HomeMy WebLinkAboutBuilding Permit #332-14 - 14 WINDKIST FARM ROAD 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: — 7 Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION ��� r f ��_ oe�
Print
PROPERTY OWNER SC L �
i j Print 100 Year Old Structure yes Cn
MAP NO: I U1 PARCEL�ZONING DISTRICT: Historic District yes o
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building gone family
KA, ddition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
a x icy
Identificati�j Please Type or Print Clearly) �j _ 2 /
OWNER: Name: M 1� /f W SCO Phone: '_ / Jc
Address:
CONTRACTOR Name: IvC �` +JL'�7 Phone:
Address:
Supervisor's Construction License:�c� � �`� 7�� r' Exp. Date:
Home Improvement License: 3 C Exp. Date: l ��
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
-� a
Total Project Cost: $ 5 FEE: $ ���•� ____
Check No.: /P-3 y Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access a gu ranty fund
;Signature of A ient/Owner Signature.of contractor s
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Plans Submitted PlansWaived-11 Certified Plot Plan ❑ Stamped Plans ❑
.-TY-PE_OF-.SEWERAGEDiSPOSAL
Public Sewer ❑ Tanning/MassageBodyArt ❑ 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_APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
-CONSERVATION Reviewed on /IS Signature
COMMENTS- VI�
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Plannng Board Decision: Comments
i Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Tow;z Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTML_'NT --Temp Dumpster on site yes no
Located-at 124 Mair Street
-Fire Departinerit signatureldate`'
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
LJ Notified for pickup - Date
Doc.Buildmbv
Permit Revised 2010
I
Building Department
The following is-a-list of the required forms to be filled out for the appropriate.permit to be obtained.
Roofir,g, 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cans if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Bui?ding Permit Revised 2012
Location /z/
No. - Date
• - TOWN OF NORTH ANDOVER
. Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
TOTAL $
s�
Check# j
C .
v ,, Building Inspector
NORTH
Town ofAndover
_ 1,
:,�. .... 0%
No.
o h , ver, Mass,
coc"Ic"o—c" V'A
�q A0" •ATEO
S U BOARD OF HEALTH
PERMIT T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT .... �.fl.�...� G ....................................................... / ........................... BUILDING INSPECTOR
••. ••• • �� /J•1,. � J Foundation
has permission to erect .......................... buildings on .. 7 (jf/ G( CCCIII • ••••• ••••• ••••••••••••••
Rough
to be occupied as ...........,,ll-y�.�.. ..1�...... .......................................................................... Chimn y
' e
provided that the person accepting this permit shall in every respect 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final -
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCT10 TARTS Rough
................................ Service
Final
BUILDING INSPECTOR .
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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
Proposal
Vin's Remodeling
95 Jones Ave
Dracut, MA 01826
(978) 454-0674
PROPOSAL SUBMITTED TO PHONE DATE
Mike Pasco 9/24/2013
STREET JOB NAME
Farm rd. Deck and shed
CITY,STATE AND ZIP CODE JOB LOCATION
1A North Andover mass.
RCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
Frame a 12 x 32 deck with a 14' round area on end.
All joist and beams will be 2x10
All supports will be fiberglass columns.
All decking will be azek stapled down and pluged.
All post will have a 5x5 azek sleeve with top.
Cover beam and skirt around ded with azek.
Build a 4'set of stairs with a landing.
Pour all concret footings. Total 19,200.00
Build a 14'x16'shed with storage on second floor.
Install 2 sets of vynal sliders in front .
Install 16'set of doors on side.
Pour all concrete footings
install 2 fiberglass columns on front.
Install cedar siding and pine trim.
To install coupalo on top not included Total 8,500.00
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of
1/2 Down 1/2 Upon completion dollars($ ######### ).
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a Authorized
workmanlike manner according to standard practices. Any alteration or deviation Signature
from above specifications involving extra costs will be executed only upon written
orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. Note:This proposal may be
Owner to carry fire,tornado and other necessary insurance. Our workers are fully withdrawn by us if not accepted within days.
covered by Workmen's Compensation Insurance.
