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Building Permit #663 - 15 COPLEY CIRCLE 3/19/2012
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Receivedk 0, Date Issued: 3 IMPORTANT:Applicant must complete all items on this page LOCATION 1 S oa kJ C C C v 0 r Print , PROPERTY OWNER �� T S Unit# Print MAP NO:_fPARCEL:�ZONING DISTRICT: Historic District yesano Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑ Other ®T�ptic�, 'D W ll plaint ®Wetlands IF DW Watrshe' Dis ,W-0Water/Sewer k .j DESCR PTION OF WORK TO BE PERFORMED: WWI A-0 (Identification Please Type or Print Clearly) OWNER: Name: �n Phone: 6 dJ Address: - V5 b 1k CONTRACTOR Name: ��c`l�V _ Z,�J\�1�� Phone: �1 �= Address: Supervisor's Construction License: Exp. Date: a• Home Improvement License: ��J� g Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J FEE: $ Check No.: Co?Loi Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund n!gnatureof'Agent/Ovuner Signature of=contractor Location No. COC P Date (bd . - TOWN OF NORTH ANDOVER e r Certificate of Occupancy $ 1 r Building/Frame Permit Fee $ .:`._ Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ Check# c>?l 7 25134 B 'ding Inspect r ,�,4" Location C r No. Dat -� • - TOWN OF NORTH ANDOVER e rttt, 14" e • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $rp � Other Permit Fee $ TOTAL $--- Check �Check# ' 25109 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑' Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE A,PP OVED PLANNING & DEVELOPMENT ❑ -311 COMMENTS CONSERVATION Reviewed on - ( D Si nature COMMENTS N 10-0' e A 1 ray', � v 1-05 1 6j\ C Q.)K�C)\ 0.S�w� ©t\ N`a� HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments a `Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date i COMMENTS Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or servicedroprequires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application ❑ Certified Surveyed,Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe: Doc.Building Permit Revised 2008mi NORThi own of No. o , '� dover, Mass.,V? ' � • � Z COC HIC1iEWICK S RA TED .(Cl BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT...................... ......... . .......... ........... ................................................................. Foundation has permission to erect........................................ buildings on ... .. ......... ... ........ Rough to be occupied as............. . �.. ...... ...•'�...... .. chimney provided that the person accepting this per it shall 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 Final r � PERMIT EXPIRES IN b MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T Rough :...................................................... 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. Contractor Aruitration The Home Improvement Contractor Law provides homeowners with the right to initiate anlarbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. i ! The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firms which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to sue' arbitration as provided In Massachusetts General Laws,chapter 142A. tAHomeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. i Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142AJ and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement.i However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the ivIork as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhiibits and referenced documents have been attached. Parties are also advised not to sign the document until sections have been filled in or marked as void,deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. j j Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,•the contractor may require that the balance of fiends not yet duel be placed in a j oint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. : i Additional Information If you have general questions or need additional information about the Home Improvements Contractor Law or other consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: I Consumer Information Hotline Office of Consumer Affairs and Business Regulation ! j 10 Park Plaza,Room 5170,Boston,MA 02116 j 617-973-8787, 888-283-3757 or visit the OCABR website at http://vm v.mass.aov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additi�nal information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: I Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation iI 10 Park Plaza,Room 5170,Boston,MA 02116 i 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: i htt__p://db.state.ma.us/homeiMprovement/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints agains j a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau j 508-652-4800,508-755-2548 or 413-734-3114 I j Version 2.1-11/22/2010 li ; i Massae usetts Home Improvement Sample Contract it This form satisfies all basic requirerilents of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard ' language to protect homeowners ISeek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to ome Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website.. Homeowner Information Contractor Information Tam Company Name treet Address(do not e a Post Office Box address) Contractor/Salesperson/O er N e City/Town tate I Zip Code Business c Address(must• elude a street addr s) / 3 z i : 74f'ZoSTGr�"1S: W\AAS -00 Daytime Phone Evening Phone City/T State �°� •1 � Zip Co e Mailing Address(IC different from above) N ` �� f7 Business Phone Tederal Employer ID or S.S.Number I Home Improvement Contractor Reg,Number Lmv inquires that most home Expiration date- improvement ate a valid emenrationn tors umber I I n valid registration number The Contractor agrees to do the fohowing work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if nececsarv.) V�v Required Permits-The followinglbuilding permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor;as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their owin permits will be excluded from the Guaranty Fund provisions of 1,2 bate when contractor will begin contracted work. MGL chapter 142A.) i r� 10— Date when contracted work will be substantially completed. Total Cont:rac:Price and PaymeratiSchedule y The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: o sr-4 Q d d Payments will be made according to ithe following schedule: I s0 D upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $2Y 5 d by or upon completion of �1 o ck h I�grp� $160 1 SDa by / i or upon completion of ; I $ upon completion i i the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted,Sdrlc begins in order to meet the completion schedule.,(**) $ to be paid for NOTES:(*)Including all finance charges(**)Law requires that any depositor down-payment required by the contractor before work begins m not exceed the greater of I(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom may ade material which must be special ordered in advance to meet the completion schedule. Ex ress Warranty-Is an ex ress warran bein rovided b the contr tctor? ❑No Subcontractors-The contractor agrees to be solely responsible for completion of he work