HomeMy WebLinkAboutBuilding Permit #817-14 - 9 LACONIA CIRCLE 4/30/2014TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: I Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
:. LOCATION /1'conlr�tr¢
Print.
PROPERTY OWNER 1<0111
Print 100 Year Old Structure
MAP NO: PARCEL: ZONING DISTRICT: Historic District
Machine Shop Villa
yes no
ye no
ves no
.TYPE OF IMPROVEMENT.
PROPOSED USE
Residential
Non -Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain 0 Wetlands
❑ Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
OWNER: Name:
Address: 9
Please Type or Print Clearly)
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: 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: $ 42
Check No.: 6b 61 Receipt No.: 2 -7G -to
NOTE: .Persons contracting ith unregistered contractors do not have access to the guaranty fund
ignature of Agent/Owner fJC--£nature of contractor
Plans Submitted ILE Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
-- Plans Submitted ❑ Plans Waived ❑ .-Certified Plot Plan ❑ Stamped Plans ❑
'TYpE_0)i: SEWERAGE DISPOSAL
-
Public Sewer
Tanning/MassageBodyArt ❑ ...Swimming
Pools ❑
Well ❑
Tobacco.Sales ❑
FoodPackaging/Sales ❑
Private (septic tank, etc._.
perriianent Dmpster on Site ❑
. -THE..FOLL-OWING SECTIONS FOR'OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
.:..-.,DATE REJECTED DATE:APPR.OVED
PLANNING &DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Si nature , 17
i
COMMENTS l V d cj c., ,Yt /Do'
HEALTH Reviewed onSic inature,,-�
COMMENTS__
- � (� G � 7k ✓'' C a �
n
+Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection lSipnature � Date Driveway Permit
DPW Towi2 Engineer: Signature:
Located 384 Osgood Street
1=1RE DEPARTM:aNT - Ternp Dumpsfer onsite yes_ no
Located�at 124 Mair, Street-
-Fire
treet-_-Fire Departme►it-signatureldate`- ti
COMMENTS
Dimension -
Number of Stories:
:Total land -area; sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
-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-$100.0 fine
NL) i t5 anciUA I A — (yor caepartment use
Ll Notified for pickup - Date
Doc.Building Permit Revised 2010
a
Building Department
-The fol;owang is'a list of the required,forms to be -filled outfor:the. appropriate, permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
oRiailding Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/0'r C.S.L Licenses
❑ Copy of Contract
o 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)
o 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
o 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 casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the apv?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Building Permit Revised 2012
Location
No. S n _ 1
CCr,�
Date 2 `t
Check # -
TOWN OF NORTH ANDOVER
Certificate of Occupancy $_'\
Building/Frame Permit Fee $ 4z—
Foundation Permit Fee $ `
Other Permit Fee $
TOTAL $
,/Building Inspector
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
3,500.00
m
$ -
$
42.00
Plumbing Fee
$
5.25
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
5.25
Total fees collected
$
152.50
9 Laconia Circle
817-14 on 5/12/14
Above Ground Pool
v
vs'
C �
I<
n
O
CD
CD
CL 2 _.
CL �• y
> to
� O O
0 CD
< o
CL
cr
CD
CD O �
00 00 �
CD
C O N'
C• C
� v
O
Z
CD 0 e�-r
r -r
O CCD
O
CD
Z
m
cnO
cn
n
D
1Ncn
WN
o�
C
Z
G)
z:
ch
n
O
;a.
m
x
-v
m
z
O
--I
cn
D
0
z
0
CD
N
O
O•
c0
O
a
c0
c0
0
2.
cn
U)
CD
r.:
OoitC7
0 rt z _
o
cD, 0 � n
Cl) Q- 0 "'
0=5 r.-
O 4� rt CD O ?1
o O CL 0 m
mh= =r
CD 0 ,� N
W -a y o -i
0 m 2
21
0 0
c0Q 7 rt
N O O
n
�-* ? <
O'
CD CD
CD
0 oma
2<r
S
CD
O O•
-w O .a
0 0 a :...
