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HomeMy WebLinkAboutBuilding Permit # 9/13/2016 1 V%ORTH BUILDING PERMIT Oq�(LID TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o 7° Permit No#: I / Date Received ssacwus���� Date Issued: 41M' Applicant must complete all items on this page LOCATION ` rent PROPERTY OWNER ��" U, �h Print 900 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes ` 0 61 c' Machine Shop Village yes . 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: 0 Demolition ❑ Other °�� - r 0 Ffootl ya�N � o`UtJetlands . . ; © Valate�l�ed D�str�ct��� sem,; f�,�e trc T❑yllllell � P � - .✓ < ✓i � --,-,�r .:; a �:. . ,., �F�..�... � � �.✓ .,F� ,� � v . r � ` �°��� ��'`�����:�° _:;` ✓ ,.r._r. �" ,! .,;,..;r -.,.�, �.�rE ^: _ <. �� ;..,e✓ �K�`F',c.✓ "�ry .'.`^�� Z�r >✓,.s' .^. � '�� .����'�,-;;- .� �^K�.�^ �✓rr-!�. m_r DESCRIPTION OF WORK TO BE PERFORMED: Identif cation- Please Type or Print Clearly OWNER: Name: + t 5 k7 Phone: 42 Address: q/V� f�1 � Contractor Name: ' Phone: Email. Address: --e ,— r4cl Supervisor's Construction License: �� , Exp. Date: Home Improvement License: i _dl Exp. Date: ARCHITECTIENGINEER �e lft5 �-Le c t`c. Phone: v? ' Address: I P ,�d h ry Reg. No. Llt 1 FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COS BASED ON$125.00 PER SY, Total Project Cost: $ . C FEE: $ Check No.: Receipt No.:� 'A� NOTE: Persons contracting with un.ra tered contractors do not have access to the guaranty fund 0 RTfj own of z �_ 6 ndover 0 T Z y oLAME h ver, Mass, 'Q COCNICNEWICN 7� �ArED P- S` U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT t1.�. . „ '^j. BUILDING INSPECTOR ,Q � has permission to erect............._.......... buildings on .m... .1 ..!R:,.+ ...i :�!�,-.,............. Foundation . _ ,!IAR Rough t0 be OCCUpled as .....,_....l.� ,...••/r• .... ................ ......�,.. .....t. ��� Chimney provided that the person accepting this per it shall in every respec 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. U M � Sh�� 5 �� PLUMBING INSPECTOR [I. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ®p� ® u Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOV START Rough Service . .. ....... ................... Final B LDIN INSPECTOR GAS INSPECTOR Occupago Permit Required to Occupy Puildln 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 wilding Inspector. Burner Street No. Smoke Det. Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/13odyAxt JOPo:od uaingPaals ❑ Well Tobacco Sales Packaging/Sales ❑Private(septic tank, etc. ❑ Permanent Dlimpster on Site THE FOLLOWING SECTIONS ICOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM /LANNING & DEVELOPMENT Reviewed On - I ��j Z� Sig,nature_ COMMENTS � )cin JCONSERVATION Reviewed on Si nature COMMENTS HEALTH Reviewed on Si nature COMMENTS Zoning Board of Appeals: Variance, Petition No; Zoning Decision/receipt submitted yes ..Planning Board Decision. Comments Conservation Decision: Comments Wafter& Sewer Connection/Snature& Date Drivewa Permit DPW Town.Engineer: Signature: Located 384 Osgood Street FlREEPAR�TMENT :Temp Dempster on site yes uQ Located:a# 124 Main Street etre Departmen#signafiurelclate 7-7x COMMENTS CONSTR UCTION A GR IF-ElYIENT September 8, 2016 BETWEEN THE OWNER: Matthew Bush 35 Blue Ridge Road North Andover, MA 01845 Cell 617.388.8350 BushM 127nL;mjail,coijj AND THE CONTRACTOR: Court Builders of America (CBA) 1.5 Geneva Road Andover, NIA 0 18 10 THE PROJECT: COnstructiOn of Sport CourtO Backyard Court .SCOPE OF WORD 1.0 CONSTRUCTION OF, CONCRETE BASE 1.1 Access Path to Site • This will come under separate cover with David Gulezian. 