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HomeMy WebLinkAboutBuilding Permit #318 - 1160 GREAT POND ROAD 6/27/2001 Location d Q-ec-)'K E No. '218 ' Date ? o 14ORT4 TOWN OF NORTH ANDOVER 3? � SOL F 9 Certificate of Occupancy $ ;,a•• E<� Building/Frame Permit Fee $ -7 JACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �Z 7 Check # 02-2<-72— f �1 I F` JJ Y� Building Inspector -,..�.,......�..m.... TOWN N l/°J[` NORTH H fTrNJ4Jt VER, , �....__.,.__._. .BUILDING DEPARTMENT APPLICATION CO C9NST7217C}Y TZEPAII2 RENDVATt OR DEIvIOLISI# A ONE OR `V()F ILY DWELLING Sart t a �} .d. BUILDING)'ERNUT NUMBER: DATE ISSUEb: 3/6ic SIGNATUR): ` -__Buildiqg Commissioner/Ins for of Buildings Date SECTION I. SITE INFORMATION 1.1 PIloptaty Address: BROOKS SCHO L- 9,-Ap TC- S i.2 Assessors M and Parcel Number: 1160 Great. Pond Road _ LC y - ~` 90c, Lot 25 and Map 1,�1033_Lot 28 North Andover, -MA 01845 Map Number Parcel Number 1.3 Zoning lnfbrrnaiioir 1.4 Property Dimensions: Zonin Aislrt< -_ ,Proposed Use Lot Areas -- Pronta`e`ft�_.-_ 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Req6ired Provide R. red Provided Re urtd Provided 1.7 Water Supply?<L[l.I..(:.40. 54) t S• oat luue lnfomtation: 1.8 Sewerske Disposal Sysiem: Public ❑ private 0 Zone_r _ _ Outside Flood Zone, ❑ Municipal ❑ On Site Dispose l System ❑ SECTION2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Br e Wall' Business Manager _ 1160 Great Pond Road Nam (Print ^�—- Address for Service: — .-.-_----__--_�---- ' �1 -7 d 978 725-6212 Signature - -IJ g re Telephone ne 2.2 Owner of Recor Name Print _�� --•---____ -Address for Service: ---- ----.- Si nature-- -------..— --- --- -- ----- ----- -- - _ Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed,Construction Supervisor: Not Applicable 0 Thomas K. tillwerth CS# 072464 Licensed Construction Supervisor--�---- ^�'— -- —_ License Number 14 Linda LtLne Address --- — 02/Date 2 Seabrook, NH 03874 Expiration Date — woo Sign re — Telephone ? 3.2 Registered Home Improvement Contractor Not Applicable ❑ COLUMBIA CONSTRUCTION COMPANY __-- 58 Concord Street Registration Number Address `—.- North Reading, MA 01864 _ - Expiration Date - — -- Suature ��� � Tele hone SECTION 44-WORKERS COMPENSA,`ll'ION'(M.6.L. C 1.52 § mc'(G) Worl.ers Compensation Insurance affidavit mustcotiipI'' and submitted with this upplidation.,Failure to provide this aflJ<suit will result. in.the.Menial of the issuance of the buildiWpemit. Si ned affidavit Attached Yes .. CT[ON 5 Oestri tion of Pro ose8 Work C_ecic atl.n ' �t;61e J4ew cow truction 0 ENistmg Building Cl Repdir(s) L7 jteratibits(s) Addition 0 Accessory Bldg. 0 'Demolition,-- El Other 0 Specify Brief De of Proposed Work. Remodel bathroom located on the second floor of the Headmasters House (Becker's House) . Take out small amount of partition wall. Relocate new tub and toilet & sink. Paint. All work done will be non-structural. SEC i IOIV 6 -EST NATE;CONSTRUCTION COSTS - Iteill Estimated Cost(Dollar)to behi`;}x{� 1 ,{' ' ."1)�+ 7 C01p )eted b.. permit applicant ,`v l(k J0 r { {Js11 ' I., 1311ild.ing (a) Buildnrg Perinit F'ee $22,000 Multiplier 2. 