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HomeMy WebLinkAboutMiscellaneous - 6 Berkley Road 6 BERKELEY ROAD ` - - - -- 210/024.0-0073-0000.0 i, � 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the -permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time ofongoing construction activity,and maybe-deemed.by thelnspector-of_Wires abandoned-and.invalid-if_he—_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. The Permit Extension Act was created by Section 173 of Chanter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending-through August 15,2012. /Rule 8—Permit/Date Closed: —^l —1 ***Note:Reapply for new peri 4ermit Extension Act—Permit/Date Closed: 8 Date................. ....�. NORTp r °•�"`° °�"� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING, ��ssACMU5Et This certifies that ..... ... G/ ,... SIJ yI.?...................:.......... has permission to perform .. 7 , ... 2 wiring in the building of.................. �y at.... .... ? /......................j............. North Andover,Mass. Fee, .. f=.. Lic.No G . 1�.. ...... !/ �/ •ELECTRICAL INSPECTOR Check # 8871 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. F / BOARD OF FIRE PREVENTION REGULATIONS Occupancy and'Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intAntion to perform the electrical work described below. Location(Street&Number) Owner or Tenant Lp Q, 5 QQ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Y No ❑ (Check Appropriate Box) Purpose of Building .lkttA t�r f Z I Utility Authorization No. Existing Service r C)C/Amps 12 0/ ZL jCVolts Overhead 211 Undgrd❑ No.of Meters j _ New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: `j i Completion o-thefollowing table may be waived bv the Inspector of Wires. �{ No.of Recessed Luminaires a No.of CeU. Susp. (Paddle)Fans No.of Total . Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires —3 Swimming Pool Above ❑ In- 11o,o mergency ig g d• rnd. Batte Units -- No.of Receptacle Outlets '� No.of Oil Burners FIRE ALARMS No.of hones No.of Switches 3 No.of Gas Burners No..of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ' M Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters ' o.of No.of Data of Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of MotorsTotal gp ITelecommunications Wiring: �. No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: V�51A n Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance 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 permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the ains a penjIdes ofperjury,that the information on this application is true and complete. FIRM NAME: LD',(//�(t I'(061 N5OYJ LIC.NO.:� 3 5 G 5 Licensee: 1J G VI Ic.G�r N f N Signature LIC.NO.: (If applicable, ente "exempt 11 in the license n mb line.) Address: '�� W t �" 6 N' �Jr- Ylna�.0 Wn a j�q Bus.Tel.No.: - '7 2$^Z g l.No.:Te �t� 1 *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.Te Lic.No. T OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ , . . � �.. ., ,,,� .__ � - � , ;.._ ,. -:; s E Ak The Commonwealth of Massachusetts �j ! Department of Industrial Accidents • O ice o Investigations .ff' !` ;;�;;� ` 600 Washington Street LOU i Boston, MA 02111 �'{'1 www.mass gov/dia . Workers' Compensation Insitrance Affidavit: Builders/Contractors/Electricians/Plambers A Iicant Information Please Print Legibly Name (Business/Orgmization/Individual): Address: City/State/Zip: &t Li.u 0 0 `I Phone#:_R-1 r8 3o Are you an employer?Cheek.the appropriate box: I.13I am a employer with 4, ❑ I am a general contractor and I Type of project(required): mployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am asole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These su&contractors have 8. ❑Demoiition working for mei l any capacity. workers' comp.ii nsurance. 9, Buil [No workers'comp.insurance 5. El We are a corporation and its Building addition i required.] officers have exercised their 10. Electrical repairs or additions 3.❑ I am a homeowner do' all w right of tug work gh exemption per MGL 11.. Plumbing r 1 ❑ g epatrs or additions myself.[No•workers'comp, c. 1.52, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp. insurance required-1 13.❑.Other' t'Any appiicem that checks boZ tf 1 must also fill out the section below showing their workers''compensation policy information. Homeowners who submit this affidavit indicating they are daring 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 ant an employer that is providing workersco ensadon insurance or ►nP f my.employees. Below is the policy an job site . information. _ Insurance Company Name: ' Cl r N e,Lf Policy#or Self-ins.Lie.#: 1E 3`5({Z3� t ( lQ nn Expiration Date: Job Site Address: 17tr K Q ( (.� 2� City/State/Zip: /Uo T th l4g1 Ftp t.t1e p1 41 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 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�eFtify r t pa' d enaldes of perjury that the information provided above is true correct Si Lure: Date: Phone#: O7r � ' i [LBoard l use only. Do not write in this area,to be completed by city or town official r Town Permit/License# Authority(circle one): of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector r t Person: Phone#• V' Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, ,A`~ express or implied,oral or written." ` An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the'foregomg engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,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 persons 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 issuanceor 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 with the insurance'coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall 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 r necessary,supply sub-contractors)name(s),address(es).acid phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(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 G employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and-date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,notthe Department of Industrial Accidents. Should you have any.questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the numberlisted below. Self-insured companies should enter their self-insurance license number on the appropriate dine. City or Town Officials . Please be sure that the affidavit is complete acid printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitflicense number which will be used as a reference number. in addition,an applicant that must submit multiple permiMicense 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 tine affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit 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 bum leaves etc.)said person is NOT.required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give as a call. 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 1-8.77-MASSAFE Fax#617-727-7744 Revised 5-26-05 vvww.mass.gov/dia „_ '' Date......1 .f . .0........ { a Y� f MORT1, 1 TOWN OF NORTH ANDOVER Ifi PERMIT FOR WIRING SSA�NUS f� M This certifies that l'!.{A' n ............. has permission to perform .... .............................................. wiring in the building of......!. f4e.Y°.S v ...... ... ......................................................... i ` 1 ..... ......................... .North Andover,Mass. at..................................... r _ � c � T r Fee..... 3. ..."... Lic.No. lal. .a....J.�..: f`Qlo1A (.. (Cc. iv—�- ..... . .... .... 4 /� ELECTRICAL INSPECTOR Check # 4793 THECOAMONWE4L7H.OFAMS4CHUSE77S- Office Use only DEPARTNIEIVT0FPUXJCS4FETY Permit No. BOARDOFFMPREVE MONREGUL4HONSD7CAZ12 010 Occupancy&Fees Checked "PLICATTONFOR PERMFl TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wire; The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 7 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes 12r No (Check Appropriate Box) Purpose of Building Acwe Utility Authorization No. _ Existing Service t_ 0 Amps/ �YDVolts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work o* x-s TlaY/li oo&Ar> Ayheiaa No.of Lighting Outlets No.of Hot Tubs —� No.of Transformers Total KVA No.of Lighting Fixtures / Swimming Pool Above Below Generators KVA round 0 ground No.of Receptacle Outlets No.of Oil Burners No:of Emergency Lighting Battery Units No.of Switch Outlets L l-+ No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons. No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of `No.of —sem Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP a OTHER• kWrMWCDW age.RUSLxatothetaWMTEnNofMasswdnmMGfffzwLaws IbawaomulLmbllt'tyhmuawePbhcyin kdngCompffCoWWCritssul"tialequivale>� YES ® NO Ihawst>brrrittedvalidproofofsunetotheOffice YES FyoubawdEc]�dYESp]eascudcatedletypeofcovaageby che�gthe INSURANCES BOND OTHER (P1ea9e Spectify) DTitafimDale Est�ValueofHoc"Wod,$ S� • �J WotktoStatt kq)ediMDAeReWested Rough Fatal sigt,edmderTrPbqVcs ,fpetjtu� FIRMNAME Liar.No. Licensee Signahlle No Tel.No. Arlrfirec AIL Tel.No. OWNER'SINR ANCEWMVER;Iamawatetha thcL cffwdoesr"bavetheirmr&=oovaageoritsmbstmtialequivalwastegtutedbyMassachuscmGeneralLaws Si and thatmysignaaueonftp=vtapphcahonwaivesthisregt uT)a t (Please check one) Owner 1:3 Agent F-1 2� Telephone No. PERMIT FEE$ V Signature o . wner or Agent I �! a The Commonwealth of Massachusetts Department of Industrial Accidents I = Office of investigations Boston, Mass. 02911 O Workers'Compensation Insurance Affdavit !� O1M SV II I Name Please Print Name: Location: City Phone # ` I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. PCompany name: I Address City Phone#: Insurance.Co. Policy# l 11 . . Company name: r Address ! F City Phone#: 'I i Insurance Co. Policv# I I Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,5oo.00 and/or one years'imprisonmentas well_as_civii.penaltiesin-the1ffin-fa-STOP W-ORK ORDFRand afore_of_($1110.00)atlay.againstme I 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ,7 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. � s Signature Date Print name Pbone.# Official use only do not write in this area to be completed by city or town official' 1 City or Town Permit/Licensing. °, c• .: I] Building Dept QCheck iFimmediate response is required Ucensi� Selectman's�Board OffC6 Contact'person: "� Phone#. ' 0' Health Departmen . � Other d Date. . b•(b�-C�� ",��':�tia TOWN OF NORTH ANDOVER �L ° p PERMIT FOR PLUMBING SSACHusEs This certifies that . . . . .hn� has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . � � nS . . . . . . . . . . . . . . . . . . . . . . . .. �L� �� . . . . . . . . . . . .. No h Andover, Mass. 35 2 �!Z►1. �cr?Z.