HomeMy WebLinkAboutBuilding Permit #847 - 28 MORRIS STREET 6/27/2001OE HORTN
• O
° p TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
'1s,9SSAC HUSES -
Permit NO: o I r, Date Received: 4-,P1
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION ao i��RAQMVER� MA
PROPERTY OWNER
MAP NO./,/ PARCEL:
TVDV A Nil I JQ11P n1W RITii :iIIN!_
ZONING DISTRICT:
HISTORIC DISTRICT YES ❑
1 11 1J A1�L VVL v
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
Nkne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Repair, replacement
❑ Assessory Bldg
❑ Commercial
❑ Demolition
❑ Moving (relocation)
Other
❑ Others:
Foundation
❑ F 1
on on
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
CONTRACTOR Name:
Address:illi 0 —,�-Mmiz—.:_m�Vol—_— rA \_—
Supervisor's Construction License:
Exp. Date:
Home Improvement License: I 13\8A nu I C� Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No
FEE SCHEDULE: BULDING PERMIT: SIORS PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost :$ Q5-, ODD x10.00=FEE:$ 5n00
Pn
Check No.: Y7 Receipt No. l
Page Iof4
'yr—
J
TYPE OF SEWARGE DISPOSAL
Public Sewer
�/ Tanning/Massage/Body Art ❑ Swimming Pools ❑
YJ
Well
❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Permanent Dumpster on Site ❑
Private (septic tank, etc. ElPermanent
Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of Contractor .
Plans Submitted ❑ Plans Waive ❑ . Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
ONSERVATION/1-
COMMENTSS
.
_,
HEALTH
COMMENTS
0
DATE REJECTED DATE APPROVED
❑ ❑
[]Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE REJECTED
i ❑
DATE REJECTED
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes -
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer connection signature & date
Temp Dumpster on site yes_noK Fire Department signature/date
Building Permit Approved and Issued by:
Page 2 of 4
D TE APPROVEDV q411 —6
DATE APPROVED
a
L_
Building Setback (ft.)
Front Yard
Side Yard
Rear Yard
Required
Provided
Required
Provides
Required
Provided
"IF IL 4IM AT O r
n,.T
_
111111 G1\aI Vlr
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
Created JMC. Jail. '006
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
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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
Dor: INSPECTIONAL SERVICES DEPARTMENTMFORN105
Page 4 of 4
--\ 0-
Locationc:,JO
No.
Date
TOWN OF NORTH
ANDOVER
Certificate Occupancy
$
of
S CHUS
Building/Frame Permit Fee
$ tZ
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #
19474
Building Inspector
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The Space Age Swimming Pool Filter
A TOTALLY NON -CORROSIVE
FILTRATION SYSTEM
The new Regal Ambassador filter system is the key to a
clean sparkling pool, day after day. It sets a new standard of
performance in home pool filtration, offering features previ-
ously found only in commercial systems.
• Permanent media sand filter
• 2,100 gallons per hour filter capacity
• National Sanitation Foundation
Testing Laboratory approved
• Fiberglass reinforced tank - completely
corrosion resistant
• Easy to clean strainer pot for maximum
pump protection
• Fingertip control, 6 position multi -port valve
• Filter and 1 h, p, motor and pump
assembled on non -corrosive base
The Regal Ambassador Water Purification System cleans pools
fast; removes even the most minute particles the first time
through. Filter and pump work together in perfect balance.
