HomeMy WebLinkAboutMiscellaneous - 352 Forest Street„10/17/2007 15:05 9786858069 COLLOPY ENGINEERING PAGE 03
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COLLOPY ENGINEERING CONSULTANTS
65 AYER STREET METNUEN, MA 01844
FRANCIS K COLLOPY RUDrNFUGWY969
RM ntorrd ORAL IMMEW CML On= I FAua 878) 68S-8069
STRUCTURAL
DYNAMICS
October 17, 2007
Mr. Gerry Brown
Building Commissioner
North Andover Building Department
1600 Osgood St
North Andover, MA 01845
Dear Mr Brown:
I am writing in regards to the renovation project at the Palladino Residence at 667 Forest
Street in North Andover, MA. This project is being constructed by Blackdog Builders of
Salem NH. Earlier this year they provided your Office with the required documentation
and drawings for this project, and obtained a Building Permit from your Office. I
provided the Structural Engineering for the construction of this project. Included in the
submitted information by Blackdog Builders were some framing details shown on Page I
& 2 of the submitted drawings, and which I placed my PE stamp thereon. Earlier today, I
was requested by. Blackdog Builders to make a site inspection of the final construction
and to ascertain to your Office that the construction was in keeping with the intent of my
stamped drawings. During the course of the construction there were some minor changes
required that the Blackdog Builders personnel consulted with me on, Those were:
I . Changing the placement of the W 10 x 26 steel beam from under the existing
support purlins to a "flush framed” detail so as to provide more headroom in the
vicinity of the beam. This was accomplished and the purlins do have the proper
joist hanger support brackets installed.
2. My drawing of 8/7107 showed the use of lady columns under the steel beam at the
end supports. The as -built construction resulted in the placement of 4 2 x 4 wood
stud members ganged together by adequate nailing as the end supports. I have
calculated the resulting compression stresses on the multiple stud support
columns, and have found them to be adequate to support the design load.
3. The original plans called for a double 9 1/4 LVL beam spanning 8'-4' in the bath
room area. In order to match the depth of the existing purlins that framed into this
beam, the framer made a field decision to use a deeper LVL beam, namely a
double 11 7/8" LVL beam, which is stronger than that specified, and therefore
acceptable.
10/17/2007 15:05 9786858069 COLLOPY ENGINEERING PAGE 04
Based on my final inspection today, it is my professional opinion that the as -built framing
viewed today is in keeping with the intent of the previously approved drawings that were
stamped by me, as shown on those drawings.
If there are any questions in this regard, please feel free to contact me at my Of t".
11I
701
12
Sincerely,
COLLOPY COLLOPY ENGINEERING
FRANCIS H.
COILQP'r
2-0172
L/
Francis H. Collopy, PE
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Structural Engineer
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_ 31 epartI ent IJf Public '15i6Afrtu
' 4 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only �p It r ' \J
Permit No. �� 6
Occupancy & Fee Checked
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1 .00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date E,
(%* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) > o S T Z r
Owner or Tenant 7-0 `11, /iv sy / <
Owner's Address / r�-
Is this permit in conjunction with a building permit: Yes LAY No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Ov Amps 12U/ 2 /U Volts Overhead 0 Undgrnd ❑
No. of Meters
New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity
/ v
Location and Nature of Proposed Electrical Work t", 2
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Comole Operations Coverage or its substantial equivalent. YES NO = 1
have submitted valid proof of same to the Office. YES .� If you have checked YES, please indicate the type of Coverage y
checking the ap`proate box. . J
INSURANCE L BOND = OTHER -_ (Please Specify) �� /� 7'
UU (Expiration ate)
Estimated Value of Electrical Work $ pa U-
Work to Start Inspection Date Requested: Rough G d Final
Signed under the Penalties of perjury:
FIRM NAME //S !ter a '1 ;Zr
LIC. NO. 232 GS`
Licensee 4101171, h e e- Signature i — Z4� LIC. NO.
% h' / /� % Bus. Tel. No.
