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Home My WebLink AboutBuilding Permit #682 - 24 GILMAN LANE 4/24/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: �Y O ® _*�eceived 0 (000*1 ` Date Issu ed:#2t116 PROPOSED USE I Residential Non- Residential ❑ New Building IMPORTANT: Applicant must complete all items on this page ❑ Addition ❑ Two or more family ❑ Industrial LOCATIONa N ❑ Commercial n a y . PR ROP RT Y OWN O 1 ❑ Other /IArint P NO { PA tCEL, % DISTRICT« �-[ISTORIC DISTRICT e s no ❑ Water e District 'ZONING .. a Y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other SePttG ❑ WeII q 4 w ❑ FIQod ih Q, tetle'rtds ❑ Water e District -water ewer q DESCRIPTION OF WORK TO BE PREFORMED: G ,Lem A� Ya: 'Ked 2' tem ate, d Loa�am iPQ .o Identification Please Ty or Print Clearly) �• s`� OWNER: Name: 6r's,'r;c' =� (21)rrti/(v-7',/<<IS Phone: el75r-��-c;,��-1 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: $ 6600 FEE: $ J Check No.: V � � Receipt No.: Qol 3 �— ,,� -L77 NOTE: Persons contracting with unregistered contractors do not have access to a guaranty f Signature of,Agent/Owner S gnaturo'taf contracto Location/ 6111-111)174h No. Date 7k °�- i �aRTh TOWN OF NORTH ANDOVER i _ • SOL 9 Certificate of Occupancy $ '� s''••° Eta Building/Frame Permit Fee $ AC MUS Foundation Permit Fee $ Other Permit Fee $ z TOTAL $ Check # ;?o3v 201 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE 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 APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i DATE REJECTED DATE APPROVED CONSERVATIO COMM ENTSAS K- 'D< (DIS A'A -,. DATE REJECTED DATE APPROVED HEALTH ❑ v7 or - COMMENTS Pd./ f Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _ Planning Board Decision: Comments Conservation Decision: 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 ti r J, ❑ 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 L3 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) ❑ 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 o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 Revised 2.2007 APR -24-2007 10:43 P.02/02 ACM CERTIFICATE OF LIABILITY INSURANCE QWMM DATE 04/1 /2007 04/12/2007 PRODUCER (603) 224- 2 S62 FAX (603) 224-8012 The Rowley Agency, Inc. 139 Loudon Road P.O. RoX 511 Concord, NH 03302-OS11 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEDJY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL N - INsuREO Quality Design Nor'Easter Tool"s -Inc. 106 Perimeter Road Nashua, NH 03063IRtRc, BIRmQk Acadia -Insurance Company 3132S W.WKse• Maine Employers Mutual Ins Co 0008 04/18/2008 pIJRER O: sM- l,00a�nn Pt1V[DAGG! THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANOINO 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CCNDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MY R D' ..............