Page 1
16X
(tit-
.' 9
DIAMOND
400 West Cummings Park, Ste. 6450, Wb MA 01801 W�b.In
1-888-224-2217 dAo
Fax: 856-773-0441
Diamond Pools, Inc. ("Seller")
(Name of Seller)
agrees to furnish -all materials and labor necessary to do modernization work on the premises located at the following address, subject to
verification ofhe price of wgrk by/eller.and t approval pproval of Bfyer's credit.,
Name of Buverk.oV!/� ,Oi / / % — ` /� J ;afH, omit Phone
Work Phone
Address
t /
City /Y
REGAL AM
SPECIFICATIONS AND FEATURES
11 Cell Phone
Sales Price
Deposit
tate
$
�-r-./ ✓ v
Payment o
nt n Delivery $
• 30'6" x 21'.overall Y , ,
15' x 24' Swim Area P yrxtent o bompletion $ i�
-•� 17'6" O.D. Aluminum Patio Deck
Color coordinated in azure blue and white Payable $ per month, in ipsWl-
AII aluminum construction `} ,r
Heavy gauge ments, b/ binning days after coin(#letion.,��.�
Aluminum walk -around deck surrounds entire pool
Aluminum safety fence with -privacy panels
Heavy extruded aluminum vertical supports- • NOTICE TO BUYER.,•
Aluminum sidewall%�G�1�' 1fi(nt)ended
Do not sign this agreement if any of the spaced
Vinyl acrylic finish �/"���,�, (}�j� for the agreed terms to the extent of then
�-��all automatic skimmE;r "" ° available information are left blank. (2) You are entitled to
Self-locking aluminum exterior ladder a copy of this agreement at the time you sign it. (3) You
20 gauge vinyl liner - Terrazzo Design bottom may at any time pay off the full unpaid balance due under
Space Age water purification systemHh! v I ZO this agreement, an in so doing you may receive a partial
30 year transferrabl ;14N rebate of the finance and insurance charges.
PoolCove Included,/ ROM
J tSe" Ilaf he eby e' to furrys labor and materials necessa�ry to complete the work herein agreed upon and detailed above for the sum
specified herein and according to.the terms embodied herein. Fultillm nt is contigen,% however, upon strikes firivs, mat fials and labor ailability,
or other conditions beyond co trol of the Compari. S ller agreesf to rry WOR M 'S COMPENSATA � R) fN}� PU C LIABILITY I SURANCE
on all work detailed herein. � "no
.L.It is understood and a �eedr etairs Terms a d nditioe�t esse or implied have eena ted onex tthosestated
9, P P , 9 p P
herein, and that this Contract covers arf supersedes all versation , Statemen ��re. m�ee e P rties hereto, their Agents, or -
Representatives. lU�
Buyer(s) agree that, upon completion of the work, accerdi g t6terms the agreern , that payment shall be promptly made according to those
terms or in the instance of financing arrangements, to promptly provi a certificate idencing completion and whatever other documents as may
be required by the lending institution.
AGREEMENT: You agree to be bound by the provisions of this agreement including those on the reverse side.
"YOU THE BUYER MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE
DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THE RIGHT." By
signing the agreement, you acknowledge receipt of a completely filled in copy of this agreement, completed copies of the attached
notice of cancellation and confirm that you have been orally informed of your right to cancel.
All equipment and materials delivered to the job site premises, regardless of whether incorporated in the property or not, remains the property of
the dealer until fully paid for. Owners) agrees that the dealer shall have access to the same at all reasonable times until payment is full hereunder.
Any materials not incorporated into tfie work performed hereunder remain the property of the dealer.
Owner(s) warrant I
working area.` It is adre
pool is ready to be filled
ContractbTau esto st
D is within property lines, and agrees to assume responsibility to prc
er(s) will supply water to fill the pool at the Owner(s) expense. "Installat
parties hereto further agree that this contract does not include electrical
(Name of Seller)
work on or about _and complete work on or
(SEAL)
adequate roadway ingress an
call be deemed complete when
6 or landscaping of any kind.
(SEAL)
By `?' _ u 1 1_ (SEAL)
(Name) (Title) __,Al ' (Si n#ture ofBuye7r)'
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_ 03/f 1,12005 TO ,12/31/2006' s j ; ' "
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r« License/Regishabon(Cert�cet�ai`
MAR. 8.2006- 2A7PM--IMA N0, 8461 PI 2(MM10DIMY
,ACoRD CERTIFICATE OF LIA131LITY INSURANCE DIUNK i 03 os o6
PRODUDER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Ndriag2laent HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
p 0 Box 779
Voorhees NJ• 08043
INSURERS AFFORDING COVERAGE
NAIL#
Phones 856-784-0707
INSURED
INSURER A: Xcreford zoo Co of tho nidxeNt
02612
INSURER B: Aartfard 9ndersYXtPr9 Ina. Co.
