HomeMy WebLinkAboutBuilding Permit # 9/13/2016 pgp RT{;
BUILDING PERMIT
TORN OF NORTH ANDOVER $.g6 `� a
APPLICATION FOR PLAN EXAMINATION $
Permit Ne#: 'l v f' € Date Received
! d ) SRCNU`�E
Date Issued: "I=l g7
iMPORTANT•Applicant must complete all items on this pale
LOCATION c s
Print
PROPERTY OWNER 2 46
Print 100 Year Structure yes
MAP 1� PARCEL: �ZONING DISTRICT: Historic District yeso
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential ' Non-Residential
New Building c One family
L Two or more familyIndustrial
Ei Addition
Alteration No.of units:
F-,
Commercial
Repair,replacement E Assessory Bldg _ Others 1
Demolition n Other t
e ttc�� Well Floodplain Wetlands is edDisfr€ct
DESGRIPTIOIOF WORK i0 I3E.PERFRII�ED.
Identification- please Type or Print Clearly
OWNER: Name: § Phone: ' 't €
Address: =
Contractor Name: tc Phone
Email:
Address:
Supervisor's Construction License: Exp. Date: ` I
9 P
Ex Date: ` �3
I Home Improvement License: �'
ARCH ITECTIENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDtNG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F,
Total Project Cost:$ _ FEE:$
Check No.: Receipt No
NOTE: Persons contracti with\ istered contractors do not have a�g to th �ara %rid
s `' `\ i
r
Town oftAORT" � Andover
o -
No.
o1b;'-c2o,7 C, h ver, Mass'��kK6
BOARD OF HEALTH
Food/Kitchen
P E Rn!l T .T ILD Septic System
THIS CERTIFIES THAT.....................!!!�_4....�!:-4
BUILDING INSPECTOR
. ... ............................................
LrA- Foundation
2 ...............................
has permission to erect.................... buildings on.7_1'a..... ,1...........'....................::
Rough
to be occupied as........ . tii.iv.6�j. ....u.. .... . ....... ........................... Chimney
ti it, ail ini
provided that the personhis ery respect conform to the terms of the application Final
on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST�TI.O Rough
Service
Final
GAS INSPECTOR
Occupancy Permit Required to Occupy But1din
g 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.
Smoke Det,
Plans Submitter Plans Waived Certified Plot Plan R Stamped Plans
TYPE OF SEWERAGE DISPOSAL f
Public sewer ❑ Tanning(Massage/BodyArt ❑ SwiumtingPools .
E
❑ Tobacco Sales ❑��/ Food PacicaginglSaies ❑
(septic tank,eta x Permanent Dmnpste on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
PLANNING&DEVELOPMENT Reviewed On�Wt� Signature_ �
COMMEN•TSA si �
1
CONSERVATION Reviewed on `{ t(o Si nature
COMMENTS 1jo �-AJ_Q- Ic^,ij
A14-)
HEALTH Reviewed on `� / Si natcl �� t
COMMENTS_ I(' I S 1-D' 1A_ ( + Y_? b lT _
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes_
Planning Board Decision: Comments
Conservation Decision: Comments
Wafter&Sewer Connecti®nlSignature&Date Driveway Permit
DPW Town Engineer:Signature:
Located 384 Osgood Street
FIRK DEPARTMENT -Temp Dumpster on site yes no,,
Located at 124 Main Street
Fire Department signatureldate
iCOMMENTS
The Commonwealth ofMossachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
wron.ntass govldia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leid
Name(Busines at uzattoallnriAdual):\ �.
Address:
Ci !State/Zi : Phone 9- t
Are you an employer?Check the appriate box: Type of project(required):
4. I am a general contractor and I
1.9 1 am a employer with t ❑ b. Q New construction
employees(full and/or part-time).* have hired the sub-contractors
2.Q I am a sole proprietor or partner- fisted on the attached sheet. 7. ❑Remodeling
skip and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp.insurance comp.insurance.t
required.] 5.❑We are a corporation and its
rei 0.Q Electrical repairs or additions
3.El I qu a homeowner doing all work officers have exercised their 11.0 PIumbing repairs or additions
myself:[No workers'comp. right of exemption per MGL ❑goof
t c.152,§1(4),and we have no
insurance required.] 13. Other v'
employees.[No workers'
comp,insurance required.]
