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HomeMy WebLinkAboutMiscellaneous - 37-38-Cotuit Street�rC / S! Location J� 3 c� i• � r No. / q (-A `' Date i�/a? 7 �ORTM TOWN OF NORTH ANDOVER O f •cme: ; Certificate of Occupancy $ �sswcNusEt Building/Frame Permit Fee $ C) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 6 '� Check # 9 ?1 C Building Inspector •t F• • S stso • �aa.K CERTIFICATE OF USE & OCCUPANCY TOWNAF NORTH ANDOVER Building Permit Number 149A Date: October 18, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 37 Cotuit Street MAY BE OCCUPIED AS Duplex Dwelling 'IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Greenland Construction Po BOX 737 Rye Beach NH 03871 iS�Lc�T� Buildi Inspector ri cc 0� O' v v O Z CL O y � C cm i O •E m m H Z Z3O.a o m � � L o a CMa o =� C O v •v O co C Z CD C.i ca O C C •� C _c d y 0 U) LLI U) W W W W U) N O 'si C N� O Ail -e •.� �w' w z Ji w° U w ° i�. c°a cn O' v v O Z CL O y � C cm i O •E m m H Z Z3O.a o m � � L o a CMa o =� C O v •v O co C Z CD C.i ca O C C •� C _c d y 0 U) LLI U) W W W W U) 11 4w C O Ail -e O � C � h Via: a� C c o CL O E A _ a cm M V3 Mi E cme LGom cm 4 m c Z H M N � Mo o V to E � CD aw � m :5 O cm o a 4 _� (q V c� O 0 m CO s o CL o► c Q = E�oc m :mO"3 o N �' $ v;mo0 m C �• W CL c E BO� $ Z CO C.3 IM a m- a 'O �-=� s. H Z $ aim F O' v v O Z CL O y � C cm i O •E m m H Z Z3O.a o m � � L o a CMa o =� C O v •v O co C Z CD C.i ca O C C •� C _c d y 0 U) LLI U) W W W W U) APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY '(7 Parcel /S, SUBDIVISION A j Sf Building Permit # i i cl rT 91 rd-i-z,,,+s4z Lot Number DATE REQUESTED FILED/READY FOR INSPECTION 16)lle CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER Ral SEWER/WATER CONNECTION t6Vl NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: OC form revised 2006 ,.� M {� Hwy ` t- p:s... _ ,/♦� ,�c,.p, fly. /I�r ri'1 f/,� v� A />efjaJ i:.•.+`+}��P ��ljJ!' fA� w� (, T +� k. w CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 149B (8/26/2005) Date: March 20, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 39 Cotuit Street MAY BE OCCUPIED AS Duplex Dwelling .IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Greeniijo i Construction LL 39 Cotuit Street North AWovq MA 01845 .c �, �"� __ _ Building Inspector a m m m 4 x CA m CA C � COD CDZ CD O C d a� a� .o 0 v CDCL c� ® o c CD 0 CD ca CD w O CA C 0 c CA v c� CD CD CD CD CDy y C2 CO3 O 'o Z CD � �CD CD0 7 n to go "d s -4 S. S. icr � y S 00 0 m c-) m!9 d� T Z GoSOEr-o w � o CL CL ?m E y m Ca $ oN ? • m = > >•Go U2 �. o � � 0 y C2 a 30 O �n o m =r =r: (C/!]m 1 C d 1 ,�, Co.it C/)wfba �j 1 N CZD IE 31 y�U . : s O CaIr:�-mac �z y e P =C4 � t H uj: d :� CD CS a. c� C �q CD , e.0 ow.- �_ C/) C/) n - t., p x CL tri q w \ tin Qb 23 Q 0 PMK 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildin4 Permit # I y 5'R ADDRESS/LOCATION OF PROPERTY: Map ' ( f Parcel I ±S Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION 3 Pe 16' CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE UUtb NU I Mtt I ALL Permit Issued to: c�v-az ✓•\caw) C�� Sv�� Address SIGNED ROUTIN CONSERVATION PLANNING D DPW - WATER METER 45(0S SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 Date ............ ° TOWN OF NORT)+ANDOVER PER IT FOR 'S INSTALLATION This certifies that . �N! ? a ................ ............. . has permission for gas installation . . ....... . in the buildings of .....�i .`. ` . �. ��'.'.. `�................... . Ire - at .... .:. �. �..'... ` ................. . North Andover, Mass. r Fee. Lic. No.�l.`�.`.:... GAS INSPECTOR r Check # Y MASSACHUSETTS UNIFORM APPUCATON FOR PERNIlT TO DO GAS FTITING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date / ' 3 - 01/ Building Locations 3 7 C o ru 17— s% Permit # S 3 j� 3 Amount $ /O d G/ir6 /1 L,41411 Owner's Name S.4 Mf New [a Renovation 0 Replacement ❑ Plans Submitted 0 (Print or type) C one: Certificate Installing Company Name �yl." TTF %�� U Corp. Address '-�/ ILA 411d' "42 Partner. usiness a ep one cl ? g _ g 5 / t � j d Firm/Co. Name of Licensed Plumber or Gas Fitter /6.04 Gr ,04 9 u INSURANCE COVERAGE • Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes D NoO If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy J�i - Other type of indemnity 13 Bond 0 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent 13 I hereby certify that all of the details and information t nave suormttea kor entereu) in aoove appucanon are true anu accurate to me best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber �(4 ;4 Gas Fitter ricenSe NumSer Master Journeyman 7TH. FL60R (Print or type) C one: Certificate Installing Company Name �yl." TTF %�� U Corp. Address '-�/ ILA 411d' "42 Partner. usiness a ep one cl ? g _ g 5 / t � j d Firm/Co. Name of Licensed Plumber or Gas Fitter /6.04 Gr ,04 9 u INSURANCE COVERAGE • Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes D NoO If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy J�i - Other type of indemnity 13 Bond 0 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent 13 I hereby certify that all of the details and information t nave suormttea kor entereu) in aoove appucanon are true anu accurate to me best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber �(4 ;4 Gas Fitter ricenSe NumSer Master Journeyman plumbing in the buildings of . . at.... ...... Fee, ? '14 . Lie. No:4 .. . r L Check # C < F t'r F .I- l.• ................. . ........... North Andover, Mass. .................:.��....... PLUMBING INSPECTOR Date.eq 0. NORTp It TOWN OF NORTH ANDOVER 3? �a .r ... '• OL i « a PERMIT FOR PLUMBING s4CMus� .- This certifies that .../ �'� :�. / -. �` . { ........................... . has permission to perform ....e.1 .'..`:.. �.. �...." plumbing in the buildings of . . at.... ...... Fee, ? '14 . Lie. No:4 .. . r L Check # C < F t'r F .I- l.• ................. . ........... North Andover, Mass. .................:.��....... PLUMBING INSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 37 e o TU l% S%Date - D fl Owners Name G /�rF_ ft GAAi� Gp�`tT Permit #_ Z Amount Type of Occupancy > - /eA/,// I /�� ✓ NewtT- Renovation Replacement1:1 Plans Submitted Yes No ❑ �' 1 ' 5• r • • --------------m-.--.- --- ' -.-.-----W---.---©-©--.MMM -- WM ' I 11' .----®------------------- t!' MMNMMMmmm-mmmmmm-mm--mmm- W 1 1' -MWMMMMMMMMMM-W MMMM-M--M 11' mmmmmm------------------- MMMWMMMMMMMMMMWMMMMWMMMMM (Print or type) Check one: Certificate Installing Company Name A('o!