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HomeMy WebLinkAboutBuilding Permit #346 - 24 CROSSBOW LANE 11/2/2007 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: `f� �1+�-�- s Date Received to�L' 0 �.1 RA7ED•P��cy a SACHUS Date Issued: IMPORTANT Applicant complete all items on this page th . rah ,,�P*E a t �£x .,r,.k C x ' - e ,"' 7,� r mak #.a tk sa a3 Y a a x� 3 .es„E s"x, a a `=' r r gx�� t r riq fy �a`r'§6z�' �:��`��, ��s,Y a ��`�"+av°k.,•�{, "Zu.�:' `�„�w��,5e�fi r�-�"� �'d" I"'�3,,,'"v :.�Y�s�s7���;�� ������s✓�s'� ;;�y�i'�+'�.=r1 kr �z � ni TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: 0 Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other yi �z as �.` G9 t� `��A i���ll• �� �"'��e �, �'�''� '. �^ �'ti7�����i��;&�.� `�et�� "Z..x e ! }w ,�. �F 'a.�P,: DESCRIPTION OF WORK TO BE PREFORMED: ti/L G Identification Please Type or Print Clearly) OWNER: Name: A10J-L Phone: Address Y G/k�SS Bt1G,1 4 7-71 { r . 7- wgl- ggIN IN c x u cxh a ��47,�` X� � �L7,7I � k� a✓r'. ,'� `x5. zl a - 411V t 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. Total Project Cost: $ 3S, 0 O-D FEE: Check No.: Receipt No.: NOTE: Persons contracting with unre steredAwitractors do not have access to the guaranty and r a tarp o 'P�ger / me b- gna#� o orttract s ti u. F LocationCVJ' No. Date NORTH TOWN OF NORTH ANDOVER Of<`•" '',ti0 3? Ot Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20759 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer11Tanning/Massage/Body Art . ❑ Swimming Pools ❑ Well11 Tobacco Sales f •''❑ Food Packaging/Sales ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL MENTAL SIGN OFF U FORM DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS D E REJECTED DATE APPROVED CONSERVATION COMMENTS I i DATE REJECTED DATE ROVED HEALTH ❑ ❑ �07 COMMENTS d P I Zoning'Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes s Planning Board Decision: Comments Conservation Decision: Comments Water'& Sewer Connection/signature & Date Located,at 384 Osgood Street Driveway Permit E� �'A►fTIENT Temp Dte site �e ` :,Fere ©Epa��en`� y,� a��ure� �e r '�, t '` *rte r# Y? «`*�' 'r�^:� ,„,,, ,u .� .x •a z' ,d ., ! „.-x� � < Lk, i'f ^�Y'.,E` '2 •� i""#i q5'. . '` d� � �sNf � � k+. R. s.`�^^ � '. ` u C n .F Dimension on �o X�U •�a Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total Iand 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 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑, 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) 01 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 cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 I Revised 2.2007 LIMITED STRUCTURAL GUARANTEE Contractor agrees- that the structure will remain structurally sound, unlimited as to time. The term "structurally sound" implies that the swimming pool is capable of containing g and holding water and in the event of a failure to do so, the contractor will repair the same so that it will hold water. This guarantee therefore would not extend to or cover items external to the pool, such as coping, tile, coloring interior finish, plumbing, filter electrical conduits, pumps, heaters, hydrostatic relief valve, decking or accessories. This guarantee is also invalid should the pool.not be kept full except for periods of maintenance, draining of the pool is to be supervised by this contractor or assigns, should the water table be above the lowest point of the pool. Should the structure be damaged by earthquake, was, earth movement or neglect of the owner, or disasters not occasioned by the contractor, such as explosions, wrecking and the like, and there is no transfer or change of ownership in the subject property. Terms and provisions of this guarantee are not effective until final payment of contract is received. GENERAL TERMS AND CONDITIONS 1, Contractor agrees to construct for the owner, in substantial conformance with the specifications set forth, the described swimming pool herein called `the work'?, and guarantees its work and equipment to be free from deficits in materials and workmanship for a period of three years from the date pool is plastered, provided that owner has complied in full with all terms and payments as outlined by this contract. 