3?leetrical (b) Estimated Total Cost of $10,000 Construction 3 ]'luailbing $''.91000 Building Permit fee(e)x:(b) 4 Mechanical HVAC a Dire Profection - 6 T'oial1+2+3+4+5 41 000 Check N'urrtticr S)EC",'PI ON 7a OW,NR UTHORIZATION TO BE COMPLETED WKE.N O NF;RSA-6 NT_01k CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subjec property .y authoriz _ 1_I�OiYiR 5 k l(wzr to act on My brhal' ' all m tter�s relative to work authorized by this building permit application. — — _ 7 (— ' C� Si nature o Owner Date SECTION b OWNER/AUTIIORI:ZED AGENT DECLARATION as Owner/Authorized Agent of s jl ject properly Hereby declare that the statements and information on the foregoing application are true and a6curate,to the best of rry knowledge and bcbef rint.Mune t Si Ware of Owmer/A ent Date _ ir NO. Of STORIES S17E BASEMI NTOR SI.,A:E3 SI/-F Ol'FLOOR-11M.131-RS 1 s T 2 ' SPAN DIMENS ONS OF SII J S D.IIyI1 I�`iION;S OF POSTS NM]3NS1ONS OF GIRDERS - HEIGTIT OF FOUNDATION fIIICKNI:SS SIZE OJ FOOTTNCJ � - X MATF,'R]AI.O.F CI-J]y]NEY IS lit)]�_D1NG ON SOLID OR FILLED LAND IS BUTS)ING CONNI'CIED TO NATURAL GAS LINJ Columbia Construction Company Brooks School Headmasters Bathroom Joist Layout 0 = New Wall Construction Bathroom Metal Exhaust Vent Kit Floor Joist i E I II II � II II g a A MILLWORK ELEVATION I I SKA.1 SCALE: 114"= 1'-0" fl I � II it it . . PARTIAL PLAN B (MILLWORK ELEVATION SE{A. SCALE: 114" = 1'-0° SKA.1 SCALE: 1/4'= 1�-o" y '00 � o cow Sent by: CGLUf:4BIA; 978 664 2576; Jun-19-01 8:27AM; Page 6/12 FJC f sm rad Al i . IZZ � 8 . Columbia Construction Company Brooks School Headmasters Bathroom Wall Section Complies With Mass State Building Code Requirements 2305.4 Interior Walls Typical 2"X4" 16 O.C. Sheathed both sides with'/2" drywall AL 2X10 Header 10'-0" 7,—g„ I I I Columbia Construction Company Brooks School Headmasters Bathroom Wall Section Complies With Mass State Building Code Requirements 2305.4 Double Existing Floor Joists 3d Floor Plate 11 1 Existing Lath&Plaster Ceiling 2"X4" 16"O.C. Typical 10' 0" '/Z" all Bottom Plate Existing Floor 2nd �'�'"�� ✓leammo-�zrrieal(Li, a/�,. l�cr�Jac�u�ell• DEPARTMENT OF PUBLIC SAFETY a CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 012464 82181/2882 0210111959 - Restricted To: 00 THOMAS K WILLWERTH '^ 14 LINDA LN SEABROOK, NH 63814 n F` I Restricted To: 0e 80 - 35,900 cf enclosed space (MGL C.112 S.60L) IA Masonry only 16 - 1 & 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license, t I I ✓� -- IiJ \ cocHrs � EcK *g, SURVEY AKE � — �4BEBOSTN0U5E-_ ��; - * � `''� BROOKS SCHOOL Q q Q V NORTH ANDOVER MASSACHUSETTS t Q \, A -_ J O SHURGLIFF a MERRILL LANDSCAPE ARCHITECTS /\ ��^ E �1� � I /f ';%II �•/^�3 OS BR OM FIELD STREET BOSTON MASSACHUSETTS x r x� ;i I\�\ - _____ '_�-_,pc?_ _ Ll f� �� 0 �4✓� 4 C � meco d111II ' Or J AI- AV -- - - ------------- ki -------------------- A ° E — -- - - ---- -- BHr E D ) _ I! vOEp x0u5E O o rz ow a 0. L --------------- OIL ON xOu -' .. \ �l - -�BATCI`i=LLEB� �l -------- r- �d A•D9cryi., �wWms�s+�.•��..,��__ / _ ____^Y G � .__ - /��9ntl H•sTE IDEncE " ` '-'�� -_-� ��� !, 1 tm mx0 N B D \ __ \ _0_D CE_ _ rNIH 4 d - / �. ir O 11J, •7 /H R O H .Cx ] _ 0 P- a xouSE 0 0 - ___ I / � N ______—_—____— 111 -------------- o W Lr or rI ��`.Wi41' II IIIIIIIIIIO?tflt - 6' \ - ;� _ r I I. -------- -__ __ - - -- --- �: JY sx_sF—BOn-x xD.sE \ — __ ____ _____ ____ __ ____ 1JI r1i ------------------------_ UTEg/eEo d� l � J! �` -_ - .. .- _ - HOCKEY ARENA _ - ------------------------ conET O 00 m- O IN toy?i3e R �y f „w ,.,.,,.regia . 111 .. �1 :1 � • .-• ;: r r,. ,--s- ��"a �,,�,�,��r� �' mow_: '� -�<s. _k �� � . ° � �, ,, _ ;. , '� ... �'jt .. F� � - Fl - .S_�-.. i N r a. �a .. � '� F�=� ,. ��_;�� 9 � h j4 e r ,,:, �., � �����4 �`r,s -�?