%/-7 1.IG G /� T(o ❑ Corp. Address _ //! A111cE/ w00%7 ❑ Partner. Business Telephone cj 7$ - gr-rFirm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy I Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner 11 Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PlumbinqCode and Chapter 142 of the General Laws. . dr -2l 4, By: Igna ure o icense `4 div e iToer Type of Plumbing License Title / 5- 469,1 City/Town icense Number Master131� - Journeyman APPROVED (OFFICE USE ONLY V Location No. / 4.iDate L� `- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ P/" m:, Foundation Permit Fee $ Other Permit Fee $ TOTAL $��i7 rr Check # �� Building Inspe TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7777 77 BUILDING PERMIT NUMBER: 1 / DATE ISSUED: 6 v SIGNATURE: Building Commissio er/I for of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property Address: 37-39 �o�l,l; �S�- 1.2 Assessors Map and Parcel Number: Ll 4- l o o NT, 0 -.6N8-0000, Q Map Number Parcel Number 1.3 Zoning Information: ZoningDistrict Proposed Use 1.4 Property Dimensions: 3 ysc, seb.Fa-. Sar. G8 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red Provide Required Provided Required Provided 15 I 3 o?o 1.7 Water Supply M.G.L.C.40.t54) 1.5. Flood Zone Information: Public 9 Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record n -'o ANS liec,,11 0384 Name (Print.)``,, Address for Service: 6 d 3 - 231 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed C nstructi n Srvisor: Li ensed Const'r�urctio Supervisor: 30b 1/� Z s+ Ry / W/21 " IY 036-1-0 Addressq I Cid -3 "-2 3 � ' r V � Signature Telephone Not Applicable ❑ License Number ( I figl,05- Expiration Date 3.2 Registered Home Improvement Contractor Is Not Applicable ❑ RECEIVED Company Name Registration NumberAUG 19 2005 Q111�DIN1(�(')CD� T Expiration Date Address Signature Telephone OU M z O t I SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildine oenmit. Signed affidavit Attached Yes ....... L�No....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction L--- Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work 1 SECTION 6 - FSTYMATF.n CONCT1R7T!`T11l1N fYICTC Item Estimated Cost (Dollar) to be Completed permit applicant OFFICIAL USE ONLY I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction / n (/) / O (% ' /(5 3 PlumbingBuilding Permit fee (a) X (b) L/99 Fo Mechanical 4 Mechanical HVAC 5 Fire Protection „�- 6 Total 1+2+3+4+5 Check Number ar,%-]L1V1`I lu Uwi'%rm Aulnum1GAllU1V 1-U ISE UUMFLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION e &UL L,%c f ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief 1 " �L� ` \ ���...i �t.s�• \ k.- �P2C.u�,�LlL..c� W..t.�� 1, L C Print Name, _ Si ature of Owner/Agent NO. OF STORIES BASEMENT SIZE OF FLOOR TIMBERS 2:X l 2 1 2 SPAN C� +c, i y (= �'�-- DIMENSIONS OF SILLS 4 x L - DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION( - SIZE OF FOOTING b MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND <_— IS IS BUILDING CONNECTED TO NATURAL GAS LINE 9'//77/6 J r FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ****************************APPLICANT FILLS OUT THIS SECTION�**�"'`�** APPLICANT G�`Q e�� �uc� Cv,S4-0.,4-,'o✓t C C. PHONE 60 3 - Z31 - -?z?S 777 - LOCATION: Assessor's Map Number t PARCEL o - 01 Y SUBDIVISION C"�S - L e y `�'D" S4' LOT (S) STREET C�cS tel► +4 S� ` ST. NUMBER 3 9 3 - OFFICIAL USE ONLY RECO ENDATIONS OF WN AGENTS: CO SERVATION ADMINIST OR DATE APPROVED DATE REJECTED COMMENTS ?a,.SStff Pie- OWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CON - :v��i1/�/�!//J)`l FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE G1 Revised 9197 jm BUILDING DEPT. PL's"/qf3/ PIAN OF LAND SCOTT GI(ES R.PLS. N NORTH ANDOVER, MASS. FRANK S. GILES R.P.LS. So DEER MEADOW ROAD OWNED By NORTHANDOVER MASS. ESTATE OF ROBERT J. BURKE SCALE: Ttld DATEWIB'ZOO/ q 6u 120' NOTES: SEE ASSESSORS MAP 47 PARCEL 26. _ OEEO BOOK 2597 PAGE zu SEE PLANS 597, 521.1 6771, 6819, All RECOROED AT THE NERD. THIS PARCEL IS OF OTA, PLAN 597..aET�REMAINS C -BA REQL!WD•9775 SF. FOR ZONED LOT. THE C.8A ON All LOTS DXZEDS 75%. S... "� 0: THE ZONING DISTR$ T IS RJ. N6A•A6yfr c 1 0192 %SA eµ0 �• � w 'f�mt °,�� m 4 7 L47.12 ,� m laisFz ° 4 GB p� fi �01 s f',11ty° O� Z 4 G No o vg' void A"&. \ 1AG n t'%LE�OSgf•. N� N Gg S k�m ocrsr !rsE FiID. #14 APPROVAL AA#X)ER THE SLAID(M NCONTR%LAW NOT REQURED. NORTH ANDOVER /,'// PLAN f BOARD K` OM O �'A601E uu1<xratr s Nor rA t 14 LaNCNnlI1CC AN1N Z9NNIC V SIN rN99AQ TirIN9NC 6o/t' 4 VILLAGE GREEN CONDOMINIUM ASSOCIATION % QO J Tm ISTOG6TTiFVTHArINAVECONFORMED 11 1� Q WTIHTHEMESANDREGLILAWOISOFTHE 'y Ir RCGMERSOFDEEDSAVPRFPARNVG YMPLAN I 5 MISM OF _ Nwdurn I wWd of E"= SS. I cid Remind md 7 / Recogdod Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release le Data filename: Untitled.rck PROJECT TITLE: GREENLAND CONST CITY: North Andover STATE: Massachusetts HDD: 6322 Detached CONSTRUCTION TYPE: 1 or 2 Family, HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 08/23/05 DATE OF PLANS: 08/23/05 PROJECT DESCRIPTION: DUPLEX # 2 40 X70 COMPLIANCE: Passes Maximum UA = 768 Your Home UA = 761 0.9% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door perimeter R -Value R -Value U Factor UA Ceiling 1: Flat Ceiling Or Scissor Truss 2890 4248 0.0 0.0 30.0 13.0 90 349 Wall 1: Wood Frame, 16"o.c. 453 0.340 154 Window 1: Vinyl Frame -,Double Pane with Low -E 97 0.320 31 Window 2: Wood Frame:Double Pane with Low -E 60 0.280 17 Door 1: Solid Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 2800 0.0 19.0 120 Furnace 1 • Forced Hot Air, 82 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release le (formerly MEC ChecJ and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Date Builder/Designer Q Yl iPg-* I q-760 PLAN OF LAND SCOTT ORES R.PLS. 14 FRANK I GJLESkPL& 040 NORTH ANDOVER MASS. 9NOODRITE"AAAN'WE ~VER. MM4S S OvImsy ESTATE OF ROBERT J. BURKE SICALE 1%4& VATZ,462VOO r w 20' NOTES, SCEASSESWASWP47PARCELA DEM BOOK1997 PAGE SM SErPLANS 597.521.1 Orr. 0819. ALL RECORDED AT THE NERD TMS PARCEL wf" r Rex~ OF i.. . . . . . . . . LOTH, PLAN 397, MARA C&A AFQUOWD-079 9F, POR ZONED LOT. cft THE CALA ON ALL LOTS DeCEED3 79%, THE ZOPPOG 007p"CT a *-A "TM RaV.00 LW.12 •44 6 ,st VFUAGEOPEENCOM)OWNIUM ASSOCIA77ON In 1. o, 0 oi f 'rf. vaoys. jA IDL V4 vosl � s f i 1, tw.. ,Ln oP- �� .A Itkf A Nor. HS& FNO- TMC TO CERTrY THATI HAVE CONFORMED 014 WT?4 TWMES AM RMLALATIONS OF THE REO OF DEEM IN PRE TM PLAN ry 41, 4� RBMYM OF DEEDS q APPROVAL UNDER THE SUMMON CONTROL LAW NOTNEOURED. NOR DOVER " P, . B04RM ow Aul� biL.A - - -- - ----- Deportment of Industdal Accident Office of Investigations 600 Washington Street Boston,lKA 02111 www.Massgov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrida=Rlumbers Avolicant Information Please Print Leeibly Name (Business/orsanization/Individual): �Dr ej_,ti \ cw,) Cons? , � �lrn L L Address: ' ?o 1,3o -�, �' 3 City/State/Zip: 2\) � � t a c�� I N �L 03Oh Phone #• 6 03 - 2 31- ?,�;5--•. Are you as employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. Z ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. (No workers' comp. insurance 5. We are a corporation and its required.] officers have exercised their 3. ❑ I am a bomeowner doing all work right of exemption per MGL myself. [No workers' comp. C. 152, j 1(4), and we have no insurance required-] t employees. [No workers' conal. insurance required.] Type of project (required): 6. New construction 7. ❑ Remodeling S. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I I Q Plumbing repairs or additions 12.❑ Roof repairs 13.❑ O@ta ...� .., , ..�.. �. �..-� ................ — .u. w.— _` uc.uw p Wmg 1MV % O"M. COmmeand p policy nlfwm� t Homeow�nea who submit this dbbvit mdic'ft dwY m do* all wm'said t m lie outside eonhsoton must submit • news .Mdavit i.dic� suck tConVWk= that check this box nut attocbed en sddiitionel abed showiq ie none of the sub-contractm and thele wohee'mforrrrtioa canQ. Po�T • I an an employer that & providing ,Markers' com, pensedon lnsunnee jor my emp/oyem Below & dies Polley awd job site Information. A Insurance Company Name:_ _ - G �,n its_ Policy # or Self -ins. Lis. #:'a 4y -3S 2 /� Expiration Date:_ 0c� _z OQ (a Job Site Address: l 0 � i + S+��II City/StateJZip:_'�c� . 7�-e)OV4, M4: Attack a copy of the workers' compensation policy declaration page (showing the policy number ud expiration date). Faffin to secure coverage as rcgtrir under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year t, 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 certify anr the and penahlss ojperjary t40 the lrjormallon provlkd abort is/teas and eorrrecL MMMM iLI t�bnne # r� 0-3 - 2 11�- O ldlal use only. Do not write In this area, to be eosn pkied by c1V or town offlCI& City or Town: PermlVUceuse # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. Cky/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone 0: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an emfleyee is defmcd as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation m other legal entity, or any two or snore Of fire foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of ab individual, parmenbip, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persona to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance witb the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions sball enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractol(s) name(s), addresses) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLCM or Limited Liability Parmenbips (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of kaurance coverage. Also be sure to sign and date the afndavlt. The affidavit should of be returned to the city or town that the application for the permit or license is being requested, ad the Departm Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, Please caU the Department at the number listed below. Self-insured companies should enter their self-insurance liccose number' on the appropriate there; City or Tow Ia Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event du Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that most submit multiple permit/licenso applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit � been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid a is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. - The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a can. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26.05 wwwmm.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents Ofilce of /nvesdgadons Boston, Mass. 02111 - Workers' Compensation Insurance Affidavit City �•�c.�• t Ill Phone # 603 - 23 1- e I am a horneowrter performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer prrovidng workers' compensation for my employees working on this job. I 1•.li •�= �, L -u:= / • it • 1� �� � • r r e`- �1� � .r. is=. c r.•_; .• ' •. ;ti Feiure to some coverage as required under Section 25A or MOL 152 can lead to the Wgxekion of criminol pendtiss d•a fine up to $1.500.W arxVor one years' knprisonnant.as rrel W CbA.panaRiesbmeh=MfA..STCPVAORK_ORDERAnd_a.fen d.($IQD.AM-ssyr egminst.me. I understand that a copy of thb statement may be forwarded to the C"100 of Investigations of the DIA for coverage verification. I db hereby tartly un" pabra and penalties or perjury that the Inlbrmadw provided above Is bas and11 cor►sct Print OfficW use only do not write in this area to be completed by city or town ofwer 7V5 City or Town ❑❑ Building DeptCheck Nimmedlate response le required ❑ r Board [3 Selectmen's Ofte Contact person: Phone # ❑ Health Department ❑ Other TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units ... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: Est. Cost Address of Wo Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date Building not owner -occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND UNER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name A RECEIVED AUG 2 5 2005 BUILDING DEPT. August 24, 2005 Michael McGuire, Building Commissioner Building Department 400 Osgood Street North Andover, MA 01845 Re: Lots 1 - 5, Cotuit Street and Leydon Street Dear Commissioner McGuire: DAGOSTINE PC, ATTORNEYS AT LAW This office represents the Estate of Robert J. Burke concerning its land at the corner of Cotuit and Leydon Streets in North Andover. We understand that a question has been raised about the landowner's ability to construct two-family dwellings on the lots on the property. The zoning applicable to the property is the zoning that was in effect prior to the adoption of Article 40 of the 2004 Town Meeting warrant on or about May 10, 2004. The property is in an R-4 zoning district, in which, prior to May 10, 2004, two-family dwellings were allowed as a matter of right. Article 40, adopted at the May 10, 2004 Town Meeting, amended Section 4.122 of the Zoning Bylaw by changing two-family dwellings from as -of -right to a use requiring a special permit from the Zoning Board of Appeals. Pursuant to Massachusetts General Laws, chapter 40A, §6, sixth paragraph, such a use change is not applicable for a period of three years to property that is the subject of a Form A "approval not required" plan endorsed by the Planning Board in accordance with G. L. c. 41, §81P. That section provides as follows: When a plan referred to in section eighty-one P of chapter forty- one has been submitted to a planning board and written notice Howard P. Speicher C. Michael Malm William F. Griffin, Jr. John G. Serino Gary S. Matsko John T. Lynch Carol R. Cohen Howard P. Speicher Paul L. Feldman Gary 1M. Feldman George A. Hewett Laurence M. Johnson Kenneth J. Mickiewicz Thomas S. Fitzpatrick J. Gavin Cockfield David Rapaport Whitton E. Norris, III Andrew D. Myers Robert J. Galvin John D. Chambliss Thomas Frisardi Marjorie Suisman Samuel B. Moskowitz Charles H. DeBevoise Kenneth R. Appleby Robert J. Diettrich Amy L. Fracassini Ann M. Sobolewski Alice A. Kokodis Kathryn C. Sudefberg Joshua S. Grossman Neal J. Bingham David M. Cogliano Seth A. Schwartz Lori A. Jodoin Sophie C. Migliazzo Harold R. Davis, of Counsel Julian J. D'Agostine of Counsel direct 617589-3829 direct fax 617 305-3129 email hspeicher@davismalm.com ONE BOSTON PLACE • BOSTON • MA • 02108 617367.2500 . fax 61752.3.6215 www.davisnialm.com Michael McGuire, Building Commissioner August 24, 2005 Page 2 of such submission has been given to the city or