described regardless of the actions ofeany thud ontract Party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for mat a12 and labor under this agreement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract! I � • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has alvalid Home Ira rovement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered ith the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. . • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her maim office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation er this right. DO NO GN THIS CONTRACT IF THERE ARF Two' cal copi e thy a contract m st be completed and signed. Ono copy should go to the homeown ANYoBLopy dSpACES SPACES!!! Q Romeo is i tore Contractor's Sigpature 47 /-7- .Date Date LEGEND PROPOSED FIRST FLOOR DECK PROPOSED SECOND FLOOR DECK '2J OPEN SPACE i 146.26' 1 ST W.F. SHED c PROPOSED clq LOT 3A o S LOOR AREA=15,124 S.F. 10" DECK ,C6 =0.3472 AC. 26.25' 9' . , o 461 ti w 48.07, o " PROPOSED FIRST FLOOR �y 2 DECK 2 STORY.y i N/F W.F.D. PAULINE M. SCHUMA � 2 #15 NN `,j WALTER J. SCHUMANN s 4r) cli 151-39 sr0 \ CO.PLEY CIRCLE NO TES 1 . SEE DEED BOOK 12676, PAGE 330 AND PLAN OF LAND PLAN N0, 12330 E.N.D.R.D. FOR SITE. IN M NO. ANDOVER, MASSACHUSETTS 2. ZONING DISTRICT IS R-3 DRAWN FOR DR. ANTHONY J. SCUITO AND CL MARGUERITE A. SCUITO Lo 1 15 COPLEY CIRCLE rn I NO. ANDOVER, MASSACHUSETTS 01845 SCALE: 1"=20' DATE: MARCH 15, 2012 N 0 10 20 40 60 3/15/12 STEPHEN `" w- I, R.L.S. DATE MERRIMACK ENGINEERING SERVICES 66 PARK STREET ;. ANDOVER, MASSACHUSETTS 01810 � J EXISTING ROOF BEGIN AT SANTE HEIGHT NEW ROOF d DRAWN BY: FEB, 20, 2012 MARTHA MAONNIS PROPOSED ADDITIONS 4 RENOVATIONS 55 REGENT AVF- BRADFORD, MA, 01535 15 COPLEY CIRCLE (978)374-8719 NORTH ANDOVER, MA. F-I Ll F T EsEGM A7 9Ah1E 14E1GWT EXISTING ROOF NEW ROOF FLUSH Hi Ill REAR ELEVATION DRAWN F3 r: FEB. 20, 2012 MARTHA MACINNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE. ^ BRADFORD, MA. 01835 15 COPLET CIRCLE L M78J374-8719 NORTH ANDOVER, MA. BEARING COLUMN-pOSTED TO FOUNDATION 10' ---�INSTALL NEIU BEAM ``_-�- WANG EXISTNG SECOND FLOOR JOISTS FROM BEAM TO MINIMIZE BEAM PROJECTION 12' EXISTING DOOR RELOCATED Z' 16' 8' NEW DECK FIRST FLOOR PLAN FEB. 20, 2012 DRAWN BY: MARTHA MAONNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 RECENT AVE BRADFORD, MA, 01535 15 GOPLEY GIRDLE 3 (978)374-8719 NORTH ANDOVER, MA, TYPICAL WALL SECTION 1/4"=1'-0 VENT SHINGLES TO MATCH EXISITNG 1/2"EXT,PLYLLD,344EATHWG HANG EXISTING RUBBER MEMBRANE SECOND FLOOR R"38 FIBERGLASS BATT IN°&L SIMPSON H2.5A JOISTS FROM NEW LvL BEAM WI RRICANE CLIP EACH RAFTER 8.16d NAILS ' METAL DRIP EDGE t� CONT.SOFFIT VENT 1 SIDING TO MATCH EXISTING 1/2"EXT,PLYWD,SHEATHING WojSEWRAP EQUAL TO"TYVEK" 2X6 STUD WALL 1 I SIMPSON H2.5A R=21 FIBERGLASS BATT NUIL FOR DECK CON EGFIURRICANE CLU' SEE SHEET 7 EACH JOIST SIMPSON JOIST HANGER 10 s 16"OC 51MPSON JOIST HANGERSHEATHING TO 6"X6"PT POST OVERLAP BEAM 2 SU-IPSCN CS16 STRAPS POST TO GIRDER SIMPSON ABU66 BASE LU1TN 5/8"DIA. d' ANCHOR BOLT 12"CONC.FN I SONOTUBE WTH "BIGFOOT"FOOTING ATTACHED,4' BELOW GRADE,TYP CAL. DRAWN 5Y: FEB, 20, 2012 MARTHA MAONNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE. BRADFORD, MA. 01835 15 COPLEY CIRCLE 4 (978)374-8719 NORTH ANDOVER, MA. EXIST[W.STRUCTURE 11.-6° 9-6° I LNE OF STRUCTURE ABOVE f _ / f L _ 12"CONC.FILLED_AoNoTuaE wrrH t a t i "BIGFCOV FOOTAAcHED.4' ' - BELOW GRADE,TYPICAL $� LNE OF DECK ABOVE (o„ I 'j� f t 7'-6" 6„ 6u FEB. 20, 2012 DRAWN BY: MARTHA MACINN15 PROPOSED ADDITIONS 4 RENOVATIONS 58 RECENT AVE. BRADFORD, MA, 01835 15 COPLEY CIRCLE (978)374-8719 NORTH ANDOVER, MA. 1 - J EOR LEDGER CDNJECTICt G SEE SHEET 7 ALL LUMBER USED FOR DECK 2x10 o i6"0C 12 CONSTRUCTION SHALL BE PREe&PE TREATED (3)1X10 81 FEB. 20, 2012 DRAWN BY: MARTHA MAGNNIS PROPOSED ADDITIONS 4 RENOVATIONS 55 REGENT AVE, BRADFORD, MA, 01835 15 COPLEY CIRCLE 6 (975)374-5719 NORTH ANDOVER, MA. O.0 O.0 O.0 O.0 O.c 4" SPACING 5PACING SPACING SPACING SPACING 4n o O O HOUSE SIDE DECK SIDE ade6"a 0 0 IR"DIA.SII-fI of I FOR LENGTH OF 2" WDG THREADED ROD FLOOR JOIST WITH WT AND WASHER CONNECTORS: 35/8 FASTEN MASTER LEDGER LCK TIP OF LAG SCREW EXTENDS BEYOND PiM DTT2 JOIST ON INSIDE FACE 60 PSF DECK LOAD 6"0--SPACIN3 FOR DECK JOIST SPAN SIMPSON DTT! LESS THAN OR EQUAL TO 14' DECK POST CONNECTIONS NOTES: REFER TO FASTEN MASTER TECHNICAL 6ULLE7IN 1. REF.R5W.2.23 W-2009 DECK LEDGER TO RIM JOIST FOR 2. aM TO DE CORROSION PROTECTED PER SIMPSON AND PRESSURE TREATED INSTALLATION PRCCEDIRES APD LUMEIER RECOMMENDATIONS OTHER REQUIREMENTS 3. SEE SEFERATE DECK LEDGER CONNECTION DETAIL 4. FLASHMG AND WATERFROORWG BY OTHERS 5. MIN.2 CO14IECThON45-I EACH END OF DECK DECK LEDGER CONNECTION UNLESS OTHERWISE NOTED ON FRAMIN3 PLANS OR REQUIRED BY DECK DESIGN DECK LATERAL LOAD CONNECTION DRAWN BY: FEB. 20, 2012 MARTHA MAGINNIS PROPOSED ADDITIONS 4 RENOVATIONS 58 REGENT AVE, BRADFORD, MA, 0183$ 15 COPLEY CIRCLE (978)374-8719 NORTH ANDOVER, MA. North Andover MIMAP March 8, 2012 Vit#' f e " x wwi 1 i s 4 , w , ry, w T O i , a n � , 4 r n t ICnP C C1Yl'�l'1 T ' Interstates Interstale Major Roads Horimnlal Datum:MA Slateplane Coordinate System,Datum NAD83, Roads Meters Data Sources:The data for this map was produced by Merrimack t,r Easements f pORTM Valley Planning Commission(MVPC)using data provided by the Town of North Andover.Additional data provided by the Executive Office of ❑MVPC Boundary ��� rasa OQ Environmental Affairs/MassGIS.The information depicted on this map is Parcels F p for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING t 1{ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT r c t M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION ,Ss�CMUSt� 1"=47 ft ^�' The Commonwealth ofMassachusetts Department oflndustrial Accidents Office oflnvestigations 600 Washington Street Boston,MA 02111 s� www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Apylicant Information Mase Print Legibly Name(Businesslorganization/individual�O 1 Address: -kA)�� S City/State/Zip: V - i' tb Phone#: �_� Are you an employer?Check the appropriate box: 1.ElI am a employer with 4. ❑I am a general contractor and I Type of project(required): - 2.bemployees(full and/or part-tuna).* have hired the sub-contractors 6 E]New construction a I am a sole proprietor or partner- listed on the attached she5et.1 7• ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. workers'comp,insurance. g' E]Ilemblition [No workers'comp.insurance 5. ❑ We are a corporation and its 9• ❑Building addition 3.❑ requked.] .officers have exercised their 10.❑Electrical repairs or additions I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no uired. 1 1211 Roofrepairs insurance re q ] � employees.[No workers comp,insurance required.) 13.