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Home My WebLink AboutBuilding Permit #394-2011 - 200 AMBERVILLE ROAD 11/9/2010 NOR 7F/ BUILDING PERMIT OF�zLEo •bq�o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION to O Permit NO: 3 `7 'vr. 7 - Date Received ys RATE0 '.� `J Sac►+us Date Issued: 1014 ' IMPORTANT:Applicant must complete all items on this page y _ LOCAjTION-.2c�o Ath 6� ►��.�C. Print s t� G .PROPER V-1^T�Y�QWNER ,1�` !a h.�.. - J C �+.iJ Of�� _ __. Pnnt FARCEL: n�SZONINGIDISTRICT: 'Historic District yes no !MAP'NO �6 . `F� .. i Machine Shop Village ;yes _ no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family 11 Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bidg ❑ Others: ❑ Other ❑ Demolition r� - -- . ❑ Septic t0'Well„ U Floodplain ®Wetlands Watershed District 4 -- 1 :Water/Sewer. DESCRIPTION OF WORK TO BE PREFORMED:W ti thM ` (�oL trs (o` FE,scC �' S f t F Lac.d11 t� S c C L.G i -T-£'s IdentiAcation Please Type or Print Clearly) �$ P 41TY OWNER: Name: MP-11-x- d' r„' �- _sP'4cV'J Phone: Address: Zau r� frr-��-� � 1 . t.►a��, Co F� NJ�ti� ? o%.> hone a -119 z-°2 +CQN FACTOR Name J oa I? S _. _- Su erviso slConstruction Lrcense:� �.'`� 'Pate. p_ - . . .. a oZS`t ©g �Hometlmprovement License: ._ . - -- _, : I? . ARCH ITECT/ENGINEE Phone: Address:_L44 n,C 1'L- �T Reg. No. 3 1 8 !1 FEE SCHEDULE.,BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ —FEE: $ 3 f�7 Check No.: V y41 Receipt No.: g 7Z NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and �Si naturPof . �_� L._ g_ , — Location 200 411T 12 No. 3`7�." b// Date NORT" TOWN OF NORTH ANDOVER 3 ° 1°. R 9 ' Certificate of Occupancy $ si , MUs<� Building/Frame Permit Fee $ _ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � v _ 23672 Bind ng Inspector o ' k Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/Massage/Body Art ❑ Swimming Pools El 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 /,/ Lc%IT2S Zed DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ l ��, COMMENTS 09 i CONSERVATION Reviewed on V Signature i COMMENTS HEA-TH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIREIDEP�4RTMENT Temp0Urn0$teron.site .yes Locatedtat'124M5inEStreet - f 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 i Doc.Building Permit Revised 2008 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 o Building Permit Application a Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o 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) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 CIerks 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:BPFORM07 Revised 2.2008 acv «�w rpkN t ji MIMQQ,Izil� �� c Lii'�'.,..•i�:;::y�..: ii�.'`iii. �:�. f th/ .. ��. i .'i �_, ': _ - 5 < Y N 6 y � .:tr'•i s N m z cl O 895 Boston Turnpike Rd. . Portsmouth Ave. Shrewsbury,MA 01545 FERRARI Exeter,N.H.03833 1-888-283-9993 1-800-506-3101 Fax:508-229-3304 POOLS & PATIOSL� NFax:603-778-9258 35 Mill Street Central•Marlborough,MA 01752 800448-6483•Fax:508-229-3304 www.ferraripools.com•sates@farraripools.com SWIMMING POOL CONSTRUCTION AGREEMENT (BETWEEN"CONTRACTOR"AND"BUYER") _ NAME(Buyer) ;,LcT1 J7t1Sy JhyAas EMAIL) 1� HOME PHONE J 9 0� MAIL ADDRESS 2_00 �t'�bLRV 1Lt.f,�9. CITY 100.NXk0oJ,E.t`—STATE�Ar ZIP WORK PHONE JOB ADDRESS CITY _STATE _.ZIP CELL PHONE tri 11 —L 13 )34r POOL SIZE Z t x 35 DEPTH 3` TO (o r SURFACE AREA Sq.FT_PERIMETER Ib�SHAPE GENERAL.CONSTRUCTION SPECIFICATIONS 40)AGA Approved Heater Model BTU Heat Pump C1 uT`fy00 �� r0 Indoor O Outdoor 0 LP O Natural 0 Oil........................:............ 1) Engineered Structural Plans,Working Drawings and Permits'................. I 41) Fuel Connections,Heater Venting(through Roof or Wall), 2) Access Wall,Fence or Shrubs.Removed and Replaced..........................By Others Fuel Storage Tanks,Permits.......................................................................By Buyer 3) Remove from Site Loads of:Trees,Stumps,Asphalt, Concrete,Other Debris ON DAY OF EXCAVATION ONLY...................... MISCELLANEOUS SPECIFICATIONS 4) Establish Shape,Elevation and Location Prior to Excavation.....................Included 5) Perform Normal Excavation and Remove Soil 42) National Electrical Code U.L.Listed time Clock........................................ tlS(. ON DAY OF EXCAVATION ONLY(UP TO 8 HOURS)...............................Included 43) Electronic Control System._.....Type —' 6) Additional Excavation...... Day=$950....:..0 Full Day=$1900......,*vim- 44) Electrical Bonding,Wiring Connections,and Permits................................By Buyer 7) Hand Form and Shape Pool.......................................................................Included 45) U.L.Light-Type ONC # Sou Watts Volts tv" 8) Water or Expansive Soil Condition$ 00 Per Load.......f4 t,::.. )Included 47) Pool Covert Type Anchors,Safety Rope,Floats................:...........:.::...:.......Included 9) Steel Reinforcing Per Engineered Plans and Codes........................pmnt... Included 48) Stainless Steel Ladder............................................................................. 80D N.L- 10) Electrical Bonding of Reinforcing Steel,Jigs and Equipment... By Buyer 11) Gunite Structure(to meet or exceed local or state codes 49) Stainless Steel Rail...............:......... .......................................................... 12) Install Bond Beam Around Perimeter of Pool and Skimmer(s)...................Included 50) Diving Board Size Color 0 Dive Rock..................... —' 13) Elevated Bond Beam 6" 1Z' 18" 24".... 'N u 51) Slide Size Color Curve 14) One Set of Contained Shallow End Steps with 4'Bench............................Included (Jigs for Items.#48,49,50,51 Installed by Deck Contractor) 15) O Swimout2 4-Love Seat d&Deep End Bench.............................. t w" 52)Therapy Spa Size Shape Depth - Ft. (Buyer's Responsibility to water-cure Gunite Shell,twicea day for one week) 0 Sep: O All. ❑Sep.Spa Pak ❑Raised............................................ 16) Additional Gravel for Grading............................................:......................:.By Buyer 53) Hydrotherapy Fittings...........Type . ......Number ........ 17) Deluxe Safety Grip Coping---------------------------............................................ to. .. 54) U.L.Spa Light-Type # Watts Volts 18) Coping............Type ..... .Ft............... 55) Re-Routing Saaniitaytion,Water Supply Systems and Utilities.....................By Others Cop Typ ent of and Taxes During 19) Natural Stone of Line ••••••••• Ft 56 Compensation)ntsueance During Public LiaConstbility, and Workers ..••••..•"•..•• ..Included 20) One 6"Band of Water Line Tile Color Type � ..Included - 57 Negligent Pro a Damage,Public Liabir antl Workers 21) Finish Pool Interior with Marble Plaster.:.....Color •lw- .................••• yam' 22 Finish Pool Interior with Aggregate Plaster.......Color .............. 58)Transferable Structural Warranty....................................:............................Included 23) Filling of Pool Promptly after Interior Finish Application.............................By Buyer (Deck,Electrical,Fuel Hookup and Fence are not.part of this Contract) (Buyer's responsibility to brush plaster surface after filling of pool) PLUMBING,HEATING&FILTRATION SPECIFICATION START-UP AND INSTRUCTIONS 24) Install Non-Corrosive Plumbing and Fittings Throughout.....................:......Included 59) Deluxe Maintenance Tools(nylon brush,leaf skimmer - 25) Self-Adjusting Surface Skimmer(s)with Weir(s).......Number .......Included telescoping pole,test kit,vacuum head&hose,manual............................Included 26) Leaf and Hair Strainer Basket for Skimmer(s)............................................Included 60) Start-up Service and Maintenance Instructions..........................................Included 27) Return Inlets and Directional Fittings Number ......................Included 61) Start-up Balance Chemicals........................................................................Included . 