMR 1.02 Informal Fair Hearing Rules. NO POSTPONEMENTS OR REFUNDS WILL BE GRANTED. In order to reschedule an appeal case,you must first withdraw the original case and file a new application. A new application fee will be requited. Very truly yours, THE STATE BUILDING CODE APPEALS BOARD ��tua Patricia A. Barry Coordinator �,, �1� X30 =3e�- �-�-�� t-Ua� vh.� 3a rZ If NORTH 01 LED #6V6 0 16 COPY T Z b y* • E� �W � eb Y 'll q�q�rap#I •(9 SSV CHUS�� BUILDING DEPARTMENT (ommunity Development Division May 30, 2012 RE: Gerald & Regina Kean 412 Massachusetts Avenue North Andover Ma 01845 Dan Walsh 60 Shawmut Road Canton MA 02021 As observed in our meeting May 29, 2012 Improper Ceiling heights were observed at the rough inspection. Section AJ601.4 Ceiling height: Habitable spaces created in existing basements shall be permitted to have ceiling heights of not less than 6 feet 8 inches. Obstructions may project to within 6 feet 4 inches of the basement floor. Existing finished ceiling heights in nonhabitable spaces in basements shall not be reduced. Thank you for your attention to this matter. If you have any questions,please call the office of the Building Department at 978-688-9545. Very truly yours, 'V Brian Leathe Building Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com Date.....�.2' 117:O 7 pORTM °ft"`° :•1"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SACMUS� This certifies that ....M:....�-(: }��S Lp/Q fj Ef�U �f�T ............................................... ......... has permission to performs f .. Gam... . . wiring in the building of.1.. ?C.? ?....4 �Jrj.L../'I �11'................................ at...... ........................................................................ .North Andover,Mass. S-�..... ,'7d.`�9� Fee.............. ...... ELECTRICAL INSPECT(SR } Check # 337Z 7892 t, emmanwsa[tfe aleR r►lamaclur�e#!•3 Official Use gOnly { cPerfneQnf a _am so'kat Permit No. "7F 0 Z Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS .11071 b1a� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in awordanc:e with the Mamchusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA770N) Date:_-,-�2roT_ City or Town of: �C4_,, �r.c��J�! 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)�1 Owner or Tenant c:"� Telephone No. Owner's Address 'A\ C1-) is this permit in conjunction with a building permit? Yes to No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps 1 Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ; k2 c1 Co than the allowi table be waived the Ins ectar Wires. d NO.o Total t Na of Recessed Luminaires 4 No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA of Emergency EIPMW No.of Luminaires Swimming Pool d e ❑ ❑ Battery Units No.of Receptacle Outlets No.of On Burners FIRE ALARMS No.of Zones No.of Gas Burners o.I action ,; � nd No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Total Tons o.of Alerting Devices No.of No.of Waste Disposers ceTota ons DetectionlAle�run nDevic� No.of Dishwashers Spa�Area Heating KW Local ❑ Connedion municipal ❑ Other ems: Na of Dryers Ileal Appliances KW ee"N of or uivalent 0 of Water KW o.o o-o Data Wiring: Heaters Sion Ballasts No.of Devices or ' alent ecommunica ons Wi tateat No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or EQal OTHER: .4ttacb additiojxd detail ifdesired or as re"ard by the Inspector of Wires ' Estimated Value of Electrical Work: ' (When required by municipal policy.) Work to Start: i'Z 0,1 - t o R,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 50 BOND ❑ OTHER ❑ (Specify:) I certify,ander the pains and penalties ofperjury,that the information on this application is true and complete.. FIRM NAME: \ e.J. : t.. LIC.NO.: Licensee: kAlkf V- Vk. i-c.\G•r Le_cw Signatur .NO.: R- (lf applicable,enter"exempt"in the license number line.) Bus.Tel.No.: (Pam et S Address: "'1 1ye. ci.n 1 3.• �.�t dj;'A�L \ r(� C_:;S0S - Alt.Tel.No.: (00' $ts� 4A LS si *Per M.G.L.c. 147,s.57-61,secunt�rwo kk requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally requited by law_ By my signature below,I hereby waive this requirement. i am the(check one)❑owner owner's agent Owner/Agent PERMIT FEE:$ 0 . Signature Telephone No. } .