�. . .r nti -~� 1 Fee. . . . . . . . .Lic. No.. . . . . . . . . PLUMBIN INSPECTOR Check # 57505 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Dateoc�- Building Location �i U�Q \tQ-y Owners Name " \ 1 Permit# h (" Amount 3S Type of Occupancy �� �����y New Renovation ® Replacement Plans Submitted Yes No FIXTURES. F H z w Cn Cn Cn P4 0 a W x U w a z �" ° w x w Cn z a H a as A F+ Cn A )E£AAg1VII�Tr IST)~BM 2r1Q)H fM 3M HfM 4M H DM 5M H-OM 6M PIDM 7M ILOCIR 8III FLOM (Print or type) Sorz S')u3ae ,� Check❑ Corp. Certificate Installing Company Nae Addre s ft"\ S ' El Partner. lrJ� e O ZZ Business Te ep one ® Firm/Co. Name of Licensed Plumber: SCO-TT E SugM e. 3 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © 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 Owner ❑ Agent I hereby certify that all of the details and information Dawe submitted(or entered in above application are true and accurate to the best of my knowledge and that all plumbing work an instal a s perf unde �ermit Issued for this application will be in compliance with all pertinent provisions of the Massachus s �PI ing deter 142 of the General Laws. - 4 By: Signature of Licenseaum er Type of Plumbing License Title 1b City/ icense um er Master ❑ Journeyman APPROVED(OFFICE USE ONLY A Location 6 1--�'�'n �'p j�e`f/ No. 2 Date 3 O f NaRTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ f? s+cNus`� Building/Frame Permit Fee $ b p j Foundation Permit Fee $ } Other Permit Fee $ 3. TOTAL $ { p� i Check # i 11A 6 7 5 7 � Building Inspector B TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERNUT NUMBER: ZZ DATE ISSUED: / X SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION,_ , 1.1 Property Address: 1.2 Assessors Map and Parcel Number: • ' ' }Map Nu v • - Parcel Number. NJ . m N1.3 Zoning Information: 1.4 Properly Dimensions: , ZoningDistrict ProposedUse Lot ea s F�togeft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide Required Provided R •red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record ^ Lr Lg�i�1�F � e5T,iaFi J Mame(Pri ` Address forService: Qj Signature Telephone 2.2 Owner o rd: O Name Print Address for Service: Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ CU/LL Licensed Construction Supervisor: e�W License Number dress^,J 9� WO-6 A),1. f//*1 k,� J/ J V t�� Expiration Date a eTeliphone o r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r A ss r 91�� d � Expirati n DD5 3 na re Telephone 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 building it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Descri tion of Proposed Work check altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) A Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: OT-0Re r9- o r cTc,t'1�w To Li U! VVI Rem. �XAF *TVweHgo ,-U C a &17 6-h r SECTION 6-ESTIMATED CONSTRICCTION COSTS 111.2,Item Estimated Cost(Dollar)to be 'aC•r0 � Com'Iefed-by permit applicant 1. Buildingpp� (a) Building Permit Fee OCA C>O. OGS Multiplier 2 Electrical Ski) f (b) Estimated Total Cost of Construction C/C% 3 PlumbingBuilding Permit fee(a)x(b) /ODS 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Oa, Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED 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 W l a I, LC /14 m PO(Tp�� ,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 Prin ame Si er/ ent Date HEWS NO.OF STORIES SIZE BASEN—EWVR SLAB SIZ OF FLOOR TIMBERS a I a;,2 3 SPAN D f DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS 7 SIZE OF FOOTING }{ MATERIAL OF CHIMNEY J:Ltt C•iwe-0 IS BUILDING ON EgLEJOR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE da E1 RRDDT3F U1CDit0G`fi D,U174 S License Ntanber_ CS 083917 B'nthdate: 0628H957 Expires:06282006 Tr_no: 83917 1 Restricted: 00 I WILLIAM H POGOR _ 79 JOHNS0N ST NO ANDOVER, MA 01845 Adrratot t ��C�/6�EJltl39KOP�U!!•6�a.�i1JQ'CJllldE� _. Board of Balding Rnula"as and Standards ` HOME INIPR0VEMENT CONTRACTOR Registradoa: 139701 Exp_kMon:.&V2p05 Type Individual BILL POGOR WILLIAM POGOR 79 JOHNSON ST. G-��,,�, r�✓; NORTH ANDOVER,MA 01845 Administrator i - ACAOM CERTIFICATE OF LIABILITY INSURANCE 0 3°/03 PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION Circle Business Insurance Agency Ino ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 247 Newbury St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. —( Danvers, MA 01923 i 978-777-7030 INSURERS AFFORDING COVERAGE NAIC# INSURED wiLr. . wesTl�LaN TAM POGOR INSURERA: WORLD INSRRANCE CO. INSURER B: 79 JOHNSON ST INSURER C: i NORTH ANDOVER, MA 01845 INSURER D: 978-685-2425 INSURER=: COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED KAMEU AHOVF FOR THF POLICY PERIOD INDICATED.NOTV`tITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY C(1VTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LIMIT=!OWN PAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICYEFFFEEC�ThfE POLICYCXPIIULTiON Lip astm F F WSNR N POLICY NUAIDER DATE M67fC�lYY DATE PAPJ/DDrYY' LIMITS GLNCRAL LIABILI-Y EACH OCCAIRRENC£ S X(COMMERCIALGFJJERAL uABILfTY I I _— oPEMlSFS F.a w� 8 50—1009i CLAIMSPAADE IxOCCUP. I MEDEXP(Anycneperscn) S I A T.B.D. 09/04/03 109/04/04 PERSONALS AD'V INJURY $ I GENERAL AGGRF�ATF s 2,000 000 GENL AGGREGATE LIMIT APPLIES PER: { PRODUCTS-COMPIOPAGG s 2,OOO OOO POLICY PR LOC II I AUTOMOBILELtAFiLLm j COAtBINEDSINGLE LLMR 3 ANYAUTO I (En zciderd) ALLOWNECAUTOS I ' I BQDILYINJURY � SCHEDULED AUTOS I I (PeFPersur) HIRED AUTOS 1:101DINJU RY J i NON-OMCDAUTOS { (Perneddept) . PROPERTY DAMAGE I (Perowdent) S GARAGE LIABILITY AUTO ONLY-EAACCOENT S ANYAUTO OTHERTHAN EAACC $ AUfDONLY! A3(3 i EXCESS.'UMIiKtLL A LVWILItY EACH OCCURRENCE 3 I OCCUR CICLAIMBMADE lAGGREGATE -- S I DEDUCTIBLE i S I i RETENTION S - I s WORKERS COMPENSATIONANDI EMPLOYERS LIABILITY 1 TOR 1MR$ ER I MY PRCPRICTORtl'MTPff4F"FCUrIVE I i I E.L.EACH ACCIDENT S OFFICERMtMUER FXCLUM07 jl WeE.L,Oes0100u Ger .DISEASE-EA EMPLOYE[ S SPECIAL PROVISIONSheb% E.L.DISEASE-POLICY LIMIT S t 1 OTHER f I I I I OESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLESiFXCLUSIONSADDEOBYENOORSEMENTISPECLALPROVI. .NNS j I f i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATtOl WILLIAM PETERSEN DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL20 OAYS WRITTEN 6 BERKLEY ST NOTICE TO THE CERTIFICATE HOL IFR NAMED TO THE LEFT,BUT FAILUKE'1'O DU SO SHALL NORTH ANDOVER MA 01545 IMPOSE NO OBLIGATION OR LWSILITY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORRED REPRESENTATLVE I � ACOR025(20011" a ACORD CORPORATION 1988 .. � ' i �. _ .