—,_w POLICY EFFECTIVE ►OE P50%TT6N — TYPE OF INSURANCE POLICY NUMBER I.IM+I5 CENERALUABLITY CPA017831611 04/18/2007 04/18/2008 EACI40=RRENCE j sM- l,00a�nn I X ! CUMMER,wIDENERALUABIIIn 250 00 a.._._ b GETLTRENiEG CLAIMS MADE XQOCCUR MEDEXD(Arympnn%) f S,00 A PERSONAL d ADV HAM f 1 , 000 , 00 GENERAL AGGREGAT'F s 2,000,00( _ riENt Alj REGATE WIT APPLES PER: PRODUCTS. CDMPIOP A% i 2 � 000 PM ICY [X7 JET X Loc ... _._ _. I} AUIUMOSILELwBIUTV X I ANY AUTO CAA01791a411 04/18/2007 04/18/2008 COMBINED SWAG L"I (E98CC+tlA�4} A 000 �Q A { II ALL'0vlNFDAUTOS SCHEDULSDALITOS "RED AUTOS NON -a ID Akff0S I i BODILY NAW (Potrumu+p .— .. BOOZY INAIRY 9v �tcNlaA:l I A �^S I'IiUF ATY DAMAGE (Pei euldin) f GARAGE LIABILITY AUr00NLV • EA ACCOENT ' S OTHF.RTHAN EAArr AUTO ONLY' F � I ANTA1111) EXCESSIUMBRELLALIABILRY CUA017918611 04/18/2007 04/18/2008 EACNOCr.UMO CE S 1,000,000 X MCUR CLAMSNADE _ AG(IREGATE A CCOLICTFILE RETENTION S I f B I WORKERSCOMPENSATTDNAM ANYPR"IETIMPART ANYPRO�IET4RIPnRrNER'EXECImvE O:FlCERNEMIIE.REXCLUK07 1 3102800889 04/03/2007 04/03/2008 I roavLAM�T�, X _�i?'i F. L. EACH ACCIDENT S S00,00 E,1. DrFAAF.rAF.MPLDYEE I S 5O0,0t1t1 a K,.IM'.•G+SUI: AIN SPECIAL FROvWI,IONS 6V+ow 1 `� I T It S00 0 F EL. DKSEASE • POLICY LM+T I OTHER (teased/Rented Equip ( CPA017931611 , I 04/18/2007104/19/2008 I I Limit: $20,0000 Deductible: SS00 DE SCROMON DF OPERATIONf ILOCATKINS I VEMCLES I EYCLUSIDNS AODED BY ENDDRSEME W I SPECIAL PROVISIONS overing operations performed by the name insured during the policy period. Commonwealth of Massachusetts 600 Washington St. Boston„ MA 02111 ACORO 25 (2001108) SHOULD ANY OF THE AE0VA OESCIWO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENOEAVCR TO MAIL 30 OAY4 WRITTEN NOTICE TO THE CERTIFICATE• HOLOER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPREWNTAYIYES. AUTHORIZED REPRESENTATIVE Y 1 "CORD CORPORATION 1988 TOTAL P.02 . ... ..v v , # %s VI /1VLV V APART ALONG PROPOSED LINE S9 , FILTER FABRIC 46 6" BELOW GRADE _ \ \ 1 IT DETAIL EROSION CONTROL E °\ (NOT TO SCALE o` \ '48 co •• ` ` ��eeeeeee■/eeeeel • J a`, . � ��rrrrrrrrrrr�� 4 , \,O V� rq I TE V %%% a 1000 1 f T�q ftiftv�Ds FENCE 'ON DOWN -GRADIENT OF HAYBALES "x3' STAKES PER HAYBALE DS R ZON� A% VE -6 GENERAL NOTES: 1. CONTRACTOR TO GAIN ACCESS TO BA, YARD FROM DRIVEWAY THROUGH SIDE YARD. 2. MINIMAL GRADING WILL OCCUR AS A RESULT OF THIS PROJECT 3. POOL TO BE INSTALLED ON EXISTING LAWN AREA. 4. NO REMOVAL OF VEGETATION OR TREES IS REQUIRED. 5. A MINIMAL STOCKPILE OF EXCESS MATERIAL WILL BE MAINTAINED TO BACK FILL OVER—DIG AREAS. UNNEEDED EXCAVATED MATERIAL WILL BE REMOVED FROM THE SITE. 6. DISTURBED AREAS ARE TO BE LOAMI AND SEEDED. 7. THE EROSION CONTROL BARRIER IS 1 REMAIN IN PLACE UNTIL THE AREA IS STABILAZED. 8. NO BACKWASH IS REQUIRED WITH TH PROPOSED FILTRATION SYSTEM. 9. NO CHEMICALS ARE REQUIRED WITH THE PROPOSED SANITATION SYSTEM. LEGEND: —63 PROPOSED SPOT GRADE o — PROPOSED 4' FENCE WETLAND FLAG PROPOSED CONTOUR EXISTING CONTOUR HAYBALES & SILT FENCE EXISTING TREE LINE PLS ' PROPOSED POOL PLA Project Name Td Address GIKAS RESIDENCE 24 GI LM AN LANE (LOT 23-A) NORTH ANDOVER, MA Date: Sheet MARCH 27, 2007 1 Scale: OF 1»-20'. 1 Y Z Q C) O w Z� 0 w m z O a 0 07 Q D wELL►N� UNDER CONSTRVOTION �co _ w Zw w 04 Q N j Q co (� H a: C J Q z h �J w ac Q Q � Z •� Juj > W Q ��o c.0 z �C.)i QQ UJ Q N r O 12 :r t-- � i N ~- � O O « GQ. N z J Z �j Q h N O _ N M tfi rh _ O OD O - !