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Building Permit #199 - 14 WINDKIST FARM ROAD 9/4/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date lssued:9:1, 7 IMPORTANT: Applicant must complete all items on this page LOCATION (2M Print. PROPERTY OWNER pl,2�sw Print 100 Year Old Structure yes MAP No PARCEL: ZONING DISTRICT: Historic District yes no // Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 11 Addition 0 Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 0 Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: JA tJ Identification Please Type or Print Clearly) OWNER: Name: Phone: z,� Address: Wt ( f Vt� S CONTRACTOR Name-&u o2Q, �-� i i 5� Phone: Address: �� n(�P� Il/�l i (� A– 2SC2-4— Supervisor's Construction License: �S - 0-S Exp. Date: S [3 �� Home Improvement License: OJ��� Exp. Date: Zt ARCHITECT/ENGINEER ��� -� �� 1���-�— Phone: - �� D' Address: 2, 0f22] Reg. No. y I FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ / 674f EE: $ �(Q 6 - �— Check No.: l 00 `,� Receipt No.: NOTE: Persons contracting ith un egiste ontractors do not have access to the guaran fund Signature of Agent/Owner. I- ature of contracto Plans Submitted ❑ lans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYP ".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 APPROV D PLANNING & DEVELOPMENT ❑ COMMENTS D�2a 410 ,910 f)Zo CONSERVATION Reviewed on 3 Signature COMMENTS.__. A �o HEALTH Reviewed on i Si nature zjl--� C COMMENTS G ;.► o, 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 Tow;2 Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair, Street Fire Department signature/date COMMENTS Dimension 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 NOTES and DATA— (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The foliowing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits a Building Permit Application a Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application a Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract a Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) Lj Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit D Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract o Mass check Energy Compliance Report o 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 apo%-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:+.ted with the building application Doc: Doc.Buiilfing Permit Revised 2012 Location ! lj �jj 6DCf No. Date�� • • TOWN OF NORTH ANDOVER ' FD' . - Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# v Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 136,780.00 m $ - $ 1,641.36 Plumbing Fee $ 205.17 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 205.17 Total fees collected $ 2,151.70 14 Windkist Farm Road 199-14 on 9/4/2013 In round Pool i Iluntrottncr unc: \lil.e!'a�cu luh.ile;ltldrrs: I J 1lindtii,rl larttt ltlr"\ttrlr. SOUTH SHORE GUNI rE POOL& SPA, INC. llomeowner InformationContractor Information ..tote Mike Pasco _ Cotrtrm>Name South Shore Gunite Pool 8t Spa,ln sir�rt 14 Windkist Farm Road 'Ztreet•7 Progress Avenue 01"I K' t otficc Box i . - . __. _. t.r„ Chelmsford MA z.-,, 09 824 t rt, North Andover ;r MA.tp 01845_ litr.m,ess i>hrmte 800-649-8080 �Ia�hneAddrrssU�.hl9irrmfrom abinel I'cderalFimpto\erIt] 04-314_6.507, "r rr C ontrictor is also reterred to as-Seller'herein fix some cav r Zip purposes Ihntm,e Phone 978-621-8386. I:renmtt:I'hone -?,F-AR—;-03-f/< Cell I'hone Finad breaddoc@verizon.net J _ SS(;Representame 96ott Pancake ^ (:ontractor Registration+l. 105485 F.Np [fate: Work to be Performed and Materials to be Used Contractor Agrees fit r)othe Folionmg Work for I htmeonner: Contractor will build an inground swimming pool to be located at 141Nindkist Farm Road _ in accordance with the drawings and specifications which are or shall be attached hereto as Exhibit A. and in accordance with the provisions of Exhibit B. Materials Fcpectcd To lac used. The Contractor expects to use the materials which are or shall be specified in Exhibit A and those �%hich may be needed under the provisions of Exhibit B. J kr h+Jlr»cn{i.oc Jr�drd�wdl hr udherc•rl ru 1111"'V urt lelowum es he end(Jrc•moria,ow%o hind urnr: F\rwcted Date of'complctloll 1 1 1 1 1 3 Work h\peeled to Began 8 i 1 5 1 13 S t Date ntrcn comracted ntx- o+tll lxr urtntamiail}comploed) (1)nc Omtr:ntor tall brgttt coxttrtx-tcd%Nolle) titi(; Itopresc nt.ativc (Icmicunvn4r 1'ar t of 10 7 r I lomeo%%ner\afar: %like Pasco h+h,ite Wdress: 14 U indkist Farm (toad.North Ando%er. MA 018th Total Contract Price and Payment Schedule I hr Contractor a gecs to perionn the work.titrni,h the material;Ind labor,Ivcilied ab++vr ti+r the St M ot.S 136,780 I•nn/M4.'1/1 Jna,Ili,i<'IhrrJ;rc lit this untnmu•/ ^«'I O; 15q ntenh:will he made according in the follwAine SCHEDULE: �/ ,� 1 S 5 1000 noon%igning contract('\,,I!rr Kr[cd,/t of 1Ar'frau%r rurtrrrrl l r/c.'OR Ihr'a'acl n/+l c t'utl neater r/rgLc,n lac hover n tit contract ducd.i_%olexca%anutl s 54,712`_==r to"!.flekwittrivi due d.n.oi•guntte 20 1.Z�___ 15e;at eontract dite tim ottdc 6 $39 "• +H'contrict due dA%ut filter&:pnrnp Mail up In order to meet the completion schedule.the lidloaving ntuteriahequipment milt he special ordered brlure the contracted"oak begins $ 0 _ ^to be paid for DO t\'OT SIGN THIS CONTRACT IF••Tf1ERE ARF:ANN RLAYIC SPACES Identical copies of contract should gu to the Wineo%%ner and the contractor. I Iomeoiiiner s Signature Contractor's tiignatu Date 7 V �—/j bate Non may cancel this agreement if it hits been signed by a party thereto at a place other than an address of the seller, (the contractor)which may he Itis main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram ant or by deiiven•.not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation far an ecplanation of this riLht. ``�I i Itt'lTl'l'SCtllaUb�`^-� � I It+Ill+.a�\4tl�i' _ I lonico%%ncr Name: Mike Ita,co loh,rtc,\ddres,: 14\l intlkiat Farm Road.North Ando%cr. .MA 0IS45 RIA)t IRED PF:RMI FS Il,e toll+mnte htnldutt;hermits are rcqufred. It is the obligation of the contractor to secure such pemms as tits hoinco%%ner's .1_cntr!r,%,,I Rfa1 K Itr1.NIIIBIFit IARM"RAN1 t ♦()rL th%ners %%lit) secure their own perntns or deal witif unicga,tered rontracIors are excludet/Irmw the tlttareuntt•1•}ut,I tsnmsof Nit it-c 1d:A Is an I:SPRhSS WARRAN I•Y being profiled b% the contractor'! No 1 YTS X —it/h•nq%tit the trarruatt•mij%i 1*e,mat,hvd to the+wwrrrc AU home improvement contractors and subcontractors shall he registered