2. Assistance in arranging financing is not a condition of this contract. Owner is solely responsible for any financing. Should service of an attorney be required by the contractor for the enforcement of any provisions of this contract, including any anticipatory breach, if contractor is successful, customer agrees to pay reasonable attorney's fees. 3. This agreement constitutes the entire contract of the parties, and the parties are not bound by any oral expression of representation by any agent of either party purporting to act for or on behalf of either party, if plans and specifications are attached to this agreement they form part of this contract. In case of conflict between the provisions stated in such plans and specifications and the terms of the within contract,the terms of the within contract shall prevail. 4. Contractor shall not be responsible for delay or failure to perform work when due to acts of nature, strikes, war government prohibition or reasons beyond its control. Owner shall burnish any necessary variances and associated permits and fees, 5. No grading unless specified, No soil shall be removed or returned except at time of excavation. Contractor is not responsible for damages toto driveways, curbs, sidewalks, sewers, patios, lawn shrubs,and appurtenances. Owner hereby agrees to assume all responsibility and risk thereof. 6. Owner shall supervise the location of building or other improvements and there shal be not liability on the part of the contractor for incorrect location there of. 7. The contract.price is based on the following mutual assumptions of fact: that the site has adequate bearing capacity, contains no fill ground or no low density fill, has no expansive soil, no hard or rock formation or boulders oven one cubic yard in size, contains no cesspool, septic tank, gas line, water line, drainage pipe, irrigation pipe underground electrical conduit or other obstructions not apparent from an inspection of the surface; that no rain or underground water conditions will interfere with the work or operations to complete the structure; that no blasting or jackhammer work is required; that trucks and power equipment must have access to the site and the access adequate and substantial. Owner warrants that there is adequate electrical and water supply available on the property. Contractor shall not be liable for floatation of pool after application of structural concrete caused by external water. It is understood and agreed that if any of the foregoing assumptions of fact should prove mistaken, and if additional work or materials are required to complete the contract, the same may be performed or ipstalled, the cost ]s include material and labor and shall be added to the contract price ant the cost thereof, plus 15%which owner agrees to pay. In the event of damage as a result of and act of nature or for reasons beyond the control of the contractor the customer hereby agrees to pay cost plus 15% to make the necessary correction. All measurements are waterline measurements and are approximate with reasonable tolerances either way, Plus or minus six percent, as accepted by the trade. 