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HomeMy WebLinkAboutBuilding Permit #539 - 76 BOSTON HILL ROAD 3/3/2010Permit NO: J Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received .3 3 / d 11 IMPORTANT: Applicant must complete all items on this Date LOCATION94 S/, r l Print . PROPERTY OWNER 1.-11 1116 V Print MAP NO: %t5, 7 B PARCEL: 4083 ZONING DISTRICT: Historic District _ !Machine Shoo yes <15a:) TYPE OF IMPROVEMENT PROPOSED USE be(ackec Residential Non- Residential ew Building- JeLywyC, One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other Septic NuelI Floodplain Wetlands Watershed District ater/Sewer Utat,rur i 1UN Ur VVUKK TU BE PERFORM D: 91 Identification Please Type or Print Clearly) OWNER: Name: Phone: 9Y?c'EU-7,,576 Address: /boe,)-e, CONTRACTOR Name: Zl)"//1-5 Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEERP1//1-sI° -5 C-!21�' Phone: 2Y -O.Wo Address:/JD S,.tmwLt e 517,f �g��� �� � 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: $ , Poo FEE: $ %DD , a® Check No.: 18/8 Receipt No.: NOTE: Persons contracting ' h u s . r° conte actors do not have access t e an fund Signature of Agent/Owner Signature of contractor Location M Date '- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ /L'' Other Permit Fee $ TOTAL $ / n Check # 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 APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed COMMENTS HEALTH COMMENTS Reviewed Sianature S—P - �o.6".. 4 d 60 6rk ©se.L % 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 USgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Fol 11 '1 e 1 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 NU I t5 ana UAI A — wor department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 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: Doc.Building Permit Revised 2008 The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations Uf 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers nnlirant Tnfnr�..n4ii... Name (Business/Organization/individual): Address: City/State/Zip: ' 44-0tr M Phone #: 9�Ioo-- d &.57- 7v�7e Are you an employer? Check the appropriate boa: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or have hired the sub -contractors listed partner- on the attached sheet I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] I am a homeowner doing all work myself. [No workers' comp. insurance required.] t t Yr!V Pn�tiront than ..F.a.,Lr L.,,.. ++ officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.0 Roof repairs 13. ❑ Other -------_............. ».��. iai: i:�: t c nccUUn Dc MY EnDIVIng their wori Conlne..carinn ....i:.... i - ' Homeowners who submit this affidavit indi ating they are doing all work and then )sire 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. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce er s enalties of perjury that the information provided abov;isu e and correct Si ature: ` C' Phone #: Oficial use only. Do not write in this area, to be completed by city or town official City or Town• Permit/License # Issuing Authority (circle one): LLOther Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. PIumbing Inspector son: 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 apartments 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 coinpliance with the insurance 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-contractor(s) name(s), address(es) and phone 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 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 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. 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 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 4.06 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 vvm,.mass..gov/dia BOSTON HILL RD. PROPOSED GARAGE L OCA TION PLAN PREPARED FOR GENE WILLIS 76 BOSTON HILL RD. DATE: 12/29/09 SCALE:1 "=40' C7 PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 DWG.NO.:94019 BOSTON HILL RD. PROPOSED GARAGE LOCA TION PLAN PREPARED FOR GENE WILLIS 76 BOSTON HILL RD. DA TE: 92/29/09 SCALE. 