and any inquiries about a contractor or sultcYxur ctor relating tua md%lnvion,lxndd he dintiied to: Dimetor.Ilonte Improscurent Contractor Registration t)nc Ashburton Place.Roost 1301 Ho,ton.NIA oZ 108 617.727-X599 ARBITRATION 1'hc contractor and file homco%+ser hereby mutual1% agree in ad\ante that in the e%crit the contractor has a dispute concerning Ihis contract.the contractor may submit such dispute to a pri%ale arbitration service%%hich has been appro%ed by the Secretary oPthc tisccu[i%c Office+tt't'oncumer Af3itin a td Business Regulations and the consumer,hall rry lh3p%4i�t tit to such arbitration as provided in M.G.LdA. I lomeo%%nees Signature Contractors Si;natu c Date 7— O7 f —13 rate -'-Z {This clause is optional.act`s out if not;applicable) C'ontractor's hinaneilal Insecurity - In instances where a contractor deems hunAtcrselt'to he financially insecure. that is the contractor heiovcs the p;kNvent of funds due him slay be in jeopardy,the contractor may require that the balance of funds not yet due N.placed in a joint escrow account.is a prerequisite to continuing the contracted work.Withdra%%al from said account%could require the signatures Of Will paries. 111F CONTRACT r MUSTALSO CONTAIN: I i A complete Description of any other documents%%hich fire par of the agreement: '_) A IJst and Description of other natters upon%%hich the contractor and hotneo%%ner In%%fully agree: 3) An} Other Provisions other%ise required by applicable la%%s of the Convnon%%calth. ' I'he Contt'tlCt Mutit he the t•uatplvle Agreement bet%tCell the contractor and the homeowner. Exhibit A attached hereto contains the speciticatiotls of construction which form part of this contract. Exhibit 13 attached heretoct�ntairls the guarantees and conditions «hich form part of this contract. titi(i RCPresentall% ' 1ltttnrtt%%fler — I Page 3 cul'10 r Ilouneoancr\;ane: 1ril.c Pasco .loh%iteAddre�s: Id 1kindkist Larne(toad.North Andmer. \lA018-1 Sou"rll SHORE GUNITF.POOL&SPA,INC. EXHIBIT A CONSTRUCTION SPECIFICATIONS Vt�ol Si.e 39 x 215_nepth 3' it) 8,5 Suri-ace Area 681 Sf Perimeter 106' Shape Free Form S ) I neinecred structural plans and2 1) Water line~to he;,tcr connected by J r t�orkinr~ drawings........................................Included contractor..................................................Included �._ 2) Swimming pool construction permits. ''2) bas or Propane connections, venting and fuel + -is required by Blatt:and local ct>des....... Included permits.. N/A \ 3) Established shape. location and elevation 2Heater other: Not Included - prior is excavation of swimming pool..........Included \) Normal excavation of pool. removal of soil. PLUMBING SPECIFICATIONS and placement of wood frame work (up to 10 hours)............................................Included *24 Non corrosivelumbin p g and fittings Additional Excavation $200.00 per hour throughout.........................................Include 4 hour minimum. 25) Self adjusting surface skim mer.g.Q�)lneluded 5) Engineered steel reinforcing throughout *26) Pressure return outlets to pool.............lncluded pool..............................................................Included 27) Main drain receptacles v2')with grrte.....Included / 6) Engineered concrete. �gunitc structure to 6 28) Max piping between filter and pool, / meet or exceed state local codes..................Included 50 11...............................................Included 7) Water cure gunitc shelf twice daily ro2r 7 o _9)Additional piping(u?$,4Q per it.. not Included days.............................................................13y Owner 8') One set ot'shallow end steps with 1 2-,) 4__ ft. AUTOMATIC POOL CLEANER bench(es).....................................................Included AND CIRCULATION 9) Swimout deep end..... 6' :................ Included 10)St concrete,or other debris r 430) Floor recirculation................ not Included removal.............................................not Included - -_' *31) Deluxe PCC2000 W/leaf canister. Included One 6" band waterline. —- Frost-proof -; Included -cost-proof file..............................� - -, 32) Pool Cleaner.other N/A notIncluded -'-, *12) Coping style paver bullnose Included DISINFECTION SYSTEM _ *13) Interior finish to be water proof.I ---Included *33)Type,Ire-line Chlorinator In- Included _ (Refer to footnote ****) *34)Type Trident UV Included 14) l=ining of pool within 24 hrs............. Included *3S)TypeLPa(amount Clear os ,InCluded / i."wi-ER SPECIFICATIONS MISCELLANEOUS A\FOIt$.SPECIFICATIONS **15) Filter:type Cart_Size 300 Sf ...Included -- _ *36) 2,U.L.Approved marine underwater *16) rump and Motor: Size VS,-SVRS�...Included / _ --- light.106'coal 120 VoIL...LED..........Included *17) U.L.listed exterior timing;control..........Included 37) U.L.Approved deck boxes)and conduit(s) 1 8) Complete hookup ofall pool lines to for light(s)..........................................Included filter................ .Included - *38) Diving board size•N/A -IEATF- NS R SPECIFICATIOColoriN_/A ... not Included .0o,* *39) badder type N/A l9) Approved heater type: -- - - -- —No Heater - not Included Fuel N/A .. not Included *40) Stainless steel step rail,figure 4 not Included - -- - 20) heater 13113 rating W A Indoor Ottld r I(epreseniative Honteouner 11.1ge•1 t.l'10 I lantcomicr\one: %like Paco ih%ite:\ddresN: I I \\imlki.t I-arm Rmid. \atilt:\m1mcr.\1:\1)IN4j 47) Written iiletimc:structural guartnte• .r:-friclttil—eil. -)ii) 1 herapy tipr s: Si, n/a Jets n/a,...... n/a .49) 1 hera�() n/a,Separate n/a .... n/a41 ) Electrical to motors clucks and s\+itch 5O) S .fights 12Volt 50'cord............ not'Included panel............................................... ......Included 5 1 ) Water or unsuitable soil conditions. I'lectrical inhaled means: tip to 60' Irom panel. 2 loads ol'cru.hed stone / no change and/or upgrade to service into at S 700 per 20 tun load.................. ......Included residence. Switch and time cluck location at Additional stone at $700 per 20 tun load. _ pool equipment, pool related electrical only. no 52) Rough backfill to pipe grade... not included_ landscape lights.sheds. etc. K)) Grading and compacting ufdeck arca tip Electrical nnr hwhsde4 means:your electrician to 24 hours............................... ......Included docs it.all. Wiring schematic not available, they 54) (travel aur under deck ....6 loads.............Included cull in their om,'n inspections and notify SSG when they are completed and signed uta'fiir SSG START 11 P MAINTENANCE to proceed to next phase, they install pool lights 55) Dcluxe cleaning tools(wall brush, leaf and or spa side switches. No electrical consul- skimmer. pole,vacuutn head and hose, tation or technical support provided by SSG. test kit. thermometer).............................Included 42) Electrical bonding ot'stccl 56) Start up and operations instructions.......Included reinforcemcni................................ ......Included 57) Start up and balance chemicals................Included ` 43) Safety rope:and floats......................... . Included 58) Daily testing&adjustment of ph levcl.By Owner �+4) Property damage negligence insurance 59) Brushing of interior surtiice after pool \ during construction................................Included is filled with water.................................By Owner x=15) Public liability and workmen's compensation Uepending ort interior finish, brushing insurance................................................Included will he / io?times tlaily `46) State and federal sales tax.......................Included *5 YEAR PARTS AND LABOR WARRANTY **FILTER HAS 5 YEAR WARRANTY—FILTER TANK HAS A 10 YR WARRANTY ***PLEASE REFER TO EXIHBIT B ****SLIGHT VARIATIONS IN THE PLASTER WILL BE ACCENTUA"TED AT NIGHT WHEN THE POOL LIGHT IS TURNED ON.WHICH ,MAY CAST SHADOWS ACROSS THE FLOOR.THIS IS NOT CONSIDERED A DEFICIENCY. BY NATURE,COLORED PLASTER WILL ACCENTUATE ALL OF THE CHARACTERISTICS NORMALLY FOUND IN WHITE PLASTER. MOTTLING CAN BE MORE PRONOUNCED.THE PLASTER CAN EXHIBITPIGMENT STAINS.STREAKS,MORE NOTICEABLE CHECKING AND CRAZING AND BE UNEVEN IN COLOR.COLOR SHADE VARIATIONS WILL FXIST BETwEFN COLOR AND COLOR,SAMPLE CHIPS AND ACTUAL MIXED PLASTER.THE COLOR MAY FADE COMPLETELY OR GET GRADUALLY LIGHTER OVERTIME AND OFTEN WILL NOT BE THE SHADE ANTICIPATED. NONE OFTHESE CONDITIONSARE CONSIDEREDA DEFICIENCY. titi(; Repr"entative Ilomeocvner Nt I'a�'e5 u1' 10 I Ionics tier Name: \like 1';neu Address: I ! %\indkim Iarm Read. North Andm er. NIA(118-15 ADDITIONAL SPECIFICATIONS 60.) Surface skimmers to be Gray in color 61.1) Interior finish at pool to be Wet Edge Technologies "Satin Matrix". 61.2) Interior finish color at pool to be one of the following: "Northshore Caribbean", "Northshore Tahoe", "Northshore Plum", "Northshore Gold", "Jet Black", "Gold", "Smokey Gray", "Irish Creme", "White Diamonds", or"Glacial White" \62.)62.) (1) 18" wide x 6' long x 18" deep shallow end bench opposite entry steps included. 63.) (25) Lineal feet of 18" raised wall with (2) 2'x2' columns. Natural stone veneer with bluestone column caps included. 64.) (3) 2' long sheer descent waterfalls at raised wall, and (2) 1' sheer descent \ waterfalls at columns with additional pump and filter included. 65.) 1413 square feet of Belgard London Cobble pavers included at main pool deck 66.) 263 square feet of Belgard London Cobble pavers included at upper firepit area. \67.) 290 square feet of Belgard London Cobble pavers included. Installed under new wood deck constructed by others. 68.) 55 lineal feet of 12" x 7" granite treads included. 69.) 168 face feet of natural stone retaining 1 seat wall, solid grouted at the top included. 70.) Water at completion is Included. 71.) (4) ten wheeler loads of topsoil is included at completion x'72.) up to 24 hours grading of topsoil and stockpiled material included at completion. \ 73. Winter cover including installation is included. tiff<i Repretirntati � Ilume ��tn�r 5 PPagc 0 ui'10 Ilomcowtier Name: Mike Pasco .toh,iteAddress: 111lindki,t I arm Road. North.Anlo%cr. MA 01815 EXH1131T 13 LIFE'TIME GUARANTEES, GENERAL TERMS AND CONDITIONS Contractor auarantces its work to be free frtnn dciccts in material and workmanship tie a period or0NF.Yl-'AR from date pool is plastered provided owner has complied to full wilh leans and payments and other conditions ofthis contract. Contractor lumber guarantees that alae structure will remain structurally sound lir the lifetime ol•the pool."I he Icnn. "Li fetin►c of[lie Pool" ,hall he construed to mean the period than the pool is owned by the original purchaser. I he term "Structurally Sound"implies that the swimming pool is capable of containing and holding water and in the ev cru ora fitilure to do So the contractor will within said period repair the same so that it does hold water. I he Li fetime structural p uarantec thercibiv would not exiend to or cover items external to the pool,such as coping, coloring.plaster,plumbing,electricity. filter,heaters.decking or pool accessories. Plaster is not guaranteed against discoloration or staining in as much as this is commonly due to the local water.wrong use of chemicals or lack of cleaning. I'hc Lifetime structural guarantee;is also invalid should the pool not be kept full except when emptied by the contractor or under his supervision,should the water table be above the lowest point of the pix,l:should the structure be damaged by earthquake,war.earth or earth till movement,ofdisasters not occasioned by the contractor such as explosions,wrecking and the like. Items damaged due to negligence or improper winterization or vandalism. shall have the sole right to replace or repair any warranted item. And that further,there is no iransler or change of` ownership in the subject property. AGREED CONDITIONS I. If plans and specificatioons are attached to w iihin aLrecinent. they firm part of this contract. In case of conflict betty gen the provisions stated in such plans and specifications and the terms of the%%ithin contract.the terms of the within contract shall prevail. '_. Contractor shall pay sales tax on all materials.shall pay necessary levies on its men.and shall carry-public liability. w orkntan's compensation.and properly,damage negligence insurance.Contractor agrees to do all work provided in this contract in good and workmanlike manner. but shall not be responsible for delay or fiailure to perform work when due to acts of God, strikes. w ars government prohibition,non-issuance of all required permits affecting pool construction,or reasons beyond its control. 