1.2 Site Prepaa•ation & Grading • Court Builders of America (CBA.) will prepare court site by stripping sod and topsoil, which will be stockpiled at the site. CBA will also grade site with a pitch of 1" in 10'. Owner recognizes that any undiscovered soil conditions requiring extra labor, machine time, till dirt or other expense shall be the responsibility of Owner. • CBA shall import and place 6 inches of '/4-inch Stolle (not compacted) and stone required for 12 inches x 12 inches Infiltration Trench in accordance with site plan; "Proposed Sports Court Layout and Grading Plan 35 Blue Ridge Road North Andover, Mass" dated August 9, 2016. Stone will be bucketed M. 1,3 Concrete Install�ition Inf0j- xjtioaj • CBA will arrange for a concrete mixing truek to be driven to the site. 0 Owner understands that small anIOUnts of concrete may be spilled onto the driveway and lawn, and will be cleaned up by CBA, • Concrete mixing truck must be able to clean chute run-off into a wooded area on the Owner's property. Owner shall specify exact location 6or residue (which will not barns vegetation) to be placed. • Concrete pump swill be necessary. Wash out of'chute necessary. 0 i 1.4 Concrete Base Construction • CBA will form and pour a concrete base that is 4" thick, using 4000 psi concrete, with fiber mesh reinforcement and a perimeter rcbar which is wet set. Base shall be approximately 35 feet wide x 75 feet long and positioned in accordance with site plan: "Proposed Sports Court Layout and Grading Plan 35 Blue Ridge Road North Andover, Mass" dated August 9, 20.16, 2.0 MULTI-SPORT COURT COMPONENTS 2.1 Modular Suspended Surfacing System • CBA shall install a Sport CourW "Sport Gane"' surfacing system directly over the cured concrete base. • CBA will install the following colored tiles: 'FBD. • CBA will paint 2"-wide playing lines for hockey and basketball foul lane markings, top-of-key and high school 3-point line in color, TBD • CBA will paint a 2"-wide playing line onto surfacing for short tennis court or pickleball in color: TBD • CBA will paint shuffleboard court in color TBD. NOTE: Sport Court surface will expand in every direction in sun and heat. 2.2 Basketball Goal CBA will install a Sport CourtO "Pro" Basketball Goal at mid-court. 2.3 Sport Court@ Multi-Sport Net & Adjustment System CBA will install Sport CourtC) Multi-Sport Net & Adjust€ment System between the basketball goal and light system. 2.5 Sport Court@ "Court Light" System Double Lan1p (2 x 1000w) System • Light post shall be supplied and anchor installed at net-line on court. • Subsequent wiri€ig from post to Douse shall be the responsibility of Owner. • Unit has multi-tap (110v/ 208v / 240v /277v service. • Light shields will be included. • Any follow tip adjustments/pointing of light shall be by Owner's electrician. 