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Building Permit #487 - 10 GLENORE CIRCLE 1/2/2007
01,7TOWN OF NORTH AND E APPLICATION FORPL. �' '. ;.JN NORTH q tLED 6 O L Permit NO: vate Received — D9 e, ©� 41 Date Issued: ' �9SSACHU`����� IMPORTANT: Applicant must complete all items on this page LOCATION_il`' C Se,,zvc Print , PROPERTY OWNER �cn) Pn�r � t Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial 146teration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) VIDther ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED L4 it) kj Identification Please Type or Print Clearly) OWNER: Name: Re,,r\) AaSC �(" -1.I Phone _ Address: kV CONTRACTOR Name: �;►� ��A�� Phone � ��,� �y l�� Address: 3C-1 Supervisor's Construction License:_ ` Ul 3 Exp. Date: Home Improvement License:- Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.-$I2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 1 FEE:$i1�yrj Check No.:_ R kp c:� Receipt No.: Page W4 4 — — — -- - .. . r- Location �� �' 1,017 d AG e llt 1 No. Date : " �oRT� TOWN OF NORTH ANDOVER 0 F w 9 Certificate of Occupancy $ 9 Buildin /Frame Permit Fee $ 3 L'— s�cMust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 76 G�P 19907 Building Inspector TYPE OF SEWERAGE DISPOSAL Swimming Pools r/ Tanning/Massage/Body Art ❑ Public Sewer �/ ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ 11Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to proj ect NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner /` 't, �,-f�� i Si gnature of contractor',' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT �. 2( I 'C 2�t7(,� /C - /oma _l P� ` y'&-% Aj o COMMENTS L � (dl I� 'Y�+� �Vl �I'� ��DU�I�G�I� DA E REJE TED DATE APPROVED CONSERVATI N— ❑ COMMENTS M Uz+-Iarv'45 e'fFz—a tm, DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes ono Fire Department signature/date COMMENTS 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 IL Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. j Total land area, sq. ft.: NOTES and DATA— For department use) t I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan 2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 eve� Gs►Z'{� a�t..._ 306.0 t I I I I I I I I j D-37 I D-3$/ I / / I / NS 0-45 D-44-44 � 39 D-47 I D-43 —�- . . _ . . // D-46 I D-42 D-41 D-40 / I / . EDGE OF BORDERING 1 y VEGETATED WETLAND / J / I o / / 1 / I APPROXIMATE LOCATION OF / PROPOSED 45' X 25' POOL j LOT 5 o I (NO CONSTRUCTION WITHIN l I 10' SETBACK OR 150' i G LOT 3 j NO—DISTURBANCE ZONE)or ON 150• I 45' � E / PROPOSED POOL I 25' / I l CLIENT.- KNIGHT INCORPORATED I / 3o' �5. % LOCATION: LOT 4 BERRINGTON PLACE l NORTH ANOVER, MA. i I EXIST/NG DWELLING SCALE: 1 " = 60' DATE: 11/15/06 I � 1 REV.: 1 .06, 3/13/07 I A jN OF Mq,�cl 84' 1 I g QI 1 19i� rn 11 ' CLE 90Rf5aiC�� LENMORE C G CHRISTIANSEN ;Xx SERGI PROFESSIONAL NE£RS LAND160 SUMMER ST. HAVERH/LL,MA. 01830 TEL. 978-373-0310 @2006 BY CHRISTIANSEN d: SERGI INC. DWG.NO. 01039005 306.0 f I I r I " r I r I I I I � ) D-37 1 D-3$/ I / / I / D-47 LAS 6-45 D�� . . �` _& . . _ . . 