9 "=40' v PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 960 SUMMER STREET, HAVERHILL, MASSACHUSETTS 09830 WWW.CSI-ENGR.COM TEL. 978-373-0390 FAX 978-372-3960 DWG.NO..94099 m m m m cnm m v. y 'C C d HCD C2 Z y O. O �� � ? O y � o o v CD CD o CL s O Q ` ? W O CD C O rA CD_. CO CO) O ' CO CD F v CO) O CDCD Z 0 o CD 0 CD o. C C f%! C Q fA mecC m C2 2 •m "'c O = d � m• y �a^'a a O o o V! o o m m O O N O O m O•� .Ow O ii O0OZ y C2 W � O CD H COL C/)�m�,: (n m ow m n o C= d CD � O N \'' e.� . O H O =r z a C c CL \+J y co s fD H GO co) OIN .oma0 O O O cli 0 n Z 03 p 3 Z CD =CD !^ y N. d� C=L o c o CO2 Cl) m T m CO) m C/) o C/) cocn n r w c° 7 b m ° r n w ° zr r ` o oa a- c CLCy C ' 0rD r G ,d �• R °o GL x 0 O > O M M Um z 0 Immi 0 9 0 c Location /mss/4;z^J No. 447 Date �v h: 14oRTM TOWN OF NORTH ANDOVER 41 J f R: a 7562 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee f��L-- $ 49 Sewer Connection Fee $ Water Connection Fee $ TOTA I To Building Inspector Div. Public Works PERMIT NO. 4477 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. c PAGE 1 MAP a40. LOT NO. I 2 RECORD OF OWNERSHIP ;DATE �— BOOK PAGE ; ZONE SUB DIV. LOT NO. LOCATION �/ %zG�Ty� f' -- V �B SS �I dd rl PURPOSE OF BUILDING I OWNER'S NAME > r �r s NO. OF STORIES SIZE _ OWNER'S ADDRESS a BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME S7" % v r SPAN DISTANCE TO NEAREST BUILD(NG DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET 16-t- DISTANCE FROM LOT LINES – SIDES REAR to GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY Ib BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST FILE AND �APPRO�(E7D BY BUIL^'"^—=Vl--TOR v/D I LE SIGNO OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED �v L � J 7 �7+ y yj e0i l3 19 4 T OCT 5199A ovL, 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EBT. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # - ` /c) CONTR. TEL. # CONTR. LIC. # 0 H.I.C. N C -k3 S�� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE 3 _ 1 2 13 _ _ _ _ _ CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN _ 3 BASEMENT AREA FULL FIN. B M T AREA _ '/. 1/7 '/. FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS 8 _ 1 2 3 _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING _ HARDVJ D COMMON ASPH. TILE VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I- I POOR ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD I TOILET RM. (2 FIX.) WATER CLOSET _ FLAT SHED ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC NO HEATING tet 13rd THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. I PERJtIT NO. 44,72 f APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 1 PAGE 1 MAP i�0. LOT NO. 2 RECORD OF OWNERSHIP ;DATE �I BOOK ;PAGE i ZONE SUB DIV. LOT NO. LOCATION 9 RGST� �J >1 PURPOSE OF BUILDING � ' y OWNER'S NAME `lf s NO. OF STORIES SIZE _ OWNER'S ADDRESS �r s.y-. N `�`��f ^ n BASEMENT OR SLAB ARCHITECT'S NAME -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME [ / Y+ �� )S l SPAN DISTANCE TO NEAREST BUILD NG DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET lO DISTANCE FROM LOT LINES — SIDES , REAR /o „} ( GIRDERS AREA OF LOT •� FRONTAGE Y �. HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ANS MUST FILE ANp�APeR01(ED BY BUILDING INSPECTOR Dyi E I LE SIGN OF OWNER OR AUTHORIZED AGENT FEE 4'S s� PERMIT GRANTED c�� 7; ysC3 19 V - OCT 5199/ J 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR 66— ? ,ss,—a7o OWNER TEL. N 3 ' 9 CONTR. TEL. N 2 CONTR. LIC. # 0 d/ H.I.C. # C- `p3 Sad BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION CONCRETE 8 INTERIOR B PINE HARDW D PLASTER DRY WALL UNFIN FINISH 1 2 13 CONCRETE BL*K. BRICK OR STONE PIERS _ 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 1/2 1/1 FIN. ATTIC