town clerk, the use of the land shown on such plan shall be governed by applicable provisions of the zoning ordinance or by-law in effect at the time of the submission of such plan while such plan is being processed under the subdivision control law including the time required to pursue or await the determination of an appeal referred to in said section, and for a period of three years from the date of endorsement by the planning board that approval under the subdivision control law is not required, or words of similar import. (emphasis added) DAGOSTINE PC. The North Andover Planning Board endorsed a Form A "approval not required" plan for the subject property on April 23, 2004, about two and one half weeks prior to the adoption of the zoning use change by Town Meeting. The plan was recorded at the Essex North Registry of Deeds on May 5, 2004, also before the Town Meeting. A copy of the plan, reduced in size, is enclosed. Since the statute makes clear that it is the "land shown on the plan" that receives this zoning freeze protection, any subsequent internal adjustment of lot lines, as occurred by the endorsement of a second Form A plan on July 26, 2004, does not negate or affect the zoning freeze protection afforded by the endorsement of the Form A plan on April 23, 2004. Accordingly, the land shown on the April 23, 2004 plan is protected from any zoning use changes, including the new special permit requirement for two-family dwellings, for a period of three years from April 23, 2004. I would be pleased to discuss this matter with you at your convenience. Very truly yours, Howard P. Speicher Enclosure cc: John J. Burke 378243v.1 if PLAN OF LAND IN NORTHANDOVER, MASS. OWNED BY ESTATE OF ROBERT J. BURKE SCALE 1*040 DATE4M004 40' w 120' \ - Pulp— -tty APPROVAL UNDER THE SUBDIVISION CONTROL LAW NOT REQUIRED. SCOTTL GILES R.P.LS. FRANKS. GILES R.P.L.S. 50 DEER MEA • W ROAD NORTHANDOVER, MASS NOTES; SEE ASSESSORS MAP 47 PARCEL DEED BOOK 2597 PAGE 231 SEE PLANS 507, 5213. 8731, 6810, ALL RECORDED AT THE N.E.R.D. THIS PARCEL IS WHAT REMAINS LOT A, PLAN 597, MER.D. C.BA REQUIRED4375 S.F. FOR: THE C.B.A. ON ALL LOTS D(CEED THE ZONING DISTRICT IS R4. kjs14404 VILLAGE GREEN CONDOMINIUM ASSOCIATION APR 1 6 260 7741S IS TO CERTIFY THAT I HAVE ( WITH THE RULES AND REGULATI( REGISTERS OF DEEDS IN PREPAF REGISTRY OF DEED: Nonhem District of Esse Received Recordo On 2( At o'cloc PLAN NO. 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(C C 0 0 s4 a 0 Mond FU I C C O•— N� Q •O O — y ® O •- m m m o Q o CcCL 0 CL cmQ o =� C O v 00 CL o CD co C Z CD V y � C C C _c CL (A 0 N W W rg W U) —P o •m a C ;� O a O C � O N v C y,, � rM, 'i0'+ w y' c� 'T U w 1'11►►A""���111 E 4w C� O V a _ `: D W �y�r'� 0 st► FU I C C O•— N� Q •O O — y ® O •- m m m o Q o CcCL 0 CL cmQ o =� C O v 00 CL o CD co C Z CD V y � C C C _c CL (A 0 N W W rg W U) —P •m C ;� O O C � O N v C s a �a� a� ht 'onA a E 4w C� O a _ `: D O•� st► �`:� mC 0 V3 all CO H 4 � 3 cm o z •. p� O 2' `CD COD �mm cSO aoc CD p"a c (4m C= ` ' C 01 c = m � N m C O COL p H LY c ++ H •� CLUO C Z E o -0 5 CODa ��= s = a0.0 F. FU I C C O•— N� Q •O O — y ® O •- m m m o Q o CcCL 0 CL cmQ o =� C O v 00 CL o CD co C Z CD V y � C C C _c CL (A 0 N W W rg W U) 06 W 0 O E=4 o a a x w w a p a � w d� �2 U>)- v c7 ° w � w C3 C3 oLE U) w°' w a2 ii o°' C2u. w' V) cn O E=4 f R: y CD MAE CD Z c 0 al Q ev ZE CO2 O .CL CO2 O C..7 C cc CO3 C C O ` O H C O C3 C3 a� r o �om Ea CL V te r? IL ' C ` Cmgcmw mr V: C=2 -`m3 y .� �Q—m C Hc D o 2 C o y ; o, M O Of p C CD • c � m C3 • y O 2 p nc H o� 2 c s � mss m W�r.0t S •Q •a= o •E •� o LU CD to CL Cq CD �2 a=m�lm f R: y CD MAE CD Z c 0 al Q ev ZE CO2 O .CL CO2 O C..7 C cc CO3 LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 pager 978-502-5921 November 14, 2005 Mr. Matt Burke Greenland Construction P.O. Box 737 Rye Beach, N.H. 03871 Re: Cotuit Street, North Andover, MA. Dear Mr. Burke 2,1 - 3-j Coy. As you requested I visited the duplexes you are constructing on Cotuit Street, North Andover. The purpose of this visit was to verify the pre-engineered LVL beams used in the construction of the units. The beams are shown on sheet 2 of plans prepared by Drawings Unlimited, Ltd. Of Londonderry NH. Dated revised 6/23/04. I have reviewed the design of LVL beams used in the structure and can verify that the beams are acceptable and meet the loading conditions required by the Massachusetts State Building Code. Should you have any questions please do not hesitate to call. Yours truly, awrence H. Ogden RE ZN OF MAS`r9 C'y o LAWRENCE G _ I HAROLD y 2 65 �O pct �SS�ONAL ENG\ RightFAX 111-0. f.6 i S 1R- 01- 11/9/2005 9:59 PAGE 2/8 RightFAX Re: 402156 Moynihan -Greenland Const. 10-11-05 OCM 3�-3-:T Cep;+s+, MiTek Industries, Inc. 14515 North Outer Forty Drive Suite 300 Chesterfield, MO 63017-5746 Telephone 3141434-1200 Fax 3141434-5343 The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by Wood Str Inc. Pages or sheets covered by this seal: I9350791 thru 19350794 My license renewal date for the state of Massachusetts is June 30, 2006. November 8,2005 Liu, Xuegang The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSUTPI-2002 Chapter 2. RightFAX 11/9/2005 9:59 PAGE 3/8 RightFAX Jab Truss Truss Type pty Ply Moynihan -Greenland Const 10-11-05 OCM 19350791 402156 001 TRAY 22 1 Jab Reference tianal Wood Structures, Inc., Biddeford, ME 0405 6.200 s Oct 18 2005 MITak Industries, Inc. Mon Nov 0712:18:072005 Pa -?:q* 4-" 9-04 i 13-2-0 I 20.0-0 247-15 40-M 4� 1-00 44)Q 4-34 4-142 6.10-0 9-7-15 104-1 140 5x10 11 Scale -1:85.6 7.50 12 7 2W II 4x8 1 17 18 4x8 5 6 8 2(4// 4x8 �i 9 4 4x8 i 3 16 19 12 10 q 15 14 )Iv W4-- 8x10 MT2Qi = 8x12 MT20H = 4x8 Q 13 20 21 12 22 23 , 4.00 12 8x12 MT20H = 8x10 MT20i = Os5)8 448 { 9." 1 13.04 26.8-0 40-M 1 Oda 4-" 4-642 4100 13-7-12 13.4-0 Plate Offsets X 2:0-1-6E a 10:0-2-90-2-0 (12:0-4-12,0-5-41 130-0-0,0-3-8 15:04-1204-12 LOADING(pst) TCLL 40.0 SPACING 2-0-0 CSI DEFL in (loc)/dell Lld PLATES GRIP naw 40.0) Plates increase 1.15 TC 0.77 Vert(LL) -0.53 12-13 >895 240 MT20 1971144 TCDL 1 Lumber Increase 1.15 BC 0.95 Ve TL -0.77 12-13 >618 180 MT20H 1481108 BCLL 0.0 Rep Stress Incr YES WB 0.87 HorgTL) 0.28 10 n/a n/a BCDL 10.0 Code BOCAIANS195 (Max) n Weight 2361b LUMBER BRACING TOP CHORD 2 X 6 SPF 165OF 1.5E TOP CHORD Sheathed or 2-10-10 oc purlins. BOT CHORD 2 X 6 SPF 1650E 1.5E -Except- BOT CHORD Rigid ceiling directly applied or 5-4-9 oc bracing 10-12 2 X 6 SYP M 23 WEBS 1 Row at micipt 4-13, 7-13, 7-12 WEBS 2 X 4 SPF 1650E 1.5E This truss design is based upon the building code shown. This code has been specified by he prglect engneerlachitect, or building designer. The applicability ofthis code in any part cularjurisdidion should be confirmed with he building Official prior to trvssfabrir.ation. This dotnm eina8on is notthe responsibility ofthe componenUtruss designer. REACTIONS (Ib/size) 2=272310-5-8, 10=283910-5-8 Max 1-11orz2=-760(load case 5) Max Uplifl2=-1134(load case 7), 