HomeMy WebLinkAboutBuilding Permit #262-2017 - 272 BRIDGES LANE 9/13/2016 BUILDING PERMIT NORTH q
2 hZ,gfL E�..rb T6�Q
TOWN OF NORTH ANDOVER o - :_..,
APPLICATION FOR PLAN EXAMINATION '' A
Permit No#: �� Date Received 0 "
LSSA C Huse
Date Issued:
MPORTANT: Applicant must complete all items on this page
LOCATION
Print „
PROPERTY OWNER
Pr nt 100 Year Structure yes ?fie
MAP ` PARCEL: ZONING DISTRICT:!Historic District yes N<KO
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family i
❑ Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Wabershed District
Water/Sewer
�. DESCRIPTIO OF,WORK TO BE ERF R ED:
i
Identification- Please Type or Print Clearly
OWNER: Name: Phone:-m)
)
Address:
Contractor Name: Phone:
Email: YbA 14a
Address:
Supervisor's Construction License:Cmc\% ('�,,�-'S4 r7 y Exp. Date:
Home Improvement License: r �` Exp. Date:
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.
Total Project Cost: $ FEE: $
Check No.: l �v'1 Receipt No.: ve>�t;
NOTE: Persons contracts wit\\nre i ed contractors do not have a e tot ar nd
Location
No. U-2 C� Date / /f
• - TOWN OF NORTH ANDOVER
u Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#L-r�
r Build fig Inspectp4
Plans Submitted Plans Waived ❑ Certified Plot Plan 'R Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/BodySwimming Pools
Art ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank, etc. Permanent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF m U FORM
PLANNING DEVELOPMENT Reviewed On �r'�. Signature_
k�
�Ilc COMMENTS SIA:6,U5� 1
m
I
CONSERVATION Reviewed on `f I Sign ture � _��,
I —T
COMMENTS I j 0 U,2 a v, — � ) f -A I c`»`
-- L
A
HEALTH Reviewed on `(�6 ` Si nat
COMMENTS
— . G
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 _DEPARaTiMENY Tem p,�Dumpster.onasite \y"es
Locatedlat 124'�MainSt�eet
r -
COMMENTS
Plans SubmittedS Plans Waived ❑ Certified Plot Plan Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
- Tanning/Massage/Body Art ❑ Swimming Pools
well ❑ Tobacco Sales ❑ Food Packaging/S'ales ❑
Private(septic tank,etc. Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF m U FORM
PLANNING DEVELOPMENT Reviewed On �J� (p Signature_
Qt__[�
i COMMENTS 5&6U5�Z
CONSERVATION Reviewed on `f I Signature ' —el L,
COMMENTS ca�
1
HEALTH Reviewed en `' Si nat / 1 � -
COMMENTS , U 5 j ;
Lanz2 r rU
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
F,�IRE DEPARsTiMENT T,4-np�Dumpsfer on�site ,yes,
tt12�4iMai - _
Fire�Departmentsignature/date _ t
COMMENTS'
F
r ®imens►®nbased
on Exterior dimensions._----
I
Total square feet of floor area,tories:f----
Number of S
r®val ®f
Total land area, sq• ®p vires app t
Meter location, mast or cervi�®
''- 1�1®veIsp
ment®f Yes
ELECTRICAL-
Electrical Ii
actor
Yes
T��E°
®NE LITERA and G min.$1o0-$1000 fine
®AI��ER
MGL Chapter 166 section 21A—
MOTES and
ATA- (For department uses
1
+t
G
r
bmitted yes
l
Email
® Notified for pickup call
__--
Contact Name---._._-------_—
�wa Permit Time_
Date. _----- "
----
ood street permit Revised 2014
384 Osg - ' poc.Buildin„
CIO
tag\Race �sFooN
4'0 �tN
hof! 0 po'OF
af4
h7
A �
r
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 serviced- op uires 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 Call Email
I
Date Time Contact Name
Doc.Suilding Permit Revised 2014
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
OTE: 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/Cross Section/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
OTE: All dum ster 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
2012 I ECC Energy code
Engineering Affidavits for Engineered products
OTE: All du
m ster 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:Building Permit Revised 2014
NORTH
Town of .f. 6Andover
C' h ver, Mass,
0 cOCHICHI—c" y1.
��p�RATEO '•P�,`'�5
S V
BOARD OF HEALTH
Food/Kitchen
PE �T LD Septic System
THIS CERTIFIES THAT ... ..... ...... BUILDING INSPECTOR
Foundation
has permission to erect .......................... buildings on a.... . ................................... Rough
to be occupied as ........v ...`.�1 .. ... .. ..(,��. X .. .... . ....... ..... Chimney
provided that the person accepti g this p r it shall in ery respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST TIO Rough
Service
.... .. .... ........ ...... Final
BUIL INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough _
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Tlie Courmomvealth of Massachusetts
Deparhnent of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
wwmmass gov/dia
Workers' Compensation Insurance Affidavit:Buflders/Contractors/Electricians/Plumbers
Agglicant Information PIease Print L
Name(Business/ auizttdonllndividuol):
Address: \
City/State/Zip: Phone#: aN b<2 BM I
Are you an employer?Check the app riate box: Type of project(required):
11..2 I am a employer with t _ 4. [] I am a general contractor and 1
employees(full and/or part time).* have hired the sub-contractors 6. []New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g. Demolition
workingfor me in an capacity. employees and have workers'
Y P tY� $ 9. ❑BuiIding addition
[No workers'comp.insurance comp.insurance.
required.] 5. We are a corporation and its 10.Q Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions '
myself [No workers'comp. right of exemption per MGL ,Q Roof airs
insurance required.]r t c. 152,a ls.( and or have no
employees.[No workers' I3. Other
comp.insurance required.)
*Any applicant that checks box dl must also fill out the section below showing their workers'compensation policy information. -
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating su&
tContr actors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employee& Beloty is the policy and job site
information.
Insurance Company Name: .
Policy#or Self-ins.Lic.#:��.Q�h \ ��� ��`� Expiration Date: , �_
Job Site Address: �7 ` City/State/Zip:
Attach a copy of the workers'comp 'on policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigatih of fire DIA for insurance coverage verification.
I do keret ,c r and ntdenalties of perjury that the information provided above is true and correct.
Si tore Date:
Phone# -
Official use only. Do not write in this area,to be completed by,city or tonm official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
i
SCALE: 1/8"=1' SFTY COVER AREA(ft Z):975 VOLUME(Litres): 85,144 MEETS DEPTH ANTI SHArn MINiMtJlvt€TANt)ARn AN011N�P15 2001
4 ".` O111 _..:.7-0".. ..:._ .�-r..,.,,_. ,z,.;-. :< .:_ ,.:�.�� •t-.�:%d3 �- �" ��^-z. � �- �' —
qt. 1atr�<<iJA1s tarr�)�)tit war n° �r 11
.� .. w 1 TO i, 10141 tl"X 0'RADIUS LIGHT CENTER PANEL 1 1 1
I f 91-101180, — 6'X 9'RADIUS SKIMMER PANEL
{ R 4 ( 1 T04 18'-0"
1 T05 13'-0" 6'X 9'RADIUS PANEL 10 9 7
2' 9 R9 j / 1 1 TO 6 22'-6 1/8" 2-6114"X T RADIUS PANEL 1 1 1
N I 8 / 11 1 TO S1 20'-3 1/8" 1'-4 316'X 9'RADIUS PANEL 4 2 4
1 TO S2 17'-4 1/8"
5
I 1 TO H 1 9'-0" X 9'REV.RADIUS PANEL 1 1 1
in 1 TO H2 9'-0" T-5118'X 9'REV.RADIUS PANEL 1 1 1
il 2 TO 3 9'-10 1/8" T-1 114"X 4' REV,RADIUS PANEL 2 2 2
2 TO 4 18'-0"
" 4114"PLAIN PANEL - 1
Z-0 -
/ 2'-0" ` 2 TO 5 22'-61/8
-�o'\2'-0" " 2 TO 6 13'-0" A-BRACE ASSEMBLY 17 17 15
N 11 R5 1 " 2'.0. 2' \ 2 2 TO S1 9'-0" BOLT PACK(LARGE-216 COUNT) 1 1 1
\2 � 2 TO S2 13'-9 3/4" 1836 CYPRESS COPING KIT 1 1 1
1
' " 2 TO H1 16'-9 5/8"
5'-4" 5'-10" 8'-7 r-8 9-.1• 11'-0" � - -
�3'-7j" R9 2 TO H2 21'-4 7/8" S'CURVED PACIFIC STEP ST8049
3 TO 4 19'-7" 9'RADIUS STEEL STEP - - 1
o \ 3 TO 5 13'-0"
N R -9 \ ` I 3 TO 6 13'-0" STEP BRACE-PH339 4 -
3 TO S1 15'-10 3/4" SAFETY ROPE&FLOAT SET 1 1 1
3 TO S2 9'-0" ROPE ANCHORS 2 2 2
3 TO H1 13'-61/2
ao 2 3 TO H2 I 11'-6 3/4"
------ ---- - 2"r ------ -� 4TO5 1 30'-1n
4TO6 30-1
A R9' B 4 TO S1 11'-3114"
4 TO S2 28'-2 5/6"
4 TO H1 9'-2"
4 4 TO H2 26'-7 3/8" DIAGONALS
5 TO 6 18'-91/4" 97(-311 5-9 3
3
40' 5 TO S2 1 12'-5 3/8" 9 O S1 24'-g T,
5 TO H1 21'-7 7/8" 9 TO S2 9'-9 3 '
5 TO H2 4'-3 1/8" 9 TO H1 -7'
6 TO S1 21'-117/8" 9 TO H2 -2 1/2'.
A B C D 6 TO S2 6'-4 1/4" 10 TO 11 -0 3/8"8"
1 - 32'-7 3/4" 18'-71/4" 6 TO H1 26'-0 3/4" 10 TO 12 - 5 8'
2 - 18'-7114" 32'-73/4" 6 TO 8 17'-3 1/2" 10 TO S1 TO '-- 7 8
3 22'-9 7/8" 22'-9 718" 7 TO 8 17'-5 1/2" 10 S2 ' 1 4"
4 - 36'-61/2" 36'-6 1/2" 7 TO 9 18'-1 5/8" 10 TO H1 22'-1 3 "
rg-
5 29'-51/2" 10'-9 5/8" 7 TO 10 22'-13/4" 10 TO H2 17'-0 3
6 - - 10'-9 5/8" 29'-51/2" 7 TO 11 21'-8 1/2" 11 TO 12 7'-5 1 2"
7 - - 33'-5 5/8" 27'-6 3/4" 7 TO 12 I T- 11 TO Si181-0.1
8 - 29'-101/2" 12'-3 5/8" 7 TO S1 13'-8 318" 11 TO S2 22 8
9 - 26'-11 1/8" 14'-3 7/8" 7 TO S2 21'-7 8" 11 TO H1 22-9 7/8"
10 - ---Z'-T779' 14'-37/8- 26'-11 1/8" 7 TO H1 IT-5/8" 11 TO S1 -
11 2'-3 5/8" 29'-10 1/2" T TO H2 17'-8 1/2" 12 TO S1 20 5 '
12 W-O
27'-6 3/4" 33'-5 5/8" 8 TO 9 3'-0 3/8" 12 TO H 1 2 - 3 '
Si 26'-4" 37'-91/8" 8 TO 10 15-9 3/4" 12 TO H1 10'- 1 4'
17'-15/8" 23'-2 1/4" 8 TO 12 18'-6 3/8" 12 TO H2 22'-F"'—
S2
H1 34'-7 5/8" 27'-5" 8 TO 12 21'-8 112" S1 TO SZ 2'- 3
H2 31'-1 1/8" 11'-3 7/8" 8 TO S1 25'-9" S1 TO H1 4'-9
A - 47'-8 1/2" 26'-0" 8 TO S2 12'-9 5/8" S1 TO H2 26-65
8"
8 TO H1 17'-8 1/2" S2 TO H1 - "
8 TO H2 V-2 5/8" S2 TO H2 -
9 TO 10 13'-0" H1 TO H2 7-10 5/8-
I
CYPRESSFF 18' x 36' CYPRESS LEFT DWG#: ST-1572 DATE: 1/17/08 SHEET: 2 OF 2
I 31
A-FRAMES LOCATED AT STEP1
PANEL JOINTS AS SHOWN
R4' R4' JP.
U31$' R8' � i 6'-0-,
4' i
1 20' X
t R4' .�_�' R8'
16' 8'
i
I r m o,
R8'. \ ` R8'
&CURVED
1 6'_p" 3--6 �, THERMO STEP
6, 331
6,_p„ R8' 6'-0" h''�
STEP2
34' )4�
VIEW ACROSS HOPPER CENTERLINE
--- ---- --- -----73j�� -'AVE GE WATER LE L
8'
4'-8"
R
4'--�---6' 14' 71-
I
31'-64'
INTERMATIO= STEEL 3rd EDITION DIVING/SLIDING EQUIPMENT SHALL BE
5WIMMIn DESIGNED FOR SWIMMING POOLS AND W RADIUS
POOLS, 1 �' � 16' x 34' CYPRESS LEFT SHALL BE INSTALLED IN ACCORDANCE STEEL STEP
r WITH THE DIVING/SLIDING EQUIPMENT
MANUFACTURER'S SPECIFICATIONS.
PART#:ST-1570 SURFACE AREA:(ft2): 504.5 PERIMETER:89'-8" PLEASE CONTACT THE DIVING/SLIDING
Feet ��rst EQUIPMENT MANUFACTURER FOR
DATE: 1/17/08 LINER AREA(ft ): 544 VOLUME(US Gal): 18,920 THEIR SPECIFICATIONS. DWG#:
--------- --
RaA4 1/n""*1' nrnr rtyvl�rt nrir�,a(ft 2),11111 VA4 UMIt(Lllrtrn). 71,fl11F Mt't'Til APPTH AND l3HAPG MINIMUMaTANDARD ANSI/NSPi�i•;tQp —��— O
u
of 4:$rt'1i4i itr. A` I" k ;t
t =.
�..�_..,. � sarittlryr ,,,11i t1 � - - - -- - � � l�+ � � }i1 !j �� ._ i' ••r+l.•i41tr`il (111:�'�ft � { { {
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-032472
Construction Supervisor
WENDELL W HOLMES u
23 DADANT DRIVE
WILMINGTON MA 01887
1
--M CA—.— Expiration:
Commissioner 03107!2018
VlLP. 0997,�ILQ�IC!/C L Q tJdICCJJ.Cl6C�J
Ue
Officeof Consumer Affairs&13usiness Regulation License or.registration valid for individul use only
MEIMPF70VEMENT CONTRACTOR j before the expiration date. If found return to:gistration: 110127 Type: Office of Consumer.Affairs�and Business Regulation
piration: 1016!2016: DBA ( 10..FarkPlaza-Suite 5170
Boston,MA 021M
HOLMES POOLS -
}
l , AENDEL.L-HOLMES
L0ADANT DRQ
WILMINGTON,MA 01880 Undersecretary Not i wttttaut signatur
HOLMES POOLS
Swimming Pool Specialists
Wendell Holmes
Owner
m
• e e a .
77-
23 rladanc Dr
97M58-8358 Wilmingmn,Ma 01887
978-657-8071 www.holmespools.com
hohnespools0houn7il con
CHRISTIAN WAY
70.29• f\
L=31.42'
r
�1
PROPOSED REFERENCE PLANS
ADDITION
OD 1.N.E.R.D. 16475
� s5 r �
2. LAND COURT 369035
37.3•
C
a . 69.T
S
aosnNG
DWELLING
85-5*
N a_ PROPOSED ADDITION ,
LOCATION PLAN
LUT 122-1 ���dd PREPARED FOR
A=5,410-.F SHAUN & JESSICA FINN
A=1.1802ACRES
272 BRIDGES LANE,NOANDOVER,MA_
40 0 40 80 FT
7$9� DATE. 1/2112 ..SCALE
l'=40'
1'=4D'
r
W7 PROFESSIONAL ENGINEERS&LAND SURVEYORS
OF
CHRIS TIANSEN & SERGI INC.
U 160 SUMMER STREET; HAVERHILL, MASSACHUSETTS 01830
o Q� MICHAEL tiN ~_ WWW.CS/-ENGfZCOM TEL. 978-373-0310 FAX 978-3723960
R y
191
DWG.NO.03053031
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F s J L7
.5LO/ O6/IR UE! r T py O L
6150 x /50 - = ........ ..... ....... .. .....
6ZL -40vy�4aA
DES/GN EZ fildT/ON 4r.........(TOP OF 57ONE) - �1... .... .. ......... .... ....
EX/5Tllva ELEYQTzoN aT......... �c-oazeED FILL = _...... ........ .. . ........... p
13E5/ N .d5 BU/�T , 5 �N T
i /1Y11 P/PE OUT OF yDUSF
/NY. P/PE fNTO TANK I.;: .'. .-
_..__ 4/4 -,5L/RF.dCLCize TF f
{ /NV P/PE OUT OF TANK
I /NV PIPE- INTO D. BOX ' ,'_.
IN
/NV P/PE OUT OF D BOX
/NV EN49 OF 1'/PE
FOR �
,4VE2AGE 5TONE
5C.4LE . i - : rE.
DEPTI-/ ,4T P,eOBE C1/,e1,571-,4NSE/V 6N61MCEEINC, INC
LAIN /S NOT A 1yA,�,C',dNTY //4 fCENO�ZA AYE., �,d1/E�'NILL,/YIAi
1V07E.• T1I/5 .
P
OF 79LC SYSTEM BUT A VEe/F/CATION
OF TIVE LOC,4T/ON OF 71-1LEa'/ST/iVC
ST�'UCTU2E5.
I -
70.3'
�7
Christian Way
Shed to be moved in
this general area ASSESSOR MAP 104D
/ beyond the 30'setback LOT 22
/ Shed
/
10'x 12'
10. C DISTRICT R 1
Cu
121, J
C)
10.8' p (n
1� Proposed L
6' Pool 0
6.6'
Existing
DwellingtMYL1
✓� Proposed 10, W
Pool Shed
10'x 6' Pump
from record PLAN O
Septic Tank
from record POOL & SHED
#272 BRIDGES LANE
LOCATION: 272 BRIDGES LANE, NO.ANDOVERWA.
12p�� RECORD OWNER: ARTHUR & LINDA HIBBS
DATE: 7/2/16 SCALE: 1"=40'
tK �\'I IA OF M1'SS'
o=� MICHAEL
o SE GI M
�gQ U N . 91
Py
�FEss%
ND
Septic System
from record W' PROFESSIONAL ENGINEERS & LAND SURVEYORS
CHRISTIANSEN & SERGI, INC.
160 WW CSI ENGR COM TEL. 97MMER STREET, 8 MASSACHUSETTS-373-0310FAX.978-372-3960
DWG.N 0.10074.001 .005