3. Owner is required to do all acts necessary.all construction necessary.or meet all conditions necessary to allow contractor to complete construction of'(lie pool and utilities as provided in this contract.All such acts.construction and meeting of necessary conditions shall he paid for b% the owner. ***O%v tier shall furnish any necessary variances and permits other than building permits. proper drainafe from around svyimming pool is to be provided by oe+mer and must meet municipal.county and state regulations. Aif water must drain away from pool decks. If Sewer connection is required by city or county.ow tier is responsible for same. 0%%ner is responsible for location of pool and equipment other than public utility or other assessments. No grading will he done unless specified. No soil will he removed or returned except on excavation day. 'I'hc pool elevation is to he approved by ow ner or his representative on the day orc>cavadon. Contractor is not responsible for damage to such items as. but not limited to.curbs.sidewalks.driveways.se%%ers. and patios. lacy its.shrubs and appurtenances. •l. 0m.tier shall %erify the actual location of the pool and there,hall he no liability on the part or the contractor for incorrect location thereof. w hcther on ow tier's property,or a third person. 1'he contract price is based on the owner's representations that:the site is not till around(fill ground means soil net compacted to 901;and hearing capacity of 1.000 1'bs. P.S.F.I:contains no rock fom►ation or boulders.and has adequate hearing capacity before and after excavation tier the pool. land.and 'improvements of the ow tier and land and intpro%cinents of adjacent land owners: contains no cesspool.septic tank.gas line,water pipe.drainage pipe. irrigation pipe. or underground electrical conduit: contains no other obstructions or other unknown ground conditions: no underground or surface water conditions%k ill inter•tcre w hh the w ork or operation of the completed structure or installation: no blasting:or Jack hanuner work is required: there are reasonable ineans of access fur contractors and equipment. It is understood and narced that.:aller guniting. contractor is nol responsible tier tlotalion 01'11001 due to external water. It is understood and agr that ifany ofahc foregoing representations should be incorrect.,and it any ;additional work or SSG ltepre,entative llomcowtier Ilomco\\tier Name: \like l'ascn Id 1\indkist I-arm Road. \orihAndoNer. MA 01845 materials arc required to complete the contract.contractor is herchv authorized to make such corrections and the cost shall he added to the contract price plus 10'a. It: after the pmol is started, the soil condition requires extra steel or gltnite lother than expansi►c swill_other than specified else\\here in this contract.ok+ner agrees to pay for the additional labor and materials plus 101'x. If surrey,geological report. topography maps.or soil report should he required by building department.owner is responsible. Remo al of blasted ledge is not included in contract price. . :Additional equipment or size changes added to this contract must he signed for before Mork can be performed. I'm n►cnt for added \\ork is to be in ad\ante of\\ork unless cost is unknown, lfcost is unkno«n. \\ork nutst he authorized in ►♦riling and payment must he made on compl'ction of added%+ork tyiih a reasonable advance at contractor's option. t►. In ctent use ofncighhor property by contractors during preparation and construction is authorized and necessary. owner agrees to be responsible and to indemnif\ and hold harmless the contractor for any damages caused thereto or thereon. 7. kValks and decks are not a part of the pool and o"ner understands that there is no warranty covering same regarding cracking,checking.raising.setting or discoloration. \n\- damage occurring to pool resulting; from decks and v alks not being installed in accordance with contractor's specifications is not covered any the guarantees contained herein. 8. All pool dimensions are measured from \\ater line and are approximate with reasonable tolerances either way. Liquidation damages for errors ofthe contractor in the size to the pool are agreed to be $30.04 per square Blot. Payment schedules must he met regardless of any necessity of repairing previously completed work. 9. I his agreement constitutes the entire contract of the parties il'not supplemented by any addendum or retail installment sate agreement in a riling and signed by both parties. rhe parties are not bound by any oral expression or representation by any agent of either party to act for on behalf of either party which is not recited herein. and contractor is not bound to any commitments or agreement not specified in this contract. I1f. If security is given to the contractor or lender for pay ments due under this contract.it is agreed that such security is collateral security only.and that contractor has the option to disregard said security in case of default in payment and pursue any other legal remedy. 11. If of+ner should default for a period of•30 days.contractor shall charge o+%ner w ith a delinquency charge of 1.516 per month (18% per year). Also if such payment so in default is referred to any attorney for collection. owner agrees to pay reasonable attorney's fees with the amount due plus all court costs. 12. Water to fill pool upon com pletion is included. Any repairs that ntay he necessary to pool shall not include the replacement cost or replacement of purl water: 13. 1 ix owoer is reslx3nsible for any and afI tlencing.temporary and peiniancnL around lxxtl as required by stale or local code. id. Owner is solely responsible ti)r any and all violations ofany casements which occur as a result of the pool construction. towner agrees to indemnity contractor lir and against all claims of said casement violations by any person or entity. 15. 1 f any provision of this Agreement or the application thereof"shall,t2ar any reason raid to any extent. be inval id or unen fiarceable. neither the remainder orthis Agreement nor the application of the provision to other persolls. cotitics or circumstances shall he alrected thereby.bin instead shall be crilbrced to the ntaxin►wn extent pxantitted by haw=. `S6 Represeniaiive Ilonicowner Page 8 of 10 I lometmoer Name: Mike Pasco Jobsitc Address: 1.1\\indkist Farm Rout.North Ando\cr. \lA 01845 South Shore Gunite Partnership in Excellence Pool & Spa, Inc. I'NHin Office) '-Fear to Lifetime 7 Progress Are C'hetmfnrtf,X11:1111$2.1 Limited Pool Warranty South Shore Gunue Pool s_Spa,Inc.,("SSCi")will dunm_the five 151 war\\arranty period repair or replace the covered pull structural items and equipment in accordance with the terms and conditions set lbnh herein: It.11ARRAN'f1' 3, file 1. Phis limited warrant uuilincs the specific eo\erage provided v\ith WARRANIT13 -All %waterline ceramic tile. spa dam \tall ceramic our v\iaaming pool.Co\erage includes only the items stated the and\Nater ieature ceramic tile. (subject to certain limitations and conditions).All other items and NO I' WARRANTED - Other than standard \\arram)•: cap tile. all egUipntellt unless indicated as"fil'ctime"are covered for a period lip grout, fading or calcium deposit build-up. separation hetwcen de'c'k to t\vo(2)Vicars its sfxcilied under Stitt standard pool\%arrmlty. and tile due it)deck movement,ice damage. 