2.6 Court Fencing f'encing Specification: Sport Court Ez "Soft Fencin " S steann • Black hotting, (i fect, 6 multes abovc dasher. • Posts and �'ai Is are polyester resile over galv�inized steel. • Posts are 2 %--illch, spaced closely, Top rails are l 518. Fencing Design: Fencing shall be installed as follows; 1�elncc to be placed all around the dasher boards except betweci) hlrie litres on hoose sides. DI Dasher Board S_ystern aro A Tall Rom--d nfi —oration features (42") Boards Around entire rink with Rounded Corners and a Gate. 3.0 CLEAN-UP • CBA shall place the original topsoil, machine graded, around the court perimeter. • CBA shall place sod cllnn-ips frorn the site at the downhill side of the court site. • CBA can haul away any remaining sod clumps at a cost. • You the homeowner, or your landscaper, is responsible for repairing the access path and exposed soils around the court perimeter. 4.0 MATERIALS, WORKMANSHIP All materials in this Agreement are guaranteed to be as specified. All work shall be performed in a neat and workmanlike manner, in accordance with the best standards of construction. 5.0 SCOPE OF CONTRACTED WORK Contracted work shall include only the items and procedures specifically listed in this Agreement. No other itenns, procedures, or amendments are to be included without the written agreement of both Owner and CBA. 6.0 COMMENCMENT The work to be performed under this Agreement shall commence ASAI', 2016, subject to authorized adjustments. All agreements are contingent upon strikes, accidents and delays beyond contractors control. Weather conditions must allow for painting. Furthermore, homeowner understands that paint requires 72 hours to dry. 7.0 SUPPLEMENTARY CONDITIONS Listed below are the supplementary conditions agreed upon between the Owner and the CBA to be supplied by the Owner for successful completion of the specified work: + 7.1 Owner must approve of court location, and is responsible for verifying that court does not extend across property lines, applicable setbacks or septic drain fields and reserves. CBA. & DG Contracting responsible of court positioning in accordance with site plan: "Proposed Sports Court Layout and Grading Plan 35 Blue Ridge Road North Andover, Mass" dated August 9, 2016. 7.2 Owner is responsible for all necessary legal approvals. 7.3 Owner recognizes the potential of damage to the access path to the court site (rutting of lawn, compression of asphalt) due to the weight of the construction equipment, and holds CBA blameless. CBA shall take all proper precautions to minimize disruption. 7.4 Owner understands that any previously undiscovered soil conditions requiring extra labor, fill dirt, machine time or other expense shall be the responsibility of Owner or CBA will be pleased to provide a quote. 7.5 Owner must provide access to water and electricity from primary residence. 7.6 Onset of cold weather may necessitate added charge for concrete additives. SUMMARY OF CHARGES t xe<a�aticir�,, ,sael ss�a tx�.� � cl ecillerete... $23,275 Sport Com-t "l,1)or-t€;baInv .suE-rac2 ... $at)00 72 inch Ilj°() tlu(),s... $3,000 Net pole system... $1.,750 Spoil Light Double Lamp (2 x I000w) System... $3,500 D1 Dasher system... Price includes shipping and installation... $19,800 Net fencing above dasher... Opening between blue lines on one side... $7,800 $72,125 DEPOSIT INCENTIVE: 20%. For example, a 2,000 credit will be earned on a $10,000 down payment. $4,000 credit off a $20,000 down payment. Etc. FINANCING will be made available. Terms TBD 8.0 CONTRACT SUM 8.1 Specified Wox•k The Owner shall pay CBA for the specified work the Contract Sum of.. $72,125 9.0 PAYMENT TERMS 9.1 The Owner shall make progress payments in the following manner: • $ TBD deposit, check payable to Connor Sport Court International. $ TBD 15 days after invoice receipt for poured concrete pad, check payable to DG Contracting • $ TBD 15 days atter invoice receipt for completion of specified work, check payable to CBA. 9.2 All materials remain the property of CBA until final payment is made. 9.3 Payments due and unpaid under the Agreement shall bear interest frorn the date payment is due at 4% per month. 