3 9 D-46 I D-43 D-42 D-41 D-40 I / i. EDGE OF BORDERING I cW VEGETATED WETLAND 0 / J o / 1 / I APPROXIMATE LOCATION OF / M PROPOSED 45' X 25' POOL LOT 5 � o I (NO CONSTRUCTION WITHIN l I 10' SETBACK OR 150' i a LOT 3 j NO-DISTURBANCE ZONE) L/M/T O l R�'S� �l ��Te. 43' 45 % ^ PROPOSED POOL I / I 25' / ,1 I l CLIENT: KNIGHT INCORPORATED II 30' l LOCATION: LOT 4 BERRINGTON PLACE l NORTH ANOVER, MA. EXISTING DWELLING SCALE: 1 " = 60' DATE: 11/15/06 I � REV.: 1 OF 4406, 3/13/07 ,�sl I I � 1H I 84' I °i I ►} J I 191 rn II 'RGLL DRfTS\C'�a. � NMO H GSE CHRIS T/ANSEN ;Xh SERG/ PROFESSIONAL ENGINEERS I LAND SURVEYORS 160 SUMMER ST. HAVERHILL,MA.`01830 TEL. 978-373-0310 @2006 BY CHRISTIANSEN A• SERGI INC. DWG.NO. 01039005 06.0-t I I � I I I I I I � I I � I i ILOT 4 i I I I � I � I � i I I I o ,gyp i I i I o i I APPROXIMATE PROPOSED 46 X 25 POOL i, I (NO CONSTRUCTION WITHIN LOT 5 o i 10' SETBACK) i • I � LOT 3 i PROPOSED POOL I � CUENT. KNIGHT INCORPORATED I � i LOCATION: LOT 4 BERRINGTON PUCE NORTH ANOVER, MA. EXISTING DWELLING / SCALE: 1 w 60' DATE: I V15/06 I I VICHAE ` GLENMORE CIRCLE `' CHRISTIANSENS y � ENGINEERS PROFESSIONAL SURVEYORS 160 SUMMER Sr NAMML1.114. Of830 71L 978-373-03f0 02002 Or CMWST1ANSEN SEm /Na DNIRNO. 01039003 CIO P. Ot , . 4 1 J �N OF MICH J. w l encu fi �n� ,� °-i,a •o ��IL L N�b e F'OUNDA TION L4' Cd1E'1V'1r G'AA�DLL i YW C&OWNAFIGN Of 1Mac BUND 10TV 9 N 1fNB' AWW o4off, I f LOCd 1y4Mi UW 4 ATA►R'jN*rONV pWt • NOATN ANOWN, 161. ' � I, t r�,' ► ow�ro�w m Wir Xwe wvur �r�.'�tyy���pp ��rr+) ++1G�11'IyyOyyW� lMiYe, �'�7y'y • Alf MSS or no I '.! y �'CAtPi IM dO Slix'!► WtI/bt . CHRISIUMSEN &Stfigl N IN"Um an. 1MM1rfAlkd L Sam ML S^.W4 M Wil NOW SMr A h111MiM i 1 f 2886 18,54 9783723960 CHRISTIAN5EN & SERGI PAGE 83/83 ! ka L-1 0"- , , T - PROPOS0 46 X 25 POOL (NO CONSTRUCTION WITNIN LOT 5 10' SUSACK OR 150' SE NO-DWURBAMCC ZONE) LOT J PROPOSED POOL LOCATION. WT 4 9ERRINCTON PLACE SCALE. 1" 60' DATE: 11116106 REV.; 12122106 CIRCLt CHRISTIANSENY G1 LAND SURVEY(7RS � | RECEIVED DEC 2 8 2006 NORTH OVEM PLANNING DEP TMJ '`�TMEMT i I I I I I I D-3$/ I / / I / D-47 1� 0-45 D-44 � !� . . _ . . 39 D-46 I D-43 D-41 D-41 D-40 // I / II yy EDGE OF BORDERING I ti VEGETATED WETLAND 0 / I / I o / I APPROXIMATE / PROPOSED 46 X 25 POOL M i (NO CONSTRUCTION WITHIN LOT 5 r IL I� ., G o I 10' SETBACK OR 150' l TI SE m{ v I NO-DISTURBANCE ZONE) I� c .28895 LOT 3LAOT 'c% Q E� ZNEvy I 15' / PROPOSED POOL I � I I l CLIENT: KNIGHT INCORPORATED I / I .� >>• LOCATION: LOT 4 BERRINGTON PLACE I / i NORTH ANOVER, MA. r EXISTING DWELLING SCALE: 1 " = 60' DATE: 11/15/06 I � I REV.: 12/22/06 , I 84 911c I � 1 I IIyy'° r;tFL GLENMORE CIRCLE CHR/S TIA NSEN ,X E Gl PROFESSIONAL SURVEENGI YORS ERS 160 SUMMER ST. HAVERH/LL,MA. 01830 TEL. 978-373-0310 ©2002 BY CHRISTIANSEN do SERGI INC. DWG.NO. 01039005 1 NpRT1y Town of _ Andover o dover, Mass. o f f COC MICI.IEWICK 5 RATED O` � 1 BOARD OF HEALTH iPERMIT T 0 D Food/Kitchen Septic System �,� ���` `` , BUILDING INSPECTOR THIS CERTIFIES THAT ............. .......................... ................................................................................................ Foundation has permission to erect........................................ buildings on 1.0 � .........f..1. . ... Rough Chimney to be occupied as.........a .. �j. ��.�. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 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 34W PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU NST TS Rough !I ................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Omipy 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 1 Until Inspected and Approved by the Building Inspector. Burner 1 Street No. SEE REVERSE SIDE Smoke Det. .. .err' •'' 4 ... -' T °I m sMV a'T Do-of 110 YaI�.■I-C�C a qcWN tet• tllYILYO lSUHLfut 101/. ' '� ,• „ ..••' •' ,!yy� v a •4 •u o■'of"c- I a= , LLIJ2(Yd. 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I f�•z',• vhf Mis Avow At ' IOC'- L. t '/%r! ..f '-. • ice. / i /, guWXGlDN P11C8 L9,rMir.�(t t .% _ ` rss , �n= ' r>orSnSsr rwl-ra oneuuur.'! •'P `Y _ ♦ / `l. Ito Au PAIR • ( �/ 1•i I ♦ •� ! rL Jniti Y N7R0 �~i /r _. .__ �f r'� '•.:..:.. /+•1' �'' Samr oc mr s r l+.t ro w m' AqUkAd&AM 'Jo '..rf rp - - :i .._,..,,.•4;.-ti A�ociafen Ina AIS •_�• -, __ _ y'f y:r- .:/-'' e l crosLLm 000 UXWAVf ' //" �,1 •• - y ~II H IDYri.rIL ., yY ,• .Av ltaf M{w10 rf■vbN Mo -,NNWIva. —W C4 021� •:t o WgIL LA/aa AIM'/'1t1f1W G _ lY i00Ka1.o9Nf[ ps"�IN-/� _ . : ..ie�c Ism►Ora[•crsa Al _•F_ r l�,�_ '.• r r■w seat w _ . Irllyptll•ff to•a Nfof•tM•IYl a • .••yr Merit !: ..1.1.7M TMf=!'-tiq '14 N■rpGOWGo Im 14 am rir'Ims 1 i gr .I 11[a a rLL71 Mr ACW01 _.r*'• ,fCt_wi'i .. :IYt1.IN1 T!R ami a"` f• PIM q-&� f Irx VA=me �M lost ,yat-. oa - ; .aPV _�' CRAD/►YC ADVO DWNACS PLAN 1 34 - '` -i�'_aR■Iicr+wi N _y±a�s� j,; ma u vac r J� e l' ZONING DIS TRI C T: R 1 MIN. LOT AREA = 87, 120 S.F. MIN. LOT FRONTAGE = 175 FT. �I MIN. FRONT SETBACK = 30 FT, MIN. SIDE SETBACK = 30 FT. MIN. REAR SETBACK =` 30 FT. 3p5.96 CK E-S" UlRE)ON�G'jiETB� o R Q—� 37 / D 3$ X17 EDGE OFAL WETLANDS— TD-44 --174— - - _ —196' k — � ,i 76— — � ! - -176— LOT 4 178' ' " - -178_ _ I \ AREA = 100,690 SF i i — / LIMN OF 100' .� . • '��• 1 �• . ! BUFFER ZONE r 42 •\ J _ ., ...... . ... ... _ Aso '--SEDIMENTA TION CONTROL 150' OFFSET FROM WETLANDS / w \ N L. LEACHING / $p CHAMBER LOT 5 LOT Ho�M,q �81 ., nANsEly m CIVI 1 No.28895 t�P FND• _ 192.0 / 3 /ghR�C� �Q 191.0 131.5' G#R. Fl,R. - g ss/ONAL IscREE� 0 ,PORT 43 SERICE w -1 8 � e2.00 aL , 14 84 PROPOSED SITE PLAN I SEWE �g.02 r sERHCE STUB /� FOR W I INN 179.8' - E CIRCLE LOT 4 BERRINGTON PLACE G�ENC IN _ 6 NORTH ANDOVER, MASS. - 32•ya �" I� f PREPARED FOR: \ JAMES CARROLL � I 8 stn SCALE: 1" = 40' DATE: MARCH 26, 2002 CHRIS TIANSEN SERGI PRO LANDIONAL SURVEYORSEERS . HAVERH/LL, MA 01830 TEL 978-373-0310 160 SUMMER ST 1 © 2002 BY CHRISTIANSEN & SERGI, INC. DWG. NO. 01.039004 ,rJ tiORTH O �rllC �6 ti ? 