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Home My WebLink AboutBuilding Permit # 11/5/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION L Permit NO: Date Received AT4!0 A Date Issued: CH ws IM F-RTANT:Applicant must complete all items on this page 0 Ar ........... TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 1-1 New Building robne family 0 Addition El Two or more family [I Industrial P Alteration No. of units: []-Commercial WfZepair, replacement 11 Assessory Bldg F-1 Others: [I Demolition 0 Other C' p41 W 77777 7776, dI,;"*W,, 6 ❑ ndWatershedPJ'stri ct", r � n a f.\ear t I 11E I-AK a�e&zk(�f Identification Please Type or Print Clearly) OWNER: Name: M Me,CW t)-en, Phone: 10 h '\ Address: I 7 114 ....... L/ 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. e-'? I Total Project Cost., 10-0-, FEE: $-- Check No.: �21Z/, -z Receipt No.: NOTE: Persons contracting t U re is red co ractors do not have a4,,/"* to the a fund SiA6tu' te,6f' nature ofcontract n r" 9 Agent/Ow 'A' FOR'T'H Town of T-4, ndover ® T C, h ver, Mass, O LAME COC MIC"EWICK Vs S U BOARD OF HEALTH Food/Kitchen PEr% MMMIT ft LD Septic System THIS CERTIFIES THAT .......... ,,'�*„ ,, BUILDING INSPECTOR ..................... ...................... ... ........ Foundationhas permission to erect .......................... buildings on ... .........(e�f ... ...... .. ........... /, Rough to be occupied as ....... . ..... .. ................ . . ................................. chimney provided that the person accepting this permit shall in every re i'c'on orm 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. ,Irm• PLUMBING INSPECTOR #�� VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO Rough Service .............. .bTAR ..... ....... ................................. Final BUILDING INSPECTOR GAS INSPECTOR OccupancV Permit Required t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No LathingOr Dry Wall To Be One FIRE DEPARTMENT Until Inspected and Approvede Building Inspector. Burner Street No. Smoke Det. CONTRACT ROBERT BOHONDONEY CONSTRUCTION CO. 12 HALL STREET METHUEN, MA 01844 978-685-0970 (office) /978-685-8262 (fax) Fully Insured Construction Supervisor License #979 Exp 4/21/2016 Home Improvement Contractor#114238 Exp 8/16/2017 b o h o n d o n e v c onstructio9-ayi!1100 Customer Name: Jim Maccannell Property Address: 12 Lincoln St, North Andover, MA 01845 Contract Type: Front Porch, Rear Roof and Interior Repairs Date: November 3, 2015 Scope of Services: Front Porch, Rear Roof and Interior Repairs 1. Supply local building permit. 2. Supply workers compensation and liability insurance certificate. 3. Supply job site clean-up and removal of construction debris from site. FRONT PORCH 1. Support roof and demo existing deck, stairs and columns. 2. Dig and install concrete footings for new deck. 3. Supply and install new floor framing using pressure treated materials, composite decking and pvc columns. 4. Supply and install new stairs with composite treads and and pvc risers. 5. Frame and install square pvc privacy lattice around bottom sides of deck. 6. Supply and install self storing wall enclosure system with self storing door panel. Harvey Building Supply. 7. Repair wall siding as necessary at front of house. Page 1 of 2 INTERIOR REPAIRS 1. Supply materials and labor to sheetrock and paint 2 bedroom ceilings and paint bathroom ceiling. REAR ROOF 1. Supply framing materials and labor for new roof pitch on rear roof bump out. 2. Provide materials and labor for rubber roof and all accessories necessary for rear roof bump out. TOTAL CONTRACT AMOUNT: $22,200.00 Payment Terms: Deposit amount of$7,400.00 to start project, Progress payment of $7,400.00 and remaining contract balance of$7,400.00 at completion. f �i I�k3/ /�. 