[:]Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. -ram an employer that is providing workers'compensation insurance for information. my employees Below is fire policy and job site Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: , City/State/Zip: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under thepat andpe adtie perjury that the inforrnationprovided a ove is rue and correct. Si ature: N�� Date: ?hone Offrcial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing To. (circle one): , 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electri 6.Other cal Inspector S.PIumbing Inspector Contact Person• ' Phone#: 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, 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 foregoing 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 apartinents 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 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 with the insurane'd 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 necessary,supply sub-contractors)name(s),address(es)andphone 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 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,not the 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 number listed below. Self-insured companies should enter their ,self-insurance license number on the appropriate line. City or Town 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 the 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 referencd number. In addition,an applicant that must submit multiple permit/license 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 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. Anew affidavit must ba filled out each year.Where a homeowner 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 NOTrequired 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 us a call. The Department's address,telephone and fax number: The OO •oAxweaU of Affassaclaliset'rs Department of Jadmtrlal Accidents Office of JnVe, tjgattio ns 600 Washington Street Boston;.1-4,02111 T01.#61.7-727•-4900 ext 406 ox 1-877 MASSAFE Revised 5-26-'05 Fax#61.7-727;774.9 w�tw.naass.�avfclia l� �Pvr�rortciuP�ti��"o �/� t�ccl Office of Consumer Offgirs&Busidess Reguiahon' OME,IMPROVEMENT CONTRALTO_ R a egisfration 133648 •Type xpiratiori: X123%20.13- IndividualJ. DONALD R.PERKINS,^.t. DONALR.P.ERKtR,$.. 4 MEADQ_wxTT APT#B T NATICK,MA 01760 Undersecretary. e P. f. Mitssachusctts: DeRE utlitt im�t d Stun dards Snurt4.,t Buildutir. ervisor License f Constru:.tion Sup 1#233 _.`•` :. DbRALD R PERKINS 4 MEADOW ST#B NATICK,-MA 01760 ` Expiration: 8/2212012 ". �,-G– _.- ,%— „ •. :,.'�.:3cj ;202_ l [I EXISTING STRUCTUR� 11'-6" 4 g'-6" ,ate , SIi , �� �,L �. .x 11•,a + t u LINE OF STRUCTURE ABOVE • ria 617 s — — — 1— 12" CONC. FILLED_SONOTUBE.,WITH "BIGFOOT" FOOTING ATTACHED, 4' BELOW GRADE, TYPICAL 8' LINE OF DECK ABOVE V 54 i Structural drawings SG—.. series 10'-3" 7'-6 f--- 7'-6" to be worked with Architectural b1 ' 2 Drawings bg Martha Mac Innis 6„ 6„ .10 MARTHA MACINNIS PROPOSED ADDITIONS & RENOVATIONS C�ELINAS STRUCTURAL ENGINEERING LLC S-igA 58 REGENT AVE. NORTH ENE) BLVD 15 COPLEY CIRCLE SALISBURY, MA 01952 MA. 01835 " BRADFORD, I PHONE 918-445-6434 Drawing SG— 1 (978)374-8719 NORTH ANDOVER, MA. A 11 � FOR LEDGER CONNECTIONS, X1 .SEE SHEET -7— plo , P � r4 Q � � ALL LUMBER USED FOR DECK ` 2X10 ® 16" 12' CONSTRUCTION SHALL BE PRESSURE TREATED Pia N01011 LL I�A 11 IAAA6 8' --f 1-- r- - 14^j cue Structural drawings SG—.. series �. to be worked with Architectural - vet, Drawings bg Martha Mac Innis STi 2/26/12 rr� MARTHA MACINNIS PROPOSED ADDITIONS BC RENOVATIONS GELINAS STRUCTURAL ENGINEERING LLC 58 REGENT AVE. 519A NORTH END BLVD COPLEY CIRCLE SALISBURY, MA O1952 BRADFORD, MV BRADF74 MA. 01835 NORTH ANDOVER, MA. PHONE 9-18-445—L-f3, Drawing SCS— 2 I r 4 : G,Ar A F04- v Tlo?b-15 TYPICAL WALL SECTION G = — Structural drawings SG—.. series v v to be worked with Architectural Drawings bg Martha Mac Innis - r � � SHINGLES TO MATCH EXISITNG /�11 _ 2f I"'tJt/� 1/2" EXT. PLYWD. SHEATHING _RA (., $ LD t(✓♦ Oro NEW G, HANG EXISTING RUBBER MEMBRANE ( ,Lt I d Ci Y I SECOND FLOOR R=38 FIBERGLASS BATT INSUL. .�I� / JOISTS FROM SIMPSON H2.5A . � '� ,�� .��5 ?I'LI,�J NEW LVL BEA 2X HURRICANE CLIP " I1OG p EACH RAFTER tt - V >7L D (6-4—&v6 ��� METARIP EDGE CONT. SOFFIT VENT / SIDING TO MATCH EXISTING n � ��► 1 I I /�� 1/2" EXT. PLYWD. SHEATHING I t,., ,�` +(p" �, ♦ �/� HOUSEWRAP EQUAL TO "TYVEK" � ' �?'G��- 2X6 STUD WALL FOR DECK CONNECTIONS, SIMPSON H2.5A R=21 FIBERGLASS BATT INSUL 2)C 1?i SEE SHEET SG6 I I EACH JOIST-NCLIP iI SIMP 2x10 ® 16" SON JOIST HANGER _ oil .lQt Lill,) Lpp lot SIMPSON JOIST HANGER6"X6" PT POST _ extend hlywoo hear wall down toj 2 sonotube see SIMPSON ABU66 Section B `� �- t� X 2� ++ [�II �L t?-O W 1 li-1 BASE WITH 5/8" DIA Dwg SG 4 ANCHOR BOLT ✓ 4614 Ij CONC. FILLED SONOTUBE WITH"BIGFO 4I 11r r} G>�� BELOW O RADE, TYPICAL T" FOOTING ACHED, 4' ? (I /2-4 LYS 2/26/12 MARTHA MACINNIS PROPOSED ADDITIONS & RENOVATIONS GELINAS STRUCTURAL ENGINEERING LLC 58 REGENT AVE. 1 5 COPLEY CIRCLE 519A NORTH END BLVD BRADFORD, MA. 01835 SALISBURY, MA 01952 (978)374-8719 NORTH ANDOVER, MA. PHONE. 9718-445-6-43� Drawing SCS-3 LSI�� cr V`( 10014 if _ ar Cr-)CO T 0 0 r4 1✓N,l G AAll LLcc m � N 04L, - Q _ Ui 116 _ _ Z _ _ cc co wt; N 2 Aj . .. .... .:. . . S I TOW, 't��/,,(//,�` •-ri � r spy VIA gra @p �f { V. :......... ..1;. .... ... ... ... ............ .... ... .. .. ... ... .. .... .. .... ... .. ... .. .... .. .... .. ' ...�,.: �.... ... is ... ._ ......._.. .:..... _..' ... ... .. .. ..... .. \�\ -- J Structural drawings SG-.. series to be worked with Architectural Drawings b a y Martha Mac Innis n k ' z 1 t1 Wj _._ JOB lattice cover q var, . . lattice i . plywood, € � � ��}�•G,��Y`� SHEET NO. only JAI 17 Y1 s c BEARING COLUMN — POSTED V b TO_.FQUNDATION - - - - - -- - - - - - - - - - - INSTALL NEW BEAM L67— HANG EXISTING SECOND !.„ FLOOR JOISTS FROM BEAM TO MINIMIZE BEAM PROJECTION 12' f:-'o 42, o '!l6 EXISTING DOOR RELOCATED 5' 4" 2' -r 114 uo AS 16' 8' NEW DECK FIRST FLOOR PLAN O V A L- 1 /4 = 1 '-0 FA,fion AL,- fPLe0yL_ Structural drawings SG—.. series to be worked with Architectural 2/26/12 Drawings bg Martha Mac Innis MARTHA MACINNIS PROPOSED ADDITIONS & RENOVATIONS GELINAS STRUCTURAL ENGINEERING LLC 58 REGENT AVE. 15 COPLEY CIRCLE 5-19A NORTH END BLVD BRADFORD, MA. 01835 SALISBURY, MA 01952 (978)374-8719 NORTH ANDOVER', MA. PHONE 918-465—6436 Drawing SCS- 5 HOUSE SIDE 6w DECK SIDE O.0 �I 8d 0 6" OC 4" SPACING 4- 1/2- "1/2" DIA. SIMPSON FOR LENGTH OF HDG THREADED ROD FLOOR JOIST TYPICAL WITH NUT AND WASHER- T T T 2w HAI '!moi DTT2 .l O 14�r 2 SIMPSON DTT2 ° 0 w DECK POST CONNECTIONS NOTES: 1. REF. R502.2.2.3 IRC 2009 2. DTT2 TO BE SIMPSON AND PRESSURE ION PTREATEDD PER 1 /2 DIAMETER LAG BOLT i LUMBER RECOMMENDATIONS 3. SEE SEPERATE DECK LEDGER CONNECTION DETAIL DECK LEDGER CONNECTION 4. FLASHING AND WATERPROOFING BY OTHERS 5. MIN. 2 CONNECTIONS — 1 EACH END OF DECK UNLESS OTHERWISE NOTED ON FRAMING PLANS CONNECTORS: 3-5/8" Long, VERIFY IN FIELD, TIP OF LAG SCREW OR REQUIRED BY DECK DESIGN EXTENDS BEYOND RIM JOIST ON INSIDE FACE DECK LATERAL LOAD C0NNECTI0N 40 PSF DECK LOAD, MAX JOIST SPAN 14 FEET Q „_ 1 '_O FLOOR JOIST Structural drawings SG—.. series to be worked with Architectural Drawings bg Martha Mac Innis ,11 _ ...___...._ ._`t....X..