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HomeMy WebLinkAboutBuilding Permit #664 - 20 MAYFLOWER DRIVE 3/19/2012TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: ` Date Received Date Issued: e,~ L - ) z'-- 1 v IMPORTANT: Applicant must complete all items on this nage LOCATION �V �'l ,�l= �ow-�� to —0oe: 1z Print PROPERTY OWNER i rwl r� Fel lc , Unit # 3 Print MAP NO: /d7- PARCEL: ZONING DISTRICT: Vk Historic District yes Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ❑ Addition ❑ Alteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Commercial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg Other ❑ Others: E sv.. WeyF-7- 7 } i s_:.. �+ ❑e ' ll .1 ..�.l..ww...n�A._wa fs... d. 4 ..i�.`.�r...Z�.,X.P.. y❑ . p�lood, pla® Wetlands >�t ' �; t � .�.�.� � �. -�; �� m.�3.i2 _5�'L�i-3tudvR�'F.e.i:.'��Cfa• hz a. g 'Wed ►�cA. --..tiA'111,. l.- A'�.LO�ff`��� /DESCRIPTION OF WORK /TO BE PERFORMED: / m 104 V F0 2 �• `.ti ! I�r�r.,�`G. ��� a n I Lw (Identification Please Type or Print Clearly) OWNER: Name:_ , ems/ 4 ,;.AC _ dyrPhone: D 14r -,p44 -C Ke Y CONTRACTOR Name: aG000 , Phone: Address: W l 11,Y1*w2 s-ivtf, ju om m +Q- Supervisor's Construction License: Exp. Date: �Y// Home Improvement License: f Exp. Date: ARCH ITECT/ENGINEER ©-Fv Phone:' /667 Address; g1%gk .r Reg. No. .bold FEE SCHEDULE: BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $_ A) % FEE: $ Check No.. `�^ � Receipt No.: O3 S It 0 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ff' Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer �7 Tanning/MassageBody Art ❑ Swunming 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 XPLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed o COMMENTS DATE REJECTED DATE A PROVED _/q vt HEALTH Reviewed on Signature COMMENTS t 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dempster on site yes no Located at 124 Main Street Fire Department signature/date 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 service drop requires approval of Electrical Inspector Yes No 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 20117une/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 o 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 rnust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Locationao MtA�j -F(ovvu--tL� No. Date,*5 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee s k.) 0 Other Permit Fee $—!7 -- TOTAL $ /0 Check 25110 Building Inspector sl E _h Z H :O O N Clc co m cm m o cm c 'c N Ci L O Z 0 J 0 z 0 z 0 U W, 4 U 0 SS ;� uj 0 LU U) 19 W 19 W U) SO U a 0 cz 0 xto v w U .� w O '� x w a F W w w ; -� w O O w �" w W v rA ° z.. cn q v o C/) E _h Z H :O O N Clc co m cm m o cm c 'c N Ci L O Z 0 J 0 z 0 z 0 U W, 4 U 0 SS ;� uj 0 LU U) 19 W 19 W U) SO o c H O C •Q „O CL MCC :L cc Q CAm Ea CD L :.: s o o. H o= c.. o 0 Ca .,., c m l N W m Ci C=33 h co m m� M • .0 O c 'Z c 1i H Co. E job a�cD� O E oa VJ G�.c= Vy O ._ Z c c o L . = CD Ci CE O W 0 y CD r0.. ��Z D •NJ �dZ ev c F.. � .a`� O �+ Ci •N LU vas `42 o' O SO2 a. O .E •C .Z � N O �C.Onm E _h Z H :O O N Clc co m cm m o cm c 'c N Ci L O Z 0 J 0 z 0 z 0 U W, 4 U 0 SS ;� uj 0 LU U) 19 W 19 W U) b, V r SEE I/A7 FOR -� FOLNOATION AND FRAMING REQUIREMENTS I OF 4 SIMPSON STHD 14 FOUNDATION n4 TOP E BOTTOM ANCHORS OF WALL FOUNDATION PLAN A B A4 A4 3ff-10' Ll 4' Q .n 8' CONCRETE FOUNDATION WALL WITH 16'X8' CONT. CONCRETE FOOTING (TTP.) 29'-5' 5'-8' 4'-9' 7-3' 4' 9' 4'-9' 5'-6' 7-7 T.O. WALL 6X6 P.T. POST W/ SIMPSON ABU44 BASE EL 100'-0' ON 12' DIA. CONCRETE FILLED SONOTUBE TO I UNDISTURBED SOIL (TY9J I I I � I I G 'ANDERSEN' 2817 BASEMENT SASH, I I I 1 WITH AREAWAY h h AS REO'D, (TYP.) I I . T.OWALL I—— 14 L — O LP TO O_ r GRA I 02 P O � I ry 0' CONCRETE I �'W"� ' �I �lm FOUf�DATION LI POCKET I BEAM WALL WITH 20-XIO' I POCKET CONT. CONCRETE FOOTING (TYPJ I T4 O. SLAB I O I EL. 97-6' I 10 IS' -O' 11'-10' i0 I IF4' 110 /J� rIF971 I `-4' CONIC. SLAB WITH T,O. WALL j� VAPOR B BARRIER, 6 6 IO/IO EL. 100'-0' fns �� 6' MIN. COtYPACCTED FING OILL-2 THICKENED SLAB LINE OF ;o T p,_ $�pg I !