+Any applicant that checks box kl mustAw fill out the section below showing their wo kers'compensation policy infa[mation.
t Homeowners who submit this affidawt indicating they are doing all work and then hire outside contmetors must submits new nffidavit indicating such.
tcontmewrs that check this box most attached an additional sheet showing the name of the sub-contractors and statewhether or not those entities have
employees.If the sub-conourom have employees,they must provide their warkers'comp.policy number.
lam an ensplayer that isproviding}porkers'conrpensadan insurance for my employees.Below is the policy acrd job site
lnforniatlors. \---+
Insurance Company Name:
� � gandexprthi.
Policy#ar Self ins.Lia#- <\ eta� 1� Expiration Date:IobSiteAddress: 4_ �u\r\(-()\ y��� City/State/Zip: ��Attach a copy of the workers'compe"`m policy declaration page(showing the policy nudate).
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 maybe forwarded to the Office of
InvestigatioR of the DIA for insurance coverage verification.
I do I uude / his d hies ofperjury that the information provided above is true and correct.
Si attic Date:
-
Ojjicial use only. Do nal write in this area,to be completed by city or toxin offciat
City or Town: PermillUccuse#
Issuing Authority(circle one):
1.Board of Health Z.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
b.Other
Phone#.-
Contact Person
SCALE: 1/8"=1' SF7Y CDVI R AF2FJ1(ft Z)975 VOLUME(LItrES):85,144 MEETS DEPTH AND 1411Af 1 MINIMIIM(1TANDANI)ANR1/N'tPil Faa) V r ■ d G
D ."r+� .•, " ,.� �lyR4,1t IJt� �� t B u/����9 � m„iaw e�,,.� I
°6,x v PAWS UG PANEL
6X 9'RADIUS SKIMMER PANEL
1 TO 13-0" 6X9'RADIUS PANEL to 9 I
1 I 1TO6 22'-61/8" T-6 IW X T RADIUS PANEL t 1 1
2• 9 R9>,, \ 1 TO S1 20'-3118" V-438°X9'RADIUS PANEL 4 2 4
H ( 8 // 6,,1 11 1 TO S2 17'-41/8"
"2^ ( 6'X 9'REV,RADIUS PANEL 1 1 i
/ 1 TO H1 T-0"
1 TO H2 9'-0" 7.51!6°X9'REV.RADIUS PANEL 1 1 1
2TO3 W-101/8" 3'-1 IW X4'REV.RADIUS PANEL 2 2 1 2
2'-0" I 2
T04 18'-0° 41W PLAN PANEL - 1 -
�('z' 2.a ` 2 TO 5 22'•61!8"
2,a\' \ 2706 13'-0" A-BRACE ASSEMBLY 17 17 15
N ' 'RW 1 / x-0, � \f 2 TO Sl W-0" BOLT PACK(URGE-216 COUNT) 1 1 1
270 S2 13'-93/4" 1 1B16 CYPRESS COPING IDT 1 1 1
-"� s m^s'•7" r.e^ g.p ` 2 TO Ill 16'-9 518"
` 13'-7 R9' TO H2 21'-4 7/8" 8'CURVED PACIFIC STEP ST8049 - 1
\ s \ �� I 3 TO 4 19'-7" 9'RADIUS STEEL STEP - - 1