- i �C. 1 ; . ' The Commonwealth of Massachusetts Department of Industrial Accidents 4jf"nee of Invesidgations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers ,4nnlica a Information Please.Print Leidbly Dame(Business/organizalioa4ndividuai):_ V Address: n ',32 3 Cly City/State/Zip: c Q*;e-�� k�� hone#: CO toy v Are you an employer?Check the appropriate box: Type of project(required): I.� I am a employer with 1 _ 4. Q I am a general contractor and I 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 2_Q I am a sole proprietor or partner- listed on the attached sheet.I ?. Remodeling ship and have no employees 'These subcontractors have 8. ❑Demolition working for me in any capacity_ workers'comp.insurance. 9. ®Building addition • [No workers'comp.insurance . 5. Q We are a corporation and its 10.0 Electrical repairs or additions required-1 officers have exercised their 3.Q I am a homeowner doing all work right of exemption per MGL I I.Q Plumbing repairs or additions myself.[No workers'comp- c. 152,§1(4),and we have no I211 Roof repairs insurance required.]t employees.[No workers' 13.Q Other comp_insurance required-] *Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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:��!� � •��i%' �`�LQ �C i�•-� Q Policy#or Self-ins.Lie.#:R Mf)k uJ G Z(-Y-7 S 71 0) Expiration Date: ` 1 N 0 9 Job Site Address: Qt o c qA�- ,-, S t a , '1: r-N City/State/zip: Attach a ropy 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 i Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and na[ties o perjury that the information provided above is true and correct. Si ature: Date: 217 Phone# off vial use only. Do not write in this area,to be completed by city or town offciaL 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 b.Other Contact Person• Phone#• 01/22/2008 15:03 6173238670 LOWE ASSOC ARCHITECT PAGE 01 J 'Z� �i NANDOVER nandover 1 Monday, 7anuary 21, 2008 WOOD BEAM - SIMPLE SPAN Maximum moment: 12.0 kip ft at 4'- 6 from left due to DL LL SL Beam span. 9 feet 0 inches centerline to center line .Reaction at left support: 5,391 pounds Reaction at right support: 5,391 pounds Reactions include approximate weight of beam WOOD TYPE: LVL lumber PSL 3100 with the following base table design values: Fiber stress in bending: Fb = 3,100 psi Horizontal shear: FV = 285 psi Modulus of elasticity: E = 2.0 million psi working fiber stress has been adjusted for: Load Duration - 1.15 (for DL+LL+SL) MAXIMUM PERMITTED working stresses are therefore: Fb = 3,550 psi FV = 285 psi E = 2.0 million psi BEAM SELECTED: 4 inches nominal width by 10 inches nominal depth (Actual Size: 3. 5 x 9.25 inches) LVL Lumber -- exactly 2 pieces at 1 3/4 inches to make up width Beam will deflect 1 in 456 under live load Beam will deflect 1 in 284 under total load load ACTUAL DEFLECTION at center of beam will be 0.24 inches under live ACTUAL FIBER STRESS under full load: 2,904 psi , 82% max ACTUAL SHEAR STRESS under full load: 207 psi , 73% max (Loads ignored within distance from end equal to beam depth) A:\NANDOVER.TXT 0A ASN TFC $ ' y S 'to OF Page 1 Single 3-1/2" x 9-1/2" VERSA-LAM® 2.0 3100 DF Floor Beam1F1301 BC CALC®9.5 Design Report-US 1 span No cantilevers 0/12 slope Monday,January 21, 2008 08:23 Build 91 File Name: BC CALC Project Job Name: Description: FB01 Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: z 3 1 09-00-00 B0,3-1/2" 131,3-1/2" LL 2340 lbs LL 2340 lbs DL 1501 lbs DL 1501 lbs RLL 900 lbs RLL 900 lbs Total Horizontal Product Length=09-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 126% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 09-00-00 40 15 13-00-00 2 wall Unf. Lin. (plf) Left 00-00-00 09-00-00 0 80 n/a 3 roof Unf.Area(psf) Left 00-00-00 09-00-00 10 40 05-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 7784 ft-lbs 55.8% 100% 1 1 -Internal be verified by anyone who would rely on End Shear 2916 lbs 46.2% 100% 1 1 -Left output as evidence of suitability for Total Load Defl. 0406(0.252") 59.1% 4 1 particular application.Output here based Live Load Defl. 0594(0.172") 60.6% 4 1 on building code-accepted design Max Defl. 0.252" 25.2% q 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 10.8 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Post 3-1/2"x 3-1/2" 4741 lbs n/a 51.6% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 4741 lbs n/a 51.6% Unspecified BC CALC®,BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD-,BCI®, Cautions BOISE GLULAM- SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only, column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum (0360)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Page 1 of 1 v 1 ' L Am ' ,� .