1( a O 3 E 4 I 0 O <xni[wwn.r 1' ��SSACHUS���� PLANNING DEPARTMENT (ommunity Development Division Date: December 18, 2006 To: Bill Knight, Inc. CC: Gerry Brown,Inspector of Buildings From: Lincoln Daley,Town Planner Re: Form U— 10 Glenore Circle Proposed Construction of a 46' x 25' In Ground Pool Mr. Knight: My review is based on the following sets of plans and information within the Planning Department Files and provided by the owner,Ron Pascucci and contractor,Bill Knight Inc: Plan titled: Proposed Pool Plan titled: Proposed Site Plan Location:4 Berrington Place For Lot 4 Berrington Place North Andover,Mass. North Andover,Mass. North Andover,Massachusetts North Andover,Massachusetts Prepared for: Knight Incorporated Prepared for: James Carroll Prepared by: Christiansen&Sergi Prepared by: Christiansen&Sergi 160 Summer Street 160 Summer Street Haverhill,MA 01830 Haverhill,MA 01830 DWG.NO.-01039005 DWG.NO.01.039004 Scale: 1"=60' Scale: 1"=40' Date: 11/15/06 Date: 3/26/02 Sheets: 1 Sheets: 1 The "hand sketched" depiction of the pool submitted by Knight Inc. was not considered in this review, due to the fact that(1)was not completed by a Registered Land Surveyor and(2)was not drawn to scale— The plot plan used by Knight Inc. was a reduced copy of the plot plan produced by Christiansen& Sergi dated 4/19/02. It would appear that the location of proposed 46' x 25' in ground pool is located in the 150'Non-Disturbance Buffer Zone of the Watershed Protection District from a wetland resource area. In accordance with Zoning Bylaw, Section 4.136(3)(c)(ii)(3)Uses Allowed by Special Permit,the construction of a permanent structure (in this case a pool)requires a Watershed Special Permit from the Planning Board only after a Variance has been granted by the Zoning Board of Appeals. In addition,the applicant will need to provide additional information to demonstrate that the square footage of the pool does not exceed 25%of the gross floor area of the existing single-family home. In accordance with Zoning Bylaw Section 4.136(3)(c)(ii)(6)Uses Allowed 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com by Special Permit,construction of any accessory structure by less than 25%of the gross floor area of the existing structure requires a Watershed Special Permit from the Planning Board.If the applicant decides to go forward with the project as shown,a formal application will need to be submitted to the ZBA and Planning Board. It would appear,however,the applicant has some flexibility to relocate said pool outside of the 150'Non- Disturbance buffer zone.An accessory structure(in ground pool)is an allowed use in the 400'Non- Discharge Buffer Zone and would not require a Special Permit from the Planning Board or Variance from the Zoning Board of Appeals.If the pool were to be re-located,I would recommend submitting plot plan prepared by a Registered Land Surveyor showing(1)the location and dimensions of the pool, (2)existing structures and(3)location of the 75' Conservation Buffer Zone and 150'Non-Disturbance Buffer Zone. Please