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HomeMy WebLinkAboutBuilding Permit #513 - 32 OLYMPIC LANE 3/7/2008I S VkOR*r#t BUILDING PERMIT of TOWN OF NORTH ANDOVER or APPLICATION FOR PLAN EXAMINATION 16- 0 Permit NO: Date Received -i HU Date Issued: IMPORTANT: Applicant must complete all items on this page ;R 24 zY Z :'�" ANN e -PARCEE". P0. , , 1! �� -0NING'--P1STR(. f7 - TYPE OF IMPROVEMENT PROPOSED USE -..Re,s.identia�--�. Non- Residential New Building Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other °•Septic c� � Well `� ��r = � � � � Floud Iain � � �' Wetlands ' V1laterst�ed Distract ir/Sewet" R. � � A IdentificationsPlease TLr Print �Jea Te o rly) OWNER: Name: Phone: Address: 'O&W-e- 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: FEE: Check No.: Receipt No.: 0 ?I o NOTE: Persons contractin, red c ntractors do not have access to the guaranty and . ....... ... Signature c� .� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools W 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS DATE REJECTED DATE APPROVED EJECTED DATE APPROVED 2� MV 2W7 DATE REJECTED DATE A R VED HEALTH COMMENTS S g� ✓ c� - �.n 1h , Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decisi Comments Comments Water & Sewer Connection/Signature & Date Drivewav Permit Located at 384 Osgood Street , FIRE DEPARTMENT - Temp Dumpster.on site yes _ no Located at 1.24 Main Street` = Fire Department signatureldate COMMENTS r- C rte'• ��'' Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. 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 r � Notified for pickup - Date I 4 Doc.Building Permit Revised 2007 r i L41I ra j 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.Cj 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 o 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 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 Location-7-7 ocation No. 5/ Date S-1-04e– TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ '�s'••• E<�' Building/Frame Permit Fee $ 0 '� s�CMus Foundation Permit Fee $ Other Permit Fee $ 4 TOTAL $ Check # 2 1 G 0.1 Building Inspector I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY LAWS OF NORTH ANDOVER WHEN BUILT CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE) "=40' DATE.1110812007 Scott L. Gees R.P.L.S. ASSESSORS Frank. S. Giles R.P.L.S. MAP 106 B LOT 109 50 Deer Meadow Road North Andover, Mass. 43,748 S.F. SUBDIVISION LOT 2 J ryO/ 910,45' OLYMPIC I PROPOSED 29'+/ POOL Pffu SEPTIC DECK TANK AREA --� -L_ EXIST. HSE. FND. #32 LANE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. PIT J PROPOSED ADDITION 110.45' S550431101) W 285.00, OLYMT--"IC L'ANE, MAV 106B, LOT 69 � .431748 S.V. / 1.004 Act C) C) cl, /-c 16'D PROPOS� SONOTUBES 4PTIC"- D -BOX TANK EXISTING SCREEN PORCH c The Pool Doctor, LLC 86 Little Mill Road Sandown, NH 03873 (603) 329-4754 Swimming Pool & Spa Contract THIS AGREEMENT made this 2 day of m4 r -C 4 , 20 O /� in, t i _� , between _ �/7�/ (c v'S,,w5 `r , herein called the "OWNERS," and _ ZU C_ herein called the "CONTRACTOR." Owners Address :� z 1- Phone Number cJ7fl 5 % :U y4 lam- / l� f % r b 750 } WITNESSETH: �t t( �17� 33'7 �/Z / WHEREAS, the Owners are the owners of real property located at - Z G /vim . C 4-7 1^, c,S Ss /s_ and WHEREAS, the Owners are desirous of having the Contractor install a SWIMMING POOL/SPA on said real property owned by the Owners. NOW, THEREFORE, in consideration of the premises and the mutual covenants hereinafter contained, the parties agree as follows: The Owners agree to purchase and the Contractor agrees to sell and install a SWIMMING POOL/SPA in an exca- vation on the Owners' property for the sum of 2 % 9 97s" ($ ) Dollars. Owners agree to pay the total contract price, as above, at th following intervals and in the amounts stated. On signing contract. 10% $ Z, 7k7, On finishing of bottom and installation of liner/plumbing 30% $ Liner Pools 50% on DeliveryS a G to site $ � q V 7 'ter On completion 10% $ 7 % g / • _ DIY: Contractor shall provide reasonable installation instructions; Owner is fully responsible for installation In the event of stoppage by Owners, or other conditions beyond the control of Contractor, .Owner will pay Contractor on billing for all work then performed and for all materials then delivered. Additional costs: concrete pump $700.00; over 7 hours excavation and backfill time -$125.00 per hour; hauling in or out of dirt$100.00 per hour; rough grading of more than 4' around pool $125.00 per hour; highwater table -$300 per foot. Does not include cost of material Blasting of ledge does not include extrra cost of excavator. SPECIFICATIONS // Spa Model L.ac n t, /cr ✓ c./ - Pool Model 2QF �.