��;L----��-•--�---;mow;� . --0 Y 14 n 3 J +� ~+fir D Xl 14 9 sn ra All Ma aha 9 a V y rd' a �If I 7 ate "O°rM�tio TOWN OF /ORTH ANDOVER ' PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . . . .-.I. .- . .. . . . . . . ?.J. . . .`. . .... . . . . . . . has permission to perform plumbing in the buildings of........ . . . . . . . . . . . . . . . . . at . . . . . . .? .. . ....-. . .'. . . . . .. . . . . . . .:. North Andover, Mass. Fee , %.Lic. No'.`7�k. '-PLUMBING INSPECTOR' Check � �(' Z_ i 7613 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS • /�� f Date Building Location /;Z /'Y//�(',S /.�Ue Owners Name a,,,�gAl �� Permit#^ 6,13 Amount Type of OccupancyPS New Renovation Replacement Plans Submitted Yes No FIXTURES F En W x O a U v� U U W V) W O I � U 3 a ca A A � S>M MKOCIR I f arn>HLoat M FLOCK 6M Hj0CR - 7MFLOCIR sly l�,oat (Print or type) Check one: Certificate Installing Company Name / ❑ Corp. IAddress ,� ❑ partner. " ) _('— usmess Telephone 610 :? _ 2 1 D—Firm/Co, Name of Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond El 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 ❑ 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Plu Ing(,'-,pde and Chapter 142 of the General Laws. Y .,.b .,va a..iw�roPu r 1u111UG1 Title -- Type of Plumbing License ' City/Town �� ❑APPROVED(OFFICE USE ONLY uceise um er Master Journeyman .c/ t Date.... ... �y( NORTH 1 3:0•.�`" TOWN OF NORTH ANDOVER p PERMIT FOR WIRING i _ Y SSACMUS� This certifies that ...... P.d y........ .P .c.l!.. 1....s................................. has permission to perform ....... .P f?]7 .......................... ta..le..,.............. wiring in the building of..... �� .{... a ................. .... ...................... �/� FYI a Ss ..� �t..... .. .............. .................r............................ . ,North;Ando�verass.' ...✓`..'....... Lic.No. ..... .,t..r...... ..r. ......ELECTRICAL INSOR Check # � 5256 THE COMMONWEALTHOFMASSACHUSETTS Office Use—only ��"-- DEPARTNIEI 0FPUX1CS4FEIY Permit No. _ BOARD OFFIREPRUVE MONREGUTAHONS 527 CMR I2.-QD Occupancy&Fees Checked JX I APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSST/EL"CTRICAL CODE,527 CMR 12:00 ,/ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1/7./J 4 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. it Location(Street&Number) Owner or Tenant In g- trp b� ti f Owner's Address S,4m-P, Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) -�� Purpose of Building Utility Authorizatio �� 37 ExistingISeryice fb_) Amps //o /.Z2,0 Volts Overhead -/ Underground No.of Meters New Service Amps//b�/Z2o Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location anal Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground . No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW Np.of Sounding Devices No4,Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.ofW,, ter Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• fiLtuarteeCowrage.Ptnsuantto the mVmnffZofMassac1u15eitsGeneral Um [have aamentlidAtyh>st m=PbkyinchidtngComplete OpalionsCoverageoritssubsultialegr;alent YES NO [have stlbmitledvalidpwofofsanletothe Offim YES r-71) If)mhawdledtedYES,pkaseirldicatetbetypeofwvaageby ltecl�tgthe box NSURANCEE BOND OTHER F-1 (Pleayse spa*) Exmarion D& /7/�� EslhrlatedValueofEloctdcalWbik$ NNoiktoStatt hupectionDateRegtiested Rough Final >igDcd undcrTrPtr&es ofpnjmy. ;MM NAME y Iice�No. jemsee ze a" /P &L1111 f l-.S Signahue - •�+ ,� 7fa� Iic No C�61�6 '7 / ! BusiimTel.No.p q ,�/- 3L v - �r><hees T tt/xVCK-k�4 N %rt o �✓ �R AIL Tel No. )WMIIR'S INSURANCE WAMT,I am awm'd at the lice does nothave the illsuiancemveraW orits subs(nhal aluivalent as wquutad byMassachusetis General Lam xl thatmy sig mkiieon thispeanitapplication waives this mquiiemmt 'lease check one) Owner ® Agent ® Telephone No, PERMIT FEE$ 5 Igna ure ot Mwner or Agent ,:_.. G W The Commonwealth of Massachusetts > Department of Industrial Accidents Office of Investigations Boston; Mass. 02111 5�eWormers'Compensation insurance Affidavit Name Please Print Name: Location: City Phone # 'I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policy# Company name: Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00. and/or one years'imprisonment-as_well_as_civil..penal iesin-theform of-a..STOP WORK_ORDER..and_a.fine.of_($100.00)_adayegainst.