HomeMy WebLinkAboutBuilding Permit # 11/17/2015 %AORTw
BUILDING PERMIT
TOWN OF NORTH ANDOVER go ;
APPLICATION FOR PLAN EXAMINATION -
Permit No#: Go�"- Date Received ���s�cwus����
Date Issued: a
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® TAN T: Applicant must complete all Items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
11 Addition Two or more family 11 Industrial
Li Alteration No. of units: [i Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED: mw„
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Identification Please T' 6 or Print� Cle �
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OWNER: Name: Phone:
Address
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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: $ ;o � �� �' � FEE: $
I ,
Check No.: � Receipt No.:
NOTE: n"el"sons contracting with unregistered contractors do not have ac ess to the guaranty,fund
SI nature of contractor ' "w
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Signature of Agent/Owner` g..
AM
®R'r�
dover
Town o An
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No.
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COCNIC MI WICK
A�44 ED AQa�.tS
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BOARD OF HEALTH
Food/Kitchen
PE IT L mummk Septic System
�j �i►!e BUILDING INSPECTOR
THISCERTIFIES THAT ........... ..... ......................... ............................ ..................................................
Foundation
has permission to erect .......................... buildings on ....... ......#. ... ..... � ..`.. ..�.�C ........
Rough
to be occupied as ....��. ... .........4....Ca...&Ariom:!s.t.....$T V..C. 4k...... .lre�,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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIOIS RTS Rough
I Service
..................... ......................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Islay in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry all To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
C C
ONSULTING STRUCTURAL ENGINEER, INC.
53 Knox Trail, Suite 201 978-461-6100
Acton, MA 01720 www.cse-ma.com
October 5, 2015
Michael Suffoletto Jr.
46 Hidden Rd.
Andover, MA 01810
RE: Structural Inspection & Professional Opinion Regarding Existing Condition
and Structural Damage to Girders at 9-11 Sargent St., North Andover, MA
Dear Mr. Suffoletto:
In response to your request, this report summarizes our findings, professional
opinion and recommendations resulting from the inspection on August 19, 2015
of structural damage to timber girders at 9-11 Sargent St., North Andover, MA.
FINDINGS
The 21/2-story, two-family residence was constructed before 1900 according to
the Town of North Andover, MA assessor's records (see sketch & photo below).
S in
FM
In.
1310 Sq.n
9 A I SARGENT STREET
During our inspection on August 19, 2015, we noted the following findings:
1. First floor supported by W full-faced joists at 16" o/c spanning 13 feet.
2. W center girder deteriorated over five steel posts (see photos 1-4).
3. 6x8 first floor girder rotted and sagging at right side extension.
4. First floor sagging and door frame misaligned (see photo 5).
5. First floor sagging and hardwood floor splintered at right side (see photo 6).
CONSULTING STRUCTURAL ENGINEER, INC.
53 Knox Trail, Suite 201 978-461-6100
Acton, MA 01720 www.cse-ma.com
PROFESSIONAL OPINION
We offer the following professional opinion regarding the observed damages.
The first floor 6x8 timber center girder and right side extension girder failed as a
result of dry-rot, deterioration and compression failure at four of the five columns
in the middle of the building and is sagging significantly at the right side extension.
RECOMMENDATIONS
We offer the following recommendation for repairs related to the timber girders:
1. Install temporary shoring beneath the first and second floors adjacent to
the center girder and right side extension and remove rotted sections.
2. Install a (4) LVL 1%N91/2" center girder on 3" Lally columns up to 6'9" o/c.
3. Install four Lally columns on existing footings with Springfield slates at top,.
4. Connect W floor joists to center girder with Simpson U26R joist hangers
and 2xX hardwood shims to accommodate the notched ends.
5. Connect 6x8 floor girder to center with Simpson 0668 face mount hanger.
6. Install a (3) LVL 1%N91/2" right side girder spanning 12 feet to foundation.
We reserve the right to amend these findings, professional opinion and structural
recommendations should additional information become available. If you wish to
discuss this report, please contact us directly at 978-461-6100.