2, this limited warranty cover%one\ the original Pool owner and may 4. Interior Finish not he trmstetred.Prolaenics which:ire used fiir rental purptoscs are Wi1RRAN ITD - Subject to conditions of separate 5 year \\arrant\ nut covered b% this vvairtnty. document. NO I' W'ARRANITI) - Other than standard \\arranty: plaster, 3M ()uanz Color tilagic. 5. Equipment 6,WARRANTY PERIOD I. chis limited warranty is in eI)uet tion the date the interior surface \\'AKR�INi F.i)-Pool motor(s),pump(s).oilier t 1 f)year warranty on filter tank), back-wash \aluc. ,pa blower, manual vales, PCC' is applied and continues for a peri(xf of 5ve i?))e:trs Trona that date. distributor valve.heater,and PCC debris canister cartridge element. NO U WARRAN I ED-Other than standard v\arranty:pump seals and gaskets. rubber Q-rings- pump basket, deck lids, filter pressure C.\PARRAN•rl'CALLS gauge,filter grids.filter media and light bulbs. I.I'hc pool owner or authorized agent must notii} SSO of WARRANTED[IRANI)NAME EQUIPMENT maltunction of warranted items and equipment by calling 978-250- All Jand\ Manual Control Vanes Skimmer 6845 as sixm as problem is discovered. PCC 2400 Main Drain Cover.Debris Containment Canister. 2.Service calls will he dispatched promptly by SSU in-house Distributor valve Warranty Department.Some repairs or service ma}be subject to lime Clock.1'ump(e)K Motor(s).}liter,Spa fllo\ver and I lcaters weather.conditions.Effort\\ill he made to expedite warranty ANYTIIING NOT LISTED IN THE ABOVE DESCRIPTIONS service in case uCcn eergency.Yl,trranty aortico calls alter the OF ITEMS AND COMPONENTS 15 WARRANTED FOR Stili standard warranty period expires will he charged at the current service call flee plus the current hourly rue. I'HERI'.IS NO S'T'ANDARD WARRANTY PERIOD. Cl IARUE FOR REPAIRS OR SERVICE ON t\i\RRANI ED I I EMS. 3.Notice of mallunction must he riven to SSG prior to the cxpirltion E.SPFC:IFIC DESCRnrr1ON OF LIFETIME LIMITED ot'this v\ rarny. WARRANTY 4.%\iirrint) service culla repairs or replacement of items shall be I.Pool Structure Shell deemed as covered in this limited warrantyat no cost to pool o\\ner. WARRANTED - Entire pool shell including structural steel and except for the service tee.as outlined in section C.2. (iunite. Subject to conditions of separate fitetimc warranty document. ? P('('2111H)Cleaning and Director Nosrlev 1).SPECIFIC DESC'RIP PION OF S-)EAR 11.11M I FED WARRANTED-:\Ii PCC in-I'l or cleaning;and director noealcs. %%A RRANTY 3. Interior Surface i.Plumbing System \\'ARt(ANt1iI} Workmanship and material. Material will not WARRANTED-Leaks and breaks in PVC pipe,PVC manual delanlinate tions eunite shell. control\at\es and connectors to all equipment.sMininer.main drain. NO r WARRAN1 ED-Color.shading.mottling or discoloration. TCC Cleaning S%stem and PCC i)ebris Containment Canister. Staining,scaling or pitting due to water or chemical imbalance. NOT WARRANTED - Other than standard warranty: eve hall Check cracking.crating due to e\tended drying c\posure. liftings, skimmer. wicr, lid and basket, an.v rubber gaskets 0-rilips or firo<vtieetc damage. INcludes City\%ater.and gas pipes. 2.Steel Sv\Iem WI\RltAN IIID-All tv llar steel reintivecmcnt in structure ol'pool shell,also rehar steel guaranteed against rust migration through concrete to interior surface Imiy$. I w ti`G Itc:pre�cnta[ivl: Iltatneu\\ncr t'agct)sot' fO Ihoco%%tier Matte: %like Pasco IobsiteAddres : I I l\indkisl Laron Road.North.lndo%cr.\IA 111145 F.I'lNil IA fell\S '.1,M 1 fs not liable for conscyuentral or secondary damages resulting 1.SS(;is responsible onh fi)r rcpair or replacement of%,arramed from Gulure of'%%armmicd item or equipment nor tailure to pro%ide sCr%tce due to e•onditions he%ond its control.such as but not limited items and equipment that malfunction;during the course of normal to delays in obtaining parts or equipment.or labor difl`tclollieS. use.SSG is not resxonsible to repair or replace any items or tiSt;has the sole right to determine if•items or equipment shall be equipment%%high is damaged or mallinctions a-s,a result of, repaired or replayed.Stile%%ill not upgrade and is not responsible a.A Condition which Constitutes a violation ofcurrent building Gar matching color or brand.Should replacement pans or items not codes. be a%ailable.or for%%hate%cr reason SSG may deem neccssar� to h.Improper repair or%%ark not perlionned b% authoriicd SSt] repair or replace pans or items.SSG reccncs the right to substitute personnel' pans or items. c.Failure to maintain or service equipment as outlinedin J.When perlbrmance ofscr%ica is allected by budding or similar manuf acturer's o%%nce'z manual. Codes so that resuxation to original condition is not pcmtitted J..%Iterations or modifications made to items or equipment from ;and,or requires more costly material or additional expense.Stili has ntanuiacauer's original specilications• aha ohligation liar the additional cost. e.Failure to maintain proper chemical balance ofpool%v:ner. S.SSG is not responsible for providing access to or closing access t. Missing parts,-structural changes.lire,electrical failure or surge. from any %%arranted item or equipment. Water damage.lightning.ntud.earthquake,stortrn. frce/ing. G.SSG is not responsible liar landscape.%%atcr.electrical.or chemical accidems.pest damage,or acts of Cod. replacement costs as a result of repairs or replacement of items or °.Damage caused as a result ofcustomer neglect or abuse. equipment. I hereby accept and agree to all the above terns of this limited%%arrant%%%nigh I ha%e read and understand. 17his limited warranty shall not he enforceable until atter interior surface is applied, and until it is properly accepted and signed by South Shore Gunite Fool K Spa, Inc., and all financial obligations are paid in full. Pool Owner; Namc Mike Pasco Contract No, T Date. Strectl 14 Windkist Farm Road ' ,,,b No c tv North Andovers-r MAz-P 01.845; -- —-- ,clepbone 978-621-8386 1 - To be completed at time of start-up: $I:Irt•t.t Date' 7 1: 1 ow+mer S nature Date Pool owner Signature Gate "?