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HomeMy WebLinkAboutMiscellaneous - 85 MILK STREET 4/30/2018 (2)'110 Date ./% TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................. ..................................................................................................... has permission to perform ...... A LK ........................................................ . ..................... ........... wiring in the building of .............. 1"*"***'*L..'.........................................................::...... at ....... J9 ............ . ..................... �S7... ....................... North Andover, Mass. Fee..O�a ...... Lic. No .. . .......... *9*L*E*c*"r'*R'i'c ... A'L" E**c'* Check# 11983 ,(jp 31`1-�`i-cr�. 1��23�13 ~ Commonwealth of Massachusetts Official Use Only c Permit No. o Department of Fire Services Occupancy and Fee Checked aw BOARD OF FIRE PREVENTION REGULATIONS Rev- 1/071 peaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 r 1 (PLEASE PRINT IN HK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1, Location (Street & Number)�fj Owner or Tenant �� k n 1/t o Telephone No.4)%S Owner's Address Is this permit in conjunction with a b ilding permit? Yes Purpose of Building , �l - Existing Service _;?,22 Amps Volts New Service Amps Volts No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion of the following table maybe waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- El o Emergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of SwitchesNo. 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 p Heat Pump Totals: Number. Tons " KW ........... "' No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KWLocal ❑ Municipal F]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: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that t1 e information on this application is true and complete. FIRM NAME:E��G�� s _ LTC. NO.: S 00 -V Licensee: LIC. NO.: (If applicable, enter "exempt" in the license ember line) Bus. Tel. No.: Address: /Ci' Alt. Tel. No.: *Per M.G.L c. 147, . 57-61, security work requires Department o ublic Safety "S" License: Lic. No. � OWNER'S INSURANCE WA R: I am aware that the Licensee does not have the liability ins ce coverage normally required by law. By si elow I b&eby waive this requirement. I am the (check one -owner E] owner's agent. Owner/Agent�0 J' PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the r permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed 3 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 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass r5l Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: , Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH CTION: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: zg Date: FINAL INSPECTION - NSPECTION:Pass❑' Pass M Failed'❑ Re- Inspection Required ($.) ❑ Inspectors Commen AM A -12 Inspectors Signature: Z Date: M DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of IndustrialAccldints Office of Investigations 600 Washington Street Boston, MA 02111 Uf www.massgov/dia Workers' Compensation Insurance Affidavit: Builders[Contractors/Electricians/Plumbers Applicant Information Please Print Lep-ibly Name (Business/Organization/Individual): Address: Phone #: Are you -employer? Check the appropriate box: 1. � j am a employer with 1 4. ❑ I am a general contractor and I employees (full and/or pati -time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] i employees. [No workers' comp. insurance required.] L. Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other *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 8ie doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy anal job site information. Insurance Company N Policy # or Self -ins. Lic. Expiration Date: Job Site Address: City/State/Zip:, Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert under t sand pen3Z,of jury that the information provided above is true and correct Si afore Date: Phone 11 Official use only. Do not write in this area, to be completed by city or town official. City or Town: PermitUcense # 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 i Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Mossachmetts Dopartment of Industrial Accidents Office ofIavestigatiious 600 Washington. Street Boston, MA. 02111 TO, # 617-727-4900 axt 406 or 1-877rMASSAk'B Revised 5-26-05 Fax ## 617727-7749 www.m,ass.gov/dia -IF 76 KII N' ON AD Date ........� . .'�. �,� TOWN F NANDOVER p PERMIT FOR WIRING LL �l�T This certifies that .................... ...........