Acceptance of Proposal - The above prices, s
specifications and conditions are satisfactory and are hereby accepted. Signature 9s
You are authorized to do the work as specified. Payment will be made as
Date of Acceptance: Signature
Massachusetts-Department o`Public Safety
Board of.Buil,ding Regulationsiando%tandards
Comtructi().n supen*isur
License: CS-054351
-T-FS
VINCENT E LES--
95 JONES Air
DRAT M�-01826
Expiration
C&nmissioner 02117/2014
��e�anvriaoauuetcC��C �a�ua
Offce of Consumer Affairs&Business Regulation
jrME IMPROVEMENT CONTRACTOR I
g istration: Z7821 TYPepiration: --4/1.1L2015- Individual }}I
VINCENT E. BOWLES
VINCENT BOWLES1 f
95 JONES AVE
DRACUT,MA 01826
Undersecretary
a
2/5/2013 3:18 PH FROM: Cooney Agency James L. Cooney Insurance Agency, Inc. TO: 9784540652 PAGE: 002 OF 002
ACORN, CERTIFICATE OF LIABILITY INSURANCEDATE(MWDDIY M
F02AS/2013
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).
PRODUCER NAME: Catherine Barcus
James L. CooneyInsurance Agency, PONE
Inc. .
9 Y D&No 978.459.0505 x23 cNe.978.459.0044
327 Gorham Street ADDRESS: cbarcus@cooneyagency.com
Lowell, MA 01852 INSURER(S)AFFORDING COVERAGE NAIC
Gerri Brown INSURER A: Travelers Indemnity Co of Amer 25666
INSURED VINCENT E. BOWLES VIN'S REMODELING INSURERS:
95 JONES AVENUE INSURER C:
DRACUT, MA 01826 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 12/13 WC only 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 CONTRACTOR 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.
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER p MID LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $
CLAIMS,-MADE FIOCCUR MED EXP(Any one person) $
PERSONAL 8 ADV INJURY $
GENERAL AGGREGATE $
GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $
POLICY PTRCOT LOC $
AUTOMOBILE LIABILITY
(Ee accident) $
ANY AUTO BODILY INJURY(Per person) $
ABUT D SCSCC EDULED BODILY INJURY(Per accident) $
DAMAOL
'HIRED AUTOS OS
AUTOSO -OKJED (Per accident) $
$
UMBRELLA LIAS OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAJNLcMADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION IHUB7A936088 10122!2012 1012212013 XUTH-
AND EMPLOYERV LIABILITY YIN TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,00C
A OFFICERIMEMBEREXCLUDE09 a NIA
(Mandatory in NFt) E.L.DISEASE-EA EMPLOYEE $ 100,00(
If yes,describe under
DESCRIPTION OF OPERATIONS below 3A-MA E.L.DISEASE-POLICY LIMIT $ 500 OO
DESCRIPTION OF OPERATIONS 1 LOCATIONS IVEHICLES(Attach ACORD 101,Additional Remarks Schedule,H man space Is required)
Owner not included on Workers Comp.coverage
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
__ Eileen Gibson CAB
O 1888-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
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General Specifications
IF YOU THINK ANY- // ,� SOUTH SHORE GUNITE POOL & SPA, INC. SIZE: 39'x23'-6' DEPTH:3'TO8'-6'
THING IS MORE Serving New England AREA: 681 SQ.FT. PERIMETER: 106'
/ // h PROGRESS AVE.,CHELMSFORD,MA 01824
IMPORTANT THAN // , // 800-sas-solo VOLUME: 29,000 GALLONS
THE CUSTOMER, /� / ADDITIONAL EXCAVATOR TIME: SEE NOTES
THINKAGAIN �/ j // BOBCAT GRADING TIME: SEE NOTES
STUMPS: SEE NOTES LOADS: SEE NOTES
FILL N/A AWAY❑ DOP®
LIGHTS: (00LED W/
CORDS 1101 12V❑
______ _________________ PUMP: STA-RITE TYPE: v5-Sv0.5
FILTER: STA-RTE MOD.MEDIA SIZE: S7MI20
SKIMMER: TWO-GRAY
RETURNS: PERPCCPIAN
r� i POOL CLEANER: PCC 2000
NOTE:ALL GRA RE STEPS INCLUDED STUB CLEANER: STUB ONLY
"S"
MAIN DRAIN W/MYD0.0 VALVE: YES
VC250: YES❑ NON *OF HEADS:0
HEATER:NONE MODEL:N/A
RESIDENCE Hydro Thera Spa
(2)4'-O'x 13"x 7°THICK
N5.URAL STONE RET.WALL GRANIT;4TEPS � SI2E:
ESOLLD GROUTED TOP / SKIMMER: YEs NO
SUB NTRACTED TO COMAK BROS /
Man own: ❑ no❑
5'-0"x 13"
x7'THICK DRIVEWAY LIGHT: llov❑ 12V E]
FF
� AIR BLOWER: NO
/ GRANITE STEP ��i ❑ ❑
SPA OONTR
GRANITE STEP �� Boo vumP:
/ S O O O
F BUBBLERS:
COPING STYLE: PAVER BULLNOSE COPING
TILE: TBD
II , PAVERS �� PAV RS PLASTER: SATIN MATRIX PEBBLE-SEE NOTES
I / 7'-O"X 18" OECK BY: SSG•SEE DECK PIAN NOTES
/ X7"THICK
/ BO
GRANITE STEP i -'`� ARD: No 512E;N/A CALOR:N/A
/ 79' (2)5'-0"x 13"x STEP FAIL: no SLIDE: NO
( / 7'THICK
I ,AC10L NOVSF GRANITE STEP i
II /FQU.