•2 VOCI &84i4e-QpDresentative Date Officer of South Shore (;unite Late SS(; Repiresenta fv�. _ _ lluntctn�ncr —�J — Vage 10 oI'10 loni4imiier Name: Mike Pasco oh%iiv Addre s: l•t %Vindkist 1°arm lt+ard- Nonh Andotver,NIA 01841 SOUTH SHORE CUN1TE POOL& SPA, INC. ;lddendum to Contract Dated 7-29-2013 'Iliis addendtntt becomes paut of:and in contt)rmance with. the existing contract documents. Addendu rn applies to all checked items lollowing: NECK. ELECTRICAL. GAS, FL-NCE. and an), or all WORD BY OTHERS. South Shore Gunite Pool &. Spa. Inc. provides the best quality swimming pool in the industry. We accomplish this by providing best in class construction practices and an integrated construction process using "in house" employees to manage and install all required products: as well as deliver service and warranty atter the pool is completed. South Shore Gunite fool & Spa. Inc. takes complete responsibility for all scope of work as defined. in writing, by our contract with the owner: and only that work. As the owner you may decide to hire other vendors. or do the work as the owner. to complete your total pool project. if you opt for this approach it is vital that you understand requirements and responsibilities as part of the construction process. Industry/Regulatory standards stipulate the owner, take complete responsibility and management for any and all work provided by other vendors or owner.and is accountable for any and all costs associated with the completion of that work,and its compliance with regulatory requirements. Requirements and Responsibilities for work provided by others including but not limited to following checked: POOL. DECK, FLECTRICAL. GAS, FENCE. ALARMS: • Obtaining and paying for any and all necessary permits required. • Adhering;to and complying with any and all building plans. • Adhering to and complying with any and all building/electrical/plumbing/fence and safety codes, • Requesting any and all inspections and making any necessary changes required as a result of those inspections. • 'ib perform and complete any and all work in a timely manner so as not to delay construction of pool • For damage to any and all work performed under South Shore Gunite fool & Spa, Inc, contract, including but not limited to tile, coping, pool shell, pool finish, underground piping, pool equipment. and subsequent damages to South Shore Gunite work resulting From improper deck installation or-shifting of deck. • For any and all re-inspection Fees, revisions, or renewal costs for permits, or engineering plans resulting from an inability to :secure any inspections for the pool resulting from Owners failure to complete %%c>rk Pursuant to appropr' i building or zoning codes. f SS(i Representati11(� I lcrticcwrir l''tL;C I of I I,aaneoa•rte:r Marne: 19ikr I';rsru .h,htiitr Adclre.�: 1 t �1'indki�t Dann Ito;ad North Andorrr �4a(l I StS • Proper deck installation including but not be limited to - till material and back-filling, compaction, drainage. grading, relief*/expansion .joints, sealants, Electrical bonding of deck, railings. ladders and diving board as required by local codes. Inspections must be completed prior to installation of pool interior finish. • Proper Electrical installation including but not limited to—installation of all electrical wiring and conduits per applicable code to po%ver all pool equipment included in pool contract. Supply ally itches, dimmers. transformers, li4i'hting s\stems. control systems or any other hi or low electrical voltage lines needed to supply power to any and all electric items. Inspections must be completed prior to installation of'pool interior finish • accountable For any costs incurred by South Shore Gunite Pool & Spa. file. due to improper work or incomplete work perfonned by owner or owners contractor. These include but not limited to construction delais'l"roduct damages. inspection failures, inability to obtain final inspections or certificate to use. _ 7 - zPq/,3 F[oiL owner Si nature Date Homeowner Print Name Homeowner Signature Date Home,owner Print Name South Wore Gunite Representative Date SSG Representative. Print Name Oftiti(i Krpa-rscntati4'e I tomtco�4nrr i; Puce 2 ol', rt. i Y r � v -its � � �„��.�• ., L .'n r South Slior G unZtL tool and Spa irtc. Proposed Pool Base Pool Base pool includes: Required plans and structural engineering included. Any additional plans/engineering(conservation commission and/or plot plan for example),would be additional. Building permit with town of North Andover. MA Included. 1 • The pool will be 39'x 20'x 23'-6"Free formed in shape. It will be constructed with a steel reinforced pneumatically applied concrete shell, engineered for the New England climate,warranted structurally for life. • Up to two days of Excavation and forming is included with two loads of crushed stone substrate • Surface area of 681 square feet, and perimeter of 106 lineal feet,with a depth extending down from 3' at the shallow end to 8.5'deep in the deep end. approximately 29,000 gallons • Equipment will be located within 50'of the pool,assuming outdoor installation on included pre-cast concrete pads,consisting of- * (1)Sta-Rite Intellipro Variable Speed puma with integrated electronic VGB Act Compliant Suction Vacuum release system as main filtration circulation pump: o (1)300 sf cartridge filter o Automatic Erosion chlorinator • (2)500 watt Pentair incandescent Amerilights with 100'cords and Pentair junction boxes,pvc niche,and X of conduit included. (4)surface returns,with MDX debris catching maindrain,with 3 point safe suction and pre-plumbing for Polaris pressure type vacuum. • All PVC to be schedule 40 or 80 as required. • Deluxe set of maintenance equipment, brush,pole, net,vac hose,vac head,start up chemicals,instruct, test kit, thermometer,rope and floats. White plaster interior finish,with all White fittings. • 106 lineal feet of 6"tall band of tile around perimeter made up of 30,2x2,or 1 x1 tile. • One set of steps leading into the will be provided,wedding cake style • 6'bench in deep end All Plants,Irrigation,fencing,carpentry and GaslPropane work by others Base Pool Total: $37,195 0-1140 55 South S(fvre tC'unite Poofand Spa inc. i 1 � Additional equipment and mechanical Specifications: A. UV Disinfection Chamber:Trident UV ultra violet Sanitizer: $2,100 B. Ozone Disinfection: Paramount Clear 03 Ozone