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HomeMy WebLinkAboutBuilding Permit #570 - 67 PROSPECT STREET 4/4/2008 BUILDING PERMIT �t�eNORTH O� n ,6�ti TOWN OF NORTH ANDOVER or o APPLICATION FOR PLAN EXAMINATION ~ _ C! Date Received ' �j4goq "may Permit N0: �r AT.o• � �SSAC14US�� Date Issued: IMPORTANT:Applicant must complete all items on this page -::''"-!'�i £ 'fit Raw CA101 b 3 p j h h `S4N., s 'P1, ^ 7, 'n.�;�w k•. ¢ r' ytx �. x3 .e .uv -"c d ?, n #'`lse d3,!"�t y r. "PREF «� W a0 5" TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building- pcx�,L One family ' Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other �FJQo �jMh � mar ds W teas d�,s r�ct � xz^'# n Ys,y+k DESCRIPTION OF WORK TO BE PREFORMED: ; i.✓S 'rlj LC <S 3o(i gg 6-be a a D foo Cw c T'Ai✓�i9 r C DSC �r Identification Please Type or Print Clearly) OWNER: Name:' c,r- Phone: e Address: s � - e4o • uevi €4 y-'.� .#:z aa �2 n ,ry F',#" h-,.-} �'.E-v - ,j,+."i ;. ,U,f k� ��{. t n^Mrt s a sf�'r #1'1il� e '�- .. ra. i { u a��. r ' l.J � # �sa4w 00. *� ... '��`. .v�, ,�,Y'"� �"G'".%s$'i�xL :'.Re Cr-S.116 &01 y�� f' �``��K.r� •w°' :°"ss�� °Y a-!¢ham.*� :�„�,...� "^ ,a?� -�'"�"�� x`r �`„� ,xa*u h � �;.s�'N rn'?� fi^�`', 3GSrJ''5��"�' r�.. '4y' t � -,.�� �' r i'€ `'ra sF'=r',gec�.0-. .� ., �'n�- r e �sc>��-usnstaut,oncer�se tit n f _ �cae> s �..�o�.� ARCHITECT/ENGINEER r-//� Phone: s n/ Reg. No. � Address: IL ` y FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 1 Total Project Cost: $ FEE: $ Check No.: /02"Z Receipt No.: o?/ NOTE: Persons c ac ti Reith unre istered contractors do not have access to the guaranty fund 17 S, r �t,are of ►peri#/ wn ,gna.r pf-Gonffactor _ ........... Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales 6 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 COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS Apw llea Is tes o 16/ A141✓in d/ n cers4! 75-341 Ae e!�)isevv�,a 4; IS ��p GJor� a��firs ©hGi ®oSS l� �t `ii�_S 1-*- ti/e7l DATE REJECTED DATE APPROVED j HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments I Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street ;.Located at1 �lain St�ee . x z x ;, Y Freeaei� at�reaaes yC' rt r yl 'V© 'IYIE`I'ITStr-,.s. 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,, Doc.Building Permit Revised 2007 I 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance pliance Repot i (If Applicablei ❑ 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 j ❑ 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 I Location tri fled s✓i-�'� S r ' • No. / Date `a� MORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ �ss,Kstt�'' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Check # 2 ! 050 Building Inspector ` IAORTH q TO'ANM of t over No. S _� o lover, Mass. ` p �'` n f f 1. COCHICKEWICK V �d AERATED p'P�� �C2 S E BOARD OF HEALTH PERMIT T D .. Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........P.4".I.Wkr ..........tO.L&OW........................ ........................................ Foundation has permission to erect buildings on.......` '..... . ..... ........ Rough . t0 be Occupied as.......I... .. Chimney provided that the person accepting this ermit shill in eve respect form to the terms of the application on file in P P 9 P ry P PP 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 PERMU EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONS STARTS 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. _ i Mar 19 08 03: 12p Budget Pools 9785357025 p. 8 .. ••, • rthT/ nsal[ALIN>C DWG. #97060501 O c 1-AWAY SID Vj ff (A) (B) (C) td) (C) (C) -(E) (C) (B) A ° Q O 7 4 k O o I ' D O ° o BELOW VI �► FOR FENCE DETAILS,SEE'FENCE DRAWING#97060401 =G Nb• ')= DIE#S_4720 REAR/FRONT DECK BOARD G `(E)_)- DIE#H' 1283 