�. � � 1 � �. _ �' _ i _ - - i � � � � r . �� i � � � � " � � 1 i� � � i i _ - - _ i I �-_-� � � �. ��,_. i � ■ �� ��� �� � r � �� � F � � � a '+rr► I� !I �,�,,, viii •• ._ � .�„ .�,.��i�����■�iil i1'� Vii; �;, !,� � i N � ! r1 �. I�I���� _ 1 ���� ` • �- i r�� � - ` '� �� �� J� ,- w =�. � .� ■�r �d��__ =r . iii 1 P � _ - - iwnwinr�w�� { �' � � � '��®��Il�'� ���� i �= - -- -- _I� � f ��� � � PR- O—)--9e��4 6�z t I New 7 x 91/2 Versa-Lam Beam Existing Framing E)dstlng Chimney Now 3-2x4 Rost -- f—EBlock Solid Under Post equines --- Timber Beam and Ft i ming 7N5"x1W Plate wt 2-1W L,tg B oft Existing Concrete Fdn Wail New 30 Dla.Steel Coluffm 9'5(5'x1/2"Plate W24WAndi Bolts New 12" 24"x18"thlck concrete f-_ -- with 2#4 mbar E)dWng Concrete Slab IeT�� �� Fssra�aa.� Peterson Residence, N. Andover, M i y I Calculation Sheet Project Name: Qtt"SoA RU%OV-ac6. Date: 9/28/2003 Location: North Andover, MA Engineer: Chris Mauck; PE 1 - ibTItc O —t — — 1 i I i 1 f S i I r S I � j i I a i Calculation Sheet Project Name: ' <A- 4Sumk Date: 9/28/2003 Location: North Andover, MA Engineer: Chris Mauck, PE LIL 5D L !J I -�- � . I 11 s p"4 rN ; ! — ! A�� 9 ,A iMo m _ moi : s I PIS q;�j� . I I f I I , o I G 1S - --� I r- S� .�-.-Q-�---------� � �.� C.�` �._---_.,..____..-rF �__ s �,a. _ (��L - _ __ o � I �'�'��� �; , , � � "`"' r -25'-0 ..� X-2 ' P y C14 2=80.X6=8"CC+ IAO 6 \\\ tV �, s-apse -T 12'-7` - -- -- ___-____12'-5" Z ER AEl-f y 25=o" X-2 Q LO Clq S9a, 5.......... _S1► .................... ..................................... ............... ............................ 10'-0"x 6-8,CO T-8" CV -;"-V-8'x 6'-8.9Lt ........... -------- IT-711— v4ORTH QED Town of „_ VAndOve r No. e2A/ ��A�o�A dover, Mass., ORATED pP�� S H E � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System / BUILDING INSPECTOR THIS CERTIFIES THAT.....fa��l... �� �~s'�� ......................�......................................................................................... ............ Foundation has permission to erect...f -4 Q1 ....... buildings on Belk g...... . ....... ....., ........ .. �.Y................................ Rough to be occupied as... GOr W A .�.r......7k L. V r X! � + Chimney ...... ......... .......................... .... ............................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes an y-Laws relating tot a Inspection, Alteration and Construction of Buildings in the Town of North Andover. a ' 3 /0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR • Rough ....... �c., ....,.�................................. ..... .... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location No. g�7 Date NORTH TOWN OF NORTH ANDOVER, o�t«.o ,•!ao 01ortificate,of Occupancy $ .` 50 TO `A 1. Building/Frame Permit Fee $ S-- Foundation Permit Fee $ s�CHus ,, Other Permit Fee $ Sewer Connection Fee $ Water C(knnection Fee $ 5 TOTAL $ J fes/ Building Inspector 7442 l Div. Public Works PERMIT NO. �' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. MAPyKJO. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE :,ONE I SUB DIV. LOT NO.� YCOCATION �6'}i�1�cR I ra PURPOSE OF BUILDING OWNER'S NAME 9M Q_1 1 NO. OF STORIES °�1 SIZE i FA _ 9 OWNER'S ADDRESS BASEMENT OR SLAB ( - 1.1 ��14� i��� Shrm e 4) ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND�1112�, 3RD BUILDER'S NAME SPAN -- ��VV DISTANCE TO NEAREST BUILDING �•/ DIMENSIONS OF SILLS DISTANCE FROM STREET vj,G o POSTS ` DISTANCE FROM LOT LINES—✓SIDES 3 61 .Fay REAR f + "- " GIRDERS AREA OF LOT ,�� �,k FRONTAGE � �,Sy-y� HEIGHT OF FOUNDATION •9 I A.,1_ _.._� 3TH ICKNESS -•� �QN IS BUILDING NEW I 4 Yl✓ SIZE OF FOOTING a !r IT�G� i'ICSx w. IS BUILDING ADDITION MATERIAL OF CHIMNEY i IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ®i ISG` WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ! IS BUILDING CONNECTED TO TOWN WATER 4 1 / Yv, BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER / e�5 IS BUILDING CONNECTED TO NATURAL GAS LINE ' INSTRUCTIONS s PROPERTY INFORMATION _ N OTS �+Pl ,4 LAND COST SEE BOTH SIDES _ M O 3C,�' i=jrL(�wl EST. BLDG. COST( i�� � ✓ PAGE 1 FILL OUT SECTIONS 1 - 3 S „C �C I EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY. - ATTACH#L-D GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - j PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR R DATE FILED � �� BOARD OF HEALTH 917rSIG RE OF WNE R AUTHORIZED AGENT RE E E � OWNER TEL. PLANNING BOARD PERMIT GRANTED - CONTR.TEL. 544 15 19 �� CONTR.LIC.#� ! /qt)6 BOARD OF SELECTMEN Nc� BUILDING INSPECTOR 14! BUILDING RECORD OCCUPANCY 12 SINGLE FAMILY aSTORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY +. — OFFICES —_ LOT- LINES AND EXACT DIMENSIONS 'OF BUILDINGS. WITH PORCHES. GA- APARTMENTS ,RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 y INTERIOR FINISH - CONCRETE 3 1 2 13 CONCRETE 81. . PINE BRICK OR STONE HARDW D PIERS PLASTER P _ DRY WALL I' UNFIN. ' 3 BASEMENT - AREA FULL FIN. BM'T AREA _ { 'i.I! /, '/, FIN. ATTIC AREA _ NO 18 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4: WALLS I 9 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE �II_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRItK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR yl ADEQUATE NONE 5,1 ROOF 10 PLUMBING ) GABLE I I HIP BATH 13 FIX.