1-"� 1 =S, � .! Date: Customer Signature: t Contractor Signature: Ceb,'4f Date: y GJ Page 2 of 2 �1 I Ti - I I I 1 r I I ji C � � Plan View Jackson Lumber&Millwork bob boh. 215 Market Street 11/05/15 Ref: Deck15309 Lawrence,MA Scale: 1/4"= l' (800)555 1212 i i A B Rail Layout Post SKU Description CUT FROM Radiance Post Sleeve,12'. White DT-251055RADWH Radiance Post Sleeve.42", White Rails Section X-ref Cut From B DT-25106RADWH (Radiance Rail Pack 6', White) A DT-25106RADWH (Radiance Rail Pack 6', White) Design: Deck15309 STRESS ANALYSIS CUSTOMER: BOB BOH. DATE : 11/05/15 DESIGN: DECK15309 REF: SALESMAN # - - ----------- ------------ ------------------------------ MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD - - -- --- ------------- ---------------------------------- - JOISTS 2X10 DEFLECTION 1687 PSF 16" BENDING 690 PSF SHEAR 382 PSF COMPRESSION 594 PSF 382 PSF BEAMS 3-2X10LM DEFLECTION 203 PSF BENDING 140 PSF SHEAR 145 PSF COMPRESSION 683 PSF 140 PSF POSTS 6X6 STABILITY 1202 PSF BEARING 821 PSF 821 PSF ----------------------------------- TOTAL LOAD 140 PSF DEAD LOAD 10 PSF LIVE LOAD 130 PSF - --- --- ------------------ ------------------------------ STRINGERS 2X12 DEFLECTION 177 PSF BENDING 196 PSF SHEAR 181 PSF COMPRESSION 741 PSF ------------ ------ -------- ---- ----- TOTAL LOAD 177 PSF DEAD LOAD 10 PSF LIVE LOAD 167 PSF - - ----------- ----- ------- ----------------------------- - CERTIFICATE OF LIABILITY INSURANCE DA�` 11%/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 INSURER(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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Bates Insurance Agency Inc. PHONE(AIC No, (781) 396-4985 FAX Ne. (781) 395-9454 92 High Street, Suite B1E-MAIL Medford, MA 02155 ADDRESS: Andrea@BatesIns.com INSURE S AFFORDING COVERAGE NAIC ft _ INSURER A:RCA—Essex Ins Co INSURED INSURERB:A.I.M. Mutual Ins. Co. Robert Bohondoney INSURERC: Bohondoney Construction INSURER D: 12 Hall St INSURER E: Methuen, MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSINSR WVD POLICY NUMBER M/DDN MMIDD/YYYY LIMITS A GENERALLIABILJTY 2CM7759-15 2/3/15 2/3/16 EACH OCCURRENCE $ 1,000,000 }( COMMERCIALGENERALLIABILITY DAMIS ETOREoNTErDn e $ 100,000 CLAIMS-MADE 1XI OCCUR MED EXP(Arryone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY P O - LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per acoident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS (per. dent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AWC40070243322015 8/9/15 8/9/16NCSTATU- OTH- AND EMPLOYERS'LIABILITYI FR ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED. N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yyes,describe under DESCRIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 12 Lincol Street N. Andover, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2010 AC D CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: The Commonwealth of Massachusetts Department of IndustrialAccidents X Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Avvlicant Information Pleake Print Le ibl Name(Business/Organization/Individual): Address: Wa//// (a ► �/ City/State/Zip: 1 -lE�I7/1 u / 110/phone Phone i#: 7 60 Are you an employer?Check the appropriate box: Type of project(required): 1.NI am a employer with 3 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. F1 Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]Building addition 4.0 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. These sub-contractors have employees and have workers'comp.insurance.$ 13.[�oof repairs 6.❑We are a corporation and its officers have exercised their right o£'exemption per MGL c. 14.[�Othet' rte 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. t 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-contractors have employees,they must provide their workers'comp.policy number. I alit an employer that is pYOVidiltg 1pol'IceTs'Conipeltsation i11suiwice far n:y employees. Below is the policy and job site information. Am dU� /� �{ 0- e �Insurance Company Name: � , a Policy#or Self-ins.Lic.#: '�C � �a 7 i3�p�Ol w Expiration Date: 9' %"/eo Job Site Address: /o? U n�l City/State/Zip: N'� oy-,e , m e!eqs7- 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 DTA for insurance coverage verification. I do 1:e1 eby certif [Jtd r the p ins a en ties of per 1y t11at the iltf0l'111atiOlt pl'OYided abov is trJre and correct. Si nature: Date: / Phone#: &150 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts .. Department of Public Safety Hoard of Building Regulations and Standards ( m),itruk 0I)ll Slll>ci.l ism. License: CS-000979 _, I i, ROBERT A BOHQNDONEY_ 12 HALL ST METHUEN MA 01844 ��,�,. �/✓t `I "I Expiration Commissioner 04/21/2016 CC ROME►ngpROVrer Affairs&RusnCSS Re %.;.•/% egistration: ENr 14238 CON7�CTOR gulutio❑ E piration: 8/16/2017 7Ype; ROBR_7;r:.SOHONDONEY CODBA NST CO 12 HALL S7'0HONpONEY METHUEN MA 01844 Undersecr etary