28) Main Drain,Cover and Hydrostatic Valve..........................................:.......:Included 29) Install Piping and Fittings for Future Pool Cleaner................................... t tm— I ADDITIONAL SPECIFICATIONS 30) Flexible Hose for Pressure Backwash of Filter up to 25 Ft.........................Included 31) Up to 25'Plumbing Run Between Deep-end Skimmer and Filter...............lnclu ed Extra Pipe to be Charged at$6100/ft Per Line.......................................... P' 32) Pressure Testing of Plumbing Lines during Construction.......................:....Included r _ 33) N.S.F.Approved Filter Type Size ............Included '34) N.S.F.and UL Approved Pump and Motor;Size ........................Included _ 35) Hair and Lint Stainer for Pump Pot.............................................................Included 36) Automatic Chemical Dispenser.....Type ................— 37) Alternative Sanitizes........Type ................................ 38) Automatic Pool Cleaner............Type ..................... 39) Automatic Floor Circulation............Type 9tEP lk4.�r............ 1J v Contract agreed by Contract o and Buyer PAYMENT SCHEDULE Buyer Buyer(s)agrees to pay the Contractor the sum of $ 3 Z. -00 Owner Down Payment,receipt of which is hereby Buyer acknowledged. $ 7, 000 Joint woes Balance: $ 29,Z O O Contractor's Representative The balance will be paid as follows: Contractor reserves the right of final acceptance or refusal of this contract,if said contractor feels ❑STANDARD he has not been fairly represented by any or all of his representatives.NO VERBAL AGREEMENT - -WILL BE ACCEPTED.The General terms and conditions on reverse side are part of this agreement. 40% prior to Excavation ....... _ Buyer(s)acknowledges that he(they)has read this agreement in its entirety and has received a 55% prior to Gunite ............ eitsddithereof. ce realizes itamounts ndicated bn othrconractand addendums with his c mpany ere also t this contract amount, 5% prior t0 Plaster ........... FALUSPRING Accepted this Z 30% prior to Excavation ....... Dayof PO O 40% prior to Gunite ............ 1LAaSLjM 15% prior to Tile ....... 10% prior to Equipment ..... a0(:) You may cancel this agreement if it has been consummated by a party thereto at a place,other 5% prior to Plaster ...... . 1uln(�.0� than an address of the seller,which may be his main office or branch thereof,provided you notify' �,^ „_— the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by ...... ;.1�„^"1 t';'.'f)LLl delivery,not later than midnight of the third business day following the signing of this agreement. i m 0gula�ions an tan ards g One Ashburton Place - Room 1301 Boston. Massachusetts. 02108 Home Improvement Contractor Registration Registration.: 123408 Type: Private Corporation Expiration: 2/13/2011 Tr# 279570 FERRARI POOLS & PATIOS, INC. JASON. WARD 19 BRIGHAM ST UNIT4 " MARBOROUGH, MA 01752 Update Address and return card.Mark reason for change. . Address Renewal Employment Lost Card 'S-CA 1 0.50M-07/07-?CB490 ,oma �'!e�vo�.iryxo�uueci�ll o¢'./G�aav�iicaetta - -� Board of Building Regulations and Standards License or registration valid for indiividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and.Standards Registration: 123408 One Ashburton Place Rm 1301 Expiration: 2/1312011 Tr# 279570 Boston,Ma.02108 Type::Private Corporation FERRARI POOLS&PATIOS,INC. JASON WARD 19 BRIGHAM ST UNIT 4 �, — MARBOROUGH,MA 01752 Administrator Not valid without signature i Massachusetts- Department of Public Safeh Board of Building Regaulations.and Stan&ai-ds Construction Supervisor License License: cs 69397 . JASON E WARD 10 ISAAC MILLER RD WESTBOROUGH, MA 01581 Expiration: 6/5/2012 ('ommisiuner Tr#: 29852 IIIA � I CERTIFICATE OF LIABILITY INSURANCE DATE 111120 o' PROS R (800)572-4538 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 1129 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Northborough, MA 01532 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i INSURERS AFFORDING COVERAGE NAIC# INSURED Ferrari Poo7s And Patios, Inc. INSURER A: Acadia Insurance Company Ferrari Fu77 Circle Service Company INSURERS: Ferrari Spas & Leisure, Inc. INSURER C: 895 Boston Turnpike INSURER D: Shrewsbury, MA 01545 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBERPOLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CPA013615714 02/01/2010 02/01/2011 EACH OCCURRENCE $ 