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 _. 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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