��_ r��`x�rn. f,w� Y � � i ��s �^t CV N m ti i I I ncvr MILLYYUMh-atc uciNiw I LINEN CLOSET L J I NEW C,OQIAN TOP AND SINK EXISTING DOOR �+ < I NEW CLOSET SYSTEM EXIST?NG 9OOR��— ] I I NEW CORWN TOP AND SINK NE'P170 LET co NEW TILE &PAINT 0 a) I 1 1 I I -4 �U 7 Q NEW CARPET 8 PAINT 0 NEW TUB UNIT �y, A MILLWORK ELEVATION NEW MILLWORK-SEE DETAILS SKA. SCALE: 114°_1%0" Ln II cv XISTING DOOR v I I !A\ lg1 iNEW CLOSET SYSTEM r- y� Ol I MIRRORS ! NEIN MILLWORK-SEE DETAILS LEAlE EXISTIIC-DOOR J 1 FLOOR PLAN - B MILLWORK ELEVATION H s K1. SCALE: 114" = 1'-O" SCALE: 1!4"= 1'-0" m � J CO 4- ^V c- a)N (A CB Sent By: COLUMBIA; 978 664 2576; Jun-19-01 8:50AM, Page 2/2 i The .Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations Boston, Mass. 02911 workers'Compensation Insurance Affidavit Name Please Print Name: Location: city _ Phone r# . EJ I am a homeowner performing all work myself. E] I am a sole proprietor and have no one working in any capacity aI am an employer providing workers'compensation for my employees working on this job. Cam anv name: Address City, # Insurance Co. Policy# Company name: Columbia Construction Com an �..— Address 58 Concord Street Cly_-� No. Readin . MA 01864 Phone# 975-664--9500. insurance Co. ACE-Cl a policy# 0431.7724200 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penal0ess of a fine up to 54.500.00 and/or ani years'impnsanment as a9 civil ti i farn of a STOP WORK ORDER and a fine cf(stoo.00)a day against me. t understand that a co St m of o the Office of Investigations of the DIA for coverage verification. I do hereby ce under psi penalties o ury that the Information provided above is no and Correct. Signatur Date ,lune 15. 2001 Print name Andrew Townshend Phone 978-664-950( Official use only do not write in this area to be complated by city or town official' City or Town PermivL' nsing © Building Dept ❑ Chec,;rt,immediate response is required ❑ L icensin 7 Board O Selectman's Otfics Contact parson: _ Phone It: ❑ Health L epartment ❑ Other 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. **********************//*******APP//LICANT FILLS OUT THIS SECTION*********************** t,XPPLICANT 4 �j f��tSLrU �� PHONE CATION: Assessor's Map Number C?o 0— C-PARCEL 2 - SUBDIVISION LOT(S) STREET ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT J IRE DEPARTMENT a�7 RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm NORTH � •ya C LED ToVM 0 ..: Andover;&. ".� coc, dover, Mass., (A k)C _ A0RATE D PP�\��� S H E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... ...5 . .. ... e .... ••a............. Foundation � •••�.ti.. has permission to 4 . ' !• ......... building o ........1.4-4.0........ ...... ...... 1)... Rough to be occupied as..................... ..wix 03 ArL....... ................................ ...................... 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 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR j� Rough I�il�—�T ►�tv�N XAi7MOR .... ......... . .. . 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 1 To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner C•S. ji d oWA&+ - ���°6 - Street No. SEE REVERSE SIDE Smoke Det. NORTH rN •�� C� E D �• OV 0Andover .0 No. 3,48 , 1 C0':." � dover, Mass., CA L3¢ ADRATED \��� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System t� BUILDING INSPECTOR THIS CERTIFIES THAT.. 3.440.e**.... ...�.�..1....�................. Foundation has permission to mM.....���.Wf'.Ai ......... buildingOn .......04..&C......GL"_* ..4W ... Rough to be occupied as........................1��. �e..*m034't.......1�'b. ? it / ..................... 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 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ���� ��Q��S ��� • ......... 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 dos. Ij� 0� _ ,��0� — Street No. S Smoke Det. SEE REVERSE SIDE