AREA _ NO 8 MT HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS -7-7I 9 FLOORS CLAPBOARDS CONCRETE EARTH HARD"✓ D COMMCN ASPH. TILE B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I[ POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBRELMANSARD I TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING THIS SECTION MUSTSHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. I FA FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** <� APPLICANT: S Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) treet 865,7-0 ��� 1� �� St. Number ************************Official Use Only************************ 7== AGENTS: Date Approved �C servation Administrator Date Rejected v� Comments Date Approved Town Planner Date Rejected Comments Food ector-Health tic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date Off ^ 51994 46E 0 Z Fi-f'VA*l IONS'� TOP FIAO 2`.:3.•26 1 jol.j'>r' 01fill, 24 S)R S T, IN t f T ?,I -�i 1 ST OJT LEI 2.4 ().B( 2,1 �i, 9 1',1`.,. 7 244 40 M', -Y4 ?'i 1 .. EXISTING DWELLING TILE SEPTIC )YSTPJ WAS INVd I I DA' I"t-VITINTRADIFI) Ac, AW/44'V\H*TY Of I lif T PLAN cl-10\NING SU P-,SURFA J- ".1 14A SYSTPA OWNER -WI[- __iS LO CAT I ON- L D PC)TON I t.I DATE OkEPARED B'( Yj? *tell Heritage* Mediterranean/Cork Cat. # Size Corners A B C G H J K L M N R R' Ret' 6543 12'x24' Rectangle 6" 12' 24' 3'4" — FLAT — 42" K L M N R $576 6051 6544 14'x26' 6" 14' 26' 3'4" — FLAT — 44" 8'6" 7'10" 7' 4'6" 643 6050 6470 .16'x32' 6" 16' 32' 34" 4' 6' 14' 8' 8' 7' 4'6" 1050 6055 810 6" 6480 16'x32' 6" 16' 32' 34" 4' 6' 13'6" 8'6" 7'10" 7' 4'6" 18'x36' 8'6" right step 6" 810 36' 6481 16'x38' 6" 16' 38' 34" 4' 8' 14' 12' 8' 7' 4'6" 20' 40' 957 416" 6482 18'x36' 6" 18' 36' 314" 416" 616" 1516" 916" 816" 7' 5'6" 4'6" 8' 943 12' 6483 20'x40' 6" 20' 40` 314" 4'6" 8' 15'6" 12' 8'6" 7' 6'6" 1135 " 6420 16'x32' Rectangle 4' 16' 32' 34" 4' 6' 14' 8' 8' 7' 4'6" 810 6422 18'06' 4' 18' 36' 34" 4'6" 6'6" 15'6" 9'6" 8'6" 7' 5'6" 948 6423 20'x40' 4' 20' 40' 34" 4'6" 8' 15'6" 12' 8'6" 7' 6'6" 1135 6498 16'x24'x40' Left L 6" 16' 40' 34" 4' 6' 14' 16' 8' 7' 4'6" 1268 6499 16'x24'x40' Right L 6" 16' 40' 34" 4' 6' 14' 16' 8' 7' 4'6" 1268 6530 15'x30' Oval — 152" 29'10" 34" — FLAT — 44" — 77" — 748 6487 17'x27' — 172" 272" 34" — FLAT — 4'8" — 87" — 774 6485 17'x35' — 17' 35' 3'4" 4' 7' 14' 10' 8' 9' 4' 8'6" 4'6" 929 6535 18'x36' — 18' 1 36' 34" 1 4'8" 6'6" 14'6" 104" 8' 8'8" 4'8" 9 4'4" 943 6539 18'x42' — 18' 42' 3'4" 4'8" 7'6" 14'6" 15'4" 8' 8'8" 4'8" 9' 4'4" 1096 6489 19'x37' — 19'1" 37'1" 3'4" 4'6" 7' 15'6" 10'1" 8'6" 10' 4'6.5" 9'6.5" 5' 1065 6541 22'x42' — 22' 41'6" 3'4" 4'6" 9'6" 15'6" 12' 8' 13' 4'6" 9' 4'6" 1291 Y Z 6495 16'6"x34'6" Grecian — 166" 34'6" 34" 4'3" 7'3" 14' 9' 1 8' 7' 4'9" 8' 6' 1139 6496 18'6"x38'6" Grecian — 18'6" 38'6" 34" 4'6" 7'6" 15'6" 11' 8'6" 7' 5'9" 10' 6' 1034 6497 20'6"x42'6" Grecian — 20'6" 42'6" 3'4" 4'6" 8' 16' 14' 8'6" 7' 6'9" 12' 6' 1233 6486 26' Octagon — 6'15/ " 3'4" — FLAT — 4'6" 877 Heritage w/Cape Codder Steps* Mediterranean/Cork Cat. # Size Corners A B C G H J K L M N R R' Ret 6051 16'x32' 8'6" left step 6" 16' 32' 3'4" 1 4' 6' 13'6" 8'6" 7'10" 7' 4'6" 1050 6050 16'x32' 8'6" right step 6" 16' 32' 34" 4' 6' 13'6" 8'6" 7'10" 7' 4'6" 1050 6055 18'x36' 8'6" left step 6" 18' 36' 3'4" 4'6" 6'6" 15'6" 9'6" 8'6" 7' 5'6" 1176 6054 18'x36' 8'6" right step 6" 18' 36' 34" 4'6" 6'6" 15'6" 9'6" 8'6" 7' 5'6" 1176 6057 20'x40" 10'6" left ste 6" 20' 40' 3'4" 416" 8' 15'6" 12' 8'6" 7' 6'6" 1368 6056 20'x40" 10'6" right st p 6" 20'40' 3'4" 4'6" 8' 15'6" 12' 8'6" 7' 6'6" 1368 Heritage/71 Style* Mediterranean/Cork with 6040 16'x32' Rect 6" 16' 32' 3'4" 6' 8' 10' 8' 7'6" 4' 6' 810 6042 18'x36' 6" 18' 36' 3'4" 7' 8' 11' 10' 8' 4' 7' 948 6043 20'x40' 6" 20' 40' 3'4" 8' 8' 12' 12' 8'6" 4' 8' 1135 Liners with serial number prefix "102-" and before will have a White Safety Stripe. ** All Liners F.O.B. Bicknell Warehouse IC L L G H J, J K N M N B A PAGE 37 DIVING BOARDS/STANDS/SLIDES 'het \,s R srniTH WOOD CORE DIVING BOARD- S.R. SMITH (without stand)- Laminated Woo ..