100000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFAAISFFn nnnurencp.) $ 30000 CLAIMS MADE __1 OCCUR MED EXP(Any one person) $ Soolf A PERSONAL&ADV INJURY $ 100000 GENERAL AGGREGATE $ 200000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS`-COMP/OP AGG $ 200000 POLICY X PRO- LOC - - JEC7 AUTOMOBILE LIABILITY MAA013615814 02/01/2010 02/01/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 100000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ._ EA ACC $ RpTHER THAN AUTO ONLY; AGG $ EXCESSIUMBRELLA LIABILITY CUA013616014 02/01/2010 02/01/2011 EACH OCCURRENCE $ 51 000,OO X OCCUR CLAIMS MADE AGGREGATE $ 5,000,OO A — $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC4013615914 02/01/2010 02/01/2011 X wcsTATU, OTH- EMPLOYERS'LIABILfTY FR E l EACFi;ACCIDENT $ 100000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? - - It yes,describe under E L DISEASE EA EMPLOYE $ 100000 SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $ IOOQOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILLENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDERNAMED TO THE LEFT, Ferrari POo7s BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO:OBLIGATION,OR LIABILITY 895 Boston Turnpike Rd. OFANY _ UP N THE U ER,ITS AGENTS OR REPRESENTATIVE$. Shrewsbury, MA 01545 AurHORIz ESE A Franc T e ACORD 25(2001/08) ©AGORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents P .. _ Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name(Business/Organization/Individual): Address: City/State/ZipPhone.#: 'Are you awemployer?Check the 2 propriate box: Type of.project(required):. LEU ram a employer with /> 4. ❑ I am a general contractor and I employees(fitll and/or part-time).. * have hired the sub-contractors 6. ❑New construction 2:❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7._ ❑Remodeling ship and have no.employees These sub-contractors have g, ❑Demolition workingfor me in any capacity. employees and have workers' 9 Builaddition [No workers'comp.insurance comp.insurance.$' ❑ g. required.] 5. ❑ Weare a corporation and.its 10.❑Electrical repairs or additions 3.❑ I am a homeowner do' all work officers have exercised their 11 doing ❑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 13,❑Other employees.[No workers' comp,insurance required] *MY applicant that checks box.#1.must also fill out the section below showing their workers'compensation policy information: t Homeowners who subaut this affidavit indicating they are doing all work and then hire outside wnullctoii must submit anew affidavit indicating such. [Contractors that chock this box must attached anmdditionw sheet sbowing•dre name of the sub-contractors and state whether or not those entities have employees. If the subcontractors 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: Policy#or Self-ins.Lic..#: to C_L -6)3 6)j�j )y Expiration Date: Job Site Address:,,1Va ✓rJ nih2IML:L aloCity/State/Zip t 00Jt4 )oj 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 j I do hereby certify under the pains• .d pen ies of perjury that the,information provided above is true and correct: Si afore Date: — —�0 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Perrtut/License# Issuing Authority(circle one): ..1.Board of Health 2.Building Department I City/Town Clerk. 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person. `. Phone#: ORT#q Town of And 0 ....�, No. lit • � i � � r O Z- L A K E O dover, Mass., COCMICKEWICK 7�ADRATED PPa,�� SS BOARD'OF HEALTH Food/Kitchen .PERMIT T D Septic System SBUILDING INSPECTOR .�! THIS CERTIFIES THAT..... ,Y.F......./�<�N. :.rS............................................................................................................. Foundation has permission to erect........................................ buildings on .x.`90...14.�'.�-��--.rig:/.l•••••�� ......................... Rough to be occupied as....................... ',i?v.. �l. v�ll..'fE.... ®Q.� Chimney 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS • Rough p ................ • . .......... Service BUIL ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — 'Do Not Remove Ro gh al No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.