DISINFECTION S5: (i1)TRDENT UV SERIES 2
(1,EPRMMOUNCLEAR 03
ROSON
CHLORINATOR
/����/' '/�i��/ TIME CLOCK: INTEGRATED 220V
I I I NOTE:ALL SHEER DESCENTS
TO BE GRAY WITH 6"EXTENDED LIP ' i '� � ROPE RINGS W/ROPE 8 FLOATS: YES
I I l i ELECTRICAL BY: BY OWNER
C 12"SHEER
O DESCENT � �� �
WATER FOR GU.ITE: SEE NOTES-BY OWNER
I / � •� I I III DESCENTS i ��� ADDITIONAL SPECS:
IrORIGIN L II 12'SHEER
I II LOCATI III DESCENT
5'-0"x 13"]{-7A•TAICK
I � � GR9(aLfEYSTEP
I i 2)4'•0"x 13"z 7"THICK
GRANITE STEPS
I QO
I (2)W-O"x tV-P!7"THICK
I ARAB ITE STEPS
I S,.C'X 13'X 7'THICK NAME: MIKE PASCD
I GRANITE STEP
ADDRESS: 11 WINDKIST FARM ROAD
CITY: NORTH ANDOVER
I DECK PLAN
i SCALE:US"-1'-0• STATE: MA ZIP: 1865
0
I �i PAY: 637.620-8]C9
I EVENING: 978.683.0387
EMAIL: bmA00oCGVeHZOn.net
1.OWNER TO PROVIDE APP0.0VE0 ELEVATION ON DAY OF EXCAVATION ON 9.AFTER GUNRE WET DOWN SMELL AT LEAST TWICE DAILY FOR 7 DAYS. 9. POOL AREA TO BE FENCED BY OWNER PER COUNTY,CRY,OR STATE ORDINANCES. ]OB t: REVISION:
2,ANY ADDITIONAL STONE OR PILL REQUIRED WILL BE ADDED BY ADDENDUM B.DO NOT NPN ON POOL LIGHT WHEN POOL IS EMPTY. 10.GATES TO 0E SELF-CLOSING AND SELF IATCHING OPENING AWAY FROM POOL BY OWNER.
3.ALL WATER AT GUNITE,PIASTER INSTALLATION,AND FINAL MILL BY OWNER 7.AFTER INSTALLATION OF INTERIOR FINISH DO NOT USE RUBBER HOSE it
.HEATER VENTING IF REQUIRED IS BY OTHERS. DWG.BY: S.PANCAKE PRINT DATE:B-6.2013
4.IF WATER IS NOT DELIVERED BY TRUCK,OWNER ASSUMES RESPONSIBILITY WHEN FILLING POOL AS R WILL MARK THE FINISH. 12.SEE NOTES ABOVE FOR ADDITIONAL INFORMATION
RY
FOR THE IN7EGROF THE WATER WELL AND QUAL 01 WELL WATER a.EUCTRICAL,GAS,AND FENCE WORK BY OTHERS. 13.ADDITIONAL WORK BY ADDENDUM ONLY. SHEET: 4 OR 5
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Elite Series Sheds-Pool Houses-Barns-Garages-Studios-Garden Green Houses-Guest Houses (Details below-Click photos to enlarge)
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make these buli9VWWVeMgMrM 5�at�P�&�I�dA ggn%ackyard where they can be configured to match the precise look and stvle of your home.
See a list beloWr46pq"§ons we've done for customers in the past,along with some of the design options available. CLOSE X
http://www.reedsferry.com/specialty-buildings 9/5/2013