Address �� Z +� �� / t /`� s/� �J Z 01 7-01(/ Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one) 'ii /I
Telephone No. PERMIT FEE 5 ' d`�
(Signature of Owner or Agent)
x-5565
Total
No. of Lighting Outlets
No. of Hot Tubs
I
No. of Transformers KVA
No. of Lighting Fixtures
� I
Swimming Pool Above
grnd. ❑
In
grnd. ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets
3 U I
No. of Oil Burners
Battery Units
No. of Switch Outlets
J I
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Total / /�
No. of Ranges
9
No. of Air Cond.
tons
rj
Initiating Devices
Heat Total Total
No. of Disposals
No.of
Pumps Tons
KW
No. of Sounding Devices
No. of Self Contained
No. of Dishwashers
I Space/Area Heating
KW
Detection/Sounding Devices
Municipal
❑ Other
Local 11 Connection
No. of D
Dryers
ry
I Heating Devices KW
No. of No. of
Low Voltage
No. of Water Heaters
KW
I Signs Ballasts
Wiring
No. Hydro Massage Tubs
I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Comole Operations Coverage or its substantial equivalent. YES NO = 1
have submitted valid proof of same to the Office. YES .� If you have checked YES, please indicate the type of Coverage y
checking the ap`proate box. . J
INSURANCE L BOND = OTHER -_ (Please Specify) �� /� 7'
UU (Expiration ate)
Estimated Value of Electrical Work $ pa U-
Work to Start Inspection Date Requested: Rough G d Final
Signed under the Penalties of perjury:
FIRM NAME //S !ter a '1 ;Zr
LIC. NO. 232 GS`
Licensee 4101171, h e e- Signature i — Z4� LIC. NO.
% h' / /� % Bus. Tel. No.
Address �� Z +� �� / t /`� s/� �J Z 01 7-01(/ Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one) 'ii /I
Telephone No. PERMIT FEE 5 ' d`�
(Signature of Owner or Agent)
x-5565
2973
Date....... .....1.0,-. -
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....
"e
has permission to perfAnb,( . . ..... .....
wiringin the building of .........
.1-z .......
at ....... �2 ....... �:Iktf . ........ Sj ....................... ..... . NorttNdover, Mass.
- --- \--4 4&te
Fee.6A.-.!��Q Lic.NoA.-.?.3?�,,� i.�
............... ..... i.j�;� . i .. �cTo
LECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:O( / �' Date Received
7
TYPE OF IMPROVEMENT
PIROPOSED USE
ZesidentialNon
- Residential
New Building
= One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
"-
/—,/z A , 4 , A , "'...n,
N
OF-SUKIPTION F WORK TO BE PREFORMED:
1A,
'/,u
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address: 2 7� ?3
7
-,�CONT,R-'AC,.T�O'RN�'��-a4mO*'' z
.
Address'
,S::Cc ris#ruc ,,on t= E)a'
"
Jicense
t'
cp
ern t cens&..�
dome Ex
ARCHITECT/ENGINEER Phone:
r
Address: Reg. No.
FEE SCHEDULE. BOLDING PE T: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ Arg;;PO-467 FEE: $
Check No.: 7 Receipt No.: -
NOTE: Persons contrdcting with unregistered contractors do not have acqess to the guaranty fund -
C4, //
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art
Swimming Pools
Well
Tobacco Sales
Food Packaging/Sales
Private (septic tank, etc.
Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Dimension
Number of Stories: Total square feet of floor area, based on 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
NU I t5 and DATA — For department use
❑ Notified for pickup - Date
— ._...._ _—_..--._....................... --- _ -- -- -
Doc.Building Permit Revised 2007
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ . Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
3!;j
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Location
1
No.
Date
NaRTM
TOWN OF NORTH ANDOVER
�? . ao
F
i
9
r
•
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,
Certificate of Occupancy $
s�CN
Building/Frame Permit Fee $"'�
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check #
20611 G
'� Building Inspector
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip:
Are
FIN
Phone #: 1�7c74
,6u an employer? Check the appropriate box:
I am a employer withA— 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
I am a sole proprietor or partner-
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
3. ❑ I am a homeowner doing all work
myself. [No workers' comp.
insurance required.] t
listed on the attached sheet. I
These sub -contractors have
workers' comp. insurance.