� '� iQa,, • �, , ,�� Size & Shape Q Z X q(( Pump & Filter���rG� �✓� 7 G 9 t Heater C/OG ,GG G Diving Board ,47- A 7� OC (_ t� Ladders 7 Liner design Equipment Pad Size Z re h%GG /c- Misc. Extra's 8 Soh •�ro% %„ i r,7- 7` �1.,5�T Depth Stair Size Extras 5,ate- Handrail ___( "v -- -,- Slide //0 Vac System ��a nTGm Pool Cover Sc. r+� a,�{/ tilti//C U/W Light & 6/ Test Kit n e /, A./ Safety Rope . e,v_%, C Spa Package M 4 , 7-;1 s . r A-,- T Decking . /) 0 Sq. ft. Dirt Hauled 6,0 S,'-/' Hydrotherapies y/�G�f, ✓5 SPECIAL INSTRUCTIONS Type of Soil —' Trees and Shrubs Access to Pool Site ._ Excavation Obstructions Electrical The parties have read and understand this agreement including all conditions described on the reverse side of this contract and are in complete agreement with same. Contract void if not signed within 15 days. In witness thereof, the parties hereto have this day set their hands an t day an year above written. Owner 'Contractor t/ 1 Owner late: 3/6/2008 Time: 11:05 AM To: Bernard Kavanagh @ 1-978-623-7538 Dave. not -no? ACM?. CERTIFICATE OF LIABILITY INSURANCE 03/oi2o PRODUCER (603)432-3666 FAX (603)432-6076 Lakeside Insurance Agency, Inc. One Wall Street Windham, NH 03087 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED The Pool Doctor LLC 86 Little Mill Road Sandown, NH 03873 INSURER A: Central Insurance Companies 20230 INSURER B: PMC Insurance Group INSURER C: INSURER D: INSURER E: COVERAGES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DTE MIDD POLICY EXPIRATION DTE(MMIDDNYI LIMITS LT NS GENERAL LIABILITY CLP8124476 05/25/2007 05/25/2008 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300 s 000 COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ S'000 CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,000 A X GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JE C LOC AUTOMOBILE LIABILITY BAP8122873 05/25/2007 05/25/2008 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 X ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS A HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WCOOOOOlA 03/25/2007 03/25/2008 X TORYLST M S ER E.L. EACH ACCIDENT $ 100,00 EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMB $ S00,000 If yes, descdbe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS I`AiUP`CI I Annm L.tK I Ir'II-A I G rlUL JCr% — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Bernard Kavanagh 32 Olympic Lane OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE lJoseph N Andover, MA Rossetti GARSA ACORD 25 (2001/08) FAX: (978)623-7538 ©ACORD CORPORATION 1988 late: 3/6/2008 Time: 11:05 AM To: Bernard Kavanagh @ 1-978-623-7538 n�"o' nn9-nn? IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Double Roman End - 2' Radius Corner i5 4 1/4"x6 3/4' / x242' (x2) -----•-12'•9 1/4"• 7'6" Redlus Steel Stelr 37 7/0"X7'6'R 32 7/5x7'6"R 8'x 9' Radius Tr111kim Plastic Sit 8 Stop n 316"1716"R 3'6"x7'6"R 8' x 7'6"Radius Quaker Plastic Stslr I& Pool Depot, Inc. 1m Number One In Quality and SWWCIL ' Forbes Road Newmarket Industrial Park Newmarket, NH 03857 PHONE (800)992.5655 FAX (600)595-0222 oma ur ouax rxxrexrxwxr, rwwrxe ow oe.d �.._.___._.1 S'•i 3/4"------ 9Redlus Steel Stop /167 4'10"WR 4'1O yR 8' x 9' Radius TrUllum Plastic Sit ✓!< Step 5' 7/B"x9'R 111's 7'6" Radius Quaker Plastic Stall SIZE A B C D E F G H IL IR J AREA (sq. ft.) PERIMETER NSPI TYPE 18'x36' 18' 35'9" 40" 8' 4' 6' 14' 11'9" 4' 4' 10' 644 94'3 5/8" II 21'x 40' 21' 40' 40" 8' 4' 6' 14' 16' S' S' 111-1 840 107' 3/4" II 2/2'd 82SZ2298Z61::01 6262)-88209 801000000d 2H1:WOHA dZz:TO 8002-9-NHW Gerald A. Brown Inspector of Buildings TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Please print DATE: Z— JOB LOCATION: Number S Name Home Phone Telephone (978) 688-9545 Fax (978) 688-9542 PRESENT MAILING ADDRESS : q Ao,� %p— �' 3" 7S'a5 Work Phone City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Cade $Ction 108.3.5.1) DEF NITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies minimum inspection procedures HOMEOWNERS r>rquireme�s. HOMEOWNERS SIGNATUI APPROVAL OF BUILDING Revised 10.2005 Fam Homemms F.xmw im BOARD OF \PPE: V_S (38-9541 4 A CU.NSERti'. M)N 638-9530 ands the Town of North Andover Building Department he/she will comply with said procedures and 1TE.U,T11698-9540 PL.\\Iv1NG 6x8-9535 m m m m Y, m CA EPmm C � 'v O CD n Z CO) CCD O 'v CL r �� C CO SM CL y ato -0 0 v CD CD O CLQ CD CDo 00 00 C� CDCD y O: O y O = �C CD a v y O � Z CD O CD O CCD 0 Q b Eli C) O C 0 O z O O 0 _ m O 00C n _ m CO co 0 CL 0 CO) H m .i' C S� O Ot = 0 ao5o cam s. e0y 9 m m N CD 0 3. cc C= L C2 "* T -�O m y O y O ? m m = ��ouccD, 2-04 O N sr _ a H = . �m CL ?s CD N mom CL m�: CA d H =r' Q CL y C CO m O CO) N m .d. � N : CD m.): C. iP moQ: CD CA o GOO o _ m m nom: C O = CO Cn O~ PIT, Crt z b7 ~ M ?1 w ;z G - roO n7 w Cn ; ,L7 a' r M '.i1 w G ar "ti to ro w - CDo G x r- a. 0 w d G? U 'b 0 a xg O x 0 O y 0 9 O C