BRADIE#17885 1"X 1"DECK ANGLE SUPPORT ►)=DIE#S-4721 MIDDLE DECK BOARD DIE#S-471,9 DECK U-CHANNEL SUPPORT (r' DIE#W- 1636 1 RA HOST I)= DIE#S-24039 DECORATIVE FASCIA CE Page.6 Mar 19 08 03: 12p Budget Pools 9785357025 p. 7 urnv. ffv,i UDUyU9 ISR SEASE YISHARKLINE POO S MANUFACTURED BYWILBAR INTERNATIO�NAL FANTAIL PIE DECK 433/s- 43�/e' DECK 1 44* 52" 32112" 103.5" 321/2' LE—END 273/4' ❑ 8'A-pov wrrH cwrR Fosr 8gACWT . &vw FOS wff"C0RNM P06TBRACIWT �f 8' ��8" 0 _ "74'POST 9(X7ED DIRECTLY VM L FACM AND DECK ® ■ 48-Lft SUPMU mum P FOR Ar Pmu) FENCE POST NX7E0 TO FENCE Posr Man 'I 6'X 9'SIDE DECK FOR OVAis •�,ro• �,y.. DEQ 2 La�.� j 8B" 1F2. �X 40W 20" IPOOL Sim c 6' X I5' SIDE DECK ISR OVALS w isle• 3�8le' �,�• CK 3 28314• "FOR ALL POSTS, SEE 26" 66" DRAWING FOR DIE#H-1636 53.5" 0 1/2"POST) X 6„ . FOR FENCE DETAIL„SEE �5!'6• ® X FENCE DRAWING#97060401 Pool SIDE " FOR DECK DETAIL,SEE j FENCE DRAWING#97060501 Page 4 Mar 19 08 03: 11p Budget Pools 9785357025 p. 4 MILTON COSTELLO, P.E. Consulting�ingineer 23 June 1997 Seaspray International,Inc. 431 Bayview Avenue Amityville,NY 11701 Att: Richard Sobel,Chief Engineer Re: SEASPRAY/SHARKLINE POOL DECKS I-am professionally familiar with the SHARKLIKE extruded, aluminum, prefabricated, sectionalized pool deck components and assembly units manufactured by Wilbar International. I hereby certify of my personal knowledge and engineering responsibility,to 30 years offleld S experience with the large number of similar installations for which, in more than 3 decades there has not been a single failure of this design and construction method. For the three(3)pool/decks identified I-"Fantail Pie Deck"I-"6 x 9"Side Deck for Ovals",and 3 - 'W x 15' Side Deck for Ovals". The following analysis of the structural integrity is applicable: a. To render the calculations tractable, -it was assumed, conservatively, that certain columns (marked with an")Von the respective drawings)were nonexistent,and,therefore,carry no load. b. Calculations indicate that even with a lesser number of support columns,the leg column taking the largest deck area load, encircled on drawing, Deck 3. will-'support a uniform live loading of 100 lb/sq It with a 2.7 factor of safety. This leg.eolumn will also support a concentrated live load of 1000 lb (assuming no other live load is on the same deck). This was.determined by dividing the critical buckling load by 3. A yield stress for 6063-T5 of 16,000 psi was used as obtained and certified by KEYMARK. c. The design of structural and machine components using aluminum alloys is governed by the Aluminum Association in their"Specifications for the Design of Aluminum Structures". This has a different allowable stress formula for each aluminum alloy used in a column, (per"Mechanics of Materials'by D.L. Logan). I used curreAt standard column theory, as used far any columns, with specified(low)allowable design stress. d. factors of safety of the U-Channels supporting the deck,the deck boards supporting the deck,the deck boards supporting the U Charnels, and the post clips and bolts supporting the entire deck, are all within good design practice as borne out by field experience of more than 30 years with this standard manufactured product,as noted above. e. The columns are supported at all locations on a conte, precast block, placed on undisturbed soil,or equal,of l ton per square foot minimum bearing capacity. �o1SaoN� Very truly yo t�oN or t ton cQstel � .E. enol: � • a �w rr•�. I 1387.01.lwp Old Library Amityville,New York 11701 - 516-691-1313 - Fax#518-881-g55o p1�::_u5 15:15 F_t_i 331 951 91,10 _ WIL—BAR INTL 1J 112:1.Uu1 J Pools AY I , '8j OVAL Found - ,;r; '•ASV �r�.1, � ys.",I.1.,_ ..r-. I 1 JJ.i" + .i� Y �' x:...!l.�r� .f•,,.�r'^!Y'M1.i...