8. Owner shall protect trees or shrubs which s/he desires to save and shall provide contractor with a site free of debris prior to the start of work. In the event owner authorizes the use of neighbor's property for contractor's use for access and construction owner agrees to be responsible and hold contractor harmless and accepts any risk thereof. Owner is responsible for obtaining permission fro neighbor for use by contractor. 9. Walks and decks are not part of the pool and owner understands that there is no warranty covering it regarding cracking, checking, raising or settling, Added work to this contract must be authorized and signed for before work can be performed and payment will be due on completion of said work. The interior finish is not guaranteed against discoloration of staining, inasmuch as this is commonly due to local water conditions, improper use of chemicals or lack of cleaning. 10. Installation of extra service and/or circuit in owner's electrical panel box and/or removal and replacement of overhead wires to be paid for by owner, above contract price. 11. Pool will be deemed completed when the interior finish is done. Owner agrees to pay for the construction of said swimming pool in the amount set forth on the reverse side hereof in the manner therein specified. 12. Manufactured products purchased by the contractor from a third party are subject to third party's guarantee and/or warranties and contractor makes no warranty expressed or implied thereto. I Christopher Lumenello, Inc. POOL SIZE Advanced Design Gunite Maximum width 79 Fisher Street Lowell, MA 01850 H I C # 152443 Maximum length �y a� This contract is made as of this date by contractor and, Depth '- /-7 Perimeter/Square feet U Owner Address Template 3 f✓ City State The general terms and conditions on the reverse side are part of this 1. Filter /.0 'TN/Si�Yi'v [X] agreement. Indicate wth "X" in all spaces that item is included in 2. Pump [X] contract, if not included, leave blank. 3. -ht rer--' [ ] 4. Am -4ror [ ] 1. Construction plans and permits [7C] 5. STviTmlt [ ] 6. Inside seat 7. Ladder ] 2. Excavation [X] 8 Grading [A 9. Spa as planned [ ] Dirt left [fit] Dirt Removed[ ] 10. Erosion Feeder �] (( 11. Light 3. Pool plumbing [X] 12. Vacuum head and hose [X] Skimmer(s) Main drain [ 13. Pole 8' to 16' [X] r� X y, 14. Wall anchors [ ] Returns raj Auto sweep [ ] 15. H drost tic relief valve 1XI 16. 18" Wall brush [X] 4. Steel reinforcing [X] 17. Leaf net [X] 18. Test kit [X] 19. S*Ae4aatntor-t Wr [ ] 5. Structural concrete [X] 20. t-uags'klvr) [ ] Owner will water cure 21. First year winterization [X] 22. Aquarite [ ] 6. CopingULA, i'�J� �/U►CIL [� 23. -jc` 24. ] 7. Decking _L� Square feet 26, Finish C [ ] 27. [ l 28. [ 1 8. Tile ($5 per square foot allowance) 29. [ 30. [ ] 9. Interior finish w _ [X] MATERIAL AND LABOR ARE WARRANTIED FOR ONE YEAR . PERMIT FEE, ELECTRICAL WORK, FUEL SUPPLY AND MANUFACTURER'S WARRANTY VENTING ARE NOT INCLUDED UNLESS SPECIFIED. APPLY TO PARTS AND COMPONANTS Payment Schedule SPECIFICATIONS/MISCELLANEOUS Contract amount 4V QoL 0do 10% down payment $ 3 � 1t f Q 20% after steel $ G� �(1y 0 3 3 d h 30% after gunite s boo 20% after deck $ c� 15% after equipment $ ��3 % (D 5% after plaster s -7 6 J Pool to be started upon issuance of required permits and shall be finished within 7'X9 workable, working days, excluding Saturdays, Sundays, holidays and subject to all provisions in this contract. The owner or contractor may cancel this agreement by written notice directed by ordinary mail posted not less than midnight of the third business day following the signing of this agreement. Buyer acknowledges s/he has read and received a completed legible copy of this contract, including the terms and conditions contained on the reverse side. Accepted this_ day of 21 2007, by du �. contractor owner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations LVI 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Al--2,1,0 Address: -7 r?' F%/S b L T City/State/Zip: LD tv t:� /Ul Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. - am a general contractor and 1 6.. [S-Ke-w—construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] . officers have exercised their IO.