Yours truly,
�4
MC, EL J
tiro am
B E F r,y
TM At
Michael J. Berry, P.E., SEC13 VA
Consulting Structural Engineer, Inc. I
Attachment: Photographs 1-6 Taken August 19, 2015
ENGINEER,CONSULTING STRUCTURAL
53 Knox Trail, Suite 201 978-461-6100
Acton, MA 01720 www.cse-ma.com
1)Center girder deteriorated in basement 2)Girder failure at column(close up)
/
3)Column compressed and girder splintered 4)Girder compressed over column below
I
1 I
S)First floor sag and door frame misaligned 6)First floor sag at right side extension
108 Wilson Rd
i' Framingham, MA 01702
_f3C Phone: (617) 395-5658
service@beniaminconstructiongroup.com
Benjamin Construction Group
BUILD-DESIGN•REMODEL
Customer Information;
Date: 11/09/2015
Name: Michael Suffoletto Jr.
Address: 46 Hidden Rd. State: MA Zip Code: 01810
City: Andover
Phone: Cell:
Email:
Project Information
This Proposal includes the following:
• All surface preparation necessary to complete the project
• All necessary material to complete the project
• All necessary labor to complete the project
• Company is full insured
• Complete clean-up of the job site on daily basis.
Labor and Materials
2%Z-story Two Family house
• Install new beam in the basement
• Remodel kitchen on the first and second floor
o Install cabinets
o Install counter tops
o Paint wall and ceiling
• Remodel bathroom on the first and second floor
o Replace all tiles
o Install durock on the walls
o Install new vanities
o Paint wall and ceiling
Licenses
Ilr r+m n+ jkiir Cofm+%i ICZ^nrrl of Pidirlina Rociidoti^nc and rtnnr'Iarr1c1
Insurances
® Liability Insurance
o Farm Family Casualty Ins. Co
• Worker's Compensation
o Farm Family Casualty Ins. Co
❖ A certificate will be provide from our insurance company under the customer's name.
Estimate Cost and Acceptance
I agree to have Benjamin Construction Group to perform the work described above. Our services are
backed with three years guarantee quality on all completed work and for which payment has been made.
All of the above work is to be complete in a professional manner.
Total cost:
$60,000.00
Customer Signature:
Thank You for choosing Benjamin Construction Group
V,OV/17/2015/TUE 03. 16 PM FAX No, P, 001/001
■
OP ID'
' PS
DATDCERTIFICTE OF LIABILITY
INSURANCE
SNCE 1ifiW2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONrERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURI=R(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this cettlficate does not confer rights to the
certificate holder in lieu of such endorsement(s).
e
FROG R - T U Van
Foster Sullivan Insurance I PHoue 978-G86-2266 FAG No):978-888410
163 Main St.
North Andover,MA 01845 Aooas: Sullivan fostersulllvan roup-com
Stephen Sullivan FRoOUGER
,,j:CALLA-1
INSURERS)AFITORDING COVeRAGe NAIC'A
INSURED Callahan A C and ea Ing INSURERA:LIBERTY MUTUAL INS CO 23043 '.....
Services,Inc. INSURERB:GUARD INSURANCE COMPANY
Kate Callahan
91 Belmont Street INSURERC'
North Andover,MA 01845 INSURER D:
I49URER E
IN3URERF
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSORAN CI= LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
, POLICY EFF POLICYEXP
.TRP TYPEOFINSURANCE INeR yyyp POLICYNUMBER MTR MIDDrYY= LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X CBP4016154 09/25/2015 09/25/2018 E SES v^ut 10Eo DO&Mnce $ 100,00
CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000
CONTRACTUAL LIAB PERSONAL&ACV NJURY $ 1,000,00
GENSRALAGGREGATE S 2,000,00
GENLAGGREGATE LIMIT APPLIES PER: PROOUCTS-COMP/OPAGG $ 2,000,00
17 POLICY X T&- LOC 6
AUTOMOBILE LIABILITY X COMBINED SINGLE LIMfr $ 1,000,00
(Es accident)
A ANY AUTO BA4544035 09/25/2015 09/25/2018 BODILY INJURY(Per person) $
X ALL OW4E13 AUTOS
— BOOILY INJURY(Pcrgocident) $
2CHEOuLF;0 AUTOS PROPERTY DAMAGE
-T MIREDAUTOS (PER ACCIDENT) $
X NON-O%r1ED AUTOS
$
X UMBRELLALIAO X OCCUR EACH OCCURRENCE $ 5,000,00
A EXCESS LIAR CLAIMS-1M0 X AGGREGATE $ 66,000,00
CUSSOf1334 09/25/2015 09/25/2016
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION ITORY LIMITS
WCSTATU- X TH-
ANAER1P RETOR LIAa(LITY CAWC804073 09/25/2015 09/25/2016 E.L.EACH ACCIDENT $ 500,000
B OFFFFICERMEMBERIXQUDt�,DQ�GUTIvEY( N/A
(Mandatory in NH) L'�J E.L.DISEASE-EA EMPLOYEEI S 500,000
IFyea,describe uWar
DESCRIPTION OF OPERATIONSbelrnv I I E.L.DISEASE-POLICY LIMIT $ 500,00
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101.Additional RoInsAe Se11ed01e,If more apace le required)
EVIDENCE
fax#978 688-9542
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DEBCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERIED IN
TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS.