`f�.it". ,t i�;ving s zes' Round polis are 45"or 52"gall.lney are 2vailablE in the following sizes: x 304r,12', '5', 16',20',Vt 24,2T, z 2•To;Roil 3•Too Cap SUDpo� a f e K � 4 Plabi'iisr Rail � I 6- 7-Top rT-Top Piv6 1 I 9-uprigM I 10-W3U 11-kLem Pau 12.712 x k Mew$ j I 13•aarm P1316 f !I 7 d-Pak.3'07;:Z 18, - % r 12 • Engineers ApprovaSic) l GOSrq( o v a Fti Fi !red. I w 4 I1f+da R7 f r * 4L 7 OI 'd SZOGSES8L6 s o0 t d qa2png dZi =EO 80 61 JeW The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Y 600 Washington Street .Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: guilt ders/Contracors/Electricans/Ptumbers A licant Information Name Please Print�e (Business/Organization/Individual): �'= —� .. C6 Address: s t=om • . City/State/Zip:_�J�. Are you an employer?Check the appropriate box: . I.❑ I am a employer with 4. Q I am a general contractor and I Type of project(required). employees (full and/or art-time * have hired the sub-co P ) ntra.ctors 6: ❑New construction 2•❑ I am a sole proprietor or parluer. listed on the attached sheet 7. ship and have no employees These sub-contractors have ❑Remodeling . working forme in any capacity. employees and have workers' 8' of o workers c {l`I omp.insurance comp. insurance:$ 9• ❑Builmng.addition required) 5. We are a corporation and its 10.❑Electrical repairs or additions 3.'' I am a homeowner doing all work officers have exercised their myself. [No workers' comp, right of exemption per MGL 11 Plumbing repairs or additions insurance re quired]t c. 152, §1(4), and we have12.[�Roof airs n repairs 0 employees. [No workers' 13.[] Other comp. insurance required *Any applicant that checks box#1 must also fill out the section below showing their workers'co t Homeowners who subrm,this affidavit indicating e.—_y are doing all work and th �0n policy information. 'Contra for that check this box must attached an additional sheet showing then hire outside contr-tors must submit a new affidavit indicating surh employees. If the sub-conbmztors.have to g e of the sub-contractors and state whether or not those entities nave emp yees,they must provide their workers'comp;policy number. I am. ,an employer that is providing workers'compensationinformation. c'n s trlcece for my employees. B glow is th e oli P cJ'and job site Ins Insurance� Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Sitr Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(shoyving the policy number and'expiration Failure,to secure covMake as required under Section 25A of MGL C. 152 can lead to-the imposition of criminal e ��), fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties-of a of up to$250.00 a day against the violator. Be advised that a c penalties in the form of a STOP WOE{ORDER and a fine Investigations of the DIA for insurance coverage verification. °PY of statement may be forwarded to the Office of Ido hereby ce or t s• red realties o.fP j er ur7 J that the information provided abo a is ire and correct, Si' tare: Date: Phone Official-Use only. Do not write in this area, tb be complete��or official City or Town: Permit/hicense# Issuint Authority(circle one): I.Board of Health 2.Building Department 3.Cita/ Own CIerk 4.Electrical Inspector S.plumbing Inspector 6. Other Contact Person: Phone#: Information auL d 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 p=rsnn 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 apartnaents 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"ever state or local licensing agency shall withhold the issuance or renewal of_a license or permit to,bperatea business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co ropliance with the insurance coverage required." ' Additionally,MGL chapter 1,52, §25C(7) states'"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work