�„� 3 TO 5 13'-0"
/V ( R9' 3 TO 6 13'-0" STEP BRACE-PH339 - 4 -
3TOS1 15•103/4" SAFETY ROPE B FLOAT SET 1 1 1
3 TO S2 9'-0" ROPE ANCHORS 2 2 2
1 3T H1 13'-61/2"
a0 2 3 TO H2 11'-6 3/4"
rs" 4 TO 5 30'•1"
(..•---^"_ _.._ ,.-..-___— —4—_— 4TO6 30'-1"
A R9' B 4TOS1 11'-31/4"
4 TO S2 28-2 5/8"
I 4 TO H 1 9'-2"
4 4 TO H2 26'-7 3!8" DIAGONALS
5 TO 6 18'-9 1/4" 9 TO 11 15'- 4
5 TO S1 28-9 1/8" 9 TO 12 2T-1'I"
40' 5 TO S2 12'-5 318" 9 TO St 24'-9 1/2"
5 TO H1 21'-7 7/8" 9 TO S2
5 TO H2 4'-3 1/8" 9 TO Ht 1 -
6 TO S1 21'-11 7/8" 9 TO H2 4'•2 1/2"
6 TO S2 6'-4 1/4" 10 TO 11 3'-0 3/8"
1 17v' `3/g°._-.-.�{'-D�7d"..._........ G_._..._...D 107012 18'_ 5/8"
6 TO Ht 26'-0 3/4"
32'-7 3/4" 18'-7 1/4" 10 TO S1 19'-4 /
i6=67'76"- 18'-7 1/4" 32'-7 314" 6 TO H2 20'-3 1/2" 10 TO S2 4'-1 /4"
2 7 70 8 1 T-5 1/2"
3 22'-9 7/8" 22'-9 7/8" 7 TO 9 18'-15/8" 10 TO H1 22'-1 3/4"
4 Id` 36'-b /T' 36'-61/2" 7 TO 10 22'-1 3/4" 10 TO H2 17-
'',, g - - 29'-5 1/2" 10'-9 5/6" 7 TO 11 21'-$1/2" 11 TO 12 1 T-
g 10'-9 5J8" 29'-5 1!2" 7 TO 12 2V-9'-011 TO S1 18'-0"
7ito Ito 24'-B 11Z' 33-5 5/8" 2T-6 3/4" 7 TO S1 13'-8 3/8" 11 TO S2 7-1 318"
g3 0 Ito 29-10 1/2" 12'-3 5/8" 7 TO S2 21'-7112" 11 TO H1 22-9-7-/F-
9
29 /g - 26'-11 118" 14'-3 7/8" 7 TO Ht V-2 5/8" 11 TO H2 9-
10 14'-3 7/8" 26'-11 118" T TO H2 17'-81/2" 12 TO S1 4'-95$"
11 - 12'-3 5/8" 29'-10 112" 8 TO 9 3'-0 3ta" 12 TO S2 20'-3 /4'
12 - 2T-6 3/4" 3'-5 5/8" 8 TO 10 15'-9 3/4" 12 TO H1 i '-1
Si 26'-4" 37'-9 1/8" 8 70 12 18'-6 318" 12 TO H2 '-5"
S2 171-15/81, 23'-21/4" 8 TO 12 21'-6 i/2" S1 TO S2 22'-3 3/4"
H1 - - 34'-7518" 2T-5" 8TO S1 25'-9° S1 TO H1 4- 1!8'
H2 31'-1 /8" 11'-3 7/$" 8 TO S2 I 12'-9 5/8" 1 S7 TO H2
A - 4'-W 47-81/2" 26'-0" 8 TO H1 I 1T-81/2" I S2 TO H1 22-6 114"
8 TO H2 1 V-2 5/8" 1S2 TO H2 14'-"
9 TO 10 1 13'-0"
"r`..YP REJ� 18' x 36' CYPRESS LEFT DWG#:ST-1572 DATE:1/17/08 SHEET: 2 OF 2
31
A-FRAMES LOCATED AT STEP
PANEL JOINTS AS SHOWN
31 14
R4R4' 6'.0. ZA,
4'
-
10
20' '
R4' P8,
16' 8'
R8' P.8,
4' &CURVED
THERMO,STEP
'Jig
6,A, p8l 61-0.
STEP2
—34'
VIEW ACROSS HOPPER CENTERLINE
3'-4n AVEWATER Ev f I
t4' 8"
I P8'
4 1,4v' 7'-6-4"'-
31'-61" �Jj 3/)4qr
4
INTERNATIO STEEL 3rd EDITION DIVINGISLIDING EQUIPMENT SHALL BE
SWIMMIN DESIGNED FOR SWIMMING POOLS AND WRADILIS
S
SHALL BE INSTALLED IN ACCORDANCE
PCIOL51 1* 16'x 34'CYPRESS LEFT WITH THE DIVINGISUDING EQUIPMENT STEEL STEP
<9
MANUFACTURER'S SPECIFICATIONS.