� Z �(} , GELINAS STRUCTURAL ENGINEERING LLC I� �SN U 'r 519A NORTH END BLVD SALISBURY, MA 01952 PHONE 9-18-465—L436 Drawing SG— 6 WORK WITH DRAWINGS BY: 2/26/12 MARTHA MACINNIS PROPOSED ADDITIONS & RENOVATIONS 58 REGENT AVE. 15 COPLEY CIRCLE BRADFORD, MA. 01835 (978)374-8719 NORTH ANDOVER,' MA. NORTH BUILDING PERMIT o�tt�E°;bq"o TOWN OF NORTH ANDOVER a ` APPLICATION FOR PLAN EXAMINATION T n 4h T Permit NO: Date Received sgcHug�`��� Date Issued: IMPORTANT Applicant must complete all items on this page .•z l; A,_:.� c..: w �, •.._,+ k ..+;•^ x ;:: £ za7' •fts� y +.sr r y .� Y 3 �=1 �7.r'Y` -w- ^+,�° r v"_a.Y�'u:r Z��{ {�. +i�,� > < x .F r x r, .�'L,r_.s ; �.a+-• �c s .' .t '. /l"1T1+11J� „yyv�(k” f PRPERT ®1INER q.; s �tt� � -_ r �;v bt': w-•�:.� �_%� h ,; �rj�i�It 1 .yt -� * �= � ` i� ,{ i�rl� ;��'X -mss +fir.' ?r i ' ®� 1' RCEL r ONII G", bIST)RIGT l Ml�f? Histotic Dast tcf Y y . Y _ .. z� �, h ��. .� �llac�`"ii�e Shop��fi0�ge--V`' �es��� z Z TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [I Addition [J Two or more family . El Industrial El Alteration No. of units: Q Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �anetl Dig he ❑S} y E r - DESCRIPTION OF WORK TO BE PREFORMED: Identification Pie se Type or Print Clearly) �� - OWNER: Name: c Phone: Address: €CONTRATORj.lame Phone ^ 7577 �.�. £Address T S t x c � f 7t r ' X rim Y`' SupeN180 ViQOJIstruction L cen YE 7", a z zp Date`r 3 ,. Y Home lm P wP.vementYi.icehsetg Ex eK i.. _ ;_ a roi} f ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Ll Total Project Cost: $ 3� FEE: $ Check No.: Pllq7 � Receipt No.:�)2q. NOTE: Persons ntract* 'h ' regi$tered contractors do not have access to the guaranty fund v Signature �f`Agentfown -� . ' %gnature of contract _ .. _-.T..,__ Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract - ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Seng Pools 0 Well Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ o 6 �& 11 - COMMENTS DATE REJECTED DATE A PROVED CONS ERVATION-il` 9 ❑ ❑ COMMENTS_ wkr-x-V-1I GD` DATE REJECTED DATE APPROVED HrALTH ❑ ❑ (;(fe IMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street FI REt�©EP. T.etnp}Dumpstet on�slte yes; r o _�' Located sat 124 Main Streets s., n,. >s 3T' `fi E \ t a•*`i S y� ,fir a sa a s r ray ::.4 ,'fT. -ti Ftre�De a`irtment si(Nu�nature/datex .. �R }a J .r u CQMME;NTSt i.n, � a Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Location/jr� No. J Date e TOWN OF NORTH ANDOVER ® Certificate of Occupancy $_ Building/Frame Permit Fee � i- #`, .z Foundation Permit Fee $ Other Permit Fee $ "k It l)N TOTAL $ Check#;)C)� 25198 Building Inspector NORTFI ToVM of And No. �+ - o , dover, Mass.,- 0it- LAKE COC HICHE W ICK oRATEO X77 V ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THISCERTIFIES THAT... ............ ...........`.! ...................��ir.. . ................................................................. Foundation .......... buildings on �1...........�p.. ....�8. ............................... Rough has permission to erect.............................. �... to be occupied as........... ....az............. '�+ r a Chimney ............ ................................................. provided that the person accepting this permit shall in every respec conform to the ter s 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 Final ��. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTKIIT S Rough ................................ .......................................... -.................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy 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. LEGEND PROPOSED FIRST FLOOR DECK PROPOSED SECOND FLOOR DECK OPEN SPACE 146.26' 1 ST W W.F. co C�� SHED PROPOSED LOT �I 3A SECOND - , co FLOOR �. AREA=15,124 S.F. DECK ,0) 6j =0.3472 AC. I e �vc�-� pd0L 8.07J. o 0 PROPOSED 2 <;` FIRST FLOOR DECK 7- 7 2 STORY i N F o'ooW.F.D. � PAULINE M. SCHUMANN 2 2 #15 `,� WALTER J. SCHUMANN s, 9 55 \ N •S N , 151,390 R4j. COPLEY CIRCLE NOTES 1 . SEE DEED BOOK 12676, PAGE 330 AND PLAN OF LAND PLAN NO. 12330 E.N.D.R.D. FOR SITE, IN M NO. ANDOVER, MASSACHUSETTS 2. ZONING DISTRICT IS R-3 DRAWN FOR DR. ANTHONY J. S C UITO AND a MARGUERITE A. SCUITO 15 COPLEY CIRCLE N NO. ANDOVER, MASSACHUSETTS 01845 4" SCALE: 1"=20' DATE: MARCH 15, 2012 • r i 1j 0 10 20 40 60 ' 3 15 12 STEPHEN ° 1,/R.L.S. DATE MERRIMACK ENGINEERING SERVICES ' 66 PARK STREET IIANDOVER, MASSACHUSETTS 01810 FROM :Poolscape FAX NO. Apr- 13 2012 06:01PM P1 04/13/2011 15:55 6352464 PELHAM INSURAW-1 INC PAGE 01 CERTIFICATE OF LIABILITY INSURANCE °"" ov ••onus" 0L/ 2012 mmrE Ea A8 A MATT�1 ,ftu a>e Ins ur east;owr, rnc. ONLY AND CONFWW NO fi1GNTp WlOw TIE c! 1E V.O-. Boa 0 ALN�R. THIS CERT MATR DOE? NOT AMID, Bl( Oa 122 ldritgp COYEQAGE AFF DEO BY UPP PelJtrm IQ! 09076 MIB AFF(MCING NAICR sicwt w ER Ai,Trpz z Yaranee CO. 8vvtt Dasr eu pa4laaspes, aibullkR 62 Castor 17te � UK 03032 T�PDUGma OF RRNCE USTW DFLOW HAVE SEEN I=K0 TOIT.E 1!1SURED NAMED AF"ff,M TMF voUCY PERIOD INDICATEn.NOTIMON ANY RIM LP41 IW. OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RUPECT TO WH1CN"IS CERTIFICATE MAY EE 165UED OR TAIN, THE INSUTNNCE RDED 6Y TME POUCIGS McMIND ►IEREN 19 SU849CT TO ALL THQ TWWS. EXCLUSION$AND CONDITIONS OF 6UC AGGREGATI 1J►k bNi NU1Y w►Vtz WM4 REDW110 BY PND CawwlS. OF INNRAa� }0U0r NAA14pN Lam 'el►C» NCi 1 IwDE 11 ocCUA MEDEXIDl(((lug 0«wn • s AOV wuRr ! A oE11L12Fr F-1 Ti►NAIYJIPi>t,l�Pf.R• 1 MOWCTB_ t GDC A �wJtY ANY °""rMEOONOGE►IMR I! aafW„eT ALL ALffft 60DILY*"Vey�C A00111 Me,town ! I S 000-Lv%JURY 7 ry AUTOB fOMbob�! � PACPM r DF VWA ` ('w woaynp 4r!!AQ! r ANY AU�OONLr.EAACGIOENT • OTMRTwW &AACQE NJI�OttLY: A00 111ill ilAat+r� QC1AIM�MAD! i T . t t DEO E : e TgaA/w �f°_1a-as-oo �-ua v9/Z1/2011 09/21/2012 NTnlru�cv► '. ANY wlruMolll �uD®t CM Accg,,T 1 .000 Ir YO.dam** Ei*Mekft•CA EMP►OYR • 1 ,000 vlwHt ai 01K ICY►OAT ! 19091 Oa00�PTl1N OF lILOCwTvNMdaOLall!lICUMgNO ADM W EMDOR0fl1ElT1Q►ECNL ARONEafOay 1RAt� oerttt' f i3w aftm is toomad as a mttar Ot tnt'orIMU06 Only and eonfara bo tighto jgom ClN oortlf bolder. Thio #ioato dawn net aaaod, 4m%GAd. or Altur tba aov c4", t�P. om1ualiana, and canditlms aft by '►+a pe1AeF or oiM cwiVsmooa Msvaan. TB TIQM OM00►b ANY OF T!N ^DOVE NWRIEID gUClif a CAMS,= T►4 UPRIAT611 DATE THMOV. fte OSU1M0 1poMq VALL swW^v" MAIL .1Q_OAY5 TNR1,10 NOTEM TO TMe CW?W CA7@ NOLM NAlIW 70 TMIl a ,our An!}!OA CTOa to FARAWE To OO 00 oYc IXFMM NO OtO 1UMN 08 a Wry OF AMY Itl TWE 15 cop Civole AUThO Andovd NK 01843 �1 ' µosrN TOWN OF NORTH ANDOVER o a _ :, OFFICE OF BUILDING DEPARTMENT o _ ,�°* :,1600 Osgood Street Building 20,-Suite 2-36 Ay�s�A140sNorth Andover,Massachusetts 01845 Gerald A.Brown Inspector of Buildings Telephone(97g)688-9545 HOMEOWNER-LICENSE EXEMPTION Fax (978) 688-9542 GUIDING PERMIT APPLICATION Please print DATE: Y I � Z /z� • JOB LOCATION: � � ' � - 743. Number eet Ad ess `�30 L 33o Map/'L,ot .I • ' IOMEOWNER �j Name Home Phone Work Phone PRESENT MAILING ADDRESS S /� Cit;Town Sure. Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeotS7rers to engage an i��cividuaLfor hire who does not possess a license,provided that the owne acts as supervisor). State Building (Code Section 108.3.5.1) r DEFINITION OF HOMEOWNER Person(s)who Awns a parcel of land on which he/she resides or intends to resi be, one or two family structures. de,on which there is,oris intended to considered a homeowner. A person who constructs more that one home in a two-year period shall not be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner,,certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements at he requirements, /she will comply with said procedures and HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form�Iomeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER Of NO�Tp Office of COMMUNITY DEVELOPMENT AND SERVICES or•' °0 HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdeptatownofnorthandover.com WEBSITE:hU://www.townofnorthandover.com * POOL PERMIT APPLICATION Application for a permit to operate a swimming pool. Application is hereby made for a permit to operate a(circle one please):(public)(semi public)(swimming)(wading)(special purpose)pool.J*Please fill out this form completely Location: Owner: G �1 Jett(.t'I Tel.# �� Crt f�i� Certified Pool Operator:(CPO) Tel.# GENERAL INFORMATION Please refer to the state code: 105 CMR 435.000:Minimum Standards for Swimming Pools,State Sanitary Code,Chapter V for all regulations. These regulations can be accessed through the state website at www.state.ma. TYPE: h I&I ve, & V LENGTH: WIDTH: ' VOLUME: z AVERAGE FLOWMETER RATE:.70,6 RATFE OTURNOVER: 2 SIZE: Swimming Area(sq.ft.) J T Non Swimming Area(sq.ft.) L/ Diving Area(sq.ft.) oV M Maximum Capacity(persons) #of Life Guards SCUM GUTTER: TRIM AND FINISH: Pool walls and bottom DECKING: TYPE: Minimum Width: MECHANICAL INFORMATION: Filters: Kind f Skimmers: Weir Length Number Chlorinator:Type Capacity(lbs) Chemical feeders: Quantity FENCE HEIGHT: REMARKS: FEE: $135.00perpool. Please make Checks payable to the Town of North Andover If application and payment not received by May I".a Late Fee of:$270.00 per pool,will be incurred. INSTRUCTIONS FOR POOL The following is a list of mandatory information required to obtain a A POOL Building Permit for Fill out the Building Permit application completely, date and sign. A copy of the plot plan showing the proposed addition. 3. Submit a copy of the ntractors Home Improvement Contractors 7 r Registration number(HIC). 1 4. A form U-Verification form must be signed by Conservation a Health (if on septic system). nd the Board of "5. Assessors map and parcel must be on permit application and on U-Form. �! 6 ill Workers, Compensation Insurance Affidavit. 7. Fill Homeowner License Exemption form of applicable. PP le. /( �� /� !/ � /r �� _ 1 . � j --; rr � ;� y � � � _ f � � ��. s '� �/ � v i Massachusetts BUILDING CODES ON SWIMMING POOLS SECTION 780 CMR 120.M � _-�4�1 '7 t � �t S� Regulations per 780 CMR Massachusetts State Building Code 7th Edition Effective 2/29/2008 Section 780-CMR 120.M Swimming Pools, Spas and Hot tubs Barrier Requirements An outdoor private swimming pool(in-ground,above-ground,on-ground,hot tub or spa)containing more than 24 inches of water shall be provided with a protective barrier,which shall comply with the following: Barrier Requirements: The Fence: 1 Top of bather shall be at least 48 inches above finished ground level(side opposite pool) 2. A 2 inch space between barrier and ground(side opposite the pool) 3. A 4 inch space between top of pool and barrier(maximum) 4. Openings in bather shall not allow passage of a 4 inch diameter sphere 5. Solid Barriers which do not have openings,such as a;masonry or stone wall,shall not contain indentation or protrusions except for normal construction tolerance and tooled masonryjoints 6. Where the barrier is composed ofhorizontal and vertical members and the distance between the tops of the horizontal members is less than 45 inches,the horizontal members shall be located on the swimming poolside of the fence.Spacing between vertical members shall not exceed 1 3,4 inches in width.Where there are decorative cutouts within vertical members,spacing within the cutouts shall not exceed 13/4 in width_ 7. Where the barrier is composed if horizontal and vertical members and the distance between the tops of the horizontal members is 45 inches or more,spacing between vertical members shall not exceed 4 inches.Where there are decorative cutouts within vertical members,spacing within the cutouts shall net exceed I 3/4in width. 8. Maximum mesh size for chain link fences shall be a 21/4 in square unless the fence is provided with slats fastened at the top or bottom which reduce the opening to not more than 1 inches. 9. Where the bather is composed of dimensional members,such as lattice fence,the maximum opening formed for the dimensional members shall be no more than 134 inches. he Gate: 1.Shall he equipped to accommodate a locking device 2. Shall open outward away from the pool 3. Shall be self-closing 4. Gates other than pedestrian gates shall have a self-latching device 5. Where the release mechanism of the self latching device is located less than 54 inches from the bottom of the gate it shall be: a.) located on the pool side of the gate at least 3 inches below the top gate b.) The gate and barrier shall have no opening greater than 1/2 inch within 18 inches of the release mechanism.The Gate C.) he House or accessory building as part of the bather: 1. The pool shall be equipped with a powered safety cover in compliance with ASTM P 1346 2. All doors with direct access to the pool though wall as part of barrier shall be equipped with an alarm which produces an audible warning when the door and its screen,ifpresent are opened. 3. The alarm shall sound continuously for 30 seconds 4. Heard though the household 5. Automatically reset under all conditions 6. Alarms equipped with a manual means 7. Deactivation shall last for not more than 15 seconds 8. The Deactivation switch(s)shall be located at least 45 inches above the threshold. THE POOL SHALL NOT BE FILLED UNTIL THE FENCING HAS BEEN INSTALLED AND INSPECTED BY THE BUILDING DEPARTMENT. as the homeowner,have read and agreed to comply with the above fencing requirements for an in-ground pool,an ove ground pool,/hoot tub or spa necessary for FINAL inspection as well upancy of the newly Installed pool. Z4 me: MAS 1.1c k1q(Zature: Z Date. Print c [dress: /-�i— I^ ABRIDGED GUIDELINES FOR MINIMUM REQUIREMENTS FOR ENCLOSURES FOR PRIVATE SWIMIVIING POOLS, SPAS AND HOT TUBS The-following excerpt from the State Building Code (780 CMR) is provided as a public service to owners and Permittees. This is NOT to be considered as a substitute to the unabridged minimum requirements for enclosures for private swimming pools, spas and hot tubs as published in 780 CMR—Seventh Edition Massachusetts State Building Code. Please see the explanatory note at the end of the excerpt. 780 CMR — 7th Edition Massachusetts State Building Code Please see the explanatory note at the end of the excerpt 421.10 Enclosures for private swimming pools, spas and hot tubs: in lieu of any zoning laws or ordinances to the contrary,private swimming pools,spas and hot tubs shall be enclosed in accordance with 780 CMR 421.10.1 through 421.10.4 or by-other approved bathers. 