242
INSURER C:
Diamond Industries
3200 48th Street
INSURER D:
INSURER E
Pennsauken NJ 08109
COVERAGES
THE POLICIES of ImSUPANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIAED ABOVE FOR TKE POLICY PERIOD INDICATED. NOTWITHSTANDING
P.EQUIREMENT. YERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY
fdAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
TO ALL THE TERMS, EY.CLUSIONS AND CONDITIONS OF SUChI
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY NUMBER DAT =MUD PDATE MMIDDIYI LIMITS
NSR TYPEOFINSURANCE
S 1 OOO OOO
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY 13SBARY4858
FA
EACH OCCURRENCE
01/04/06 01/04/07 PREMISES(6aoceurence
,
3 300 000
CLAIMS MADE OCCUR
61ED EXP (Any one person)
$10,000
PERSONAL BADV INJURY
$1,000,000
GENERALAGGREGATE
S Z OOO,OOO
PRODUCTS - cOMP/OP AGO
12,0001 0 00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY jE0 LOC
AUTOMOBILE LIABILITY
COMBINERS@JGLEUMTi
(En accldenl)
4
Aldi' AUTO
ALL OWNED AUTOS
BODILY 114JURY
(Per person)
$
SCHEDULED AUTOS
HIREDAUTOS
BODILYINJURY
(Fer aceldenl)
$
HON -OWNED AUTOS
FP.OPERTY DAMAGE
S
(Per accldem)
AUTO ONLY - EA ACCIDENT
$
GARAGE LIABILITY
EI�ACC
S
ANY AUTO
OTHER THAN
AUTO ONLY: AGO
$
EACH OCCURRENCE
S
EKCESSIUMRRELLA LIABILITY
OCCUR CLAIMS MAOE
AGGREGATE
S
L----�
S
5
o5DUCTIBLE
_
1
RETEIJTION S
TATu
TORYLIMiT3 ER
XjT
WORKERSCorneENSATIONAND
EmPLOYERS'LIABILITY 13WECGK2916
02/11/06 02/13./07 E -L EACH ACCIDENT
$100000
B ANY MARTMER/ vECUInVE
E.L. DISEASE -EA EMPLOYEE
$100000
FICERlI IETO
Ifyes,dC$Crlbeunder
F.LDI3EASE-POUCYLm717
SaOOOOO
SPECIAL PROVISIONS below
OTHER.
OF OPERATIONS I LOCATIONS I VEFIICLES I EXCLUSION$ ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
DESCRIPTION
West Norriton TownghiP is named as additional insured with respects to
general liability arising out of the operationg of the named inatired.
CERTIFICATE HOLDER
CANCELLATION
'KRSTROR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
TO DO SO SHALL
Dl ainond Indua tries
IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
ITS AGENTS OR
3200 48th Street
pa_nnsauken NJ 08109
REPRESENTATIVES.
SENTATI
[ATIZED
O ACORD CORPORATION 1988
ACORD 25 (2001/08)
JUN -21-2006 13:59 P.03f05
rl -LUUb 07:03 FRIDM: E EFUTOR RCADEtly 978-794-806q
Td,1e56773'0ggg P.3
TYPE OF SEWARGE DISPOSAL
Public Sewer 2( Tanning/MassaWBody Art Swimrutng Pool$
L?
well Ll Tabora Sales Q
Priv$te {septEG tank, etc. 0permsnent Dumpster on Site F° PackeSinSsla
Electric MOter location to
onrarneti� v#�hu�rM9isemd p�Y0I: persproject
ons ,ogove 40cess to ffie
Signaturc of Agent/OwneT Q
�
Siattue ofC�eto
Plans Submitted E
Plans Waiv ❑ Certified Plot P1aa- [ Stamped Flags Cj
THE IoI.LOCT
WING SEIONS FOR OFFICE USE ONI y
INTERDEPARTMENTAL SIGN OFF - U p()r
PLANNING & DEVELOPNWNT
CONSERVATION
COMMENTS
HEALTH
caning I�oard of Appeals: �/grEQnce,
Zoning Decision/reeeipt submitted
yes
Planning Board Decisian:
.Comments
Conservation Decision_
No-
DATE RfiECTpD DATE APP'R,OVID
.
O W$ter Shed Speci4l Permit-----
El
ermi[_.__Q Site PJan Special I'mnit
0 Other
DATE
DATE A0 ID PlR4VE?
------------ —
HEALTH --•-L-------
UA `E REJECTED DATE AppROVED
� Q
Water & sower connection signature & date
Temp Dumpster on site yes —po— Fire aepartmetlt signisturrldate
Building Permit Approved and Issued by:
Pn40 2 of