❑ We 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.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.0 Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
13.0 Other
*Any applicant that checks box #I 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.
:Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:f 7—
Policy # or Self -ins. Lic. #:
Job Site Address: fS
Expiration Date: 11?1//1O
City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expirationdate).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certiif der the pains and penalties of jury that the information provided aabboo ;tr and correct.
Signatur:;7. '-7
Official use only. Do not write in this area, to be completed by city or town officiat
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person:
Phone #:
,A CERTIFICATE OF LIABILITY INSURANCE OP ID B
DATE (MM/DD/YYYY)
_008D
AM&AM-1
10/15/07
PRODUCER
Samuel J. Durso Insurance Agcy
Charles S. Randone
198 Massachusetts Avenue
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
North Andover MA 01845
PL PIRTITPE
DATE MM/DDIYY
Phone:978-682-5175 Fax:978-794-0313
INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURERA: Safety Insurance Company 33618
INSURER B: The Hartford
AM & AM Mann
Anthony M. Manc�iini DBA
203 Grandville Lane
North Andover MA 01845
INSURER C: National Grange Mutual 14788
g
INSURER D:
INSURER E:
L.v V Erv►vrw
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INZW
AWL
NSR
OF INSURANCE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
MFE
M/
LTDD
PL PIRTITPE
DATE MM/DDIYY
LIMITSLTR
REPRESENTATIVES.
GENERAL LIABILITY
ACORn 95 /9AniInR1
EACH OCCURRENCE $ 1000000
C
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
MPK27389
03/23/07
03/23/08
PREMISES(Eaoccu) $500000 -
500000CLAIMS
MED EXP (Any one person) $
&ADV INJURY $ 1000000
-PERSONAL
GENERAL AGGREGATE $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 7 PR0-
JECT F7 LOC
PRODUCTS - COMP/OPAGG $ 2000000
AUTOMOBILE
LIABILITY
A
ANY AUTO
2430636
09/11/07
09/11/08
COMBINED SINGLE LIMIT $
(Ea accident)
ALL OWNED AUTOS
X
SCHEDULED AUTOS
BODILY INJURY $ 100000
(Per person)
X
HIRED AUTOS
X
NON -OWNED AUTOS
BODILY INJURY $ 300000
(Per accident)
PROPERTY DAMAGE $ 100000
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE $
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
08WECRJ5941
03/23/07
03/23/08
XTORY LIMITS ER
E.L. EACH ACCIDENT $ 1000000
OFFICERIMEMBER EXCLUDED?
E. L. DISEASE - EA EMPLOYEE $ 1000000
If yyes, describe under
SPECIALPROVISIONS below
OTHER
E.L. DISEASE -POLICY LIMIT $ 1000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Masonry
CGRTICICATC uni nco
NORTHI3
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Town of North Andover
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
384 Osgood Street
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
North Andover MA 01845
REPRESENTATIVES.
R ESENTATIVF
A rwD
•�Q�/
ACORn 95 /9AniInR1
U ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/081
z .*EG'CIONS
J% 0 RI) 0 SU IOT ON SUPER tSOR
License: CONSTRU -
I Number:.CS
034384
Birthdate:0211111953. 16912 .
Tr. no:
IExpires: 0211112008
Restricted: 00
ANTHONY M ,
GRAN LN Commissioner -
203 VILLE 0184"
NO ANpOVER, MA
ANTHONY MANCHINI 203 Granville Lane
North Andover, MA 01845
686-2034
PROPOSAL 10%9/07
STAT ENT ,
Job Site
To JOHN WAL H To
Address 352 POSTER STREET - Address
SAME
CityNE). ANDOVER, _ 0.1-945 City
v
I�
JOB DESCRIPTION AMOUNT
SIGNED
CONSTRUCTION OF FIREPLACE & CHIMNEY, NEW—USED
BRICK ,12X12FLUES. ARCHED OPENING, FLUSHED
HEARTH ROUGHED FOR GRANITE FACE.........., $6000.00
After 30 days subject to 1.5% interest per month.
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