10=-1134(load case 8) FORGES(Ib)- Maximum Compress on/Maximum Ten son TOP CHORD 1-2=0154, 2-16=-756512950, 3-16=-740612959, 3-4=-4949/1947, 4-5=-356611411, 5-6---336111414, 6-17=-359411716, 7-17=-326811737, 7-18=-347811625, 8-18=-351111601, 8-9=-378411578, 9-19=-398811466,10-19---422411427, 10-11=0160 BOTCHORD 2-1 5=-271 11640 7, 14-15=-251615920, 13-14=-172314396, 13-20=-485/2197, 20-211=48S2197,12-21=48512197, 12-22=-944/3349, 22-23=-94413349,10-23=-94413349 WEBS 3 -15= -725/1975,3 -14=-19121982,4-14=-89411955,4-13=-214111151,6-13=-7081540, 7-13=-92311864,7-12=-7951189$ 9-12=-10761892 NOTES (7) 1) Wind: ASCE 7-02; 120mph; h=35ft TCDL=5.Opsf, BCDL=5.0psf, Category 11; Exp G endosed MWFRS gable end zone and C -C Exterior(2) -14)-Oto 3-0-0, thtehcr(1) 3-0-0 to 16-0-0, Exterior(2) 16 -"to 2440-0, Interior(1) 24 -"Io 37-0-0, Exterior(2) 37-" to41-" zone; cantilever let and right exposed; Lumber DOL=1.60 plate gip DOL -1.60. This tru ss is designed for C -C for members and forces, and far M WFRS for reactions specified 2) Unbalanced snow loads have been considered for this design. 3) All plates are MT20 plates unless otherwise indicated 4)' This truss has been designed for a live load of 20.Opsf on the botom chord in all areas where a rectangle 3-6-0 tall b 1-0-0 fit wide will between the bottom chord and any other members. y 5) Bearing atjoint(s) 2 considers parallel to grain value using ANSI/TPI 1 angle to grain formula Building designer should verify capacity bearing surface.> 6) Providemechanical connection (by others) oftruss to bearing plate capable ofvithstanding 1134 ib uplift aljoint 2 and 1134 Ib uplit at c XUE N'S joint 10. LI ' 7) Drawing prepared exclusively for manufacturing by Wood Structures Inc. :. iLIC I 'Cr, 43 83 LOAD CASE(S) Standard3,�r� j x1•t``h�iR:,:tgta November 8 200 A WARM110 - V0%deXgrPmner UM end READ MTHS ORTAW AND atcr.DDED AVNEE REIERF.WE PAOEAmx7473 RIDmRE OSE 14515 N. 0derf' y, D�es�gg vaid fa use-ty with Wrek connectors Th a design a based—ly rpon paanell—shovm, and is fa m individual butdng competent Suva 4R'f00 Appicahik of design paramenters and proper in corp oration of comp an en is resp onsbiify of building design a- not flus design gmc*ng 9novn Chesterfield, MO 63017 is fa laieral srpportof individual web members only. AddBondtemporarybracngtonsum Oabiltydmgcon t cimktheresponsbigtyd the erector Addld pw—ent bracing of the overall st—f—s the respon sbiity of the building des Tar. For general guidance regarding fob rication, qualify con td, storage, delivery, erecion and bracing, conadt ANSI/TPI10u.*Ciwo,035.89mdIICSl7laiSn9Canpananl Sefelylnfor,vaSm avalablefwm Trus Plabinertute,583D'Ono(rio Drive,Ivlodison,W153719. RightFAX 11/9/2005 9:59 PAGE 4/8 RightFAX Job Truss Truss Type Oty Ply Moynihan -Greenland Const 10-11-06 OCM 1935079 402156 002 FINK 4 1 Job Reference(optional) Wood Struclures, Inc., Biddeford, ME 04005 8.200 s Oct 18 2005 M rak Industries, Inc. Mon Nov 0712:18:082005 Page -a-0-fl 104.1 20-0-0 237-15 404.0 0.T 1-0-0 104-1 37-15 9.7-15 104-1 1-0-0 5x10 11 Scale =1:845 7,50 12 5 4,68 i 4x8 2x4 \\ q 6 2xA 3 7 e12 89 a c ),6 d 4x10 = 12 13 11 14 15 10 16 17 4x10 = 8x8 = 8x8 = 1 134.0 26." 40.00 { i 134-0 134-0 134-0 Plate Offsets 2:0-10-10-0-13 8:0-10-10-0-13 10:04-0,Ed ll:04-0Ed LOADTCLL 40.0 G(psQ SPACING 2-0-0 CSI DEFL in (Ice) I/dell Lld PLATES GRIP (Roo (Roof Snow40.0) plates Increase 1.15 TC 0.79 Veri(LL) -0.38 10-11 499 240 MT20 1971144 0.0 10.0 Lumber Increase 1.15 BC 0.96 Ve TL -0.58 2-11 >814 180 BCLDL Rep Stresslncr YES WB 0.74 Horz(TL) 0.12 8 n/a n/a BCDL 10.0 Cade BOCA/ANSI95 (Matrix) Weight 208 lb LUMBER BRACING TOP CHORD 2 X 6 SPF 195OF 1.5E TOP CHORD Sheathed or 3415 oc purlins. BOT CHORD 2 X 6 SPF 1650E 1.5E BOT CHORD Rigid ceiling directly applied or 7-6-12 oc bracing. WEBS 2 X 4 SPF 1650E 1.5E WEBS 1 Row at midpt 5-11,5-10 This truss design is based upon the builcling code shown. This code has been specified by the pro so[ engineer/architect, or building designer. The applicability of this code in any parlicalarjurisdcton should be confirmed with the building official prior to REACTIONS (lb/size) 2=288410-5-8, 8--288410-5-8 tru ss febri cation. This determination is not the responS bility of the component/truss designer. Max Horz2=757(load case 5) Max Uplif12=-1134(load case 6), 8=-1134(load case 7) FORCES(Ib)- Maximum Compression/MaximumTension TOP CHORD 1-2=0160, 2-3=4294/1466, 3.4=-3854/1574 4-5=-3585/1624, 5-6-358511625, 6-7=-385441578, 7-&-4294/1466, 8-9=0/60 BOTCHORD 2-12=-124813410,12-13=-1248;3410, 11-13=-124&3410,11-14---4952282,14-15=-4951228Z 10-15=-4952282, 10-16=-93&3410, 16-17=-93013410, 8-17=-93813410 WEBS 3-11=-10941889, 5-11=-789/1875,5-10=-79011875, 7-10=-10"889 NOTES (5) 1) Wind: ASCE 7-02; 120mph; h=35fk TC DL=5.Opsf; BC DL=SOpsf; Category II; Exp G enclosed MWFRS gable end zone; cantilever left and right exposed; Lumber DOL=1.60 plale grip DOL=1.60. 2) Unbalanced snow loads have been considered for this design. 3)*This truss has been designed fora live load at20.Opsf on the bottom chord in all areas where a rectangle 34-0 tall by 1-0-0 wide will ft between the bottom dnord and any other members. 4) Provide mechanical connection (by others) ottrussto bearing plate capable ofWthstanding 1134 lb uplit atjcinl2and 1134 lb uplit at jcin18. 5) Drawing prepared exclusivelyfamanufacturing byWood Structures Inc. LOAD CASE(S) Standard L tU T November 8,200 J, WAMFM-Pel%deK¢MPWa0 -e and RMD DOTES ODTHIS AND zn Luasu mrrzKRzrzmimcE PAazEin7473 Encura OBE: 145151. OderForty, 0�ess99nn—id far— only with Mriek connectors This design is based only ipon p oraneters shorn, and is tar an ndividud hid—p--t Sulle 43DO Appi=�iity of design paramenters and proper in—poratian of compmentis responsbiity of buidng designer- not hos designer. Braangshovn chesterfield, M063017 is fa lateral srpportof bdddud web members my. Addtiondternporarybrocngton—stabiitydr,:,gcroslrucion isth.eresponsbityd the erector Additional per—entthracng of the overdlslruclure is the respmsbiily of thebuiding designerForgenerdguidance-gordng f.bdcafi.n,cpdiiycontd.siorag,ddvery,—i—.ndbradng.crosJt ANS!