( �$ GAMBREL- MANSARD TOILET RM. (2 FIX.) g FLAT SHED WATER CLOSET _ J ASP14ALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TARy:B GRAVEL STALL SHOWER ROLE ROOFING MODERN FIXTURES _ �I TILE FLOOR TILE DADO �I 611 FRAMING I 11 HEATING t_ WOOD JOIST PIPELESS FURNACE a '1i �I+^�•� IFORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM -----"— STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING . �I RADIANT H'T'G UNIT HEATERS 711 NO. OF ROOMS GAS " OIL B'Mui 2nd _ ELECTRIC 1stI� 13rd_ I NO HEATING L,-/) eL BNS. �'I� /':) , --0 13L c C H-ep*' 6-r4-g&tj �, A s r3 c4 t Lt 1=of) , 2t�u t ,fl l FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out th`i seyc�t' n***************** VL DLICAN'r: MIAN 4' Gale- ' ''Qti Phone LOCATION: A_-=lessor' s Map Number Parcel / — Subdivision Lot(s) greet St. Nurber Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: cove k\ Date Approved _ Ccn_=r':a-_on Adr_nistratcr Dace Refl ec ted J Cc,:=ent_ X6itb rcAwru I Date Aonroved Town Planner Date Rel ectad C c:;li7 a n":s bfXtyl..�p. ��Y1S Yl �51�'10 [�l Q UUP Date Ac_mroved Fccc ins=ect=_--ealthDa a t eRe-i e c-ed Date Apprcved Se!::-:. 0 inspec...._--ea_t Date Re;ec=a_ Wcr�:s - se::er/wa-er connections _ dr_vewa_- pe=--'-- re Dear--men Received by Building Inspector r_�_.. ._ �__,_� _ ,Date f ��' �A;:. ,a , ;�.,:+,,t ?,Z,l,... �..;v:.., .a, At La titT :y?,` -. it �y1 tCt�b♦�r,�:�i`�a�#�ti{R7'kc#,�i'6�"8i�`>1�ia'�.�r'��ik�.�`J+�+♦a�!�i.,'k�l.;lth?�'i4 rt�,r11}�1t_i.�,��-it�°,�°e�.+.c�'1d_>"1�`i�..:>��`.�'_; � -I 1.,. ` I. 1 � ♦� .l 1 I .�j �'� � tit; 1. + \� ,i,s ,P COMMONWEALTH .:... ..__., _, OF DEPARTMENT OF PUBLIC MASSACHUSETTS ONE ASNOORTON P SAFETY n�.g 0 r. 1"T ft MA p LACE EXPIRATION DATE it a . . ! 2�OS .' CON SLI C F N S E RSR2 9 6 TR SUPERVISOR r�Masssebnsotts StIate�Bn/tldfoitaTONS ofslfeei"PTO t� NONE 'EFFECTIVE DATE LIC NO. G/3 3 FOR PROTECTION AGAINST 0/19 038234 THEFT, PUT RIGHT THUMB 'VICTOR Fc_PRINT IN APPROPRIATE SS * 025— 9274 LL�PET '" BOX ON LICENSE. 38-2361 DOVERIDFERDON PHOTO(BLASTING OPR ONLY) m N ^N F� Mq 01845 BLASTING OPERATORS MUST INCLUDE PHOTO. HEIGHT. NOT VALIp UNTIL SICNEO BY LICENSEE AND OFFICIALLY DOB: STAMPED-OR-SIGNA ' - TUBE OF THE COMMISSIONER x/21/1953 - THIS DOCUMENT MUST BE CARRIED ON THE PERSON O� OTHERS-RIGHT THUMB PRINT THE HOLDER yygEN EN GAGEDIN THIS OCCUPg710r, uc SIGN NAME IN FULL ABOVE SIGNATURE LINE � � O �'/ee�iommoxucra/.I/e o�Cfaalac�ir,utLi HOME IMPROVEMENT CONTRACTOR Registration 114068 Type - INDIVIDUAL Expiration 08/02/95 VICTOR M PETERSON VICTOR M. PETERSON 274 HILLSIDE RD ADMINISTRATOR NO ANDOVER MA 01845 } DRIVER+B LT ' ,pyy�r may,, fi cci :-Ml fi a o R T-p.:f Town of =orfAndover O411 w itis to No. 287 r O ort dower, Mass. Sci I.�l IT, 1999 coca Griew cn �' v R BOARD OF HEALTH PERMIT T 0 B�UILD Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT........ W14.1.101 .14..nm.,; ......!.c..Rc.M PS ............................................. Foundation ` moo buildings.................................. Idin s on ......&...R09�xc�t... ...........o .... Rough has permission to erect...... g ...... . .. .. .. . .� ..i4'4�..... to be occupied as 19x4 '.�/.�.�'.��'..4a ..� ...F.R�.t .. r���'. Chimney provided that the person accepting this permit shall in every rispect conform to the terms of the application on file in Final 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. �3& ON 9b f3 /9 PLUMBING INSPECTOR ff VIOLATION of the Zoning or Building Regulations Voids this Permit. "4 R N/FAUN? _I 3S 1� �'� Rough S I QC— /L.*NC' Final PERMIT EXPIRES IN 6 MONTHS UNLESS C,ON SrI RUCTION ,SJ a-\,_RTS ELECTRICAL INSPECTOR Rough ...................... .................. .. .. .. Service BUILDING SPECTOR � Final Occupancy Peniiit Required to Occt,ipy Building .GAS INSPECTOR — ----- —-------- -- Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT tnl .'� ' .; i.. ;r,, ,.,. .�. LSA•'• ... . : ` .v( .1; �o Ill. ' • �` '- �� ;: ; .�w ' ; �'''r `:• .. - � .��' 0 LL r d •� � u • N h r; �•1 :i• �x• r .' V 1 a{1 'r•' r. •' '• '�.n`eros U! N J U). •- " 'I 5r~'/' 1 r } " � -- �•: .. ./. `l.� mss+. . . rte•.: l- r.' �• cr'�•. � :'' x 7 l`t ?,� V �`... .a+,..' ;��• .j• 'r���'O Cii it Z ;. �.' .. cl4 y z 0 0 , ti Y , V D ol %®' v y 110. D EST®KE L. E Y /�®' D. ` IN N. 4 lY D O VER g MASS. ®DOL, SEX SURVEYINC. LAND SU1?VFra1?5 /430 PARK Sr. N. BEAD/NG MASS . SCALE* ® ,ee 401p MAY 17o /994 CERr/FIE9 r0. AMNA7ZAN77CAfmr Copp /7,y sjWEssLWs AND ASSIGNS ATINA LOr A //e 237$s.F — uj WRLL C/ ¢ -ry Ce -1c t BERKELEY RD . ®rEs / rs AREN®r ro Rt" IJsC'D r0 ESrABL/sN PROPER rYL/NEs. 4' 2)LOr L /NES ARE COMPILED ONFORUAr/aN r � 3 , . . !N R aY / Y o f Y KNOWL�'l7GF /NFOfi'�1,4 r/® L O P TS r E e"RV C s ® rH/s L N ARE N {L�1®Al A A�Ar L' Y - Ar A DN AR� ll/ r/ A eLO/ H T N sI�OWN ON E: �'. A�. A IAP Ca A lY1mumr Y NO P5 98 C 'ONE.' xEFF,EC r/VE DA rF. 6-2-s3 i W g t v � i i rco 0 - V!C-W. t ?013 p 201 X 2d 610 'p dUP (R4i j .. Aa, A 4 t �� -t e� �.. ` 4 s l w ~S<... r 1 ' . � + r r• , 7 � . �d"�,` {{{//J r., pp qorA OindavA Dept. i a o , ctol hd ! f ij 1 a iyi, Q r. e ,� t1 lily t - '.w.��cj��� �--... ._.—�"�, tr�►�–'--fid IN V— 7 1 X4+0 Zy� 1t�1 f o �cl CD J 4ail'n'T•f9 .. vL 1/22 f22 k tt , t �..._..,�,�' ,ter.. ,� � ,T `i. r• r"OJNCI��{Q�. }) � s s^• ,per A • �� r bt '-_ - .•. W) - I t 1 1fl Prod, I 3 e t T C..Sv5 C}}=o oittu�w __ -.:,: ,,;.�....J. r.., ,...a, a'.••rj vo.c- 0'.1-... i....y 1(`�• � � � f gig i � � � r X19 , Js �i-a '� g g:. ��3i`�i : �� � t y s 8 [t �rTIP�i� �i s z e ! s L � r, � Z � ; t aY a i ILI t � ; ".1 , it�I�� . �� � sib ►i'�i�:�� I., .i 'S � r 4l � s ; �1 j ; si+1 Y f 3P.F. M bi "r • � 400Q �j j�fl `i r� WWW6*1• -1\�FL �x ` Ire u+ ' � � ►yam. � � RAI: �WMMI OW 01� no 7 swoon tbl us V V� zee�zee� UnnMils oadwox. -h« 03 DNS ssftsl 911L Z$b Bt8 e9;91 b6/9110 =c, 7r1',i.-+ 0*±" .11Dci L5h5—L66-800 9T Li=t b66T/13T,-`—,- DESIGN MFOKAIM'ION ANLKJV LR,N146S F Ll i.ti7[ylr This dip is fir as inbs•iiinl h0dirrL ;� cmyto�rnadbaslaeatarrt.a.:rrmsrmk. 1Ct4 CflAQi.'sS: 2s4 SFF 4f2 liC'IE: lgztal�tffi tzvso spacing is 16.0" o.c. ��_:>.