D CDCL
0 0 0
QQ= �
0cv
CD�� QQ
�CD
0)CD
C�
CD
2)
r
`D
(n rt
m �
0
co
0 rt
O 0
rt Err
:
CD CD
(nCDZ
0 y
OOn
D `D :, •
0
� o
0 0
0_ ,
O
T' m
r
cl
V1
3
O
77
(D
(D
Ln
"
fD
N
rr
W
c
O
7o
m
D
z
T
j
d
,pT
O
C
m
S
G1
H
H
N
N
(D
n
�
O
C
m
S
m
m
�
nZ
D
m
T
O'
Dl
W
O
C
m
S
C
W
�
M
m
T
�'
N
n
_S
O
rD
PO
O
C
m
S
m
O
C
7
O_
0
j
W
C
p
G1
tZi�
m m
O
V1
(D
'O
`Y
n
Ln
0
rD
3
T
O
O
O_
n
m
3
O
y
00
2
D
2
A: I
rA
rA
Is
N
N
1
c
fD
. a
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES "
HEALTH DEPARTMENT
1600 OSGOOD STREET SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01445
978.688.9540 - Phone
Susan Y. Sawyer, REHS/RS 978.688.8476 - FAX
Public Health Director { E-MAIL: healthdept(a�townofnortihandover.com
WFBSITI : http://wwiv.townofnorthandover.com
* POOL PERMIT APPLICATION * for year: 2013
Application is hereby made for a permit to operate a (check one please):
_public _semi-public _wading.: _ special purpose pool. V6Vfd061-
*Please fill outt this form completely
Owner: �OIZ r COcYJ .5 i I-) '�- R61I614 40,1 uJ i
Address/Tel. #
Management Co. (if applicable):
Certified Pool Operator: (CPO) Tel.#
GENERAL INFORMATION
Please refer to the state code: 105 CMR 435.000: Minimum Standards for Swimming Pools, State Sanitary Code, Chapter V for
all regulations. These regulations can be accessed through the state website at xvwAv.state. ma.
TYPE: t t �ei y
LENGTH:
WIDTH: /�''"
AOERAGE FLO ETER RATE: RATE OF TURNOVER: �idJrS (,tf t t�
SIZE: Swimming Area (sq. ft.) '50
Non Swimming Area (sq. ft.) 1)()t)e
Diving Area (sq. ft.) /) p /),P—
Maximum Capacity (persons) /0 # of Life Guards
SCUM GUTTER: /
TRIM AND FINISH: Pool walls and bottom GJi;q fA&W /aaUM
DECKING: TYPE: /),A/),e Minim6m Width: /0017e-
MECHANICAL
00/leMECHANICAL INFORMATION: Filters: Kind
Skimmers: Weir Length �l qn//7 Number �S�(% �1 fesITA&
9 1/vrn
Chlorinator: Typed 6(
lle ro C L" Capacity (lbs)
t / S
I k
Chemical feeders:�k -I&K ` Quantity
FENCE HEIGHT: P0a
REMARKS:
FEE: $135.00 per pool. Please make Checks payable to the Town of North Andover
Check enclosed Payment made on line
If application and payment not received by May Is`, fee will be doubled to $270.00 per pool.
/"'" Has/iy
N/F Ferdinand G. &
Paulo P. Von Kummer
>.or
1
120 1
11 �
1
3
N/F Michael J. &
oonne E. Prendergast
Provide Droinoye Swale To Direct Runoff
Away From Abutting Property Line
Benchmark I
Nail Set /n 24" Pine
Elev. = 124.5.3'
t App—Izl
,ems
a S
P r:�r
120"
Perc. ® 44"121.5')
Rote = 1J min/inch
Foundation Drain
Outlet /7v. 120.0'+/—
N/F James K. Richards
45
-
m�
k
124-
�?�
128 Existingp Sh
�(To BO Re/ocofod)od
}
p� Sgotic Tank f
ry (1500 Gal.)
/
1
k tti
d T?.
l0
Note., Additional Benchmark To Be Set
Prior To Instogation In An Area Mot
MY Not Be 5ibject To Destruction
During Construction Of The Septic System.
Plan
Sca/e: 1 " = 20'
0
X \\
4,
Proposed Water
Service
D—Box h�
—122
—124' j
/Leach Bed
(20'x55')
Reserve Area / Conect To Existing
—"(20'x55') j �Wo1r Main /
/ 1g
G
NF Thomas -D. &
&-ole J. Friel
INVERT. ELEVATIONS
OUT OF SIS€.=129.38
INTO TANK=129.05
OUT OF TANK= 128.80
INTO D. BOX 128.32
OUT OF D. BOX 128.16
END OF PIPE= 127.53
END OF PIPE= 127.55
LA C4NIA
PROP.WATER
SEPTIC A S -BUILT
PLAN OF LAND
IN
NORTH ANDOVER, MASS.
OWNED BY
PETER MURPHY
SCALE., P= 20' DATE: 12/5/2005
Scott L. Giles R. P. L. S.
Frank. S. Giles R.P.L.S.
50 Deer Meadow Road
North Andover, Mass,
R=705.43'
EXPANSION AREA
EXIST 2X55
CIRCLE
ti
N
30'
EXIST QisT•
gQX + LF,pON FIELD
-
- EXIgT. ZoX55
EXfST.�00 GAL, SEPTIC TANK
13'
B.M.=135.08 T.O.W.
EIND.
ST. NSE,
LOT #14
43,840P54'_E'_P�D' .
_-.PL-AN476
ASSgp86FR8 MAP 1f6B,PA{CEL 119
I CERTIFY THAT THIS AS -BUILT INFORMATION
WAS TAKEN ON 12/5/2005 BY ME.
RECEIVED
MAY 12 2006
TOWN OF NORTH ANi :c.."
HEALTH CEPARTNr_t,
33'+A
17//6 /%'�
N5
w
fv
N