PARTA 57-1570 SURFACE AREA:(ft' PLEASE CONTACT THE OIVINGISLIDfNG
):504.5 PERIMETER:89'-B" EQUIPMENT MANUFACTURER FOR
DATE:V17/08 LINER AREA(ft'):544 ]VOLUME THEIR SPECIFICATIONS.
Massachusetts D par ment of Public Safety
Board of Building Regulations and Standards
License:CS-432472
on S.Pervisor \ -
WENDELL W HOLMES
23 DADANT DRIVE
WILMINGTON MA 01887
Carfmzssipner 0310712018
OtOce of Co ner Ait r s&8usin s R g lation License or registration valid for individul use only
` _ -?OME IMPROVEMENT CONTRACTOR before the expiration date.If found return to:
egistration: 110127 Type: Office of Consumer Affairs and Business Regulation
`= 10 Park Plaza-Suite 5170
WWI aphelion: 10/6/2016 OBA Boston,MA 021 Ri
HOLMES POOLS
WENDELL HOLMES
23DADANT DR -
WILMINGTON,MA 01880 U.&— ., of fa id wiAhZt signator
HOLMES POOLS
Wendel(Holmes
ik—"
as
� $ s
978-65$.$158 0ls
97'8-6 -3071 v+W'++holmespools.eam
4 1n>gx;els�heaua�>��^-
CHR/ST/AN WAY
. - - 70.2+9' /!\
L=3142'
PROPOSED REFERENCE PLANS
ADDITION
OQ LN.E.R.D. 16475
O 2.LAND COURT 36903-5
3Z3'
m
co
63.7'
0
w
EXISTING
DWELLING
85.5'
N a„ PROPOSED ADDITION
LOCATION PLAN
LOT 122-1 1 PREPARED FOR
A=51'410&F. SHAUN& JESSICA FINN
A=LfWZACRES -
272 BRIDGES LANE,NO.ANDOVEf{MA.
40 0 40 80 FT
1g DATE.- 112/12 SCALE:1"=40'
k1a� PROFESSIONAL ENGINEERS&LAND SURVEYORS
��H Qtq CHRISTIANSEN& SERCI, INC.
yid qc 160 SUMMER STREET HAVERHILL,MASSACHUSETTS 01830
m� as MICHAEL cv,ti WWW.CS!-ENGRZCOM TEL.978-373-0310 FAX.978-372-3960
191
N suflv DWG.NO.03053031
r
,�NlZgIX3 311Z --/0 IVOIZP.207 311z _1(0
J/79 Wg-Zglg 311YZ -7/0
AIAV'
101V 9/
l 9111Z
�M// ' '
-
``
70.3'
3�
Christian Way A
oa/
Shed to be moved m
/ this general area ASSESSOR MAP 104D
/ beyond the 30'setback
/ LOT 22
/ Shed
/
10'x 12' Q�
Ips, / DISTRICT R 1
rn` J
0
10.s' Ci U)
Proposed
s
ua
rp&` Poole �
Existing
p? Dwelling �L
4 Proposed 10, co
Pool Shed
10'x 6' Pump
from record PLAN O F
- Septic Tank D
R& F
from record POOL SHED
`
#272 BRIDGES LANE `\j Lj
LOCATION:272 BRIDGES LANE,NO.ANDOVERNA.
1`LAQ RECORD OWNER:ARTHUR&LINDA HIBBS
DATE:712/16 SCALE:111=40'
OFhtyss
MICHAEL YGyG
SE GI
�gQ V N. s1
r
<q�FESSt
Septic System PROFESSIONAL ENGINEERS&LAND SURVEYORS
from record a CHRISTIANSEN& SERGI, INC.
160 SUMMER STREET, HAVERHILL,MASSACHUSETTS 01830
VVM.CSI-ENGR.COM TEL 078-373-0310 FAX.978-372-3960
DWG.NO.10074.001.005