/TETT Ouaily Cnln&,DSi•B9mdBCSI1BuWngCoffWnnl Sdelylnfmmion avaiab te tram Trus Plate In sidute.S83 D'Onaldo Drive, Madison, W1 5V 19, RightFAX 11/9/2005 9:59 PAGE 5/8 RightFAX Job:T003 s Truss Type qty ply Molnihan-Greenland Const 10.11-05 OCM 1935079 402156 STUB 14 1 Jab Refaenoe tional Wood5in clures, Inc, Biddeforct ME 04005 6.200 a Oct 182005 MiTek Indusules, Inc. klon Nov 0714:23:242005 Page •1-a�1 10-44 I 2".0 29.7-15 35-6.0 I 1-00 10-44 9-746 9-7-15 5.10-1 5x10 11 Scale =1 b1.3 7.50 12 5 4x6.'z 4x8 2x-46 \\ 4 6 4x6 3 7 2x6 11 8 ,12 iTi C30 4x10 12 13 11 14 15 10 16 17 9 8x70 = 8x8 = 6x6 = 1 13-4-0 2".0 35-66-0 1 1 134-0 1340 8-10-0 Plate Offsets X 2:0-5-15 0.2-0 9 0 3-0 0 4-8 10040 0 4 8 11:0 5-0 E LOADING(pso TCLL 40.0 SPACING 2-" CSI DEFL in (loc) Udell L/d PLATES GRIP (Roof Snow --40.0) plates Increase 1.15 TC 0.78 Vert(LL) -0.37 10-11 >999 240 MT20 197/144 0.0 10 Lumber Increase 1.15 BC 0.97 Vert(TIL)-0.53 2-11 >790 180 BCLDL 0 Rep Stress Incr YES WB 0.95 Harz(TL) 0.08 9 nla nla BCDL 10.0 Code SOCAIANS195 (Matrix) Weight: 2021b LUMBER BRACING TOP CHORD 2 X 6 SPF 1650E 1.5E TOP CHORD Sheathed or3-7-13 oc purlins, except end verticals. BOT CHORD 2 X 6 SPF 165OF 1.5E BOT CHORD Rigid ceiling diredly applied or 7-5-11 oc bracing. WEBS 2 X4 SPF 16511E 1.5E'ExcepC WEBS 1 Row at midpt 5-11, 5-10,7-9 8-9 2 X 4 SYP No.2 This truss design is based upon the building oode shown. This code has been specified by the project engineerlarchited, or building designer. The applicability of this code in any part: cularjurisdlclion should beconfirmedwith the building official priorto Infabrication. This determination is not the responsibility of the component/truss designer. REACTIONS (Ib/size) 2=2567!0-5-8, 9=2469/Mechanical Max Horz2=754(load case 5) Max Uplifl2=-1029(load case 6), 9=-865(lood case 7) Max Grov2=2607(1 oad case 2), 9=2469(1 oad case 1) FORCES(Ib)-MaxmumCompress! on/Maximum Tension TOP CHORD 1-2=0/60, 2-3=-37171127Z 3-4=-327611384, 4-5=-2810/1431, 5-6=-233711138, 6-7=2581/1091, 7-8-2061165, 8-9=-255/187 BOTCHORD 2-12=-1274129n, 12-13=-1274129n 11-13=-127412923, 11-14=-52211781, 14-15---52211781, 10-15=-522/1781, 10-16=-628+1922,16-17=-62811922, 9-17=-62811922 WEBS 3-11=-10941885, 5-11=-79011902,5-10=-3711738,7-10---211/499, 7-9=-28131927 NOTES (6) 1) Wind: ASCE 742; 120mph; h=35ft; TCDL=5.Opsf; BCDL=5.0psf,, Category 11; Exp C; enclosed; MWFRS gable and zone; cantilever left and right exposed; Lumber DOL=1.60 plate gip DOL=1.60. 2) Unbalanced snow loads have been considered for this design. 3)' This truss has been designed for alive load of 20.0psf on the bottom chard in all areas where a rectangle 3-5-0tall by 1-0-Owide will fit between the bottom chord and any other members 4) Refer to girder(s) for truss to truss connections. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1029 Ib uplift al and 865Ib uplift ofjcint 9 >,- r 6) Drawing prepared exclusively for manufacturing by Wood Structures Inc LOAD CASE(S) Standard / Xls=. n' a L n T--- 1U ; as lrZia,..r :1iF>� November 8 20 WARYM - V&ft dfRatpmnWldd a fad READ DOTES ONTIM AND UMUDSO fffrESREMRE!!CE PAGE'D7473 BEFORE 715E 14515 N. Oder F«ty, D fids«use Doty with MEekcmneciors Thkd-;gr abased ml S-20#300 esic�n yapm p«aneters shown.mdkf«an ndividud building c«npment Chesterfield, M063017 APPkubiFy of deign paramenia¢ and proper in corporotion of comp men/ k respmsbiity d building d®ger- not true devgns. Brarng shown Is for lateral suppodofir6`iduci web memb-1,/. AdcHondtemp«arybracbgfOinsurestahiitydungconsiructonisiheresponsbityd/he erector. Addifimal pQmanent bmcngof the o—dl sirucfum is the respmsiln Ry ofthe buMng design- F« general guidance regrndng ��/ fab ricalion, qualify con td. storage, delvery, erector and bracing consult ANSI/TFIIDeady Cd-db,DS1•EfmdECSI1EuiQng C-rp—nf Mft�r..7�O Salely lnomm flion avalub W frauruss TPlate In sltlute, 583 D'Cnof io Drtve, Madison, W1 53719. RightFAX 11/9/2005 9:59 PAGE 6/8 RightFAX 4vLlao 1004 IGRBLE 2 1 1 Jab Reference (ap8anal) Woad Structures, Inc-, Biddeford, ME 04005 6.200 s Oct 18 2005 MITek Industries, Inc. Mon Nov 0712:18:092005 •}-0•Q 20-0-0 40-M 1-0-0 2".0 20-0-0 1-0-0 5x6 = Scale =1:83.9 7.50 12 12 4x6 42 41 40 39 38 3736 35 34 33 32 31 3029 28 27 26 25 24 4x6 - 4x8 = 4x8 = it0 LOADING (cast) TCLLSPACING TCLL 40.0 2-0-0 CSI DEFL in (Iec) I/deft Lid PLATES GRIP (Roof Snow --40.0),0 Plates Increase 1.15 TC 0.13 Vert(LL) 0.00 23 Or 180 MT20 19711 44 D 1 Lumber Increase 1.15 BC 0.07 Vert(TL)0,00 23 n/r 80 BCLL 0.0 Rep Stress Intr YES WB 0.26 Hor2(TL) 0.02 22 nla n/a BCDL 10.0 Cade BOCAIANSI95 (Matrix) Weight 2951b LUMBER BRACING TOP CHORD 2X 6 SPF 1650E 1.5E TOP CHORD Sheathed or 6-0-0 oc purlins. BOTCHORD 2 X 6 SPF 165W 1. 5E BOTCHORD Rio dceilingdiredyappliadalO-0-Oocbracing. OTHERS 2 X 4 SPF 1650E 1.5E WEBS 1 Raw at midpt 12-33,11-34,10-35, 9-36,13-32,14-31, REACTIONS (lb/size) 2=338140-0-0, 22=338140-0-0, 33=282140-0-0, 34=313140-0-0, 35=322140-0-0,36=320140-0-0, 38=321140-0-0, 39=316+40-0-Q 40=341140-0-Q 41=197140-0-0,42--451140-0-4 32=313140-0-0,31=322i40-0-4 30=3W40-", 28=321140-0-Q 27=316/40-0-0,26=341140-0-0, 25=197140-0-0,2451140-0-0 Max Horz2=-757(load case 4) Max Uplifl2=-224(load case 4), 22=-72(load case 5), 34=-95(lood case 5), 35=-205(load case 6), 36=-184(load case 6), 38=-180(load case 6), 39=-180(load case 6),40=-1 "load case 6), 41=-128(load case 6), 42=-337(lood case 6), 32=-56(load case 7), 31=-210(loed case 7), 30=-184(load case 7), 28--180(load case 7), 27 180(lood case 7), 26=-189(load case 7), 25=-128(load case 7), 24--335(load case 7) Max Grav2=387(load case 2), 22=387(lood case 3), 33=386(load case 7), 34=356(load case 2) 35=366(Icad case 2), 36=360(load case 2), 38=361(load rase 2), 39=356(load case 2), 40=383(load case 2), 41=224(load case 2), 42=526(load case 2), 32=356(load case 3), 31=366(load case 3), 30=360(lead case 3), 28--361 (load rase 3), 27=356(load case 3), 26=383(load case 3), 25=224(load case 3), 24=526(load case 3) FORCES(Ib)- Maximum Compression/Maximum Tension TOP CHORD 1-2--0158,2-3=-6491459, 34=-5061426, 4-5=4431422, 5-6=-3631412, 6-7=-285+402, 7-8#4061394, 8-9=-201/403, 9-10=-1281487, 10-11=-981581, 11-1 2=-961597, 1 2-1 3=-961581, 1 3-14=-98152 9, 14-15=-97/397, 15-16=44/278, 16-17 971269,17-18=-971197,18-19=-971133,19-20=-1641144, 20-21=-2271147,21-22=-3841178, 22-23=058 BOT CHORD 2-42=-1301481,41-42---1130481, 40-41=-1301481, 39-40=-1301481,38-39=-1301481, 37-38=-1301481, 36-37=-1301481, 35-36=-130!481,34-35=-1301481, 33-34=-1301481, 32-33=-1301481,31-32=-1301481, 30-31=-1301481,29-30=-1301481, 28 -29= -1301481,27 -28=-1301481,26-27=-1301481,25-26=-1301481,24-25=-1301481, 22-24=-1301481 WEBS 12-33=-366(0, 11-34=-236(115, 10-35=-2461225 9-36=-2401204, 7-38=-240(200, 6 39=-2401201, 540=-24&207, 441=-1791156, 3-42=-4161344,13-32---236176,14-31=-246123Q 15-3(1---2401205,17-28m-2401200,18-27=-240/201, 19-26 2481207, 20-25m-1791156, 21-24=4161342 NOTES (9) 1) Wind: ASCE 7412; 120mph; h=35fk TCDL=S,Opsf; BCDL=5.Opsf, Category II; Exp C; enclosed; MWFRS gable end zone; cantilever and right exposed; Lumber DOL=1.60 plate grip DOL=1.60. 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see MITek `Standard End Detail" 3) Unbalanced snow loads have been considered for this design. 4) All plates are 2x4 MT20 unless otherwise indicated. 5) Gable requires continuous bottom chord bearing. 6) Gable studs spaced at 2-0-0 oa WARnmC- rer%dedptp-tetr mrd Rimo AOTLR 0STD75ADDD1CLr71RD IYTLRRD1XJWNCRPAGEAQF7473 MWOR&LSA 14515 N. OderFerty, De.ln idfau»an with MTekcmnecbrs Thkdes �e� is ty xrn mofc moored peeponsers�wun,mdis forgner-n duum desg-gracnent Chesterfield, MOM17 App ability of design paramenters and proper incaporatim dcompmente respmsbiitydhuid'ng designer -not bus desgner. Braong shown h la lot ..l.pport olbdFlioludwebmembe¢mly. Addtiondtemporary bracngtonsne eabiity duingcrosirucion istherespmsbity, of the erecta Additional permanent bracing of the overall simcium Is the resp an sblily of the buildng designer. For general guidance regarding fabrication, quality con td. storage, delivery, erecim andbrodng, crosrif pN31/T►Il WaflY Criers, DSi•E9 and16116uiding Caerponenf m Safely lnforrnnfion available from Truss Plat Insfitute, 5830*0nohio Drive, Madi-W153719. RightFAX 11/9/2005 9:59 PAGE 7/8 RightFAX Job Truss Truss Type TQty402150 001 G46LE Ply 1 Moynihan-GreanlandCanst 10.11.05 OCM 19350794 Jab Reference(optional) Wood Structures, Inc., Biddeford, ME 04005 8.200 s Oct 18 2005 MITek Industries, Inc. Mon Nov 0712:18:09 2005 Page 2 NOTES (9) 7) *This truss has been designed for alive load of 20.Opsf on the bottom chord in all areas where a rectangle 3--0 tail by 1-0-0 wide will fit between the bottom chord and any other members 8) Provide mechanical connedian (by others) of truss to bearing plate capable of with standing 224 Ib uplift atjoint 2, 721b uplift atjoint 22, 95 lb uplift atjoint 34, 205 lb uplift at joint 35, 184 lb uplift aljoint 36, 1801b uplift aljdnt 38, 180 lb uplift at joint 39,189 Ib uplift atjoint 40,128 Ib uplift at joint 41, 337 Ib uplift atjoint 42, 56 Ib upilft atjoint 32, 210 lb uplift atjoint 31, 184lb uplift aljoin130, 1801b uplift atjoint 28, 1801b uplift at jdnt 27,189 lb uplift atjoint 2Q 128 lb uplift atjoint 25 and 33516 uplift atjoint 24. 9) Drawing prepared exclusively for manufacturing by Wood Structures Inc. LOAD CASE(S) Standard This truss design is based upon the building code shown. This code has been specified by the project engineer/archited, or building designer. The applicability ofthis code in any particular jurisdiction should be confirmed with the building official prior to truss fabrication. This determination is not the responsibility of the componentitruss designer. WARnmG- re%dedptpmvrrefers and READ wrEs ORTAM ADD mCLODaD MWAKR1 MMME PAGEffiF7493 BEF01W OSE 14515 N. Oder Forty, m D id la use an with MrTek connectors Thades' oho:ed andN sidle #300 sin YYz�Pa�ebrsshawn,mdiz form bd'ividud huidngcornpment Chesterfidd,M063017 Appicability of deign paramenters and proper in—poratian of comp on ent is respmsbiity of building designer- not flus designer. Braving shorn is for lateral srpp ort of balrridud web m embers only. Adaaiond temponxy bn-h g to h%re skbiitydubg cm t—lim rs th eresponsblityof the actor. Additiond p—anent bracing of the overall siructum tithe respon sbifly of the buldng designer. For general g6dmce regardng labdwtion, quality con Yd, storoge.ddivery, erection ,andbragcmnit aANSI/TPllaraWCdkmb,DSe./fmdiCSll/uWngCmpml Sdelydnin m Dive, Mdio, W153719. M O RightFAX 11/9/2005 9:59 PAGE 8/8 RightFAX o Woz� w rD yon � o' Z n x m I) m n n � �• m p o 0 c��o �ZQ n ��_°QQ n _° o Q °n4:03 �QCQ nOUQ OQ0S 0? pN3 O OR ID n Q 0❑ f0 O Q. O N,. n cD 3 O C 3 N N 7 p Q rt Q QfQ 0 W QQy J 0 0 Q O O Q C � QO 0 - KV; O n. O O c _ 0"� S� =• Q 0 (0:5 0 3�'0: E•cQ° coati o 0M 005' 3 a0 R(R _•N07 J 3 7C NJ 3Q nO,�0 O QOQ 3 f0 :t 2°_ C 7 URQ30 33 07 (D Q 7 57 0 �(a 7. 0 (Do3 TOP CHORD TOP CHORD w O O cm m00 cr n O D 90 w O Z m �� iza ��> � rno` � X o0Q �o o' �y 01,11 7 QWo W � Qa 3 c m a Z. � T 3 z 0 ID=6 i6 303 ° _� 0 Q ° `- �` m� III �m m mm ° °� 0, 3 W q> �-e 0�.� 6N. P .p U m N 4->, N D i is Oo QO v N w n c °0 '-° z 7 00 Q 0 v N o G O 3 �7�7 zc 43� U � O W QN 0 p m Q ,s{ 30 �.� A D T am A O,� My, 0� NaS W �nCD QQ y i " m °� Q < =1 c ® ® WO �� 32 T O Y Mm N o> rA z O ti �c f 3m Cl� o0 10 Q"� QQ a9 CD _ �« °_ O� a 3.7 O a n o. ,a 3 p W Z se Q0C O• OQ ON co a 7•Q2 �� Q N3 p C y 3 g3 0 0 0 �� �° -0� (=D mcio N 3 30 30 $f• a= O H m 3 m:2 �H a3 0co �a y Cn TOP CHORD TOP CHORD cr ti CL O °oo o y � rno` � X o0Q cr ti CL O °oo o y � rno` 04 o0Q �o o' mL 01,11 7 QWo W � Qa 3 c ° �' 3 z 0 °oo o °� o-°° rno` 04 o0Q �o o' mL 01,11 c QWo 0M Qa 3 c ° �' 3 �°o 0 ID=6 i6 303 ° _� 0 Q ° `- �` �Q fl m mm ° °� 0, 3 cQo rn�� Q_�N �-e 0�.� 6N. m oo <� °QID NQO 0 3 000 mac) 30 y OL: Oo QO tV O ® Q o c °0 3 7 00 Q 0 r)0 Qm n� ��' �.x - O m� O 3 �7�7 OO N '� 43� c6o ; mcD�° �.@ QN 0 p Q '0� 30 �.� :F �� a❑ N� Q�0 �2 O,� My, 0� NaS N �nCD QQ xQ �0 m °� 0-0 =1 c 3° Q.0 �� 32 �Q0 Cr o.3° Mm Q< � $ co") O ti �c f 3m Cl� o0 3' Q"� QQ a9 CD CO) �« °_ O� om 3.7 O , 0 Q 3 o W O O 0 c4 3o Q0C O• OQ ON Q1Q a 7•Q2 Q� Q N3 p C 3 g3 0 0 0 �� �° -0� (=D mcio �� 3 30 30 $f• a= 6'� �O° 3 m:2 �H a3 0co �a y M �Q 3 Qo Q 6rn CDS Qon Doo mQ �.m ZQ° Q �0 o0 Qo C G Q N. 9- (UD m �o ° mg �Q oCL <cQ m �c Na2 (Q °co �� N� c �mw Q W 2 W n c 3 N' o n M W D' Q n Z O -O� E" 3, U' U(o m vCNi H M •- n O 7 -0 O O v O(o � O O_ O O C• _. D Q RD =01 0 7 0 n t to 0' � C = O O 7 Y O O O -' Q 3 C) O 4 C,-< Q N `" ? 0 S Q (D 7 Q j 0 O =; Q 00 Qn O O Q j Q (0 C p _ O ON W-1 07 W'0 �� �(p 03 7� _ 37 (� z = N 5 _ N Q Q. c n 5, 0 �Q �Q w OO mc° 0 ° o �Q a Q �� _ c0 3 a m �(D �= W m o [-. •' N1p Qo 6 0 FROM :Wood Structures, Inc. FAX NO. :207 282 2423 Nov. 07 2005 01:30PM P2 ac CALc®rJA DESIGNREPORZ -% 7hussday,seplembe�22,`t40511'4�� Triple 13/411 x 14" VERSA-LAM(g) 3100 SP Filo Name: BC CALL Project; FB01 Job Name: GREENLAND CONSTRUCTION Address: Description: City, State, Zip: ANDOVER, MA Specifier;Designer: Customer: Company: Code reports: ICBG 5512, NER 628 ComCom t, fit i 9S1? lilNlti l'til� 1 t n "'7 PfiY ..... p,t �m�nmr.^: ;. :.,.,m� C4iu'ilCil:r.,...4Rfl,_'"!Rfidil5—RRTiII�.,aac�o�o:,aa:nc.��.r.:�r,,, BD DL 4034 !be SL 5200 lbs %jenerai uata Version: US Imperial Member Type: Floor Beam Number of $pane: 1 Left Cantilever; No Right Cantilever: No Slope: Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above Is based upon building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if YOU have any questions, please call (800)232-0788 before beginning product installation. SC CALCO, BC FRAMER®, BCH BC RIM BOAROW, BC OSB RIM BOARDTM, 13O1SE GLULAMTM, VERSA-LAMC, VERSA -RIM©, VERSA -RIM PLUS , , VERSA -STRAND TM, VERSA-STUDO, ALLJOIST®and AJSTM are trademarks of Boise Cascade Corporation. 'Age 1 of 1 Total of Horizontal Design Spans = 13-00-00 Loaa summary ID Description Load Type Ref. Start End Type 1 Standard Load Unf. Area Left 00-00-00 13-00-00 Snow Dead Controls Summary Control Type Value Pos, Moment 30012 ft -lbs Nag, Moment -0 ft -lbs End Shear 7473 lbs Total Load Deft. L/410 (0.