-.aToiot 1.ocat3.onsY=��=:stataa: roidcdby6cdkal.Thcdcl�udisclsins WT C21M S: 2x4 SPF 42 ?Q►IJrIP7.B IAi1DS - 'lhla dmig¢ is thtt X2) 0- 0- 0 5) 20- 0- 0 9} 5- S- 7 y a"tcW fob"fe,damasr.ua.9Aor 1®S: 2x4 SPP 42 cooelaosita rnault of nultigle loads. 2} 5- 5- 7 6) 20- 0- 0 10} 0- 0- 0 faulr%m iwgxreca lags.. atbo,tp.ciSaaiorr All (.IOMP)LEMICN Chords etre asaaP.ed to be 3} 10- 0- 0 71 14- 6- 9 and:wdcu&mfundgedu.shctwilripr �_..p _..CSI BC.._PG�CS•_.CSS oontirnuouely bsac+ed nr1ew noted otherwise. 4} 14- 6- 9 B1, 10- 0- 0 I� Jl trftclkmardlbeco—inrisorKcww/ i- 2 -3061 0.57 10- 9 2751 0.85 �� of this rcftf,aai:w as it.uy r fat,m a spy ---- 1C7m DMGN iau)6 - cilic M.M-4mailtl•tr 2- 3 -2195 0.35 9- 8 2750 0.84 --- F' M "esc nes no ontr�h repard hs6d.ica- 3- 4 -2195 0.35 8- 7 2750 0.84 uhifo= PL,F From PLY ----' A fiMhandig.shirxmnd ain.dh .8 u,nof 4- 5 -3061 0.57 7- 6 2751 05 IC Vert -80 0- 0- 0 -80 20- 0- 0 -E lu wasm.lhiaaufahas bmdrsivdasan HC Vert -20 0- 0- 0 -20 20- 0- 0 Mviaidt h.Hding xt pa.tat in a¢miamm ..fah•Tr141•d 14w,91'ok u[aponW { t as putaf dw-baMng design by a bjM tg OCYpe[(ra ed alCtietl ur prnk..nad engineer). Minn scvewcd for approd by Lk r 1.ldue derma.tloMinn.tallies Anna m MtWleCWCWIIbeWeUKslat dosf " 0 arc in.apecmm with or brat bamiag.ufo. , arta!climatic rmx-Js for wind m Stam loads, 0 I"*ct gsaoticaui or special applied kai / �• =amtasstaawsa.ptvevdn.dtl•rPar �O� ( 0('Z> t��l-f'� �j�c �t.r�, 1. "j� �P i_n ►Yiam ate aoai MS)y braced by siotboot / 6i D' wdm ofhcrwise 4wtracd. whim baotta cbmds in hcruien m not My brieW bUndly by a peyerly APptiai ngid=if .Ther ttwoM bel a a mmitaaw�of ia'�'at: j �t I CT1 3 FABRICATION NOTES l !rice to fabrication.the faorietaa alit mvw -J tgds drawing to vcaifr that rdt dM%ft is in eo te"Maoc with ft fahirm's plana no to --lf�— "ift a eonnuing MFXMlity fa alb.csi --- �--- 4 i f"eatem. Any dUmnadcks ase to h Put in Z _ w�sY6atg a Caraata - -6.001 —.d and-mM Atf1H AWIX Gad,A. So d"ed gall mum!-h-uthuwer sk-- 4X4 Pburs dWl sof he imULkd wir baakees, In--didoedgrain.Moabeashall be A for figfa lilting wood to atoll btavg Cm- C 9 taeenrpbacsdWibelocowdmbodthees_4 \ sibe mass»en wh logy iebeided vA sal bar D s.m.nano not joint wens ahaWioa 5h,.., 3X4 3X4 � 3X4 San play is 9*wide a e-Iqg A 60 pian s 6' wife I e'Wn.Sb.(b* sun p�llel to n �] de ydar k-00 aptceel ondie m m-t. — .,®hes andl mat at the rnnn:d a da,.tt. 5 9-13 _`� I A .aka«dhoweetiw.nr C.t.amaPwr— f re m p am sizes baud M de Ln s din n / I 6X9 _ ��.�' 4 3 15 f1 A ata!mer aml n be laacn.d tea muia ha,d- 0-3-15 3X A 3?i`.4 '"'�IY 11 ling aad7or erertion.aessn This trust is a x �J anise fahicxN�iv,ra rrtdm mwd 1.3X4 ymbtr-k-ath.vae Sarnia Fa kdNMatic.m Qual;tyfa.arai n:ad'Qwlirr -� 2-5-2 C Susdasd fit Meml rinse Cas.etrd W.A Ttansm Qsr4 5 and TPI tzto®te"C,dt .f5wtdan4 Rnctitr'. i lu 0-3-9 PRECAUTIONARY NOTES 0-33 m nn bracing&W attion moutno rdsh m u _. 3.00 w be Ionated in amardame with-Hardlug k=CicgA3w4.Hm9l. Tani tmto k t.dw taifi p.tattnlarcam ducinp bmweg 1 g 7 MW bmdlianc,&U T ad installation:0 amid dw.alic. Tetapaa t and pmn•n:ta bracing low 3.50" finebalibwa-omn-vn*swdpi-bym IGIM 3.W 1-0-0 itiaa natd ON"bfing!Satanl fares bha t gt -- ,k agand=dirngelba aAtn.Caabdi.Wi- (RIA-7) ting is encmtiat star ctmdm lac aiag.ntwar repaired aYamd PWAOetsvy acbm M. soak = 0.250 "°"5 Mr—taarb"'paras hf°'f°fig EXCM MIERE SHOWN, ALL Pt..ATFUS TO BE TEE-LAK 2"A ST is Whrm brtwe=n tss.a:s to awddwfpling ant anociog 7!t sapM ita.d aectis d FD. Job: WO:107-29 One—Shall k a.de de aoaoaf of : MAID ALI,NOTES ON THIS SHEET. Truss ID: Tl `rc��.r� lir°�I be uen if tr:ata_ aa A COPY OFTHIS DRAWISG TO BE GF EN TO EREcnNG r comenwasbn M cm_wwa.-A lands thrusts �� M�� Ds VErRN Chi: !late: 7-1594 te„e ft&'MP load[wH not hr apPtird m tuatara at any nme last lash crier tiro at � CONTRACTOR. ITC live 30.0 rd D"Fw-Lbr: 1.15 [T acigbl of alit amaze slat Inc aw"in r BRACING WARNING aerate tmnl afw am faweaing and t �Y �r.,...a tis rkaa:ra:as u.c.o.f.ays..a.t Marog.P.d la+k.t.r saa.dw sung TC Draatl to.s pet' @urFac-P1t: 1.1.5 n c�aa. **So.pang de b aft j—p ad- —aa k tntnitiatetnod b,car bang ft--ftwe Em 4_0 par O.C. Spacing 16A" a—a,fa ba-1.saprM d traitssa.mI alyao aehoc Wrest tam Pnoaa M nOal?. SPLICES INCO anadc m>"a ked kaaq a cans as V.Ad Inca kw 4,v,=.rd fay Ac hmikay*_V_. DC Diad 14.9 phi DCdP(`ritetia:SOCA •yY i-tKahe iRPdrad•.SpfkXb al appum.I.'4of AAitYsuf brzarg! �wsrd aastiarr aJ k'trP G�Hfa'NdTnj. TergP-afw. parse kt4r s;asem jia o shorn rn .ail W..*lmni ons. ,asset bAMM 4Ksgrr. (*Imp Ptoa nsaatt.TM,m k-sk a cuss; (603,162-5321 (5(*)917-5457 iii W(k hi.lki,<.Madden.Whonp�53119. ITOTA-L %.0 V-01.21.94-ISM17-90 al l� F s ,E ��s�yvr t4 �6 � ' , jr if r1jg Ila" Piwoocc! I It'll et- C�°� � 3�'iw '�'�G �l,a�►►Prx� _ M72--- - # r. � i • , p. Wail � ��;��"'�'�w��„��•�'_. qAb1' Payy 1 -�---- �-- Li mi 41 if Ll Aj 'IT ll INN rf 4 �( f� � # 12.c9. � �► � Rb v i# r b: I .��. . `` Leal i � �� iS � ' ij �� �;� ; ��►� AS Sa�dd iIi - Etv O g � . 6.61 Vic Fill -ill+ -71� l j a i C � i � �� •f t� :l s; l� ;.� 1=�: li �� jt f 2 71-7 I. } 1 + + �1����71 ' I ej �3 �� ..� ,� {� e• =f .a 14 t i mal ' ,y d + a 72 II � ♦1 � li��iiZ k' G Yatp �tt "3001+4 r r A i C-)5 �-- i i i r , c canC'%'ci c ,�-�ivc-'; ?,��;. �a�'t r�1� (�„ ..LL r ad`s'►t�c� (z x r �) 5 e t �o (till 1161 FL . pfxc, --�- mai 4' i' i 7 i ' 1 _ C', Ixz i � 71 ►1 ,Z bI JI ® K.0,h /� ii ISS fZ. ,tSIGN INFORMATION ANDOVER. MASS PETERSON WO: 407-29 TI:T1 TY: 16 1.ts design is for an individual building - �'crnnponem and has been based on information TOP CHORDS: 2x4 SPF #2 NOTE: Maxi=m truss spacing is 16.0" o.c. _ _ _________=Joint Locations====____ ___�_ provided by the client.The designer disclaims BOT CHORDS: 2x4 SPF #2 MULTIPLE LOADS -- This design is the 1) 0- 0- 0 5) 20- 0- 0 9) 5- 5- 7 any respoWsibility for damages as a result of WEBS: 2x4 SPF #2 composite result of multiple loads. 