421.10.1 OUTDOOR PRIVATE SWIMMING POOL: An outdoor private swimming pool, including an in-ground, aboveground or on-ground pool, hot tub or spa shall be provided with a bather which shall comply with the following. 1. The top of the barrier shall be at least 48 inches (1219 mm) above finished ground level measured on the side of the bather which faces away from the swimming pool. The maximum vertical clearance between finished ground level and the barrier shall be two inches (51 mm) measured on the side of the bather which faces away from the swimming pool. Where the top of the pool structure is above finished ground level, such as an above-ground pool, the bather shall be at finished ground level, such as the pool structure, or shall be mounted on top of the pool structure. Where the barrier is mounted on top of the pool structure, the maximum vertical clearance between the top of the pool structure and the bottom of the barrier shall be four inches(102 mm) 2. Openings in the barrier shall not allow passage of a four-inch(102 mm) diameter sphere. 3. Solid barriers shall not contain indentations or protrusions except for normal construction tolerances and tooled masonry joints. 4. Where the barrier is composed of horizontal and vertical members and the distance between the tops of the horizontal members is less than 45 inches (1143 mm), the horizontal members shall be located on the swimming pool side of the fence. Spacing between vertical members shall not exceed PA inches (44 mm) in width. Decorative cutouts shall not exceed 1 3/4inches (44 mm)in width. 5. Where the barrier is composed of horizontal and vertical members and the distance between the tops of the horizontal members is 45 inches (1143 mm) or more, spacing between vertical members shall not exceed four inches (102 mm). Decorative cutouts shall not exceed 13A inches (44 min) in width. 6. Maximum mesh size for chain link fences shall be a 13/4-inch (32 mm) square unless the fence is provided with slats fastened at the top or the bottom which reduce the openings to not more than 13/4-inches (44 mm). 7. Where the bather is composed of diagonal members, such as a lattice fence, the maximum opening formed by the diagonal members shall be not more than 1 3/4 inches (44 mm) 8. Access gates shall comply with the requirements of 780 CMR 421.10.1 items 1 through 7, and shall be equipped to accommodate a locking device. Pedestrian access gates shall open outwards away from the pool and shall be self-closing and have a self-latching device. Gates other than pedestrian access gates shall have a self-latching device. Where the release mechanism of the self-latching device is located less than 54 inches (1372 mm) front the. bottom of the gate: (a) the release mechanism shall be located on the pool side of the gate at least three inches (76 mm) below the top of the gate; and (b) the gate and barrier shall not have vertical opening greater than % inch (13 mm) within 18 inches (457 mm) of the release mechanism. 9. Where a wall of a dwelling serves as part of the barrier,one of the following shall apply: 9.1. All doors with direct access to the pool through that wall shall be equipped with an alarm which produces an audible warning when the door and its screen, if present, are opened. The alarm shall sound continuously for a minimum of 30 seconds immediately after the door is opened. The alarm shall have a minimum sound pressure rating of 85 DBA at ten feet (3048 mm) and the sound of the alarm shall be distinctive from other household sounds such as smoke alarms, telephones and door bells. The alarm shall automatically reset under all conditions. The alarm shall be equipped with manual means, such as touch pads or switches, to deactivate temporarily the alarm for a single opening from either direction. Such deactivation shall last for not more than 15 seconds. The deactivation touchpads or switches shall be located at least 54 inches (1372 mm) above the threshold of the door. 9.2. The pool shall be equipped with anapproved power safety cover. 10. Where an above-ground pool structure is used as a barrier or where the barrier is mounted on top of the pool structure, and the means of access is a fixed or removable ladder or steps, the ladder or steps shall be surrounded by a barrier which meets the requirements of 780 CMR 421.10.1 items 1 through 9. A. removable ladder shall not constitute an acceptable alternative to enclosure requirements. See below BBRS Affirmation. SEPTEMBER 17, 2007 BBRS AFFIRMATION TO UTILIZE A RETRACTABLE, LOCKABLE LADDER IN LIEU OF FENCING OR OTHER BARRIER AROUND THE LADDER GUIDANCE REGARDING OUTDOOR ABOVE-GROUND SWIMMING POOLS There has been much discussion regarding whether or not an outdoor,above-ground swimming pool may be able to utilize a retractable,lockable ladder in lieu of fencing or other barrier around the ladder. (see the current 6th Edition Building Code, Section 421 or the new 7th Edition Building Code for One- and Two-Family Dwellings,Appendix 120.M). After measured deliberation, the BBRS affirms the following: 1. The pool wall of an outdoor, above-ground pool (with pool walls extending at least 48 inches above grade at all points along the pool), substitutes for a fence or other bather around the pool with the exception of the ladder area of the pool. 2. A retractable,lockable ladder,that cannot be removed(without tools or special knowledge available to a small child),which retracts, by hinge or sliding mechanism,to 48 inches or more above the finished grade level and has provision for securing in the retracted mode with a locking device, shall be considered an acceptable alternative to the applicable required enclosure(fence or other ate bather) of the current 6th Edition Building Code, Section 421 or the new 7 Edition Building Code for One- and Two-Family Dwellings,Appendix 120.M. 3. The retractable ladder locking/release device must be'located at least 54 inches above the finished grade level in immediate vicinity of the retractable ladder or such locking/release mechanism shall be located on the pool side of the ladder (forcing"reach around")and located at least three(3)inches below the top of the ladder and the ladder shall not have an opening greater than 1/2 inch within 18 inches of the locking/release mechanism. 421.10.2 Indoor private swimming pool: All walls surrounding an indoor private swimming pool shall comply with 780 CMR 421.10.1, item 9. 421.10.3 Prohibited locations: Barriers shall be located so as to prohibit permanent structures, equipment or similar objects from being used to climb the barriers. 421.10.4 Exemptions: The following shall be exempt from the provisions of 780 CMR 421.0. 1. A spa or hot tub with an approved safety cover. 