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Home My WebLink AboutBuilding Permit # 5/6/2015 BUILDING PERMIT ®��ti Dr b��o TOWN OF NORTHA VE APPLICATION FOR PLAN EXAMINATION ® ' _ Permit No#: c�� Date Received- VS US dSS/1CHUS Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION \wI Print PROPERTY OWNER ,. ( ' Print 106Ye6r Sthuc#ure yes thMAP PARCEL: , ZONING DISTRICT: Historic District" yesMachine Shop Village yes " TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family .,Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other lag DESCRIPTION OF WORK TO BE PERFORMED: t4 0 Q0 Identification- Please Type or Print Clearly OWNER: Name: c, Q&"> Phone: f'W 1r v-a 5-`1 Address: Ak'l. "Y 'Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement Licenser Exp. Date; ARCH ITECT/ENG[NEER ,kj .�I Phone: r('76' 17V-4'71 Address: 62 Z 1& ,0lic %(Z'4 e a t Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ ` ,`00c) FEE: $ 5('0 . 00 Check No.: '? Receipt No.: Vie.74/0 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund //i�/ J rihv (10 da � ...............—........... Plans Submitted ❑ Plans Waived F1 Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tam3ing/Massagc/Body Art F1 SWfiDMingP00lS ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Si nature COMMENTS U HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Con nedion/signaftire Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street M, p "Man ggiggi, 0, g—N! Y rr rrV ER, ,T NORTH . own of ndover No. ° h ver, Mass, COCNIC„2W.C.t y�• Z1,9 A°4ATeo S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System *- 1 THIS CERTIFIES THAT .......' �C�,..-�, 1 s.................... BUILDING INSPECTOR has permission to erect .......................... buildings on ...5`s ��G�. ' : .f.<'. ............................................. Foundation Rough to be occupied as ...... i 6.:�.p.�1C.y�...l. ............................. 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 y Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ............ Service .............. ........... .... �.............. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. XENAKIS RESIDENCE 4-29-15 KeyBeam 48 Waverly Rd,NAndoverMA. 10.42am loft CS Beam 4.11.26.1 lnnBcamffingibe 4.11.76.1 Materials Aat*=1516 Member Data Description:RIDGE BEAM Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00/ 12 Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Snow Load: 55 PLF Deflection Criteria: 0240 live, 0180 total 1.000"max. LL Dead Load: 15 PLF Deck Connection: Nailed Member Weight: 21.0 PLF Filename: Beam1 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 20' 0.00" 12' 0.75" 55 15 Snow O z000 2000 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wail SPF Plate(425psi) NIA 4.223" 9422# — 2 20' 0.000" Wall SPF Plate(425psi) N/A 4.223" 94224 — Maximum Load Case Reactions Us ed for appying pointloads(orilno loada)to eaming rn mbem '.. Snow Dead 1 72374 2165# 2 7237# 2185# Design spans 20' 1.750" Product: 2.0 Rigidl.am LVL 1-3/4 x 16 3 ply PASSES DESIGN CHECKS Connect members with 3 rows of 16d common nails at 120"oc NOTE:Nails must be applied from both sides Minimum 4.22"bearing required at bearing#11 Minimum 4.22"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 47453.# 66764.# 71% 10' Total Load D+S Shear 8175.# 18676.# 43% -0.06' Total Load D+S TL Deflection 0.9673" 1.3431" 0249 10' Total Load D+S LL Deflection 0.7429" 1.0000" L/325 10' Total Lptid,S Control: LL Deflection DOLS: Live=100% Snow--116% Roo"- 25% Wind=160% Design assumes a repetitive member use increase in bending stress: 4% ROBERT ALAMM• ,r: NO 174 h Rk All product names are tmdatnarks ofthoirrcapeedve ovnem Copylght(C)201 a bySimpson Strong•Tte Company inc.ALL RIGHTS RESERVED. •'Passing 10d,1 ss Hhen the marrmer,floorJoiat,beam or girdey shovm on thio drawing meets apPOcable deslgn cdtada fa Loads,Loading Condiibons,and Spans fisted en this sheet The desi n must be reviewed b a stifled desi er or dasi r. . es re 'red fora mvat.This desi assumes pmductinsteflation accordln to the manufacturers spedffcatons. The Commonwealth of Massachusetts M F Department oflndustrialAccidents 1 Congress Street, Suite 100 d` Boston,MA.02114-2017 www mass.gov/dia Workers'Compensation Insurance.Affidavit:Builders/Contractors/Iilectricians/Plumbers. TO BE TIDED WITH THE PERNIITTING AUTHORITY. Applicant Information n 1 _ �/ Please Print Ledbly NaMe (Business/Organization/Individual): ! ►'1`�N��t` X et✓11, i, Address: City/State/Zip: �h4 —AAA �, Phone#: �� 76 d..� �. Are you an employer?Checktlie appropriate box: Type of project()required)• 1.❑I am a employerwith employees(full and/or part-time).* 7. E]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. [:1 Remodeling any capacity.[No workers'comp.insurance required.] 9. F1 Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.ip.l am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Wuilding addition ensure that all contractors either have workers'compensation insurance or are sole l 1.❑Electrical repairs or additions proprietors with no employees. . 12.b Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.FJ 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. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-coritractors nave employees,`they must provide their workers'comp.policy number.` Iain anemployer•tfiat is providiiig workers'compensation insurance f or•nay 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verific,44K. I do hereby c ifynder tl e pains andpenalties ofperjuiy that the information provided above is true and correct. Si nature: Date: ��'� 0/ Phone# -� Official use only. Do not write in this area,to be completed by city or town official.. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: TOW OF NORM AND OVER , a° C1FIFICE OF .1600 05900[).SLrOet Building 200-Sui2-3 6 r •'-.LVoith Ando-vor,Massachu-sott.,01945 Gerald A.Drum - � Tielepltone,(978)688-9545 Inspectorof$uildiugs � Fax (978)689-9542 .. H�:[V.�E(aWNE�t.•LTCE��'�E�:�EN.[PT�Oh�" - - E )'E T"PLICAAUON p2easep Ln ' DATE: QB LOCATfORA V41f Number street A ddress 1VSap/Lnt Name. Home one WorkYllone GVV AA CA It'Te 'J:`he current exempfion iar"homeowz!exs"was extended ie?nehtde ownex occupied dcvegs to x4ua units ar; s5 ant to allow sub7i hoznPo,ffiexs to engage anLiadividual.for Aire o does nntposseas a lice3tse,provided that the owcez acts as supervisor). Rate DOdkg (Code ueotion 108,3,5.1) - DEMITZON OYEOMEOV1N R , persons)wlto Qwns aparcel of 1mid on which.lickhe resines or intends to reside,on winch there is,oris intended to be,a one ortwo Family sfzuefures. .A.person, ko comtmots more that oneltome in atvze yearperzod shall note eansidered ali.onteowAex The lmdersigned"holneownez"assumesxasponsibzlityfox-cbmpHances with the state,13U11ding Codeand other Applicable,codes,by-laws,xules andzegulations. The undersigned"homeowner"GQ est lle shertnderstauds the Town o NorEb Audo�er3uildzng l7eiiaxtrszenE minuxzumimpecfionproceduresandthat lre/she,willcoanplywithsaldproceduresand recluizeznents, .. ;� ` HOMEOW.BRS 90MATM APPROVAL OE 13=D)Na OF'. IcLA G Reyised 7.2009 - 'FoxmS�omeownersBxempfion - )3OA D OFAP.PBAM 688-9.541 CONSEMUON 688-9530 DBALTH 699-Q.,w) 'PT A*&T&MTt1[or.nrnr