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 pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' City or Town PermitiLicensin � Building Dept ❑Check if immediate response is required p Licensing Board Selectman's Office Contact person: Phone#: Health Department Ei Other W �� - MASSACHUSETTS.6NIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) /10 1 � / w _ T� i �i`�� , Mass. Date AV7f JP 19YY Permit # Building Location 45 Ownerrs Namo'& �l(iwPyl QUG/°/ ` Type of Occupancy�t S 0 E ti Ti �1 New ❑ Renovation ❑ Replacement P' Plans Submitted: Yes ❑ No ❑ FIXTURES _Z Z N N Z Y < ►- N W N O ZH W Y J 40 V N O O 6 CL 4 Cr O Z W t- W �► t- U Y < H ~ Q m 0 x ¢ } a y Z a c7 < a c 3 x = O O Q W cc a W - O < N Z Cr a x W < N N fL J - p Q W S = 3 3 z = Y a O H < Y < W W Y W < F- > H O N N N Z O 00 N = = W f' O V 2 < < s _ a a o a J J < ¢ ¢ a < o < 3 Y J m m o o J ; s f- H u. o o a a 's e m o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name "Aoi,�Elez mMATAec Check one: Certificate Address r �'c;AC hi mt4 nJ C3) P Corporation rY1 E TW I' v)1 FA 0 r�VL'/ ❑ Partnership Business Telephone -�'' Z-i97 l 9-9"/Co. Name of Licensed Plumber ,�4 f v3�,�'T fry SA�►�trvl�? �r4�c" INSURANCE COVERAGE: I have a cu ent)Ability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked Ye, please indicate the type coverage by checking the appropriate box A liability insurance policy 1d" Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner C1 Agent C3 I hereby certiy 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 ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum " g e and apter of the eral Laws. Title re of Licensed um r Type of License: Master S/ Journeyman ❑ APPFiONFD OFFIC U NL License Number D3 3 5 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING l NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED ` DATE 19 PLUMBING INSPECTOR , Date. . N' - 3669 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSuSE� A This certifies that . . . /q .�. . ... .H G. . . . . . . . . . . . . . . . . has permission to perform . . V`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ plumbing in the buildings of . vv >✓ iC at. . F. 14 r~-c. . . . . . . . . . . .. North Andover, Mass. Fee. aZ U.,' .Lic. No.. I -)3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR m an WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date.................................. i i 1 NORTH °ft"`°;•,"°0 TOWN OF NORTH ANDOVER o % PERMIT FOR WIRING Thiscertifies that ............................................................. ................................ has permission to perform .......J A (2.?.v. .z.. ..................................... wiring in the building of....... ................. .p y/ f`�if S-f ............... .North Andover,Mass. U at.........y... �... ... ..............x. ........0.7 / Fee ...... Lic.No. bc1 J� r lU/� �ff1 �f�[ Lh ...... ... .................. .................. .................... .1'1 ELECTRICAL INSPECTOR k Check # 07-?0fq 5284 THE COMMONWEALTH OFMMSSACHUSEYTS Office Use only. DEPARTAMVTOFPUBLICSAFETY / L C; BOARDOFFIREPREVE MONREGUL AH ONS,527CMRI2.M Permit No. Occupancy&Fees Checked APPLICATIONFORPERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a ermit to perform the elect. 