uzitil 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) and phone number(s)along with their ceriificate(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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The of-davit should be returned to the city or town that the application for the persalt or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the lew 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'sureto fill in the permit/license number which will be used as a reference 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 nr 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 peiimts or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related-to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required 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 Commonwealth 'of Massachusetts Department of Industrial Accidents Office of Investigations 6QO Washing Street Boston,MA 02111 Tel.#617-727-4340 ext 4W or 1-8.77 MASS.AFE Revised 11-22-06 Fax# 617-727-7749' i cx wMass_gov/dia No�TM TOWN OF NORTH ANDOVER � OFFICE OF BUILDING DEPARTMENT 41 11, 1600 Osgood Street Building 20, Suite 2-36 �►,,s ti,...��,� North Andover, Massachusetts 01845 seCs f.' Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pfim DATE: JOB LOCATION: Number treat Address Map/Lot HOMEOWNER . -?SS(—Sal?1�� Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-oocupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a hewn,provided that the owner acts as supervisor). State Building (Code&=tion 108.3.5.1) DEFINTITON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. 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 Wshe Understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and raquir+emems. HOMEOWNERS SIGNATURE APPROVAL OF BUJIMING OFFICIAL Revised 10.2005 Folin Homeowners Exemption BOARD OF \PPE.V-S 6"-9541 CQ\CERA".1T[p\68R-9530 ITE.IL111688-95.30 PL.L\V[NG r$g_9535 TO'd 'iB101 �i .. . Sam 4 I�YW� r al� 00 v 4 Fle6-F STI JOHN S. <IY tAU"ir-rANI ,4 434:111 :A!'uA=:�Lq r tiiv W. -7 AMERICAN SURVEYING COAIPAN`f C. JOHN S.tAURETAN' 12644 MAI.B O SET O WALAM. MASS. 02451 REGISTERED LAND SURVEYOR, PHONE(78!) 863-8477 FAX(78f) 893-709 O HEREBY CERTIFY THAT THE ROVE MORTGAGE INSPECTION MORTGAGE INSPECTION PLAN I .AN WAS PREPARED FOR HIO SAVINGS BANK GATE: 6/14/04 CCU1'Y iE�iS R, 0. DEEDS CLIENT:PATFZLO7 F'IN IN RECORDED AT: ESSEX .. c CONNECTION WITH A NEW. p� BOOK: BI PAGE LC. CER- #/11065 )RTGAGE. AND IS NOT INTENDED CLIENT RFf.N.001/o0a PLAN REFERENCE: IC.PL. O�9a-A I REPRESENTED TO BE A LAND a.0.#. 6 DRAWN PER TOWN OF: ASSESSORS i PROPERTY SURVEY. NO THE LOCATION OF THE ORIGINAL MAP#: PARCEL#: DATED: IRNERS WERE SET, AND IT DWELLING SHOWN HEREON EITHER ADDRESS: 67 PRGSPFCi clRcr- a A�001, A \NNOT BE USED FOR WAS IN COMPLIANCE 704 LOCAL BORROWER:'-STEVEN B. COHEN APPLICABLE ZONING BYLAWS IN, .TABLISHING FENCE, HEDGE, EFFECT WHEN CONSTRUCTEO I BUILDING LINES. THE LAND (WITH RESPECT TO HORIZONTAL TOWN HEREON 15 BASED ON DIMENSIONAL REOUIREMENTS ONLY). IENT FURNISHED OR IS EXEMPT FROM VIOLATION •ORMATION, AND MAY BE ENFORCEMENT ACTION UNDER MASS THE SUBJECT DWELLING LIES IN FLOOD ZONE IBJECT TO FURTHER C.L. TITLE V1, CHAP. 40A, SEC.7 AS SHOWN ON .HE NATIONAL FLOOD BuSURANCE PR AM IT-SALES, TAKINGS, EASMENTS. UNLESS OTHERWISE NOTED OR INSURANCE >-LCCD RATE MAP OATEO:(NSUIR 993 10 RIGHTS OF WAY, NO SHOWN HEREON,A CONFIRMATORY COMMUNITY / PANEL T �,Ajij)9R0003C SPONSIBILTY IS EXTENDED INSTRUMENT SURVEY IS ADVISED .REIN TO THE LAND OWNER OR WHEN STRUCTURES ARE SHOWN I F[ELiED GRAFT CHECKED :CUPANT, IT IS NOT INTENDED LESS THAN V FROM PROPERTY OR BY: N.H KSC RE RECORDED... REOU.REO ZONING SETBACK LINES. DAT£: 6 I1 04 i to F.B. PGE:_._... TO/TO'd GucFianins NbOIN-dH 90:01 bOOZ-bT-of