%............................................... has permission to perform ..........©mss ............................................................... r wiring in the building of ....................`..............!.: f.�l " ....................... �i�� sr- at....................................................................�...... ,North Andover, Mass. � Fee.......... Lic. No ........................x................................................ ' / ELECCRICAIINS CIOR Check # f 0 �`�� 8032 .j Commonwealth of Massachusetts Official Use Only Department of Fire Services Perm" No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 - /o - City or Town of: NORTH ANDOVER To the Inspector of Wires: S By this application the undersigned gives notice of his or her intention to perform the electrical work described below. G Location (Street & Number) J . //. Af 2 %3"• WQ Owner or Tenant _ �% fti h zy v �,, �y . Owner's Address S "L,.7 No. 93 6•Z Is this permit in conjunction with a building permit? YesNo ❑ (Check Appropriate Box) Purpose of Building f c / Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 2 GU Amps l Z, / 2 j, e, Volts Overhead �Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: lntinnn£th, £nlhu•;— e.hl... 1 L.. L- _r iii:___ No. of Recessed Luminaires -mm- p-"-1-1-1-1.1 No. of Ceil.-SusPaddle) Fans •»N- s.-11 u wv 'CO. o. ° Tota Transformers KVA No. of Luminaire Outlets 1Vo. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd, rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges No. of Air Cond.Tota Tons No. of Alertin Devices g No. of Waste Disposers eaTsum otai umber ons. o. o Se - ontame Detection/Alerting Devices F - No. of Dishwashers Space/Area Heating KW Local [I untctpa ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water Heaters KW o. of No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications fang: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wirev. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 3 -/c, -a f/ 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 L�ti5ND [] OTHER ❑ (Specify:) 1 certify, under the pains and penalties of perjury, that the information on this application is true and completes FIRM NAME: /% LIC. NO.: jy33 Licensee: �, / Signature"'. LIC. NO.: (If opi)licable. en ar -exempt:" to the license number line.) Bus. elj. No.: - f Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 51-6 1, security work requires Departm 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. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $,��O 0 kc :A , /,�l;D P4-, t CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER , Permit# X12/21/2007) Date: _ June 25, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 85 Milk Street MAY BE OCCUPIED AS Single Family DweHint IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peter & Beverly Murphy 85 Milk Street North Andover MA 01845 Bui ding Inspector APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building. Permit# �qq ADDRESS/LOCATION OF PROPERTY 9f)' 011 L t �� f Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: - FIVE FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: r Address I Ic , c��t3- A'Y' o V ,(& CONSERVATION PLANNING DPW - WATER METER SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY1INSPECTION REQUEST DPW Signature �� T File: Application for OC form revised Jan 2007 CA m m m x m Y� v m C2 CA d CA CI) O 10 O CD n Z y CD O �. 06 CL y o v CD CD O Q M CD Er CD O CD C CD y� L0 y r O CO CD I F v CO) O 'o Z CD O � • CD O CD L! Gam VI n� O z cn C O O z 0 0 0 m 0 c_. ec C', m O 0 CLGON m cc ? CIq O a 2 g O d Q y CO c W y ca ate �. .+o m a'=Fa o Mn oCA 'o f CD: o n o ,o yo �od�.. O y C09 o �m CL o=F- O c» CD H Nor P Q �CD ,gym H y 1 O m O w N ; O C, O h O mo C43a: CD r.► rOrt m CD y CD _CD: p, d CL n� C n* y O � O Ri O O �• � W Nt 0=3 0 LC AS c cn C3� X, '?7 "Jd AtTIx '�7 c rsw R � It n 1, b w �00, O D o r Gy CA CA tr! ti 1-4 n \;Cl sN 4 f 6-�, 44vy � � f hl2ti< ��h,64Ls t� J C.,6, File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0271.JPG Auto :1/1250 :4.9 :0 : 250(High ISO Aubg :17.4 mm : Auto File Name : IMG 0272.JPG Shooting Mode : Auto Tv (Shutter Speed) :1/1000 Av (Aperture Value) :4.9 Exposure Compensation : 0 ISO Speed : 400(High ISO Auto) Fool Length :17.4 mm White Balance : Auto Date. "oRr: o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING si ^i • a ,SSACMUSi J� This certifies that . .... ...................... . has permission to perform ..... C .....�.`' . ........... . plumbing in the buildings of ... f J4!. c� r �'.