��`��' �`��.. t�./`•ti� acrylic Clad Diving Boards: price includes Butt Plate and mounting hardware. 4702 6'X 18" Glas-hide w/hardware 4703 8'X 18" Glas-hide w/hardware 391.00 4711 8'X 18" Glas-hide w/hardware (white) 391.00 �i 4709 10' X 18" Glas-hide w/hardware 498.00 4715 12' X 18" Glas hide w/hardware 663.00 4435 4436 4437 608 606 z' J 808 TIE DOwN PL BB ' 9 - 0400 - 4041 WOOD CORE DIVING BOARD-INTERFAB(without stand) A premium laminated diving board constructed of wood and fiberglass beams along each side, encased in fiberglass with a gel coat finish. 4435 6'X 18" Techni-beam Board 330.00 4436 8'X 18" Techni-beam Board 415.00 4437 10' X 18" Techni-beam Board 535.00 THE COMMERCIAL LINE Unbeatable for motels, hotels and public pools. Heavily reinforced with additional fiberglass at the fulcrum area. This line of boards will give trouble- free service under heavy continuous use. 12' boards are 18" wide, 14' and 16' boards are 20" wide. Bolt holes are 12" on center on all boards. 4736 12'X 18" Commercial Board with butt plate 774.00 4738 14'X 20" Commercial Board with butt plate 1265.00 4740 16'X 20" Commercial Board with butt plate 1404.00 CANTILEVER JUMP STAND Our best seller. Dual action from the steel springs give the highest and smoothest lift for child and adult alike. Price includes board, springs, base, hardware and mounting jig. 608 6' Jump stand, fiberglass base, 14" jig 599.00 GIVING BOARD FULCRUM COYER 606 6' Jump stand, steel base, 12" jig 599.00 — 2 808 8' Jump stand, steel base, 12" jig 756.00 4' WATER LEVEL, SLIDES ONE METER STEEL STAND Finished with 2 coats of white epoxy coating. Jig and y�11 fulcrum pad included. 4 592 One meter stand for 12' board 1255.00 594 Stainless steel Handrails for use with our #592 stand (NSPI recommends the use of handrails for all 1 Meter stands) 579.00 6AI DIVING BOARD "U" STANDS & FULCRUM 4041 18" X 28 1/2" X .049" "U" Stand w/fulcrum 4048 Replacement Rubber Fulcrum 96.00 17.15 FRONTIER III SLIDES Elegantly designed in right and left hand curves, these slides peak at over 8' tall. They are available in marine blue and white. The slide may be installed with a new deck installation or added to an existing pool using the optional deck mount kit. The ladder assembly is very durable and easy to install- all slides have four legs for greater stability. Offset legs are available for installations where space is limited. 9260 Right Curve -blue 935.00 9261 Left Curve -blue 935.00 9262 Right Curve -white 935.00 9263 Left Curve -white 935.00 SLIDE ACCESSORIES 9285 Offset leg and brace kit 41.00 932 Deck Mount kit includes 4 flanges/hardware 67.00 933 Flanges and Hardware (set of 4) 70.80 935 Flange only 7.00 934 Hardware only 15.25 8078 Slides parts package: spray kit, w/nylon tee, 23.50 washers, spray nozzles, half union and tubing PAGE 35 FOB cn m m D m T Z r T z D v CA .0 C � d CA C7 CD CCO) S Z C C CD O 'O CZ 0 � O CL y nCc -0 O -t v CD CCD O CL cr CD CD o CD C O CO) C' CD a O CA O I CC COD 11 �q cn CD C ►� i� = pd aq O c v1 p Q H "7j ,.� n? ,ccc .o CL o m ca C) m C3 co mo H m aC 0 m = cn rD (� Z • ' CO) -_•1 • OCL ,py C .p-► co T p y CD o —i O Co : p o _ ��o o N� C7 �lylJJ O 1" Q • o — a x• CLM CO) CD 0 CD CD CA '1 11, N d H CL V C/) CO) :CD C :ECD _� c , 0 _ �c CD GIN R 7 f� � p3 0 �. 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CD TI - ►: G � .. d z �. .� c z' a z `3 ro ►,�� en O r: v' CA No y 0 0 c (D01 • O 11� CA No y 0 0 c (D01 • Z rt 0 h PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 11/13/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of D -Box By: Michael Reilly At: 76 Boston Hill Road Map 107.B Lot 0083 Ith Andover, MA 01845 uance of this c� i1cat hl dot be constr a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthondover.com