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I l.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.R Roof repairs insurance required.] t employees. [No workers' 13.❑ Other 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certif u er the pat s and alties of perjury that the information provided above is true and correct Si nature: Date: �� -U Phone 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 M 4l faro urldinge gu ati/ns an- an ar s One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration k Registration: 152443 Type: Individual Expiration: 8/29/2008 CHRISTOPHER LUMENELLO - CHRISTOPHER LUMENELLO 79 FISHER STREET -_ =a -- - — — - - - -- - _. LOWELL, MA 01850 A4 -- z;, .� Update Address and return card. Mark reason for change. E_j Address I--... Renewal ::.i Employment Lost Card DPS-CA1 is 50M-05/06-PC8490 S D.tiyRrittf u/Alt.P•SN•otL � -—•-- • --- RR Jl7I/F Lq/HOl.�AOE A�w,or Fieoi+r P70[ ; t `Y6 J- Ara CAXS &ONO ae /N .00 D•O• S S ?2 rERM/N POOL ' LlroYr a/C.�►E ElEY a. /FSP4f4C/f7E0 TOP OFQONQ alrgM Z'o-mirT slu Afl - AWrft itoaf �eT` s' n► -_ rrAzvErt-watt ELttV2D ,�-- 3 �,� 1loSTFir fNTI� ie�ac /r - � — N�.tA[ ,. ,R3 aA.cs m rt•of eorrr %Ars SWClr LlydGE/ L —: "L t:OMM - L:•000MO • 916940 4vv oc � •.t curd�cr - ELEY 3 a �- roEJ ANCLE n.. ...._- r • s- - I _ : ELEii�:a' +r3 QAR3 _cNraFFAS "drEo Ey-T!40 i�esTariC S'Ravius , 0 M-4/N DRA/N �fR.c F PAZ klF – L�LEY G=OB C•a vvECT DIRECT m #vumP RE5/DEN rtAL,f CO/a/atKUAt ` 3' IN. Ur Qf'FAl TFR'rY�a7E lo'M/N fL�t • A BA.CS "/W UdCAS ELEY7L9" _... ` tTr tEocE _ __ _ V •� • _ - -4— /a EL EK 8-'O. + /%l1/N TVP. no OR RCj t Q/1'CC. dronf wars rTP a STfI/VDARD 'ww&L SECTlm Z7' k rr36.4d5/Z' CONSTR UC TION NOTES B'N/N _ — e GENERAL ? RE/NFOfTC/NG STEE/ s o . -� - •fONSTRUC i7 YV-S//ALL CON170,Cf7/ 7D L/TY DEPT • HE/NFO.PC/NG STEEL _T Y q eL L'ON/SOiP/O ° • •• OF BLDG t`SAFEry.CODL`g STANDARDS_ 7D N-S•T.M. DES/G NAT/ONS A 26 J •e •• ° - 0 D/Y/NG ffzt{y RD NOT.PERM/TEC ON RICKS LAPS 'S/5/AL[ BE A M/N/: ' } • ' ° / ' ' L ESS THAN t-1 GNT FEET /N DEPTH AT C0�9�P0. uN aF•TH/.QTY � D/.4/I�ETERS OR./8"LUHER.= SPL/CES ' "' o' �. - -. , ovouir - oHEALTH DE`fT. APPROVAL REOL/RED fOP. Ol'rUR A[L COMM£ L/qC TYPC .POOLS. -G UN/re COWS FR T/D/V � GUN/l1SHi9l L 6L`/yJACH/.-i/E/y!/.t•ED .4N0 HPPL/ED P/M11NPT/CALL Y. M/X.lH.9ze BE • =._ • TH/S D,65AIV CONFOR/�IS 70 L6CAL CODE _ f�Vp ONE P!/RT ce^fem7 TD F, e 9ivo A //ALF TEASED L'AW-A .RFASONAL3LY LEVEL S/TE P.S'RTS SAND /••4%z ULT. COilIP STiPENGTfI 3AOD PS/ � 3S oars Gory oNtr - AND 9PPA0tle-0 NATURAL GROL/ND !t//TJ//N Z f'fET �a87/A/D CLRMP I�ATfiP-CEMENT.,SAT/D S�Y�9LL /Ld T 'CEfO Of TOP Of s3l1NQ 6EAl''I, RNY EYCEPT7oNS faUTO/''►AT/� SURFACE SX/MMER s ` �c - fit//Lt REpl1/«='_SUPPLEMEN TRRR!' OL`TR/L /DES/GN 3'/22 GALS 4VdQr f PER SACK OFCEArENT _ • 2-•3 dAR S lEN7 FEN CE • CURE GUN/TE BY A ziaY7 U119Tf/P SP.PAr - • alUNER .3`.y 'L *R0V/DE FENCING /N CO/11PL //9NCE TH,CfL TiOrfS A URY FO.Q SEYEw DArS L'NDE�S WRTPR L/GHr RIM,V LOCAL C/jy Cy,e TOGUN O.PLUN F ANC'_ o, ' V . . .•O '° G.97FS TO 6ti'.SELF OLDS/�t/G c ,64 TCH/NG a _PLgTF' t / • fLECTR/CAL.SHgL! CCENFOlem TO.-STr7TE F,eb xf ANO LOCAL REOU/RENENTS ~---.•, is as _ r _ HYOJto S7�T7 r v '" •'�-.i to .4 -� • O (�Ir REOd o .s • COL t.�7 aoN � •�. v . /d /a •Iv • - 0 MAIN O U rL ET ,cii, T