/ BEAM ABOVE VEL. 92. SlF'PORTING -6' in -LINE OF i STAIR LAf�DING BEAM PROVIDEYi I I ABOVE T.O. WALL G.W.B. CEILINGI— F 15R El. 100'-0' RRIISSERSSTAIR L� I QEL I 3Ii DIA HW. LALLY 4. O' ? COLUMN WITH TOP a T.O. WALL in I AND BOTTOM PLATE EL. 1001-0' ON 30NCRETE I FOOTING I — — (TYPJ r I — — — — — — — - �%O, SLAB (HIGH PTJ BEAM I T_OSLAB POCKET ;o I '• CL Y'r-6- T.O. WALL EL. 99'� 4' I EL 100'-O' 'n I WALL EL. 100-0' POCKET T.O. WALL I EL 100'-0' 10' CONCRETE FOUND. < FOUNDATION DRQ— WALL WITH 20'X10' CONT. CONCRETE -- II II — FOOTING (TYP) . TEO. WALL 4 .10 0 I 10 5' 10' 17-6' Q FOND. g Z DROP V T.O. WALL EL. 100'-O' WALL — ---- EL. 100'-0' < 19 7 T.O. FOUND. I DROP WALL 12' zz Jpy{ V ;` I BRICK COURSES EWALL S BELOW TOP OF a �_ I BELOW GRADE SAT GARAGE i� 5/8'0 5/8'0 a I ANCHOR I hT.O. SLAB (LOW PT.) I 1&2 ANCHCR 4 EL?99'-O' Ir 2'-6' _y L 39'-10' Ll 4' Q .n 8' CONCRETE FOUNDATION WALL WITH 16'X8' CONT. CONCRETE FOOTING (TTP.) f I 0 0 CL X W id LO N o 0Z00 C) u) 0 (11 W 0.0 w -i > 5; oc Z _j < Z 0 w C) o co (D z I DATE (MM/DD/Y YY) �^ CERTIFICATE OF LIABILITY INSURANCE 3/2/201 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CEi'TiFiCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES AUTHORIZED BEI -OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. tiLFF'Or�TANT: if the certifkate holder Is an ADDITIm polceaLmayUrequire an endorsement. Astatement n this certificcatet be endomed. if TION doesLnotvcionfer rights to he i ft c t3ri is and condition ar the policy, ! cartl7cats holder in Ilea of such endorsement(s). M F ROBERTS INS AGCY INC jo60 Osgood Street North Andover, MA 01845 ;NS J <eiD CENTER REALTY TRUST F.O. BOX 876 NORTH COVER, MA 01845 INSURERIS) AFFORDING COVERAGE INSURER B: INSURER C: INSURER D: ZURICH INSURER E: INSURER F: t, No): (978) 683-3147 . oom NASC # CO' %cRAGES CERTIFICATE NUMBER: REVISION NUMBER: . {S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PETHIS RIOD HICH INCYCATED. c NOTWTHSTA DING nR ANY REQUIREMENT, TERM OR CONDITION AFFORDEDOF ABY THENY N POLCICIESR DESCRIBED OTHER DOCUMENT ST SUBJECT C TO ALT TO L THE TERMS. n ie�e cr�.>_USIONS AND CONDITIONS OF SUCH POLICIES. iT+sR TYPE OF INSURANCE L?F SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE } I LIMITS SNUWIN MAT r L+vc v== � �� + .�� POLICY NUMBER - " "- MM/ODNYYY) (MM/DD/YYYY) -- LIMITS EACH OCCURRENCE S _ _ GENERAL LIABILITY — s COMMERCIAL GENERAL LIABILITY k CLAIMS -MADE CI OCCUR AUTHORIZED REPRESENTATIVE , i = v PREMISES (Ea occurrence) $ _ MED EXP (Any onaperson) $ PERSONAL & ACV INJURY $ GENERAL AGGREGATE $ I 3_ PRODUCTS . COMPIOP AGG S GEN" AGGREGATE LIMIT APPLIES PER: $ PRO- P LOC OLICY . Ea ecbident $ 9 AUTOMOBILE LIABILITY t BODILY INJURY (Per person) $ ANYAU 0 ALLOIMED SCHEDULED AUTOS AUTOS k NON -OWNED BODILY INJURY (Per accident) S PROPERTY GWTGL--- $ (Per soddent) HIRED AUTOS AUTOS $ 1 UMBRELLA LIAB EXCESS LIAB SUR CLAIMS -MADE NIA [� rt WC005095106 02/10/12 02/10/13 EACH OCCURRENCE $ qq AGGREGATE $ 9 $ � T Y LIMITS1. ER DE^v RETENTION $ WORKERS COMPENSATION AND EMFLOYERS' LIABILITY ,., ANY FRCPRIETOR/PARTNERIEXECIJnVE Y❑ La OFFICERIMSYBER EXCLUDED? (Mendatery In Mr!) Ifyes,describeunder DESCRIFTION OF OPERATIONS below E.L. EACHACCIDENT S 00 f00 E.L. DISEASE- EAEMPLOYEE $ 500,000 i DIEAEOL500 f OOO B E.LSS I I L I DE CRIPTION OF OPERATIONS /LOCATIONS IVLtIKJLGA (A1U=AVUKU 'IVI,Aa wvlm mm�a,na ou,aame,n ii ooro Y �n•rr un, nen rIAAIr`CI I ATICIAI SAMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE } I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. AC ORD25 (2010105) The ACORD name and logo are registered marks of ACORD