sanirizer: $975 C. In-Floor Cleaning System: Paramount PCC 2000 In-Floor Cleaning system, Designed by Paramount for this pool with additional energy efficient Variable speed pump:$5,250 D. Skimmer Color:Gray Surface skimmers upgrade(2)custom order: $100 E. LED Lights: Change two incandescent lights to LED's: $900 Phase Total: $9,325 Pool Design elements: F. Satin Pebble Interior:Wet Edge Technologies-Satin Matrix"Pebble Interior in Lieu of white plaster. Choice of the following colors:Caribbean,Tahoe, Plum, Jet Black, Gold, Smokey Gray, Irish Cr6me, White Diamonds or White Pearl-Satin Matrix Pebble: $8,172 G. Shallow End bench: install 6' long x 18"wide shallow end bench opposite the entry steps: $750 H. Raised Wall. Columns and Veneer Stone: 25 lineal feet of raised wall with (2)2x2x3 columns. Natural stone veneer,and bluestone column caps: $9,020 1. Waterfeatures: Install(3)2'sheer descent waterfalls at raised wall, and(2) V sheer descent waterfalls at columns, with additional pump and filter: $5,735 Phase Total: $23,677 �S Grading and Deck/ Masonry Preparation J. Machine Time:24 hours of grading and compacting for all "Masonry and Hardscapes"work listed below: $2,850 K. Processed Gravel: (6) loads of processed gravel substrate:$3,300 Phase Total: $6,150 Masonry and HardscaPes L. Builnose brick paver coping: Install 106 lineal feet of bullnose paver brick coping at pool:$2,650 M. Main Pool Deck and Walkway o Driveway: Install 1413 square feet of Belgard London Cobble Decking: $18,369 N. Upper Firepit area deck: Install 263 square feet of Belgard London Cobble Decking:$3,419 0. Under New Wood deck: Install 290 square feet of Belgard London Cobble Decking:$3,770 P. Granite Treads: Install a total of 55 lineal feet of 12"x 7"granite treads:$4,785 Q. Retaining walls: 168 face feet of natural stone retaining/seat wall, solid grouted at the top:$16,800 Phase Total: $49,793 1 (JElectrical.: By Village Electric—SSG Approved Contractor—Pricing to be included in contract,and guaranteed. A. Base Pool Electrical including the Electrical permit with Town of North Andover, MA. Supply and installation of weatherproof Subpanel, (1)GFCI outlet with cord cover, Wiring of (1) pump, (1)timeclock,Condu 'for(1)light. including switching. Bonding of pool shell prior to gunite, deck bonding after deck backfill, prior to dd& installation:$3,250 B. in-Floor Cleaning System Hook-up:$185 C. Watefeature pump hookup:$185 D. Paramount Clear 03 Ozone hookup:$250 E. Trident Ultra Violet hookup:$250 Phase Total: $4,120 Water: A. Water at Gunite Phase:By Owner—Use owners Hose bibb B. Water at Plaster Phase: By Owner--Use owners Hose bibb C. Water at Completion:Truck in (3)loads of potable water upon completion:$1,350 Phase Total: $1,350 Access deconstruction: A. Topsoil: Provide up to (4) 10 wheeler loads of topsoil:$1600 B. Grading, Up to 24 hours of grading for topsoil placement and grade topsoil stockpile from excavation:$3,600 Phase Total: $5,200 Winter Cover: A. Meycolite Winter Cover:Custom winter cover with installation and all required hardware for raised waterfeature area included:$34511 no Charge per Bob Guarino Phase Total: $0 5S p l ��L d ♦ i f C� V Ak V 11 *,r,t*,t*«,►*•*.*#*w,r*e*trot,r*,e,r+r+t•rt,e*«*t,t****,t,r*,r*«tt,r,r*«**,t«,r*,r**,r*,r,r*#**,r,�,►****t,r,r,r,r,r* Base Pool + Phase Totals - $136,780 The Payment terms are as follows: $5,000 at contract 40%-$5,000 at Excavation 40%at Gunite 15%at Tile Installation 5%at Start-up of equipment(at completion) Additional Options not included in total above: A. Heat Pumo: o E ui ment: Pentair Ultratemp 120 PIN 460963 50Amp Heat Pump:$4,975 Elpctrical Hookup:$900 B. Tanning Ledge: Install T x 12'tanning ledge at 14"— 18"water depth, engineered to be below the frost line:$3,590 a North Andover MIMAP August 26, 2013 :: .. ::_ ..:::_ -.. c:::_ ',• 00 BOSTON ST 147' 5107.D-0091 D-0095- _.. 503 BOSTON ST : 'vIu::::_-I; .. ::'; :a_ 107.D-0078 f,•. -:•..:• :"-:_:.�'� ';_;::..,..._:---:_... ':"':••-•;. 35 WILLOW RIDGE RD atilcr ::_. . -:-:;. :23 WILLOW RIDGE RD s ::`:_:Flu.:_._. ._.`. 107.D-0092 -•- •-::...',alp:•:::_�::•::-._. •::�:::•sklu.•::_-:•.._._. U. 107.1)-0094 515 BOSTON ST �_ 107.D-0079:..":` ',� .. 107.D-0093 \ 531 BOSTON ST 506 BOSTON ST Gt == _ 107.D-0051 .�. 107.D-0080 1, \\ 520 BOSTON ST 109.0-0040 543 BOSTON ST h �. �0 534 BOSTON ST \ 107.D-0081 �4. 109.0-0035 109.0-0044 3I4, 109.0-0063 555 BOSTON ST 14 WINDKIST FARM RD 109.0-0048 569 BOSTON ST 15 WINDKIST FARM RD 109.0-0062 109.0-0041 30 WINDKIST FARM RD i s9, 109.0-0047 570 BOSTON ST 109.0-0061 42 WINDKIST FARM RD 5- NDKIST FARM RD �l�. �L 109.0-0060 Andover 109.0-0049 r' 56 WINDKIST FARM RD 109.0-0005 49 WINDKIST FARM RD 109.0-0059 70 WINDKIST FARM RD 109.0-0050 59 WINDKIST FARM RD 109.0-0058 —Rail Line ';a Wetlands Zoning Interstates Exempt Lands Busine s 1 District Interstate ❑Busine s 2 District Horizontal Datum:MA Staleplane Coordinate System,Datum NAD83, —Major Roads O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack ■Busine a 4 District NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads ■Genera Business District North Andover.Additional data provided by the Executive Office of O Corrid Commercial Dev �t r e• Environmental Affairs/MassGIS.The information depicted on this ma is C r Easements j y� e 0 P P Corrid Development Dist 3 ( for planning purposes only.It may not be adequate for legal boundary C3 MVPC Boundary C'Corrido Development Dist O — 0 definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Municipal Boundary O Corrido Development Dist A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Zoning Oeday Induslri 1 District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY vtF Induslri 12 DisMct 8 Adult Entertainment � i ^ .� OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT E3Downtown Overlay District El Historic District C1 Induslri 13 District *coy �.'y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF D Induslri il S District El i0o� � �tj Water Protection Reside ce 1 District �,Y �r�o� THIS INFORMATION Residei ce 2 District 'TSACNUS� ❑Parcels R—ide,ce 3 District I Hydrographic Features de ce4 District Streams 1"=143 ft dg-5 District od5 District a sidential District NORTfj Town o iAndover o 0 No. - o h , ver, Mass, Cot MICNl W.Cu RATED U BOARD OF HEALTH PERMIT , Food/Kitchen Septic System THIS CERTIFIES THAT .........mu�..... 0... ... ................................................................ BUILDING INSPECTOR has permission to erect buildings on ...