contact me if you have additional questions. Sincerely, 6;:�6 OXA10-- Lincoln Daley Town Planner 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9535 Fax 918.688.9542 Web www.townofnorthandover.com 306.01 I I , LOT 4 I , I , I , I � I I � I I i I � I i I o i APPROXIMATE PROPOSED 46 X 25 POOL ��' (NO CONSTRUCTION WITHIN LOT 5 e 10' SETBACK) I � LOT 3 i PROPOSED POOL CUM: KNIGHT INCORPORATED i LOCATION: LOT 4 HERRINGTON PUKE NORTH ANOVER, MA. I EXISTING DWEWNG SCALE: 1* 60' DATE: 11/15/06 I GLENMORE CIRCLE CHRIMANSEN &SERGI S, EMINEM VEYORS 160 SUMMER Sr HAYER"MA. 01830 TEL 978-373-Od10 02002 BY C WEnUISEN # SERW INC. MUM. 01039003 I CIO air �yb�J P�O1 i i r � SZ J m H ° + 8 too s /o FOUNDAWN _Cd�lEN1r JIAI G'A19�D1.1 C��lWII ld MW LINO Uoreo I flag ArI W AXNY° Loci trONr LOT 4 mRRIwroN #Lowt NORTN ANGWR, IfA. IAII►tl� MI cif MUM rolJU14Ai'w MW! rv. . It. - iof.r�r° ° nr Lei 4 TMr or ma ,.y WALD I d0' DIi'Fsr 11 HR/ p+ pmw* owwNoar�r ST�tNSEH $,SERiGI as saw.r. M .ok .w. 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O•a j, r+tl`• I wf•arr sr11o1 4 t ny wn w tar roa - ` q3' Cf2ADI►YC AND DRAINACS PLAN1 34 urtovor ro!' _ R J�� e IONING DISTRICT. R1 MIN. LOT AREA = 87, 120 S.F. MIN. LOT FRONTAGE = 175 FT. I MIN. FRONT SETBACK = 30 FT. MIN. SIDE SETBACK = 30 FT. MIN. REAR SETBACK =` 30 FT. '505.96' AIL TYP:Z _— CK LINE" ` _ pNtNG�TBo 1 =QUIR I 16 z � AL �ilk //Ab DC X37 I AL 'N1 3B- 176- I EDGE OF WETLANDS / i -/39/ D-47 D-45 -7D-44 - - - - - _ - - D-43 � _ -- •� �/ / D-46 2, _ _ 17?-- `p-4� —' D=41 J17 f —174 — — / — — — _1761 76- - 178— -- L O T _ ,,78 ' \ —.-178_ 8 _ r> \ / — \ AREA = 100,690 SF i / / LIMIT OF 100' i BUFFER ZONE -182- • • _ . � \ X60 . . . . ... ... "SEDIMENTA TION CONTROL v° I . ,-- • . . ( ___ �� — _1B?' 150' OFFSET ./• _ /" / ROA! WETLANDS LEACHING / CHAMBER LOT 45n LOT nANsENNo a N 885 192.0 1 � 191.0 / ,`. .., FG/STERQ y 31.5, G*R. b IP CjH 43' ` •` � JINWER SERICE w ry f V _ 82.00 14-84 - PROPOSED SITE PLAN FOR `•" INN SERVICE slue , w ' 179.8' ► ! E. CIRCLE LOT 4 BERR/NG TON PLA CE IN - 32•y" �� NORTH ANDOVER, MASS. 1 ! PREPARED FOR. ` JAMES CARROLL B �RC: SCALE. 1" = 40' DATE. MARCH 26, 2002 CHRI S TIA NSEN SERGI PROL4N0I SURVEYORSE£RS 160 SUMMER Sr HAVERHILL, MA 01830 TEL 978-373-0310 2002 BY CHRISTIANSEN & SERGI, INC. DWG. NO. 01.039004 06.0-t LOT 4 I I I I I I I I ' I 1 I i I � I I o i I APPROXIMATE PROPOSED 46 X 25 POOL ��� (NO CONSTRUCTION WITHIN LOT 5 o� 10' SETBACK) i al i LOT 3 I � I o� PROPOSED POOL I � I � CLIENT: KNIGHT INCORPORATED it LOCATION: LOT 4 B£RRINGTON PLACE NORTH ANOVER, MA. I EXISTING DWELLING SCALE' 1" 60' DATE: I V15/06 a II GL£NMORE CIRCLE Ye . CHRISTIANSEN &SERGI CONAL ENGINEERS LAND SURVEYORS 160 SUMMER ST. HAYERNILL.MA. 01830 TEL 978-373-0310 @2002 BY CHRISflANSEN * SERCI INC. DWGNO. 01038005 tiORTtl qw. OL O {� 0 LAK* �4AOgAreo 0 .