�:�................. at....?f ��... ?!./. f�...�.!`- .........I North'Andover, Mass. Fee. U :.. Lie. No.. .... ........ . PLUMBING INSPEC Check # b > 7678 ,a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS / �r Date 3 —` 9- Gl/ Building Location /%/ L- /L— 57 Owners Name %�C %E� ���1�� Permit #_? y "? y" Amount Type of Occupancy New r Renovation Replacement Plans Submitted Yes No (Print or type) Installing Company Name A/ TG Address �� i° !/�G.C✓o,��s,� /J� Check one: Certificate ❑ Corp. 1-3 Partner. ri Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy�, �/ Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner E] Agent M I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: -�'2Cl- ���.®�J Y igna ure -442=- i se� of mTr Type of Plumbing License Title / 5�6 2 City/Town icense INUMDer Master ❑ Journeyman APPROVED (OFFICE USE ONLY F � �I I I •MINEMillar M4 (Print or type) Installing Company Name A/ TG Address �� i° !/�G.C✓o,��s,� /J� Check one: Certificate ❑ Corp. 1-3 Partner. ri Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy�, �/ Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner E] Agent M I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: -�'2Cl- ���.®�J Y igna ure -442=- i se� of mTr Type of Plumbing License Title / 5�6 2 City/Town icense INUMDer Master ❑ Journeyman APPROVED (OFFICE USE ONLY Date.. vcj ....... . ,ORTIi 3r TOWN OF NORTH ANDOVER O D PERMIT FOR GAS INSTALLATION This certifies that... sP � ........................ . has permission for gas installation ..) {. .. E.. ........... . in'the buildings of ....1 n. ........................ at ... 4 . > ...? C !. l/7......... , North Andover, Mass. Fee. Lic. No../ . !'.�. .. ..... GAS INSPECTOR Check # 6164: MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date .,:3 NORTH ANDOVER, MASSACHUSETTS Building Locations $ S f S% Permit # C y Amount $ Owner's Name T7 New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) Check one: Certificate Installing Company Name_ A,,40,44&L TF /?G/ - I-lrC ❑ Corp. Address L/ / A /A If A/,y-ae 12 0/2 ❑ Partner. M,4 Business clepnone y8 B'S! 1!l e' ❑ Firm/Co. Name of Licensed Plumber'or Gas Fitter GF 4C,- ,4- INSURANCE J• INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes Ey No❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy ©/' Other type of indemnity ❑ Bond 13 Owner's Insurance Waiver: I.am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /s d�2 ❑ Gas Fitter License Number ❑ Master ® Journeyman a w � � o w o as o $ z w w z u w v, z a p a > w c7 F �' z [- d x w a w > w x Z, Q w Q C .F. E. y 0 0 Z O F z a o F w x x O x 3 0 a U a> SUB-BASEM ENT a a°. F o BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) Check one: Certificate Installing Company Name_ A,,40,44&L TF /?G/ - I-lrC ❑ Corp. Address L/ / A /A If A/,y-ae 12 0/2 ❑ Partner. M,4 Business clepnone y8 B'S! 1!l e' ❑ Firm/Co. Name of Licensed Plumber'or Gas Fitter GF 4C,- ,4- INSURANCE J• INSURANCE COVERAGE Check one: I have a current liability Insurance, policy or it's substantial equivalent. Yes Ey No❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy ©/' Other type of indemnity ❑ Bond 13 Owner's Insurance Waiver: I.am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /s d�2 ❑ Gas Fitter License Number ❑ Master ® Journeyman MAR -29-2008 02:15 PM LARRY OGDEN 978 352 2858 P.03 Stw*l 3=2M INVOICE MR. PETER MURPHY 438 WAVERLY ROAD NORTH ANDOVER, MA. 0184$ DATE PROJECT 813 03/21/08 SITE VISITS, ENGINEERING REVIEW 03/26/08 AND CERTIFICATION LETTER TOTAL DUE THIS INVOICE PREVIOUS BALANCE TOTAL DUE THANK YOU! LARRY OGDEN Page 1 LAWRENCE H. OLDEN 188 EAST MAIN ST GEORGETOWN, MA. 01833 FEE $300.00 February 6, 2008. Mr. Brian Leathe Local Building Inspector 1600 Osgood Street North Andover, MA. 01845 V I A F A X Dear Sir, On today's date I had inspected the critical items outlined by you for Mr. Russell Ahern at the single family building on Milk Street, North Andover, MA. I will attempt to summarize my findings in the affidavit I am enclosing herewith: AFFIDAVIT 1, the undersigned: Gabor Szava-Kovats, being duly registered in the Commonwealth of Massachusetts as a Professional Engineer under my registration number: 23384 P.E. make the following statements in my own free will, without duress, and am aware of being under the pains and penalties of perjury make the following statements; 1. ) I found the questioned strap being in conformance with required standards, perfectly adequate as far as the material and instal- lation is concerned. The enclosed photo witnessed even the presents and position of the nails clearly. 