2. Fixtures which are drained after each use. 421.11 Diving boards: Minimum water depths and distances for diving hoppers for pools, based on board height above water, shall comply with Table FOR PRIVATE POOLS. EXPLANA TOR Y NOTE: This document is intended to serve SOLELY as a general Guideline to familiarize the permitee/owner with some of the general requirements for the components and arrangement of Enclosures forprivate swimmingpools, spas and hot tubs. This document is NOT intended, nor shall it be deemed, to relieve any person, owner, agent, and/or contractor from the FULL requirements as set forth in the 780 CMR:STATE BOARD OF BUILDING REGULATIONS AND STANDARDS(780 CAR— 7th Edition Massachusetts State Building Code) relative to any work performed and/or associated with the subsequent issuance of a Building Permit The undersigned hereby Acknowledges the receipt and review of the Abridged Guidelines for Minimum Requirements for Enclosures for private swimming pools, spas and hot tubs and further acknowledges and understands that the information contained herein is intended SOLELY as a general Guideline to familiarize the permitee/owner with some of the general requirements for the components and arrangement of Enclosures for private swimming pools,spas and hot tubs. This is NOT intended, and shall NOT be deemed, to fulfill or relieve any person, owner, and/or contractor from the FULL requirements as set forth in the 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS (780 CMR - Sixth Edition Massachusetts State Building Code) as necessary to for any work performed in connection to the issuance of a Building Permit. n Signatures: Acknowledgment of Owner c owment Contractor Date: �"� / l Zi Date: ` L Property Address: 780 CMR:STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES 780 CMR 120 . M SWIMMING POOLS,SPAS AND HOT TUBS 780 CMR 120.M101 GENERAL swimming pool which is not an indoor pool. 120.M101.1 General. The provisions of 780 CMR 780 CMR 12011103 SWIIVIlVIING POOLS 120.M shall control the design and construction of swimming pools,spas and hot tubs. 120.M103.1 In-ground Pools.In-ground pools shall be designed and constructed in conformance with ANSI Note 1: Public and semi public outdoor / NSPI-5 aslisted in 780 CMR 120.M107. in-ground swimming pool enclosures shall conform to the requirements of M.G.L.c.140,206. 120.M103.2 Above-ground and On-ground Note2:Akosee52ICMR 19.00.•RecreeonalFacilities, Pools. Above-ground and on-ground pools shall be Note 3:Also see 105 CMR 430.000 and 435.000 designed and constructed in conformance with as such regukeesswi�poolrequirenrenls ANSUNSPI-4 as listed in 780 CMR 120.M107. Note 4:Installation of electrical wiring and electrical devices shall be in accordance with 527 CMR 780 CMR 120.M104 SPAS AND HOT TUBS 12.00:Massachuse&ElecoicalCode 120.M104.1 Permanently Installed Spas and Hot Tubs, Note 5. Installation of gas-fired pool heaters Parnmently installed s1m and hot tubs shall be designed shah be in accordance with 248 CMR (the and constructed in conformance with ANSI/NSPI-3 as Massachusetts Fuel Gas and Plumbing Code). listed in 780 CMR 120.M107. 120.M104.2 Portable Spas and Hot Tubs. F DEKINAA11 Portable spas and hot tubs shall be designed and INITOrTI constructed in conformance with ANSI / NSPI-6 as 120.M102.1 General. for the purposes of 780 CMR listed in 780 CMR 120.M 107. 120.M, the terms used shall be defined as follows and as set forth in 780 CMR 52.00. 780 CMR 120.M105 BARRIER ABOVE-GROUND/ON-GROUND POOL. See REQUIREMENTS "Swimming Pool." 120.M105.1.Application.The provisions of BARRIER. A fence, wall, building wall or 780 CMR 120.M shall control the design of barriers for combination there-of which completely surrounds residential swimming pools, spas and hot tubs. These the swimming pool and obstructs access to the design controls are intended to provide protection swimming pool. against potential drowning and near-drowning by restricting access to swimming pools, spas and hot HOT TUB.See"Swimming Pool." tubs. IN-GROUND POOL. See"Swimming Pool." 120.MI05.2 Outdoor Swimming Pool. An outdoor RESIDENTIAL, That which is situated on the swimming pool, including an in-ground, premises of a detached one-or two-family dwelling aboveground or on-ground pool, hot tub or spa shall be or a one-family town-house not more than three provided with a barrier which shall comply with the stories in height following: I.The top of the barrier shall be at least 48 inches SPA,NONPORTABLE.See"Swimming Pool." (1219 mm)above grade measured on the side of the barrier which faces away from the swimming pool SPA, PORTABLE. A nonpermanent structure The maximum vertical clearance between grade and the intended for recreational bathing, in which all bottom of the barrier shall be two inches (51 mm) controls, water-heating and water-circulating measured on the side of the barrier which faces away equipment are an integral part of the product. from the swimming pool. Where the top of the pool SWIMMING POOL. Any structure intended for structure is above grade, such. aboveground pool, swimming or recreational bathing that contains the barrier maybe at ground level, such as the pool water over 24 inches(610 mm)deep.This includes structure or mounted on top of the pool structure. in-ground, aboveground and on-ground swimming Why the barrier is mounted on top of the pool structure, pools,hot tubs and spas. the maximum vertical clearance between the top of the pool structure and the bottom of the barrier shall be SWIMMING POOL, LNDOOR. A swimming four inches(102 mm). pool which is totally contained within a structure and surrounded on all four sides by walls of said structure. SWIMMING POOL, OUTDOOR. Any e 780 CMR:STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 2. Openings in the barrier shall not allow passage opened. The alarm shall sound continuously of a four-inch-diameter(102 mm)sphere. for a minimum of 30 seconds immediately after 3. Solid barriers which do not have openings, the door is opened and be capable of being such as a masonry or stone wall,shall not contain heard throughout the house during normal indentations or protrusions except for normal house-hold activities.The alarm shall automatically construction tolerances and tooled masonry joints. reset under all conditions.The alarm system shall be 4. Where the barrier is composed of horizontal equipped with a manual means,such as touchpad or and vertical members and the distance between switch, to temporarily deactivate the alarm for a the tops of the horizontal members is less than 45 single opening. Such deactivation shall last for not inches(1143 mm), the horizontal members shall more than 15 seconds.The deactivation switch(es) be located on the swimming pool side of the shall be located at least 54 inches(1372 mm)above fence. Spacing between vertical members shall the threshold of the door;or not exceed 1.75 inches(44 mm)in width.Where 9.3.Other means of protection,such as self-closing there are decorative cwouts within vertical doors with self-latching devices, which are members, spacing within the cutouts shall not approved by the governing body,shall be acceptable exceed 1.75 inches(44 mm)in width. so long as the degree of protection afforded is 5. Where the harrier is composed of horizontal not less than the protection afforded by 780 CMR and vertical members and the distance between 120.M 105.2.,Item 9.1 or 9.2. the tops of the horizontal members is 45 inches 10. Where an aboveground pool structure is used as a (1143 mm) or more, spacing between vertical barrier or where the barrier is mounted on top of the pool members shall not exceed four inches(102 mm). structure,and the means of access is a ladder or steps, Where there are decorative cutouts within vertical then: members, spacing within the cutouts shall not 10.1. The ladder or steps shall be capable of being exceed 1.75 inches(44 mm)in width. secured,locked or removed to prevent access,or 10.2. The ladder or steps shall be surrounded by a 6. Maximum mesh size for chain link fences barrier which meets the requirements of 780 CMR shall be a 2.25-inch (57 mm) square unless the 120.MI05.2., Items 1 through 9.When the ladder or fence is provided with slats fastened at the top or steps are secured, locked or removed, any opening the bottom which reduce the openings to not more created shall not allow the pass 120.Me of a than 1.75 inches(44 mm). four-inch-diameter(102 mm)sphere. 