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Home My WebLink AboutBuilding Permit # 9/14/2015 BUILDING PERMIT %,oRTFI TOWN OF NORTH ANDOVER a APPLICATION FOR PLAN EXAMINATION _ Permit No#: Date Received ��A�RATen cwus``� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION t ` Print PROPERTY OWNER 'LL- 14(mAc.", Print 100 Year Structure yes MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial 09 Alteration No. of units: ❑ Commercial 16wRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic []Well ❑ Floodplain El Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: gcmu\,� W)CA aJ ap° 6kPJ Identi ation- Please Type or Print Clearly OWNER: Name: a H( Phone: 7 - . Address: Contractor Name: Phone: Email Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to t ie guaranty fund Signature of Agent/Owner Signature of contractor oOR'TH Town of Andover ver, Mass, COC NICNEWICK S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT E.C.14e......t ............................... BUILDING INSPECTOR Foundation has has permission to erect .......................... buildings on ........ . ...... .4 ................... ' ....................................... Rough to be occupied as . ....... ...�.a..". ......1. ....... ...........�.. .®.... L Chimney provided that the person ccepting 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTION 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. Erle Hanson 9-10-15 Andover st 10:36an� FtM,2,,,:W, y �1°� l of i m 4,1126.1 Er0ne 4.11.26,1 Database 1516 Member Data Description: Member Type: Beam Application: Floor Top Latera{Bracing: Continuous Bottom Lateral Bracing:Continuous Standard Load: Moisture Condition: Dry Building Code: {BC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection:Nailed. Member Weight: 12.5 PLF Filename: Beam1 Other Loads Dead Trib. Other (Description) Side Begin End Width Start End Mart End Category Additional Uniform(PSF) Top 9 0:00"' 14' 0.00" 14` 0.00" 30 10 Live 14 0 0 (2) C� 1400 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 a 0.000" Wall SPF Plate(425psi) 5.500" 1.845" 4118# 2 14' 0.000" Wali SPF Plate 425 si 5.500" 1.845" 4118# Maximum Load Case Reactions used Wlapplying point loads(or line loads)to carrying members Live Dead 1 3043# 1075# 2 3043# 1075# Design spans 13" 2.750' Product: 2,0 i id0- rrn LVL 1d314 9-1/2 3 ply SES I CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Design assumed continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Location Loading Actual Allowable capacity T Total Load D+L Positive Moment 13618.# 21845,# 62% 0.4 Total Load D+L Shear 3625.# 9642A 370/0 Max.Reaction 4118.# 12272.# 33% 0 Total Load D+L TLDefiection 0.6718" 0.6615„ 0277 7' Total Load L LL Deflection 0.4226" 0.4410"' L1375 7 Total Load L Controi: LL DelieCtion DOLS: Live=10Q°k Snow=1150/. Roof=1250/. Wind=160a/o Design assume a repetitive member use Increase in bending stress: 4% All product names are tmdamarxso(tha(r mspegivo ownoB copvdght(C)2ols by simpoan simoirmo company Inc,ALL RIGHTS RESERVED.. The 0600 mutt 00 pavlawed by a qualbl 4d do B t4ldodg0 Mrosoon�oi as req tired forrappro0l,WBdos acmes p(Oduct installation accortlIn9 o the ragnufnoturo sn lh(5611Aot. OE NORTH TOWN OF NORTH ANDOVER eo , OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 North Andover, Massachusetts 01845 9SSAc►+US Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: �� C2oI S JOB LOCATION: x ��- Number Street Address Map/Lot HOMEOWNER t L V86 Name Home Phoneii Work Phone PRESENT MAILING ADDRESS �7 1-Ciyi AYI& � City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR Section 110.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE v APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massa husetts DepaFtirnent of indiustrib, cidents 1 Congress Street,Supe 100 Boston,MA 02114-2017 www.anass.gov/dia s. Wa kers'Compensation Insurance Affidavit:Builders/Contractors/Eieetricians/Plumbers. TO BE k'JLED WITH TEE PERMITTING AUTRORITY- A.pl ilicaut Information Please Print Legibly Name(srisiness/organizadonadividual): -f`( i1° 1 Phone#: �7 '- G I � � C= Ci.-�y/State/Zip: �3' . Are you an employex?Checktlio appropriate box: Type of project )Vequired): 1.F]I am a employer withemployees(full and/orpart time).x I. El New construction 2.[]I am a sole proprietor or partnership and have no employees working for me in 8. A Remo deliiig any capacity.[No workers'comp.insurance required] 9. El Demolition 3.KI am a homeowner doing all work myself.[No workers'comp.insurance required.]t XO ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. Iwill ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors withno employees. 12.F]Plumbing repairs or additions 5.C]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp,insurance.; 6.E]We are a corporation and its of gers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have nq employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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 andthen hire outside contractors must submit anew affidavit indicating such. rContractors 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,%oy'must provide their workers'comp.policy number. X am an employer Mat ispi'oviding workers'compensation insurance for my employees.'Below is thepolley and job site information. Insurance Company Name: Policy#or Self ins.Lie.#: ExpirationDate: 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 foxwarded to the Office of Investigatlons of the DIA-for insurance coverage verification. X do hereby cern an der the pains andpenalties ofpei uiy that the information provided above is true and correct. Sign 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbinglnspector 6.Other Contact Person: Phone#: