HomeMy WebLinkAboutBuilding Permit #207-13 - 50 ROYAL CREST DRIVE 9/17/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: vq 1 13 Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
P�
.L®CATIONt
'PROPERTYOWNER�
100hYear;Old Structure, yes no-,`
Print;,
l j MAP'NO ;PARCEL s ZONINGaDISTRICT HiStOrlCrplStrlCt; yes nog
Machin'IShop,Village yes} no'
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
El Addition ❑Two or more family El Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septics ❑Welll I ❑'•Floodplain 0:1Netlandsf ❑ WatershetlfDisttict
I: OWMer/$ew_er
DESCRIPTION OF WORK TO BE PERFORMED:
� w
G
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACT}OR. .Name
F
:hone a
Add' U � r��Z
Homer Imp,rove_.mnenLicense;° Ezp Date _
ARCHITECT/ENGINEER Phone:
Re No.
Address: 9
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST
BASED ON$125.00 PER S.F.
Total Project Cost: $ g � c1C� FEE:
i
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have ccess to n fu d
uv�gr^-^V _. g ,,,.�s--a.v--a� ir+..-•- 'S��"1",R.: '•'.Z...�"�, -�i_ ""r
�Signature,�of;Agent%Qwneri �a�- . _�w �- :' �Sgnatureaof�contr , : ...., �
I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ ped Plans ❑
I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ .
TYPE OF SEWERAGE DISPOSAL
Public Sewer ElTanning/Massage/Body Art E] Swimming Pools El
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
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THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
I
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑
COMMENTS
a'
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
I
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 Dumpster on site yes no
Located at:124 Main Street; na,
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
E
Doc.Building Permit Revised 2010
4
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
o 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: Doc.Building Permit Revised 2012
Location .
No.� d -' Date
• - TOWN OF NORTH ANDOVER
, e
♦ � � gym.,-
Certificate of Occupancy $
Building/Frame Permit Fee $�
�' Foundation Permit Fee $
` ' Other Permit Fee ` $
TOTAL $
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Check#
25711 Building Inspector
NORTH
�own -ofAnuover
2 t a
O 1, t Y
ver, Mass
cocnKNewicn 1_ ' '
pDRATED ►P�`�.(5
S U
BOARD OF HEALTH
PER
IT
Food/Kitchen
Septic System
THIS CERTIFIES THAT ....C. ..60 7 . BUILDING INSPECTOR
II �
has permission to erect .......................... buil dis on ..... Foundation( ?.l ................ .........................................
Rough
�JN��,
tobe occupied as ........ ........ ....'14.1................ ....................... ....... .................................................... Chimney
provided that the person acce ting this permit shall in every 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 CONSTRUCTI S TS
Rough
Service
................ .. ....................... ..........;........................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
SEE REVERSE SIDE
i
/ f TOP„OF FOOTING
'` r f ELEVATION:250.00' m.
1
lo
i 1
it r' /
\ i' /
l `
Site Ilan
SCALE: 1 in. = 20 ft.
GRAPHIC SCALE(ft)
0 20
#5 REBAR:6"length, drill and
secure with epoxy 3"into
x., existing foundation wall.
` #5 REjte
2-14"length, install ++++T
minim "away from °t+concres and footing. ;i++CONCFORM: ++.EXISTING FLOOR �: a.:. Install ce of ,*existination wall +++and exroximatel +p Y +2"aboting gap ++(Appx. 250.85') +++++EDGE OFDetails CONCRETE FORM: 0.5"CDX ++;++ EXCAVATION
installed under foundation wall �.� +NOt TO SCaIeagainst hand excavated soil face - �? ++++(see Foundation Repair Note 4F.) ++++
#5 REBAR: n
6„leg th drill and
TOP OF FOOTING secure with epoxy 3" into
ELEV.: 250.00'
existing bottom of footing.
FOUNDATION REPAIR: Cross Section
fir+
GRAPHIC SCALE (ft)
0 20 .,
o <
#5 REBAR: 6 length, drill and
secure with epoxy 3" into
t, existing foundation wall.
GENERAL NOTES
• #5 REBAR: 12-14"length, install +++?
minimum of 2"away from *�
concrete forms and footing. ++ 1. PURPOSE: The purpose of this plan is to prc
+ northeast foundation wall.
Y� CONCRETE FORM: ++'
off face of +
2. OWNER&APPLICANT: The applicant and c
Install 6
EXISTING FLOOR k`;. «: existing,foundation wall ++. Crest Drive, North Andover, MA 01845.
77 +
and extend approximately
i 2" above existing gap . . 3.ZONING:The subject property is within the F
(Appx. Elev.: 250.85') +++;'EDGE OF
��t�l��
+++ EXCAVATION 4. PROPERTY LINES&EASEMENTS: Existin!
CONCRETE FORM: 0.5 CDX .+.+
installed under foundation wall ° .'+' are adequate for the purpose of the proposed v
Not TO Scale . against hand excavated soil face y_ +}{'
z + + VARIANCES&SPECIAL PERMITS: The sul
5.VAR
(see Foundation Repair Note 4F.) + +
variances.
#5 REBAR: 6"length, drill and
secure with epoxy 3" into 6. TOPOGRAPHY: Site details &topography sl
TOP OF FOOTING existing bottom of footing. September 2012 by Cornerstone Land Consult
ELEV.:250.00'
FOUNDATION REPAIR: Cross Section 7. RESOURCE AREAS:The repair project doe
buffer zones.
8. FLOODPLAIN: The property is located.in a
floodplain, as shown and as defined by the Flo
prepared by the Federal Emergency Managerr
FOUNDATION REPAIR: Plan View 9. SOILS: Soils on the site have been classifie
dated August 11, 2008 as;#70A-Ridgebury fi
Woodbridge fine sandy loam.Additionally, Dec
results are shown in the NPDES CGP SWPPP
10. DIMENSIONS: Designations shown as'mii
should not be assumed that the dimension car
a u a o 11. DETAILS &SECTIONS: Details and sectic
4
'_,.--(4).-4"0 CONCRETE ° ° a required and are intended to allow flexibility to
a FILLED STEEL 4 TOP OF EXTERIOR The owner shall insure that all materials and c
#5 REBAR:6" length, drill ° a ° LALLEY COLUMNS ` . CONCRETE FORM
a . a a 4
and secure with epoxy 3" a a _ 12, DISCREPANCIES: It shall be the response
into existing foundation wall. — —. -- —' a — —a — between observed field conditions and conditi
a 10" should be noted that only one deep observatic
construction
FP15 `, .. , , ,V � ". :;� foundation/fo g con tion may vary.
TOP OF FOOTING
ELEV.:250.00' 1.75' .�� a 3.5' d 3.5' `T- 3.5' .r. 1.75'-�I
13, DESIGN CHANGES; Deviation from appr
a 4 4 authorities and design engineer.
#5 REBAR: 6"length„drill and #5 REBAR: 12-14" length, install L
#5 REBAR: 6"length, drill and secure with epoxy.3"into minimum of 2"away from #5 REBAR:6"length, drill and 14. CERTIFICATION: Certifications is made n
existing bottom x footing. concrete forms and footing. secure with epoxy 3"into shall not be used for any other purpose witho
secure:with epoxy 3 into existing foundation wall.
existing foundation wall.