1600 OS(300D STREET AUTHORIZED RWR�e�NTA"
NORTH ANDOVER, MA 01845
O 1988-2009 ACORD CORPORATION. All rigi-de reserved.
ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD
The Commonwealth of Massachusetts
Department of IndiustrialAceldents
X
K I Congress Street,Suite 100
Boston,M4 02114-2017
Af
www.masv.go-v1dia
Workers'Compensation insurance Affidavit:Builders/Contractors/E lectricians/Plumbers.
I TO BE, FILED WITH THE PERMITTING AUTHORITY.
ApplicantInformation Please Print Legibly
Name (Business/Organization/flidividtial)
Address: AV, 1"I'10
&
:/ h, , PhoneCity/State/Zipi"
Are you an employer?Check the appropriate box: Type of project(Tequired):
i. X I am.a employer with employees(full and/or part-time).* 7. F1 Now construction
2. I am a sole proprietor or partnership and have no employees working for me in 8. []Remodeling
any capacity.[No workerscomp.insurance required] 9. El Demolition
3.Q 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10[ Building addition
4.rJ 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 arc sole 11 F1 Electrical repairs or additions
proprietors with no employees. 12.C]Plumbing repairs or additions
5.n I am a general contractor and I have hired the sub-contractors listed on.the attached sheet. 13. Roof repairs
'iheio sub-contractors-fiave employees and have workers'. comp.insurance.$
14. Other
6.Fl We are a corporation and its officers have exercised their right ofexemptionper MGL c.
[No workers'comp.insurance required.]
152,§1(4),and we have no,employees.
*Any applicant that checks boi'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 now affidavit indicating such.
tCoi that check this box mustattached an additional sheet showing the name of the sub-contractors and state whether or not,those entities have
employees. If the sub-c6n6ci&s have employees,Ilicy must provide their workers'comp.policy number.
lam an employer that is providing Vol-Ifells'compensation insurance formy employees.'Below is the policy and job site
information.
Insurance Company Name:
-
(2 - &)LJ
Policy#or Self-ins,Lie.#: Expiration Date: , 6
fob Site Address: 0 1"? gE City/State/Zip:. z A c,
Attach a copy of the workers' coensatlon 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 certify antler thepains andpenallies qfpeiftay that the information provided above is true and correct.
Signature: Date: Z
Pi ' z,i-, /v z
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.E lectrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
C1/7/�fir'
,c�art��co-�eroe�ull�a�G'/lL�aaJ�rc�cutc/t
'• Office of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
registration: 175261 Type:
y xpiration Individual
WAGNER.M BRAGA
WAGNER BRAGA
108 WILSON DR. --
FRAMINGHAM,MA 01702Undersecretary
�f Massachusetts -De
Board Of❑ui Department of Public
..�ldiny P,C^ + fa,..,� Safety
aulati,ns and Stand
C0;struct;o;; Sufe,�isor - ands
License: CS_106815
WAGNER BRAG -�`\ ' ' +• ���
108
WILSON DR
Framingham MA%01702 ++
✓..G,,,�,�1j its,s �riti�.
Commissioner Expiration
09/23/2016
1 :� � ��e tpoawntoaacaealG�a���aaQcce�ctae�
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
j OME IMPROVEMENT CONTRACTOR ( before the expiration date. If found return to:
a egistration 175261 Type: Office of Consumer Affairs and Business Regulation
Expiration 5/1%2017 Individual 10 Park Plaza-Suite 5170
Boston,MA 02116
WAGNER M BRAGAI �,
WAGNER BRAGA
108 WILSON DR. , 0y�
I
FRAMINGHAM,MA 01702 Undersecretary I Not valid without signature
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
.,onstiuctiorl aurie3-"�'i5ui
License: CS-1068Vs
15
WAGNERBRAG-y
108 W MSON DR--;
Framingham MA7-017Y'V,
�'�5• ��.,i,, Expiration
09/23/2016
Commissioner