2) 5- 5- 7 6) 20- 0- 0 10) 0- 0- 0 faulty or incorrect information,specifications All COMPRESSION Chords are assumed to be 3) 10- 0- 0 7) 14- 6- 9 by the a furnishedecto tesshe or accuracy TC. FORCE CSI BC...FORCE...CSI continuous) braced unless noted otherwise. 4) 14- 6- 9 8) 10- 0- 0 by the client and the correctness or accuracy •• y of this information as it may relate to a spe- 1- 2 -3061 0.57 10- 9 2751 0.85 cifitprojectand accepts noresponsibility or 2- 3 -2195 0.35 9- 8 2750 0.84 ------------ TOTAL DESIGN LOADS ------------ exercises no control with regard to fabrica. 3- 4 -2195 0.35 8- 7 2750 0.84 Uniform PLF From PLF To tion,handling,shipment and installation of 4- 5 -3061 0.57 7- 6 2751 0.85 trusses. Vert -60 0- 0- 0 -80 20- 0- 0 sses. This truss has been designed as an individual building component in accordance BC Vert -20 0- 0- 0 -20 20- 0- 0 with-TPI-85'.d'NDS-9l•10 be i—Waled as part of the building design by a Building Designer(registered architect or professional y engineer). When reviewed for approval by the E"�l• ~ <J building designer,dues design loadings shown --__ _`:, U 6 must be checked to be sure that the data shown Y94 are in agreement with the kcal building corks, local climatic records for wind or snow loads, project specifications or special applied loads. i Th design assumes canpression chords pap orC, ! bottom)are continuously braced by sheathing unless otherwise specified. Where bottom chords in tension are not fully braced laterally- by a properly applied rigid ceiling,they should be braced at a maximum spacing of 10'-0-o.c. S/ _e FABRICATION NOTES Prior to fabrication,the fabricator shall review , this drawing to verify that this drawing is in conformance with the fabricator's plant and to 10-0-0 10-0-0 realize a continuing responsibility for such veri- fication. Any discrepancies are to be put in 1 2 4 $ writing before cutting or fabrication. Connector plane shall be mamdanmed tram 20 gauge gal- Q 6.00 vanved steel ameenitg ASTM A446-72,Grote A, hot dipped galvanized unless otherwise shown. 4X4 Plates shall not be installed over knotholes, kiwis or distorted grain. Members shall be cut for tight fitting wood to wood bearing. Con- mcmr plates shall be located on both faces of the truss with nails fully imbedded and shall he sym.about the joint unless otherwise shown. A 5x4 plate is V wide x 4•long. A 6x8 plate is 6- 3X4 3X4 wide x 8-long. Slots(holes)run parallel to the plate length specified. Double cuts on web 5-3-15 members shall meet at the centroid of the webs 5-9-15 unless od—ice shown. Connector plate size 6X8 are minimum sizes based on the forces shown and may need to be Increased for certain hand- 0-3-15 0-3-15 ling and/or erection stresses. This truss is not 1.5X4 1 5 to be fabricated with fire retardant treated .5X4 lumber unless otherwise shown. For addititmai information on Quality Control read-Quality 3X6.4 2-$-2 3X6.4 Standard for Metal Plate Connected Wood Trusses,QST-86 and TPI Recommended Cork of Standard Practice'. PRECAUTIONARY NOTES 0-3-8 � 0-3-8 3.00 1 -3.00 All bracing and erection recommendations are a QD to ul followed in accordance with'Handling Insulting handled d Brawith p ,HIB-91.Trusses area 9-8-8 9-8-8 to be handled with particular care during banding tl and bundling,delivery and installation to avoid. 1D 9 7 damage. Temporary and permanent bracing for holding masse in a straight and plumb pos. 1000# 3.50" 1000# 3.50" ition and for resisting lateral forces shall beto 20-0-0 1-0-0 designed and installed by others.Careful hard- "� r � ling is essential and erection bracing is always (R required.Normal precautionary action for onuses requires such temporary bracing during EXCEPT WHERE SHOWN = installation between trusses to avoid toppling � r ALL PLATES TO BE TEE-LOK. 20-GA SI' scale 0.2500 andses shall b Ther the cont of erection of WARNING" READ ALL NOTES ON THIS SHEET. ng. trusses shall be under the control of persons E Job: 8043 WO:407-29 experienced in the installation of trusses. Dw • 48221 Truss ID•T1 Professional advice shall be sought if needed. ROMARO A COPY OF THIS DRAWING TO BE GIVEN TO ERECTING g' Concentration of construction loads greater Dsgnr: FL. Chic: Date' 7-15-94 than the design loads shall not be applied to CONTRACTOR. trusses at any time. No loads other than the BRACING WARNING TC Live 30.0 f DurFac-Lbr• 1.15 tresses of the erectors shall be applied to STRUCTURES trusses Until after all fastening anti boxbracing Bracing shrvn on this drawing is not erection bracing,wind bracing,portal bracing or similar boxing TC Dead 10.0 psf DurFae-Pit: 1.15 is completed. which Is a pan of the building design ind which must be considered by the building designer. Bracing gC Live 0.0 f O.C. Spacing: 16.Unt SPLICES shown h for Lateral support of mus members only to reduce buckling length. Provisions must he Ps made to anchor lateral bracing a ends and specified duudan determined by the building designer. Locate'in-panel'splices at approx.114 of INC. Additional bracing of the overall smtcOm may be required. (Sac HIB-9I of TPI). For specific BC Dead 10.0 psf Design Criteria:BOCA panel length gfrom adjacent joint as shown on (603)362-5324 onus bredng requirements, contact buil dee ' (508)957-5457 383 D'Onudrlo Drive,Madison,Wisconsin 53719 Plate dmtitute,TPI,Is Located a TOTAL psf V:61.21.94-54353- 7 DESIGN INFORMATION ANDOVERMASS PETERSON -_ QTY: 1 This design is for an individual building '"� - - -- -,rent ***** CUTTING ONLY ***** N04:73: XavJmtmt truss spacing is 16.0" o.c. ====-===_=====Joint Locations=====_=__=_____ provided by the client.The designer disclaims TOP CHORDS: 2x4 SPF #2 All CCUPRESSION Chords are assumed to be 1)� 0- 0- 0 9) 16- 0- 0 17) 10- 0- Q any responsibility for damages as a result of BOT CHORDS: 2x4 SPF #2 continuous) braced unless noted otherwise. 