2.) 1 have checked the enclosed printout by the supplier's: BOISE - CASCADE's .Laminated Versa -Lam beam's computer program's analysis for subjected to bending, which I found totally adequate. My feeling of the deflection value of 0.48" left me slightly uncomfortable but still within the max. of the requirement. [I am on the conservative side.] 3.) In view of the above I recommend acceptance and approval without reservation. -�N OF Mgrs GABON �iacl Szava-Kovats, S. SZAVA KOVATS tiProfessor Emeritus, C.E. No. 23384 d - BOISE" Triple 1 -3/4".x -19-1i2" VERSA -LAM® 2.0 3100 SP Floor Beam1F1302 -BC CALC® 9.5 Design Report - US 1 span I No cantilevers 0/12 slope Friday, January 25, 2008 07:27 Build 91 File Name: BC CALC Project Job Name: Highview Realty Description: FB02 Address: Lot 1 Milk Street Specifier: City, State, Zip: North Andover, MA 01845 Designer: Customer: Company: Code reports: ESR -1040 Misc: Attic beam BO B1 LL 2535 lbs LL 2535 lbs DL 1105 lbs DL 1105 lbs Total of Horizontal Design Spans=13-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115%a 133% 125% Trib. 1 Standard Load Unf. Area (psf) Left 00-00-00 13-00-00 30 12 13-00-00 Notes 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. Minimum bearing length for B0 is 1-1/2". Minimum bearing length for B 1 is 1-1/2".. Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram � b I -- d —_► a -- \ O O C • _1 • \ e o 0 0 a minimum = 2" c = 4-1/2" b minimum = 3" d = 12" e minimum = 3" Member has no side loads Connectors are: 16d Common Nails Disclosure Completeness and accuracy of input must be verged by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain. Installation Guide or ask questions, please call (888)234-0056 before installation. BC CALC®, BC FRAMER®, AJSTm, ALUOIST®, BC RIM BOARDTm, BCI®, BOISE GLULAMTm, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRANDS, VERSA -STUD® are trademarks of Boise Wood Products, L.L.C. Load Controls Summary Value %Allowable Duration Case Span Location Pos. Moment 11831 ft -lbs 56.5% 100% 1 _ 1 - Internal End Shear 3156 lbs 33.3% 100% 1 1 -Left' Total Load Defl. U325 (0.48") 73.8% 1 1 Live Load Defl. U467 (0.334") 77.1% 1 1 Max Defl. 0.48" 48.0% 1 1 Span / Depth 16.4 n/a 0 1 Notes 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. Minimum bearing length for B0 is 1-1/2". Minimum bearing length for B 1 is 1-1/2".. Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram � b I -- d —_► a -- \ O O C • _1 • \ e o 0 0 a minimum = 2" c = 4-1/2" b minimum = 3" d = 12" e minimum = 3" Member has no side loads Connectors are: 16d Common Nails Disclosure Completeness and accuracy of input must be verged by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain. Installation Guide or ask questions, please call (888)234-0056 before installation. BC CALC®, BC FRAMER®, AJSTm, ALUOIST®, BC RIM BOARDTm, BCI®, BOISE GLULAMTm, SIMPLE FRAMING SYSTEM®, VERSA -LAM®, VERSA -RIM PLUS®, VERSA -RIM®, VERSA -STRANDS, VERSA -STUD® are trademarks of Boise Wood Products, L.L.C. MAR -29-2008 02:14 PM LARRY OGDEN 978 352 2858 P.02 LAWRENCE H. OLDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —3522858 cell: 978"502-5921 March 29, 2008 Mr, Peter Murphy 439 Waverly Road North Andover, Ma. 01845 RE: Residence for Mr.& Mrs. Peter Mut-Ky,;85 Milk Street;,'.% Andover, Ma. Variety and Deli Dear Mr. Murphy As you requested 1 visited the above site March 21 and Maroh 26, 2008 to review the LVL Beams and steel beams used in the structure. These Beams were shown on drawings prepared by Robert M. Connell dated 11-29-07. As you are aware a 1.75" * 14" LVL has been added under the attic joist between bedroom 3& 4, this was added to reduce the attic load that would have been superimposed on the second floor beam over the family room below. Z reviewed the design and installation of these beams used in the structure and can certify that to the best of nay knowledge the beams are acceptable and meet the loading conditions required by the 6a' Addition of the Massachusetts State Building Code. Should you have any questions please do not hesitate to calt. Yours truly, wrence H. Ogden, P.E. Structural 27765 LAWRENCE H LWD Jpla 9� 0 5 Te CERTIFIED PLOT PLAN N LOCATED /N NORTH ANDOVER, MASS. SCALE: 1 "= 40' DATE. 1/10/2008 Scott L. Giles R. P. L. S. Frank. S. Giles R. P. L. S. 50 Deer Meadow Road North Andover, Mass. NOTE: CERTIFIED TO SAUGUS BANK: THIS LOT IS NOT IN A FLOOD HAZARD ZONE. 120.00' I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING BYLAWS OF CONFORMITY OR NON -CONFORMITY NORTH ANDOVER WHEN BUILT WHEN CONSTRUCTED.