(5 9%V US�� PLANNING DEPARTMENT (ommunity Development Division Ron Pascucci 10 Glenore Circle North Andover, MA 01845 Date: December 5, 2006 Dear Mr. Pascucci: I am in receipt of your application for a building permit for the construction of the 25' x 45' inground pool,which was submitted to the building department. Due to the fact that your property is located within the Watershed Protection District, I require the following information from you to determine whether or not your proposal will require a Watershed Special Permit from thePlanning Board prior to receipt of a building permit: I. C// Proof that your lot was created before or after 1994 (i.e. deed, recorded plan, etc.) 2. A Plot Plan depicting the following: Vf General Zone of the Watershed District; G✓ Non-Discharge Zone of the Watershed District V Non-Disturbance Zone of the Watershed District; d Conservation Zone of the Watershed District CV The edge of all wetland resource areas, as confirmed by the Conservation Commission through a Request for Determination. 3. C/ If project is within the Non-Disturbance Buffer Zone, calculation of total gross floor area or addition and existing dwelling/structure. I have attached the applicable section(s) of the zoning by-law for your reference. For your information I have included a sample plan, from another property, that includes all of the above information. As soon as I have received this information, I will review your application as quickly as possible and will contact you regarding whether or not you need to apply for a watershed special permit. Sincerely, Lincoln Daley Town Planner 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com 1CIOarc P. 01 s� y Ll IS 5 L) E 1 �N ar MICH L 1 S FOUNaa WN x� O �, y�l / '` CIYIE�,,,N1�'. A-(amu { I2 �r#aa 4 ,wat LINO UMP c xom I LWOW* Lor 4 lwr*N Pucr NOM ANOWR* A" ?r Wn on"to MOW— At yI��'�qq�yyp ►) �3lJJ�vy1C�♦♦119 Mutt Y.�� Lot 4 Mr ° or on �. WALD 1, so' DAM Wf*162 CNRISIUIVSEN &$gfiGI "'°'' w 40 "m It. Mmm"a l of" RL * N �J001 d aIN�'111N 1! mw&a i 1 . ' :) •IAb�D M96i 9601 m 70113 s+vl tG w MIIR7••2 v7I .) / .. - ,p/l�' ! 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JK.iM �, l._ �•-•` % ' 7'�• w►C.44 W'�I NIw a[a0+7 --v*''" •YC'•-�1 F _ A14R:MC nKR I) f1lR r i71,'m MORN 3D1E1 yr nrr•tu.I iIf Nowa wa% I, __f•3 - ,' CRADLYC A,VO L)wyAr. Pi.AN ( jA 1�? i �(i rraaw6 a M r urt IF vol R. J aTr-` _ _ I _- 10 r I I I I I I i I I I J I I I � I , , to LOT 4 I o � I APPROXIMATE PROPOSED 46 X 25 POOL ��� (NO CONSTRUCTION WITHIN LOT 5 o� IO' SETBACK) i al i LOT 3 ' l . I °/ if PROPOSED POOL I / ' l CLIENT: KNIGHT INCORPORATED I / l LOCATION: LOT 4 BERRINGTON PLACE NORTH ANOVER, MA. EXISTING DWELLING / SC4�' 1" 60' DATE: I V15/06 I I ch �4 I GLENMORE CIRCLE CHRISTIANSEN R,, SERGI ANAL ENGINEERS V� LAND SURVEYORS 160 SUMMER Sr. NAVERNILL„MA. 01830 TEL. 978-373-0310 02002 BY CHRISIIANSErI * SERd /NCS DWQNO. 01039005 The Commonwealth of Massachusetts r' Department of Industrial Accidents Office of Investigations r 600 Washington Street Boston,MA 02111 UV. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): &- Address: , o City/State/Zip: s,�� /N/�_��1y1 Phone#: � �yti� - $,5 Lob Are you an employer?Check the appropriate box: Type of project(required): 1. jKam a employer with 12L 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.