2) 2- 0- 0 10 18- 0- 0 18) 8- 0- 0 faultypr incorrect information,specifications Y 3) 4- 0- 0 111 20- Q- 0 19) 6- 0- 0 and/or designs.furnished to the truss designer client and the correctness or accuracy 4) 6- 0- 0 12) 20- 0- 0 20) 4- 0- C of leis information as it may relate to a spe- 5) 8- 0- 0 13) 18- 0- 0 21) 2- 0- 0 cific project and accepts no responsibility or 6) 10- 0- 0 14) 16•- 0- 0 22) 0- 0- 0 IPsercises no control with regard to fabrics 7) 12- 0- 0 15) 14- 0- 0 tion,handling,shipment and installation of Z8) 14- 0- 0 Z6) 12- 0- 0 tses. This truss has been designed as an individual building component in accordance with*TPI-85•and'NDS-91'to be incorporated as part of the building design by a Building Designer(registered architect or professional engineer). When reviewed for approval by the Wilding designer.the design loadings shown most be checked to be sure that the data shown are in agreement with the local building codes, local climatic records for wind or snow loads, project specifications or special applied loads. The design assumes compression.Mads(top or bottom)-are continuously braced by sheathing unless otherwise specified. Where bottom chords in tension are not fully braced laterally by a properly applied rigid ceiling,they should W braced at a maximum spacing of 10'-0'o.c. FABRICATION NOTES Prior to fabrication,the fabricator shall review this drawing to verify that this drawing is in conformance with the fabricator's plans and to L 10-0-0 10-0-0 realize a contimring responsibility for such veri- ��T2 3 4 5 6 7 $ 9 10 11 fication. Any discrepancies are to be put in writing before cutting or fabrication. Connector plates shall be manufactured from m gauge gal- F 6.00 6 00 vaniud stat mertirng ASTM A446-7.,Grade A. hot dipped galvanized unless otherwise shown. 4X4 Plates shall not beg installed over knotholes-be cu, T knees or distend grain. Members shall. cut yI' 1.5X4 L X4 for tight fining wood to wood bearing. Con- nector plates shall be located on both faces of the vuss with nails fully imbedded and shall be I 1.5X4 1.5X4 sym.about the joint unless otherwise shown. A 5x4 plate is 5"wide x 4"long. A 6x8 plate is 6" wide x 8"long. Slots(holes)run parallel to 1.5X4 1.5X4 the plate length specified. Double cuts on web members shall men at the certroid of the webs 5-9-15 i i unless otherwise shown. Connector plate sizes I 1.5X4 1.5X4 are minimum sizes based on the forces shown and may need to be increased for certain hand- 0-3-15 I 0-3-15 ling and/or erection stresses. This truss 3X4 not 3X4 — -� to be fabricated with fire retardant treated lumtxr unless otherwise shown. For additional In In information on Quality Control read'Quality - 7— Standard for Menai Plate Connected Wood 1.5X4 1.5X4 1.5X4 1.5X4 5X5.6 1.5X4 1.5X4 1.5X4 LSX4 Tnrsses.QST-86 and TPI Recommended Cede of Standard Practice". , PRECAUTIONARY NOTES All bracing and erection recommendations are to be followed in accordance with'Handling Installing&Bracing'.HIB-91.Trusses are to 20-0-0 be handled with particular care during banding and bundling,delivery and installation to avoid 22 21 20 19 18 17 16 15 14 13 12 damage. Temporary and permanent bracing for holding trusses to a straight and plumb lpos-be I o# 3.50�� OJ/ 3,50" inion and for resisting lateral forces shall be �1-0-0 � la 20-0-0 1-0-0 designed and installed by others. Careful ham- (R1-1-7) I (" 1-1-7 ling is essential and erection bracing is always (R ) required.Normal precautionary action for trusses mquires such temporar}bracing during EXCEPT WHERE SHOWN ALL PLATES TO BE TEE-LOTS 20-GA ST Cont. Support Studs a 2-0-0 o.c. scale = 0.2500 installation between trusses to avoid toppling e and trusses shall b. Ther the opt of erection of WARNING: READ ALI.MOTES ON THIS SHEET. g tnusxs shall be under the control of persons En Job: WO:407-29 experienced in the installation of misses. /� Dw • Truss ID'TIE Professional advice shall be sought if needed. ROMAR® A COPY OF THIS DRA WING TO BE GIVEN TO ERECTING g' Concentration of construction loads greater Dsgnr: VERN Chk• Date: 7-15-94 than the design loads shall not be applied to CONTRACTOR. trusses at any time. No loads other than the STRUCTURES TC Live 30.0 psf DurFac-Lbr• 1.15 trusses uof ntil ser all Shall hr applied to BRACING WARNING _� `' p ' [NSSCa 11nf1I after NII taSlClling enI bracing Bracing shown on this drawing is not erection bracing,wind bracing,poral bracing or similar bracing TC Dead 10,0 psf DurFae-Pit: 1.15 is completed. which is a pan of the building design and which must he considered by the building designer. Bracing r SPLICES shown is for lateral support of tmss mcmbns only to reduce buckling length. Provisions must be BC Live 0.0 psf O.C. Spacing: 16.0 made to anchor lateral bracing an ends and specif-wd locations determined by:he building designer. Locate'in-panel'splices at approx.1/4 of r Additional bracing of the overall structures may be required. (See HIB-91 of TPI). For spw:ifc BC Dead 10.0 psf Design Criteria:BOCA panel length from adjacent joint as shown ontruss bracing requirements, contact building designer. (Truss Plate Institute.TPI,is located at —' truss drawing. (603)362-5324 (508)957-5457 583D•01nufrtoDrive.Madium;Wisconsin,3719). TOTAL 50.0 pSf V•01.21.94-18856-89