1 work described below. P Location(Street&Number) Owner or Tenant Owner's Address SA- na l Is this permit in conjunction with a building permit: Yes (Check© (Check Appropriate Box) 2 � f, \V Purpose of Building 1 A Cy � � � Utility Authorization No. Existing Service Amps Volts OverheadUnderground No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round El ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW NQ.of Sounding Devices No';_of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local . Municipal Other--- � Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydrrl Massage Tubs i No.of Motors Total HP � 1 THER•i ua re Coverage.Ptust>artttodr,requirements ofMassaduselts General Laws aveaamerAlmhkryhiSt m=Pbhcyi li*Complete Covetageoritsmbsantialeytiivalat YES NO a,&aibrnttedvalidproofofsametoftOffimYES Fj Ifyouhavt'cod<DdYB,plemeindicatetlle Wofcowr4eby �ckingthebox SURANCEE BOND OTHER (Please Speafy) Expirariorrl& l ESdmatedValue0fE1earical%k$ xktoStart �//�/� In spectmDateRequesled Rough Final redunder ePenaltiesofperjt>iy. :MNAME 4f a 41-1 W Ll i S LiocrwNo. Signature IioNo �.�9 n >7 pp l Bum--SsTel No. �7�-��p 3�Z 2 1ej N f��l d 11 UP✓ �I.+� AIL Tel.No. 'NER'SVSURANCEWAIVER;lain awarethattheLicensedoes nothavedie rnsruar=mvetageorilssut alalr]n lerrtasregrluedbyMassachusettsC>elleralLam thatmysignatureonthis perri tapplicationwaivesthisrequirerrfnt :ase check one) Owner ® Agent Telephone No. PERMIT FEE S rgna ure oT Owner or 7genf The Commonwealth of Massachusetts Department of Industrial Accidents 9 � Office of investigations Boston; Mass. 02111 Workers'Compensation insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance.Co. Policy# Company name: Address ;. ., City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties oF,a fine up to$1,500.00 and/or one years'imprisonment-as_well.as_civil..penaltiesin.theformnfa_STOP WORKARDER.,and_a.fine.of_(.$1_00M.)_ariayagainst_me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name P:hone.# Officiai use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing EJ Building Dept ❑Check if immediate response is required Licensing Board Selectman's Office Contact person: Phone#: E] Health Department ❑ Other c Commonwealth of Massachusetts Offic�al U Only _ Department of Fire Services Permit no. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leaveblank) 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: 10/11/2002 City or Town of: North Andover To the Jnect re o{{Wire By this application the undersigned gives notice of his or her intention to perform electrlcaYwor�C delcrlbegbelow. Location(Street&Number) 412 Mass Ave Owner or Tenant Jim Lovell Telephone No. 1-978-794-1869 Owner's Address 412 Mass Ave North MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No F� (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Overhead Undgrd F� No of Meters New Service Amps / Overhead F] Undgrd No of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Cat 5 from lst floor to 2nd floor No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool AboveIn- No.of Emergency Lighting rnd. ❑ [:] Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No of Air Cond. No of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers space/Area HeatingKWoca Other El Connection El No.of Dryers Heating Applicances KW SecuritySystems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices of Equivalent No.oflHydromassage Bathtubs No of otors Telecommunications Wiring: Total HP No.of Devices of Equivalent OTHER: INSURANCE COVERAGE: Unless waived by the owner,no permit for�1`ie per`iormance`c� e�ec`rlcaeZr`�YerM lssuepeC es°sftlWie S' licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent. The undersigned certifies that such covera e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 10/11/2002 Inspections to be requested in accordance with MEC Rule 10,and upon completion I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Expert Electrical Services,Inc. LIC.NO.: 17222A Licensee: Stephen Decker Signature ;�- LIC.NO.: 1-800-418-3221 (If applicable enter"exempt"in the license number line) Bus.Tel.No.: Address: 44 Stedman St,Unit 2, Lowell,MA 01851 Alt.Tel.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)Dwner wner's agent. Owner/Agent 15.00 � 1 46 //!!11 rr// Date..,/ .l P..... NORTI� °f�"'�;•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� This certifies that .� � / has permission to perform ..... ..............F.::.'/...... ........ wiring in the building of U P at �.......� a�........0....................... .e............ .North Andover- , V � f Fej..,)... �. Lic.No.�.�o�o.. ............ ...1 , I �..... /'`....... LECTRICALINSPE R Check #