- ,.A w :. Z J w }- w O J w J? O x O Z O ca m 0 r z - F-Qzc~nv�`,o a�-►�oow 1 '! �— c N c� j(n C U coy I-- � !. O _C V. v >: (c) h v N - N O _ N M tfi rh _ O OD O - !- w F-- J In w w :. Z J w }- w O J w J? O x O Z O ca m 0 r z - F-Qzc~nv�`,o a�-►�oow Quality Design Nor"Easter Pools 165 CYPRESS LANE NASHUA, NH 03063 Tel: 603-880-4888 Fax: 603-889-1630 SPECIFICATION AND AGREEMENT FOR A SWIMMING POOL BY "CONTRACTOR" AND "BUYER" NAME (BUYER) 06aoto e- -y4E r MAIL ADDRESS JOB ADDRESS GENERAL SPECIFICATIONS PHONE HOMW±N .,,�� t?3 BUSINESS E-MAIL Width Length 3� ,f Depth 31 d 7 Surface Area Perimeter ?6' f 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) •11) a 12) 13) 14) 15) 16) 17) 18) 19) STRUCTURALSPECIFICATIONS Plans and Working Drawings .................................. Perform Normal Excavation and Remove Soil on Day of Excavation Only . . Hand Form and Shape Pool ................................... Access Wall or Fence: Removed By . ........................ . Replaced By ............................. Remove from Site Loads of: Trees, Stumps, Shrubs, Asphalt, Concrete, Other Debris ................................. Steel Reinforcing ........................................... Monolithic Gunite Structure (to meet or exceed local or state codes) ..... Water Cure Gunite Shell Twice Daily for Seven Days ................. One Set of Shallow End Steps . E4,�1Ati akfe'uaucY. ,V.A... . One 6" Band of Water Line Tile: Color: Type: x c�: ...... Deluxe Safety Grip Coping ........ .......................... . Finish Pool Interior with lit//`/ C_ ....... Filling of Pool Promptly After Interior Finish Application .............. PLUMBING SPECIFICATIONS Included Included Included Included Included By Buyer Included _ZVC.., Included By Buyer Non -Corrosive Plumbing and Fittings Throughout ................... Included Self -Adjusting Surface Skimmer A.. _ ....... Included Pressure Return Inlets to Pool......I.......................... Included Main Drain .................... ........................... Included Up to 35' Plumbing Run Between Skimmer and Filter ................ Included Pressure Testing of Plumbing Lines During Construction .............. Included START-UP AND MAINTENANCE 20) Deluxe Maintenance Tools (nylon brush, leaf skimmer, telescoping pole test kit, thermometer, vacuum head & hose) ....................... Included 21) Start -Up and Maintenance Instruction ................ Included 22) Start -Up and Balance Chemicals .................. .............. Included ADDITIONAL _SPECIFICATIONS GROUND WATER AND SOIL CONDITION 23) 24) 25) o26) .27) #28) 29) 30) 31) 32) 33) 34) 35) 36) 37) 38) 39) FILTRATION EQUIPMENT SPECIFICATIONS N.S.F. Approved Filter, Type SizeMOC Ivlbke a4/'A Included N.S.F. and UL Approved Pump and Motor, Size . Ma iu/��Included Pre -Formed Base Slab for Filtration Equipment ..................... Included Automatic Pool Cleaner, Make ................... Stub Plumbing for Automatic Pool Cleaner ........................ Included Approved Heater, Type BTU Make ..... Fuel Connections, Heater Venting, Fuel Storage Tanks, Permit .......... By Buyer MISCELLANEOUS SPECIFICATIONS UL Approved Marine Light, Watts _700 Volts //0 .......... . . Re -Routing Sanitation, Water Supply Systems and Utilities ............ Flush Mounted Anchors, Safety Rope, Floats ....................... Payment of All State and Local Taxes gluing Construction ............ Negligent Property Damage, Public Liability, and Workmen's Compensation Insurance During Construction ...................... Transferable Structural Guarantee ............................... Swimout —44 ft ...................................... Stainless Steel Ladder ....................................... Stainless Steel Assist Rail ..................................... Diving Board, Size Color . ....................... . Electrical: Bonding of Reinforcing, Jigs and Equipment . Wiring and Connections . ..............'..�!'. . Decking: sq. ft., Finish , Cantilever ft., Owner to Pay for Gravel (/6 A/,r TOTAL: Terms:. 50% Day of Grading, 50% Day of Concrete .Zwo By Buyer Included Included Included Included ZC/ /1"Wr OAI,r Due to the climate in this area, caulking and concrete are not guaranteed against cracking, lifting, settling, or scaling. Fencing: ft., Height�f�s Type , (_) ft. wide Gate(s) and ft., Height Type , (_) ft. wide Gate(s) Terms: Down Payment: ........................................ Completion:... ....................................... . TOTAL: Cover: Standard a�,� 50% When Ordered If ground water is encountered, an initial fee of _Zr4Q will be paid to Quality Design Safety Mesh 50% At Installation Nor'Easter Pools. This amount includes the machine time, hydrostatic valve, and one load of stone. If additional stone is required, a fee of will be paid for each additional load. NO VERBAL AGREEMENT ACCEPTED You may cancel this agreement If It has been consummated by a party thereto at a place, other 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 mall posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement Contract agreed to by Contractor and Buyer Buyer Owner Buyer Joint Owner -,7 Any amounts indicated on other contracts with this company are in addition to this contract amount. Owner agrees to pay the contractor the sum of Down Payment Balance PAYMENT SCHEDULE Day of Excavation 25% Day of Gunite 50% Day of Equipment 15% Day of Tile 5% Day of Start -Up 5% Accepted This Day of >� TOTAL THE WARRANTIES, GENERAL TERMS AND CONDITIONS ON THE REVERSE SIDE ARE PART OF THIS AGREEMENT. R1IVF12 ArKNnWI Fnf,FS THAT HE HAS READ AND UNDERSTANDS BOTH SIDES OF THIS AGREEMENT_ $z/ 0 $I Dos z — 0 99} -u >ƒ0 - ;o z M Cl) X 0 r- w Z 0 (D (A m z C 0 M � X -0 3(D ty - 0 % .0, 0 � 23 0 0 ch 00 zol R-) i2" 0c: 0 co (D w (n S't r LN §.q 0 0) Z G -k 4 CD ;a c m 0 Q M c < CD 00 X z I 10 CO) m x m m m mm COD z CDCL O d 0.= a� o p CL cr CD O CO) CD C O y d d O CO) C7� O CO) d CD CD CO) CD CO) n O z cn C O to w s va CD �woQ y aO m C! C7 y P a0 = Z O� KN � m H -I 'T1 s m..� m y m -4O O � O = vV rm m M�'. U2 mo rY O o: n O C y 7 :� m _ c m N CD m � tz CCL O m p VJ M _ N! a d c CL xa coo W h ...r m H yQc m, C41� m = = 4 - 1: - m ,w 0; a� 3 H O ? a- _� A c O o�. o m r �q 0 c w M�'. � o tz p ft xa 0 c