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Building Permit # 3/2/2015
BUILDING PERMIT of No RT 6 qti TOWN OF NORTH A APPLICATION FOR PLAN EXAMINATION °' ~ Permit No r p / Date ReceivedATeo pP�'y`h �SSACHUS Date Issued: IMPORTANT: Applicant must complete all items on this page r 1 „ 1 l , , f � SII l � r, r tr �l„/ / , / r ✓r/ ! // / r �J /�i,;. f J l / r.;r iur n�yr m,.ulrrt r rnrraaf r , »i�rrrur r ur / 1. , I f s r /r r f. ✓ � / TYPE OF IMPROVEMENT PROPOSED USE Reside fial Non- Residential ❑ New Building ne family ❑A clition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other //�❑,Se etc � Well �// / / //� f , r , /,,, ,; � „ t, , � / ,i /�,,, � ❑ ,/// / r �❑� ,loo r� r ,et d i, ,/ / F C1�U1r la s ❑� a e s J ❑ a�er Se er, / // � / ,, /, f �, //,/ DESCRIPTION OF WORK TO BE PERFORMED: rr CA V i Identification- Please Type or Print Clearly OWNER: Name: F l l i Phone: , ' Address: ;1 w „ �/, 1/✓ Dl r/ / r / � ,, �� ,/ r�/i// 1 oar f�./, /�/i/�, /� � / � / � ✓ ����/ t r I / MINI”, r / r I l 1 / r r � I , � ! �i r / r /1 ,, 1 / �� �1 i�ifN.A/rp/),lll1JJ%�i ,.I1T✓,[rJiNi�%flc>l�f�/caa�,/,�rr�✓r,l fuai��ly�ir00eu�a,� r�,�,.,.�%,r,�»rov�rain�:.. . �.�. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 7 Total Project Cost: $ � FEE: $ XkP Check No.: I Receipt No.: .. NOTE: Persons contracting with registered contractors do not have access to the u rarity fund Signature of Agent/O,,,' ;� „ ; ignatulre of contactor' �- I Dimension Number of Stories: Total square feet of floor area, based cin-Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop. requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) •� � � .vim� Notified for pickup Call Email Date Time Contact Name —__— Doc.Building Permit Revised 2014 NORTH , Town of ndover Q 'y' 0 E. . h ver, Mass, COC MIGMl WICK �1. A04ATED s U , BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System 0 I.THIS CERTIFIES THAT .. ................................... BUILDING INSPECTOR Foundation has permission to erect.......................... buildings on ...q..'....... '.I�.�.4.....��0...................... • � Rough g tobe occupied as .......... ... .�... .... ........ ..................... .................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 I ♦ PERMIT EXPIRES IN 6 MON T S ELECTRICAL INSPECTOR UNLESS CONSTRUCTJON S RTS Rough Service ...............ri.......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Y No Lathing or Dry Wall To Be Done FIRE DEPARTMENT t Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Boise CascaQuadruple 1-3/4" x 9-114" VERSA-LAM® 2.0 3100SP Floor eam\...kitchen Ceiling Dry 11 span I No cantilevers 10/12 slope Wednesday, February 18, 2015 BC QALCO Design Report110-7 .�re Build 3272 File Name: AMS Home Improvement Job Name: Ellis Description: Designs\kitchen ceiling Address: 91 Fuller Rd Specifier: City, State,Zip: North Andover, MA Designer: Kimberly Hankey Customer: AMS Home Improvement Company: Cyr Lumber Co,39 Rockingham Rd, Windham, NH Code reports: ESR-1040 Misc: 5., 4 2 1 12-07-00 B1 BO Total Horizontal Product Length=12-07-00 Reaction Summary(Down /Uplift) (lbs) BearingLive Dead Snow Wind Roof Live BO, 3-1/2" 4,260/0 2,333/0 B1, 3-1/2" 4,450/0 2,523/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 bathroom Unf.Area (Ib/ft12) L 08-03-08 12-07-00 40 20 06-06-00 2 bedroom Unf. Area (Ib/ft^2) L 08-03-08 12-07-00 30 10 06-06-00 3 bedroom Unf. Area (Ib/ft"2) L 00-00-00 08-03-08 30 10 13-00-00 14 00-00 4 ceiling Unf. Area(Ib/ft"2) L 00-00-00 12-07-00 20 10 n/a 5 wall Unf. Lin. (Ib/ft) L 00-00-00 12-07-00 75 Controls Summary Value %Allowable Duration Case Location Pos. Moment 19,538 ft-lbs 73.6% 100% 1 06-04-07 End Shear 5,737 lbs 46.6% 100% 1 01-00-12 Total Load Defl. U259 (0,561") 92.6% n/a 1 06-03-02 Live Load Defl. L/403 (0.361") 89.4% n/a 2 06-03-02 Max Defl. 0.561" 56.1% n/a 1 06-03-02 Span/Depth 15.7 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim (L x W) Value Support Member Material BO Wall/Plate 3-1/2"x 7" 6,593 lbs n/a 35.9% Unspecified B1 Wall/Plate 3-1/2"x 7" 6,974 lbs n/a 38% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1 ) Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 Boise CascaQuadruple 1~3/4�° x9.1/4" VE2.03100SP Floor ,~kitchen ceiling D� 1s�nNo cantilevers 10/12 slope Wednesday, February 18,2015 �C �AL��DeognRepo� Build 3272 File Name: AMS Home Improvement Job Name: B|im Description: Designs\kitchen ceiling Address: Q1Fuller Rd Specifier: Cky, State, ��p: NndhAndove� MA Designer: K] Hankey Customer: AMS Home Improvement Company: Cyr Lumber Oo.39Rockingham Rd, VVindham. NH Code �s: EGR-1040 N1iec' � Connection Diagram Disclosure Completeness and accuracy'xinput must be verified by anyone who would rely on . a output as evidence of suitability for � plication.Output here based �n�bu��ngticular 'code-accepted design � d analysis methods. N Installation of BOISE engineered wood 'products must beinaccordance with � current Installation Guide and applicable building codes.Tnobtain Installation Guide � orask questions,please call aminimum =2" c=2-60" 32-0788before instoUeUnn.XnmBC b minimum =2-1/2"d= 12" L�� OA8CFRA�E�� AG`m A'--- ' JT0.BC0MB `�.BC|8. � B08E8LULAMn' SIMPLE FRAMING Oa|cula�d8ideLumd= 520.0|b�� R|� � ~...^.,~~ ,�.`~`�.-_ .__� � Beams 7inches wide will beassumed boboeither top-loaded only, orequally loaded from PLUS@ VERSA—RI venSx-Sa*xm vExux /umnam each side. trademarks ofB— �s� �Caaom�eYVuod Bolts are assumed tobaGrade A3D7orGrade 2urhigher. pmductnLLC. Connectors are: 1/2 in. Staggered Through Bolt it---- 2091ee i _ �r 50311 �. _ // � - � ij 4 i H©Q,Q3Q;2R3f7R C:, — i a I 3DB36 C@EP rr:B15RTR SLS3G A i.1 ,Ali i tS? 81E_,. IMM f II 4DB1218FHMIXLp18k-iW24 3FPE: CO 12x96 skin trimmed AU i and installed o iv 1 to hide seam between � �-���� T � stacked cabinets _ _ - �i = a + t V, {f'r 12- ., 24 • tib �'�,., '�� ���i��-"' i��x� �%tr s— - �, ��iS7f'�h� t.t/�1� ��U°✓1 a r/i.�,� ����"v1 ��h �•'f� $� ' Alldimensionssize designations This is an original design and must Designed:214/2015 given are subject to verification on not be released or copied unless Printed:2/:5/2015 job site and adjustment to fie job applicable f-ce'has been paid or job conditions. order placed. 2G4082c3.kit All Drawing#: 1 r No Scale. The Commonwealth of Massachusetts F Department oflndustrialAccidents a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): X, 5 C C v %1_ / F Address: '9—� � C�� � City/State/Zip: Phone#: U Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(fiill and/or part-time).* 7. ❑NeW.construction 2.Kam a sole proprietor or partnership and have no employees working for me in 8. emodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 14.F-1 Other 6.F1We are a corporation and its officers have exercised their right of'exemption per MGL C. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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 employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. -fain an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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. !do hereby certify tin to pn-ins and penalties of peijuty that the information provided above is true and correct. Si nature: pp Date: Phone#• �D 7 5. X 0 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 S.Plumbing Inspector 6.Other Contact Person: Phone#: u Massachusetts _ Board of Building Re artrnent of P C011stl' gUlatiO ublic Safety uctio11 Superl-icor] 2 ns and Standards License: CSF Fa/nih, T.A-09646 AARO1vMSC SAMGNOLIA �. �"EMNU 030' ✓ 5 )vlo JA Commissioner Expiration - 07/07/2016 t Office or Co�aorr� nsuIner�A�ahrs&B HOME IMPROV Przll�°p Sil eS�s R ii Registr`at of n EMENT CONTRACT s Ex 15*9_-- OR ` Aira ion — ; r 1118/2017 �Ype:- ON M. SCAR RELLO HOM DBA 1 PMPROVEMENr AARON SCARPELLO MAMN�OL 0 t SALE A AVE 7,9 Undersecretary t