[}]/�Othery1,;w,- �a (� � comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire 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. I am 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. #: Expiration Date: Job Site Address: 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 certify under the aims and penalties� perju at the ormation provided above is true and correct aQ��Si nature. , �-� . Date: Phone#: S�E) _J6` �_p Official 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i 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 compliance 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 burn 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 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia i �o!ualcluµul►V AladaQ 91+L10`dW 'NO1N1>!dOH ,1.3381S 839Wfll 0£ 1HJINN W`dI111M f 'ONI 11-10INN0W 1118 uoviod.ioO aleAIJ8 tedl(1 900Z/9/9 ;uol}ejldx3 Z099£l :uolleAslBaa I � I 21O10YdlN001N3W3AO8dW13WOH ✓he "�Jav�vnco�zureal� o�iuuac�ivar6 ` j BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR 1} i Num4?er:CS 076732 Blt�jdat�=;02/29/1968 xpFires 061Q1/2008 Tr. no: 19524 4 I Restri,6` : 90 i WILLIAM M KNIGHT 11 BREEY GREEN LEICESTER, MA 01524 commissioner r.w 3'+"�.a�+enwM 'PY,11 i�"'+^gK`tiMw...a. - .-...,q+•wrr.+ i r ��fE.:ia"ei�SH�t^^�41K!sMeillabrYY�Aa�+i�-+d • - ��- _ ���.�.- --� A" suffl-AcC O'lArr.I SA'ALL RSA snrlF cDi»ot.t�oE O V CAVN Awwr AwAr POOL r►3 SAX5 IM QONID 6EA/• s' s' �t' rEJr/v/N Pvo � 1 c t EZEYOO`. 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X4 AS40/VABLYLEYEL_ 5174 3jWO PSI dS 3SoArS COMM 0IVLr GiturO CLAMP AND 9^vA0VeD NATURAL CCovNO 1t//7N1AoI-Z fEET wATfiP-CEMENT'.SAT/D S•YALL i{•!�T L`'XCEL`D ' ' DF TDP Of L30Np BEAJ''1, • AUTO MR TIL SURFACE SxiMI7ER /9NV L=rCEPT7dwS ti waL REDU/RF SUPPLE MEN TR A�cr Df7,q1[ rDE3/cn� 3 GAt 3 wRTER PE.P S.9cA!of�E.o/E/vT FENC.E • CU�PE GUN/TF BYAZ/Gh+TGl1.9TER .,roPFf ' 2 OARS/F • & HALL PRO WOE AENC/NG /N CONAL INNCf TH�CfL T//lJfS A �Ar FOR SEVEN 17A� ' L'NOEA WAw L./G/Yr !!//TH LOCAL 07'Yoz r000N 4w&NANCE o ' o 6,97ES TD ffe SELF CLOS/NG e 464TCR1IVC-- •o Q : -° • FLfcrR/CRL Sf,9a cavmxw TO STATE PLATA 9,vo LOCAL REOU/RFjyfNTS f F,t HF �W 14 OF MqS ii O _ PAUL APHELAN SN I .�• r d O . _ �• Aorw At/AYC C STRUCTURAL •• D' NrORO S7277C J • .• . .s .p�No 425380 e AKIEF YAL of • • . t• 8`Tfflipt111nCorpp G o- •-b - O. (/f RfS�LL� .s J a0 Lumbw ued 0- /S TES s ,•. • "% SS/ANAL ENG\ LpLt�T]ON •►- W748 i �► TI/dE�fRfDo) r�J ' - r G,tAra s"In P MAIN OLMLET. Au smar `` 11/06/2006 13:09 PALUMBO INSURANCE AGENCY 4 815084355570 NO.355 P001 i CORD, CERTIFICATE OF LIABILITY INSURANCE DATE6"izo°o PRODUCER (508)359-4151 PAX: (508)359-2114 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION:,. William Palumbo Insurance Agency, zriC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE_: HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR;':':" 