$8") Live Load Defl. L/729 (0.214") Max Defl. 0.38" Span / Depth 11.1 % Allowable Duration 59.9% 115% n/a 115% 45.7% 115% 58.5% 1 65.9% 1 38.0% 1 n/a 1 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets User specified (L1480) Live load deflection criteria, Design meets arbitrary (1") Maximum load deflection criteria, Minimum bearing length for BO is 2-1/911, Minimum bearing length for 131 Is 2-1/8"- 81 DL 4034 lbs SL 5200 lbs Value Trib_ Dur. 40 psf 20.00-00 115% 30 psf 20-00-00 90% Load Case Span Location 3 1 -internal 3 1 - Right 3 1 -Left 3 1 3 1 3 1 1 Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram Consult project design professional of record or BOISE technical representative for connection design Connectors are: SDS 1/4 x 3-1/2 a minimum = 1-1/2" b �— d b minimum = 4" i c=11" d = 12" a o minimum = 1" / __0 • • T G Disclaimer: The supplier acknowledges that i e SN Associates, Inc to review a pre-engineered buildin 04u entified as above for the span and loading conditions shown on this calculation sheet. The supplier further acknowledges that JSN Associates, Inc. will not engineer, design, manufacture or erect said item and is not responsible in any way for defects or deficiencies. Therefore, the supplier waves all claims against JSN Associates, Inc. arising in any way from any defects, deficiencies, errors or omissions in the load determination, design, fabrication or erection of said item. Note: Adequate design of supporting structure must be provided by others 0 11/07/2005 MON 13:21 [TX/RX NO 82071 U002 Date .... ....... 1.�. d �..... °`,•`° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ............ 1 J. �ml. f� L . �..... " r' c i has permission to perform ..........i1d.'aw.••••• �5..� Z J wino in the buildingof /� C/." . %fes. 6�s= ......... . r at ". 3..1...... . 2. ..� �.!............�....T....... , North Andover, Mass. Fee.74 eeq.V'. Lic. No....7.. ............/Z .� P.--4--:-. :'�'t�'........ ELECTRICAL INSPEC�1'OR r ' Check # �-� � C .o,xrxonureallJs -m4—\-/ For Office Use Only r� cc (Rev. 17199) /- p �r 11tParEaitn� o�J`in � Parrott Htmrber: Occupancy & Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK VJ-LWORKTOBEPMWUUAMWrMMMMASSIOifIS MUECnUr-ALCDD£527Ga12M) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: /- e — City or Town of: e-�- .< < To the Inspector of Wires: By this application the undersigned gives notice of hisorher intention to perforin the electrical work described below. Location: (Street & Number) 3 3 / Owner or Tenant: t c 1d (,',o A7 ,I;- 7L Owner's Address: 7.3 7 Is this permit in conjunction with a Building Perm t? Yes No (Check Appropriate Box) L 3 :2—,-71 Purpose of Building: % Dr , �v �J L Utility Authorization # Y / �7 /17 Z Existing Service: Amps { Volts Overhead 0 Underground.0 # of Meters New Service: 361& Amps Z { Z Vel Volts Overhead 0-----—Underground.0 # of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: P--"/ r %vim i �� ttrT No. of Recessed Fixtures No. of Cell.-Susp. (Paddle) Fans No. of Transformers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No_ of Lighting Fixtures Swimming Pool: Above ground n In Ground o # of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Od Burners Fire Alarms # of Zones # of Demotion & Inittaffng Devices # of Sounding Devices' # of Self Contained Detection/Sounding Devices Local c Municipal Connection a Otner No. of Switches No. of Gas Burners No. of Ranges No. of Air Catdfitioruers TOTAL TONS; No. of Waste Disposals Heat Pump Totais: Number. TONS: KW: Serenity Systems: No. of Devices or Equivalent Nti: tit OtSft"SM9 31mce !Area Fie KW Hata Win ; No. of Devices or Equivalent Nee: of BFj1R w _ )ism A0P-81 a TMOMMMEaR Wft- NB of 900§ At No. of Water Heaters KW No. of Signs: # of Ballasts; OTHER; # of Hydro Massage Tubs to. of Motors Total HP INSURANCE COVERAGE: Unless waived by the ownter, no permit tar the peAomtance of electoral work may issue unless tate licensee provides proof of liability itut:ar including `completed operation' coverage Or its substantial egilivalenL ndersigthed certifies that such coverage is in torte, and has exhibited print of same to the t issuing office. CHECK ONE INSURANCE 80N0 o OTHER n Please specify: Estimated value of Electrical work 5 (When required by municipal policy) Work to stag: "! �/ Inspections to 6S requested in accordance with MEC Ririe tD, and upon cmnl 1 cartffp, under the pains and penalties of perjury, that the information on this application is true and complete. Firm Name:_ ��- < !� / �� /C %` Lic. :�- I All. Tel. # OWNER'S INSURANCE WAIVER;- t am aware that ft Licensee does not have the habfnty insurance coverage nomu ft required by law. By my signature below, i nr Waive thWS r"Wromml. I tint the (Check Ono) owner 0 OR Agent O -"'-\ („amawnwaaah v/ 111a4iacAiz6e113 For Office Use Only (Rev. 11199) /_ � c.4 Permit Number,! Occupancy & Fee HOARD OF FIRE PREVENTION REGULATIONS ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (AI3 W OM TO 8E FE"00A D Wn H 7iM MASSACHUSETTS —CrMCAL CODE :27 ':MR :2.00) PLEASE PRINT IN INK OR TYPE ALL INFORMA'nON Date: /*f - o CD — City or Town of: _-4L To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �c Location: (Street & Number) 5 7 -1- 3 / K' el Tri I � Owner or Tenant: r c Owners Address: /� If Z1 a % 3 '7 Is this permit in conjunction with a Building Permit? Yes No 0 (Check Appropriate Box) c� Purpose of Building:1� L Utility Authorization n y Y / / Existing Service: Amps I Volts Overhead ❑ Underground.❑ n of Meters New Service: -� 61el Amps Z ; Z G Volts Ovemead El,-�'Underground. ❑ ;# of Meters: — Number of seeders and Ampacity. Location and Nature of Proposed Electrical Work: ♦r ^(o. of Recessed Fixtures No. of Cell: Suso. (Paddle) Fans No. of Transformers Tctal KVA No. Of Ughtmg Outlets No. of Hot Tubs Generators KVA :No. of Lighting F'ixttires5vrtmming Pool: Above ground In Ground e # cf Emergency Lghting Battery Urns No. of Receptacle Outlets No. of Oil Burners Fire Alarms # of Zones # of Detection & initiating Devices # ct Sounding Devices: # of Self Contained DetectiordSounding Devices Local c Municipal Connection o 01ner No. of Swtt hes No. of Gas Burners No. of Ranges No. of Air Conditioners TOTAL TONS: No. of Wasm Disposals heat Pump Totals: Number. TONS: IMI: Security Systems: No. of Devices or Equivalent Nb: of E!rstrrmsttUrS Space (Area Fie KIN Hata Wire ; No: of Devices or Ecurvaient: Ng of agr. No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; cf Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE: Uniess waived by the owner, no permit for the performance of electrical worst may issue unless the licensee provides proot of haoifity ;rsp::ar including 'completed operation' coverage or Its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the t tssutrig office. CHECK ONE: INSURANCE BOND C OTHER c Please specify: Estimated Value of Electrical Work S (When required by municipal policy) 'Aarx :o Starr. r if _ U "nsoeclions to be requested in accordance with MEC Rule 10. anc en I certify, under the pains and penalties of perjury, that the information on this application is true and complete. Firm Name: % J- LIC. _icersee: /si .. � 5 �� S /� l signature: UG. (if applicable, enter "exampr!'Ir the Ucensenumber line) Aaoress: s� ��'= - s ��'- %y i /t �'� - �h B-i�ts-4at. h (i - Z/ < % Alt. T. z OWNER'S INSURANCE WAIVER; t am aware that the Lcensee does not have the iiabiltty insurance coverage normally required by law. By my signature ceiew.. nE .vewe 11116 reAuuttrnant, I nm Ute (MOCK one) Owner a OR Agent 0