9.4 Owner agrees to pay legal fees of CBA if litigation is required to secure final payment, except in the event of non-performance by CBA. 10.0 WARRANTIES Sport COUI-t@ sUrfacing carries a 15-year limited warranty from Connor Sport Court, International, Salt Lake City, Utah. Basketball hoops and components carry a 10-year limited warranty. Application for warranty shall be submitted to Owner upon CBA's receipt of final payment. CBA shall warranty materials and workmanship for two years after completion. CBA and Davie! Gulezian shall supply current Certificates of Insurance. 11.0 OWN ER'SA CCEPTA NCE OF AGREEMEY)' Above tct-jljy good '4)days, Vt)i(j Lit if)J) k>I ',itq CC])fell[ Nonh Andovc?'. jjj[tel [' trttIlS�lCtik)II Lit tui tint 1}ri r ti, z��idJli ,int Of.ljj( the date Irallsacti kill. Fo cm,ck:I 1111s QQ!Wa�:i WILL 111U.it oollf'4Jim \,IA 0 18 1 0 Abovo terms afici �,:cifictttions ilild tG OWNFR� Dale: Dmo. AlmArnold _ 8 commonwealth ofMassr�,'chusetts • . Dep ar'nenj ofIndustrialAceldents I corag•re,s ovtr"eet, ,Smite 10d MSI. � K Vw www.mas,�.go7�ldiaa olzs'Campei�safonX�s� �ace Ada�it:Burs/Ca�txac ors/Eieefxxciax�sl�Xrbexs. TO BE MAW-SMH Tffig 8KRMUTING AUTHORUT. S�. .A. Izca�tt�oxzrta-tiara. � , Name (Bnsirress/[)xg�n�aFdazJUxdividua7}: �����`�C�� rl � � Adddress: YI Cetyl a el�x�: 6J V^ (/ 0a O �( � Phone#:—� — Areyouan.employes? Chech,theapliiroprialeDOX: Type o£project(Tgq, red): 1. areaemployerv�iE � ployeeapUandlorpart ne}.* 7.• QNew c03isituct[Ov 2•E]l am a sole propL.etor orparinershlp andhaye nn employees working forme in S. ❑Remodoag any capacity.[ND workers'romp-insoranoe rl-TIired-I 9. L-�Demolition. In xam ahomeuw.nerdoiag4W0xkmyselE INoWDII ers'comp.dnsuraneezequkod.]t 10 BBu cl ng addition 4.�X arnn a bflmenwnera d will behiring contractors tr conduct alI vro do o�my pzoperty. 1 v1i1I MEI Bledrical repa�•s or.additions ensure that all.oorafrartazs eithrr have workers'romper�satian ivs'uramce or are sole p411etora Viti1r70 employees. 12 C(Plumbing xapairs or addzi:Movs am aganezalcorrtractorand lhav,hiredtbqun-coniractorslisted on1aeattachedslieet. I .[jRoofiepairs These sub-aontraators�ave employees and have pvorkers'comY.;nen ranee. _ 14.Q Qtbex • 6.�]We ora a corporaf7.uaz pnd ifs o�cers,Kaye egezaisedthPa:right of lxempiion perlvSC-:L c. n 152,§1(4},andv[�ahaYena. ploye s_[NOWorkers'comp.ins-aumiequired.] �. x.�yapplinaut6atohauiabox*l must also�sI1ontthesectonbeiovrsho�3iugth,W rkers'compensationpolicyinfozmatiom iHomeowners-Whc)Shai�ghuafidavitiudicatingtbeyare doing all wrnkandtbenlvraoutsidecontmatorsmnstsclVmitanestaf davr�in�catingsaclL tConiractorsthatcbecl�tladsbox musi-atEac eclanadditionalshaetshowing thet name ofthe 5ub-contzactomauds``ate whether a rpotihoseentitieshava employees.Iffihe stab-cozi ta.rtrrs have employees,sliey must pray1cie their wojksrs comp.policy number: X ain an wn PIOyer&at ispioyir&gVorkers,,compensation insurancefo.r my eMP16yees'BC10W is thepoZicy apzd job szte infonwadoW. •1 1(' rI 6 F y,<2( Ihsllran.ee COmpany 2ja.no: v'i �1 M 1 y Expi-rationDato: l / 1'oliay#or Self Xns.I,zc.