7. Where the barrier is composed of dimensional .Note that for private,above ground pools: members, such as a lattice fence, the maximum I. The pool wall of an outdoor, aboveground opening formed by the dimensional members shall pool (with pool walls extending at least 48 not be more than 1.75 inches(44 mm). inches above grade at all points along the 8. Access gates shall comply with the pool), substitutes for a fence or other barrier requirements of 780 CMR 120.M105.2, Items I around the pool with the exception of the through 7,and shall be equipped to accommodate [adder area of the pool. a locking device. Pedestrian access gates shall 2. A retractable, lockable ladder, that open outward away from the pool and shall be cannot be removed (without tools or special self-closing and have a self-latching device. knowledge available to a small child),which Gates other than pedestrian access gates shall retracts, by hinge or sliding mechanism,to 48 have a self-latching device. Where the release inches or more above the finished grade level and mechanism of the self-latching device is located has provision for securing in the retracted less than 54 inches(1372 mm)from the bottom of mode with a locking device, shall be the gate, the release mechanism and openings considered an acceptable alternative to the shall comply with the following: applicable required enclosure(fence or other 8.1.The release mechanism shall he located gate barrier)of the 780 CMR 421(6'Edition on the pool side of the gate at least three inches Building Code), or 780 CMR 120M (7h (76 mm)below the top of the gate,and 8.2. The Edition Building Code for One- and gate and barrier shall have no Two-Family Dwellings). opening greater than 0.5 inch(12.7 mm)within 3. The retractable ladder locking /release 18 inches(457 mm)of the release mechanism. device mast be located at least 54 inches above 9. Where a wall of a dwelling serves as part of the finished grade level in immediate vicinity of the barrier one of the following conditions shall the retractable ladder or such locking/release be met: mechanism shall be located on the pool side of the 9.1. The pool shall be equipped with a ladder(forcing powered safety cover in compliance with ASTM F1346;or 9.2, All doors with direct access to the pool through that wall shall be equipped with an alarm which produces an audible warning when the door and its screen,if present,are .. 0 780 CMR:STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES "reach around') and located at least three Single or multiple pump circulation systems shall be inches below the top of the ladder and the provided with a minimum of two suction outlets of ladder shall not have an opening greater the approved type.A minimum horizontal or than 0 inch within 18 inches of the locking/release mechanism, vertical distance of three feet shall separate such outlets.These suction outlets shall be piped so that Exception:Public and semi public outdoor in ground swimming pool enclosures shall Fater is drawn through them simultaneously conform to the requirements of M.G.L. c. through a vacuum relief—protected line to the pump 240,§206. or pumps. 120,M1053 Indoor Swimming Pool. All walls surrounding an indoor swimming pool shall comply 120.M106.5 Pool Cleaner Fittings. Where with 780 CMR 120.M 105.2,Item 9. provided,vacuum or pressure cleaner fitting(s) shall 120_M105.4 Prohibited Locations. Barriers shall be located in an accessible position(s) at least six be located so as to prohibit permanent structures, orches and not greater than twelve inches below the equipment or similar objects from being used to minimum operational water level or as an climb the barriers. attachment to the skimmer(s). 120.M1055 Barrier Exceptions. Spas or hot tubs 780 CMR 120M107 ABBREVIATIONS with a safety cover which complies with ASTM F 120.M107.1 General. 1346, as listed in 780 CMR 120.M107, shall be exempt from the provisions of 780 CMR 120.M. ANSI—American National Standards Institute 11 West 42nd Street,New York,NY 10036 780 CMR 120.M106 ENTRAPMENET ASTM—American Society for Testing and PROTECTION FOR SWIMMING POOL AND Materials SPA SUCTION OUTLETS 1916 Race Street,Philadelphia,PA 19103 NSPI—National Spa and Pool Institute 120-M106.1 General. Suction outlets shall be 2111 Eisenhower Avenue,Alexandria,VA designed to produce circulation throughout the pool 22314 or spa. Single outlet systems, such as automatic vacuum cleaner systems, or other such multiple 780 CMR 120.M1.08 STANDARDS suction outlets whether isolated by valves or otherwise shall be protected against user entrapment. 120.M108.1 General. ANSI/NSPI Note: Also refer to 105 CMR 430.000 and ANSI/NSPI-3-99 Standard for Permanently 435.000. Installed Residential Spas AG 104,1 120.M106.2 Suction Fittings. All Pool and Spa ANSI/NSPI--4-99 Standard for Above-ground! suction outlets shall be provided with a cover that On-ground Residential Swimming Pools AGI 03.2 conforms with ANSI/ASME Al 12.19.8M, or a 121 ANSI/NSPI-5-99 Standard for Residential 121 drain grate or larger, or an approved channel In-ground Swimming Pools AGI 03.1 drain system. ANSI/NSPI-6-99 Standard for Residential Exception:Surface skimmers Portable Spas AG104.2 ANSI/ASME Al 12.19.8M-1 987 Suction Fittings for 120.M1063 Atmospheric Vacuum Relief System Use in Swimming Pools, Wading Pools, Spas, Hot Required.All pool and spa single or multiple outlet Tubs and Whirlpool Bathing Appliances AG106.2 circulation systems shall be equipped with ASTM atmospheric vacuum relief should grate covers ASTM F 1346-91 (1996) Performance located therein become missing or broken. Such Specification for Safety Covers and Labeling vacuum relief systems shall include at least one Requirements for All Covers for Swimming Pools, approved or engineered method of the type specified Spas and Hot Tubs AG105.2,AG105.5 herein,as follows: ASME Safety vacuum release system conforming to ASME Al 12.19.17 Manufacturers Safety Vacuum ASME Al 12.19.17,or Release Systems (SVRS) for Residential and 2.An approved gravity drainage Commercial Swimming Pool, Spa, Hot Tub and system.120-M106.4 Dual Drain Separation. Wading Pool AG106.3 17/7R/t17t1:ffnr;i 1/1 MON -Ionr-ennr_..__i_ _. --_