� Win ..4 Foundation .......................... ....... .�.�. .................... Rough gal to be occupied as ....... � ........�. . .J�. 1......... ... .. ........................................... chimney provided that the person accepting this permit shall in every r spect 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR I UNLESS CONSTRUC NVTS Rough Service ........... . .............................. ..................... Fina BUILDING INSPECTOR GAS.INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE REFERENCES 1. Definitive Subdivision Plan recorded as Plan #12957, E.N.D.R.D.. NOTES 1 1. PURPOSE: The purpose of this plan is to show s the location for the Proposed Pool & Pool House shown in relation to zoning offset requirements. Offset dimensions shown shall not be used to mark 90.84 lot lines, structures or any other features. Drainage 2. LOT LINES: Lot lines shown were derived from Easement reference 1, and not from the results of a property \ survey obtained by this office. The proposed structure locations have been provided by client's 10.0Proposed 0.0 ` representative. Existing utilities have not been Poo determined or identified by this office. 35.0' >, 3. ZONING: The property shown is located in the Proposed �r O� Shed Residential "R-2" Zoning District. Zg2 ZO (under Deck) 4 / tH OF Lot 17 � DAVW Demy � Lot 18 No 33887 g g02(DI�3 1.00t ACRE / <", ' ST \ / L LAt�S N Drainage R==265-00 Easement \ 601 Windkist Farm Road Propose o ,2 d Plot Plan o o Scale: 1"=50' Date: Aug. 26, 201 •a0 14 Windkist Farms Road North Andover, Mass. � Prepared for: Mike Pasco W CORN -e R S 1t O 1V .1C'r Land Consultants, Inc. Civil Engineering•Land Surveying•Land Planning 61 Main Street P.O. Box 657 • Pepperell, MA 01463•478-433-8100 Job No. 13-122 Dwg. No.9288 A� CERTIFICATE OF LIABILITY INSURANCE DATE off') 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 pol(cy(ies)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). PRODUCER CONTACT Judy George FIAT/Cross Insurance PHONE (603)206-9904 FAX o.(603)645-4331 1100 Elm Street E-MAIL .jgeorge@crossagency.com INSU S AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERA.Valley Fore Insurance Company INSURED msuRERa:National Fire Ins Co of South Shore Gunite Pools and Spas, Inc. (NwRERcAmerican Alternative Ins. Corp 7 Progress Avenue INSURER D: INSURER E: Chelmsford MA 01824-3606 INSURER F COVERAGES CERTIFICATE NUMBER-SSG 2013 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMI EFF MILDD � LIMA GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ocaarence $ 100,000 A I CLAIMS-MADE ❑X OCCUR rNS4013391907 /1/2013 /1/2014 MED EXP(AM one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 riPOLICYFX PRO LOC $ AUTOMOBILE LIABILITY COMBINED dSINGLE LIMIT 11000,000 B X ANY AUTO 130DILY INJURY(Per person) $ ALL OWNED SCHEDULED MP4013391888 /1/2013 /1/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOSLnvt(xw AUTOS Per accident 81 spid $ 20,000 X UMBRELLA UAB X OCCUREACH OCCURRENCE $ 5,000,000 C EXCESS UAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,00 2A2US0000865-01 /1/2013 /1/2014 $ B WORKERS COMPENSATION MC4013391891 XWC STATU- OTH AND EMPLOYERS LIABILITY LIM ANY PROPRIETORIPARTNEWF.XECUTIVE YIN (a) NA, NB, CT, R1, Mir E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA VT /1/2013 /1/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,de-,e under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 A Limited Pollution rNS4013391907 /1/2013 /1/2014 O=M-ence: 1,000,000 Worksites Liability DESCRIPTION OF OPERATIONS I LOCATIONS 1;E=(Attach ACORD 101,Addilloml Remarks Schedule,U more apace is required) Covering swimming pool construction and related operations of the named insured during policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mike Pasco ACCORDANCE WITH THE POLICY PROVISIONS. 14 Windkist Farm Road North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Judith George/LM5 �^ " ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025onrnmi m Tho Af nRn namu 2nd Inn^Orta mnia#amri mar4c of Annon The Commonwealth of Massachusetts Department of Industrial Accidents R Office of Investigations d l Congress Stree4 Suite 100 Boston,MA 02114-2017 www masxgov/dta Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/In(hvidual): South Shore Gunite Pools and Spas, Inc. Address:7 Progress Avenue City/State/Zip:Chelmsford, MA 01824 Phone#:800-649-8080 Are you an employer? Check the appropriate box: Type of project aired 130 4. am a general contractor and I � ,ectre p (required): ) 1.❑ I am a employer with ❑ I g 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. 7. EJ Remodeling ship and have no employees These sub-contractors have 8_ ❑Demolition working for me in any capacity. employees and have workers' $ 9. E]Building addition [No workers' comp. insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ eP 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑OtherSwimming Pool comp.insurance required.] *Any applicant that checks box#1 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:National Fire Ins. Co Policy#or Self-ins. Lic. #:SAP4013391888 Expiration Date:4/1/2014 Job site Address: 14 Windkist Farm Road City/State/Zip:North Andover, MA 01845 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 r e nd penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 800-649-8080 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#: t Masswhu"-Department of Public.Safety, Board of StAtding Regulations a6d Stands • Cr!nstrnctwrrSnpetvisor 'Ltcenaiid.£�660T0 } ROBBAT f TPRt![iEiM4l. FXplfation s t:orstwrti skns� 05M31 14. • 4 alOnff�o11rCto)rnasu)lmrrelr? �f�rso id /B CtnrJeJs(s�R�eiiu166� n 1.0 Park Plaza- Suite 5170 Boston,Massachusetts 021.16 Home Improvement Contractor Registration Registration: 105485 Type: Supplement Card SOUTH SHORE GUNITE POOL&SPA INC. Expiration: 7/17/2014 SCOTT PANCAKE 7 Progress Ave. Chelmsford, MA 01824 Update Address and return card.Mark reason for change. SCAt G 2W0911Address ' Renewal Employment Lost Card OtTce of Consumer Affairs&)Iasiness Regulation License or registration valid for individul use only T 1 before the expiration date. If found return lo: HOME IMPROVEMENT CONTRACTOR P Office of Consumer Affairs and Business Regulation kegistration: 105485 Type; 10 Park Plaza-Suite 5170 ;,r Expiration: 7/17/2014 Supplement I and Boston._MA 02116 SOUTH SHORE GUNITE POOL&SPA INC. SCOTT PANCAKE 7 Progress Ave. Chelmsford,MA 01824 ❑ndersecretary Voty lid without signature