#;� / W&f- 4V Czty/Ste#elmp 1���3 CjLj� Job Site Address: � 1 � lG Id 'Q-w Attar--h a cape a thev�cr exs' coaupa cation polzcy dechrration.page{shuwi gt�aepoRcya ber art ri e�pp ration date). Fallare to secure coverage as required u der MOL m 152, §25A is a crit al violation punishable by a fine up tO$1,500.00 and/or-one,-year iupr�onrnent,as eve).as civilpenal"ze'sry f7re nrm a1 a STOP WORK OR�BR and afire ofup to$250.00 a clay against the-golat:ar.A copy o£this statement may be Borwarded to 1110 OfRoo,of lnvestigatians of the DZA f'ox fi manse coverage verification. X do hereby certify C3?f�81' y pains and penattles ofperj�ry tfiai the info�madonpr�oyld'ed above is true an !ca/�rect, Si ature: Phone 4-- � �/�77� al Official use Dn4i. _po not-wryein this area,to lie completed by city ar town offi01 City or Town- PermffiUeense Igsnmg,Au&ority'(circle aixe): i ;t.Board otHeal yl 2.BnffdfitgDepartme)Lt 3.C 4;row.Clerk 4.FlectricaT.inspector 5.Vuiubingluspector 6.Chex Coxztact I?exson: 1'b.axre#: OP ID: GOGL CERTIFICATE OF LIABILITY INSURANCE DA08124DDrYYYY) `.� osr2412o15 THIS CERTIFICATE IS ISSUED AS A MATTER: OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Phone:978-888-8921 NAME; Hannah Caurtemanche,AAI,CISR Macdonald&Pangione Insurance Fax: 978-588-5350 PHONE 978-688-6921 we No,978-688-5350 104 Main Street Arc No Exf North Andover,MA 01845 EMAIL fn i nnaho Pns.net Donald Schemack ADDRESS`hans. DUCER GUST— D#:DGCON-1 INSU RER(S)AFFORDING COVERAGE NAIL# INSURED D G Contracting,Inc ID 646648 W W INSURER A;Travelers Prop&Casualty CL 25674 428 Pleasant St INSURER B:Safe� �---�Insurance Com an 39454 North Andover,MA 01845 - —� ----------------____. INSURER C:National Liability&Fire Ins INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTYPE OF INSURANCE D L UBR POLICY NUMBER MOLICI EFF POLIO EXP LIMITS - - GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 A X COMMERCIAL GENERAL LIABILITY 680-15531118 05/1712016 0511712017 PREMISES jEa occurrence $ 300,000 CLAIMS-MADE r Xl OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENE~RALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY X PRO-ECE, L]LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acddent) $ 1,000,00 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULEDAUTOS 3116538 0711212016 07112/2017 PROPERTY DAMAGE X HIRED AUTOS (Peraccidenl) $ X NON-OWNEDAUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,00 A — CUP-0090153321 0511712016 05/17/2017 - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X VJC STATU- OTH- AND EMPLOYERS'LIABILITY T RY LI IT ER C ANY PROPRIETORIPARTNER/EXECUTIVE YIN V9WC704542 03/3112016 03/3112017 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? rN] N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 A Property 680.15531118 05117/2016 05/17/2017 LsdlRent 20,00 Lt Equip DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 151,Additional Remarks Schedule,if more space is required) Fax: 978-688-9542 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Dept 1600 Osgood Street AUTHORIZED REPRESENTATIVE North Andover,MA 01845 O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ca :0 y w �rJ. x� x9a60135 1 L �z335 _ 3C 5 or 4'�A�: 3Dit supe' l75 pp1D P GiJ'1C ST 429 p�EASA+1 �1gFtTH MOWER Ge�rrsrs� �er � m ,�- �N i s i fi i �,-r i � Cir , log AUK �., p� yy CiLNp p 61 .� pp r� r C1r i p14,Ps" 'r ivAh"o-IA9gMT SeR,MA . 0 jusam 1411, � 1 ! � OR J, 1i 9 % ������T����e C