4 Nest Mill Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 250 Medfield MA 02052-0250 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Arbella Protection Iris Co Bill Knight Inc INSURER B:American Home Assurance 20 Lumber ST INSURERC: INSURER D: Hopkinton MA 01748 INSURER E: E 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. I THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: AGGREGATE LIMITS ShQWN MAY HAVE BEEN REDUCED BY P81D CLAIMS. INSR ADVIL POLICY EFFECTIVE POLICY EXPIRATION p TYPE OFINSURANCE POLICY NUMBER DATE MMlDDMY DATE MMYDDYYY LIMITS GENERAL LIABILITY EACH OCCURRFNCES 1,0D0;'ObO COMMERCIAL GENERAL LIABILITY D EM19ES EsEocccurr0ence $ 100�.0Q0 A CLAMS MADE FJ OCCUR 9500033333 2/24/2006 2/24/3007 MED EXP one eraon $ 5; 0 PERSO S 1,000; 00 AGGREGATE b 2,000 00 GEN'LAGGREGATF LIMIT APPLIES PER: PRODUCTS- S 2,000,0:00 POLICY PRO - POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (6a accident) S 1,000,600 A ALL OWNED AUTOS 96244400002 2/24/2006 2/24/2007 BODILY INJURY (Per person) X SCHEDULEDAUTOS S - X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Peracc4nnq PROPERTYDAMAGE (Pec accident) § 1 I:Gy GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANYAUTO OTHERTNAN CA ACC S AUTO ONLY: AGG S EXCESMUMBRELLA LIABILITY EaK OCCURRENCES luCIE, OCCUR �CLAIMS MADE A GREGATE b rte�f t% DEDUCTIBLE fw-M ON S I 13 WORKERS COMPENSATION AND We STATU- OR, 0)'(10. LIMITS EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIECUTIVE E.L.EACH ACCIDENT S 100,000 OFFICERIMEMBEREXCLUDED? WC8951539 1/27/2006 1/27/2007 E.L.DISEASE-FA EMPLOYEES 100f.90 If yes,dacdbe order SPEGIAL P OVISIONS telow F L DISEASE-POLICY LMM & 500,000 OTHER DESCRIPTION OF OPERA-n()MILOCATIONSMHICLESIEXCLUSIONS ADDED BY ENDORSEMENTMPECIAL PROVISIONS RE: Ron PaSCUCC1, Glenore Circle, Andover, MA o,tC Y i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE,.TFIE_ Town of Andover EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO h-EUI;, Andovar, MA 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,ik',, FAILURE TO 00 30 SHALL IMI'ME NO OBLIOATION OR LIAWLITY OF ANY KIND UPON',_ INSURE&ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Susan AezinenoJSDENNE ACORD 26(2001/08) 0 ACORD CORPORATION 198$. INCYYJS rnvnai ria CMS ©TM Wollvs Kluwer FlnsnCkl$annees Pa".1 of 2 _ _ 1 306.0-t I I � LOT 4 � I I I I I I I I ) I i I ' I i I ' i o � I APPROXIMATE PROPOSED 46 X 25 POOL ��� +, I (NO CONSTRUCTION WITHIN LOT 5 o� 10' SETBACK) i LOT 3 I � I 0�i I °i �► PROPOSED POOL I � ' CLIENT: KNIGHT INCORPORATED \ i LOCATION: LOT 4 BERRINGTON PLACE NORTH ANOVER, MA. EXISTING DWELLING j SCALE. 1" � 60' DATE: 11 15106 I ' GLENMORE CIRCLE CHRISTIANSEN R SERGI `'' ro'4 ENGINEERS lJ� LAND SURVEYORS 160 SUMMER Sr. HAMHUMA. 01830 TEL 978-373-0310 ©2002 BY CHRISTIANSEN # SERGI INC. DWGNO. 01039005 CIO P. Ot r.l l+ 31 y :u � 7 /Z) o n � r, / MiCH L 1.csr NFOUNDA TION O Adm 1 ... I �troN fS MWt AMP tomo YO wcw, c. I Igo �l� Al ►dlll� Mfg w YAP. :Wi. //Icadu�p G; I.Ol4 • ALD 1' 1'14'