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HomeMy WebLinkAboutBuilding Permit #320-11 - 524 REA STREET 10/18/2010 BUILDING PERMIT o* r1ORT11 ,tt��° TOWN OF NORTH ANDOVER 3� `- "_' ° APPLICATION FOR PLAN EXAMINATION ° : h T Permit NO: �2b Date Received A ��� �� X44`""`w�`• °q�rEo�1•P`g9 Date Issued:_-,to (a �SSACHUSE� IMPORTANT Applicant must complete all items on this page 'T•cam.'�Y:i .,-.'t 7'.r- s .y r ♦ .�.' r r p �� k1�ONXr s."`" £ ;> rynlryi±l v * ". `�' r °�it "`•fix "" �'�F� w� j 3rr 'i�i i-a��]ice,r-, ✓. ,A ztr z U�.1""Tdnl` 'a j r-`* s' i..._�:1 �'s Fy -'� r r lr.. _'-e ?lPl" I'OiER �4 ., DN3ls�tSl-.RICT tisflr� istri i.>S, t x+`i''Y lj��e,4k�,9 r ry+,r�4 <Wit.�.✓..,ate d ry'����r r� >-t--�� ��. r��.��'.,ar. ���:.rx+ s� s'C3�,� s-z�cy ��'St �-�-,. t a��. 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 ll a NZ sfM^r -�.ar ^-'^s.£ 1�,.,.s,P �-v"� t4?..�. 1 „�y.1- DESCRIPTION OF VVORK TO BE P EFORMED, \ r) Identification Please Type or Print Clearly) Y, OWNER: Name: �� �� ��{�� Phone•G-�-%- Address: y 7,7-N`]� k/� i 13�' .sY � �Jr71e �r f fI i RAG ttp����rp .y .#� .R01.917C�✓W "� 'rW�jk4�wa F� now, > i �rF�Y,. rX'i*�tkG f^i� .r-� r - <?t r" 1 Yi .., r �Y � •-S '�a �hG"Sr''t.r v x .� 4� a s ? '^.}.,�a>}✓ :d, �.x sa3 rt*r�- �Y -r�C � ra ..�""P.-1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$?25.00 PER S.F. Total Project Cost: $ FEE: $ �-�� � , Check No.: 2 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty,fund S�nature��f Agerit/Owne - Sig'natur�e af��c Victor - m.=�� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer r Tanning/MassageBody 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 ri• DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on I Si natur COMMENTS a'r Po ct .(:DN �,�®p e t A�2� c�+'� 1 HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: _p Comments Conservation Decision: Comments Water $ Sewer Connection/Siqnature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street F1AtbEP ► T�V1:El'�T T�erna'D�arpster ontte yep' no l Located�t"I Main Sfreet :Freepartrnerf s�t�nal.tyrellate Now _.. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i I I 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 2010 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 o 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) ❑ 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 Pian ❑ 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 o 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:Building Permit Revised 2008 LocationNo. a`U _ Date U " NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ ♦b+s:1... : a ;�sJ;►cNust<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23568 Building Inspector rn EXISTING POOL N x- 35 1 10.4' N 57' EXISTING DWELLING #524 S� POOL LOCATION jH0 FA,4 CLIENT.- DANIELLE 9 .InHAI L4Vn1 P 2. MICHAEL 7� SERG! I?� Lvt�n r rvrr. ✓c-r iti Li-e a:�r.,rvv.r+r rcw vCf�,rvrn_ �,v \,off- '-� �� v�/� u 'i PROFESSIONAL ENGINEERS& LAND SURVEYORS -- CHRIS T/A NSE/V SER' 4' ri off 0 /fir''`'�t` r{31t�; $~.s - • • r „yyjr''4, S - f .4 ��y✓,+ i '�+r,JY"� • '•R � r �� '7 .f•.,,.,.y s�' _ z _ ..i �•� ,'! MI.�+. r - .•. L J y N '� t► or Aft 41 10, AIX ir nv .rr�aaPP r• •""' � � �� r .. 1'i,., +;y ti.•' 'jam}q`" .ei. • � ' �-`j'+ ���� sa:- ., -`•`ra'•,{ 'k"' �;• ;t� ,t �' �v.�• �� l NORTH T0VM of : .�, 6 over _ _ 0 No. 3 ,;o ,,-2z ��2-IJr l � dover, lVlass., LAKE 'k, COCMICKEWICK V 7 A0/'? TE D qS U BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT...... .......�"Atlw.................. ..... ••• •••••••••••••�..••.�����•�� ••••••••••••••.....""•"" Foundation . has permission to erect........................................ buildings on ..,'... .. ...... ........................ Rough p �, � � Chimney '1.A....Y 3-k.........�..... ............ .............�....... ... ........ to be occupied as....... •®••••••••••••••••••••• provided that the person accepting this permit shall in every respect onform 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 CCotructio Buildings in the Town of North Andover. ►p mlenf BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. I� Rough A%46 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TR O STARTS Rough ..... . . .. ......................... .......................................... ....... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE rn EXISTING POOL N X- 35.1 90.4' N 57' EXISTING � DWELLING �3) #524 4 �,_ E� SV POOL LOCA TION ����HOFII�yss90 MICHAEL CLIENT.' DANIELLE& JOHN WOLF o= J. SERGI 1 LOCA TION:524 REA ST.,NO.ANDOVER,MA. ° No.33191 DATE: 99/9/90 SCALE:9"=40' NOgURVO' PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 960 SUMMER STREET, HAVERHILL, MASSACHUSETTS 09830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 DWG.NO.:90069.00 9.003 4 y 9 /� 6 Republic Road POOLS BY North Billerica, MA 01862 � I, (800) 272-7946 ` 4w MA Contractor Registration#113772 2oto• 5sso - I$n C4 Swimming Pool Construction Agreement This AGREEMENT made as of the idate of written acceptance of POOLS BY ANDREWS, INC. herein termed "Contractor' '� and t �W (Ownarime Contractor) herein termed "Owner', JOB ADDRESS l% 9 \ � � CITY'��0'01 l _�`Y!!A zip 011 MAIL ADDRESSG CITY 1 ZIP �HOME PHONE nl�J � '"1J\ BUSINESS PHONEOM' S�'��4b, Contractor agrees to construct for Owner, in substantial conformance with the specifications set forth hereinafter,the.following described swimming pool, herein call "Pe work." � `)-i Oc POOL SIZE l DEPTH SURFACE AREA(SO.FT.) PERIMETER GENERAL SERVICES PLUMBING/ELECTRICAL SPECIFICATIONS 1.Contractor's engineered structural plans and pool specifications. 1 2.Swimming pool construction.permits as required by municipality code. 1.Pool filter v � J Type Pools by Andrews 3.Contractor to hand form and shape pool. 4.Excavation and removal of soil on day of excavation,as needed. 2.Pool pump � Type PoVes y Andrews 5.Engineered steel reinforcing throughout pool structure. 3.Pool heater L.Y� Type ❑No 6.Concrete-gunite pool structure to meet or exceed municipality code. IM T � 1 �(� G Size Clatural ❑Propane 7.One set of shallow end steps. 1'` 8.Backfill of gunite pool structure,includes up to four hours of machine Note: Applicable gas lines,electrical hook-up,tank installation and time and one truck load of processed gravel,as needed. permit by owner. Ch 9.Dual main drain receptacles with anti-vortex grates. 10.Skimmer with self-adjusting weir gate and leaf basket. 4.Total skimmers Qty. 11.Non-corrosive,pressure tested PVC plumbing. 5.In-floor circulation system Heads s ❑No 12.Three pressure return lines. 6.Portable pool cleaner Type �s El No 13.Preplumbed automatic cleaner line. A 14.Concrete pad for pool filtration equipment. 7.In-line chlorinator Type ❑Yes 3 o 15.Vacuum head and hose,telescopic pole,brush,leaf skimmer,safety 8.Pool sanitizer ' Type ❑Yes $40 rope and floats and test kit. -r- 16.Initial start-up service,with maintenance and water treatment instruction. 9•Waterproof time clock= Pools by Andrews 17.General liability and workmen's compensation insurance. 10.Pool light junction box y Pools by Andrews NOTE:Owners who secure-their own permits or deal with unregistered 11.Electrical hook-up including permits, contractors are excluded from the Guaranty Fund provisions of MGL c.142A. bonding and wiring of pool equipment ❑Yes VNo OWNER RESPONSIBILITIES 12.Other 1.Verify location of property lines.Provide certified plot plan,as needed. 2.Provide access for pool construction. 3.Approve pool location and elevation. 4.Responsible for relocating overhead or underground utilities,asneeded. SPA SPECIFICATIONS 5.Responsible for additional costs incurred due to underground � ,N� obstacles such as ledge,boulders or water. 1.Size _-' ❑Yes IFro 6.Responsible any additional costs incurred due to soil with inadequate 2.Install Hydrotherapy jets bearing capacity. 7.Responsible for electrical panel change or addition of sub panel,as 3.Install Return lines ❑Yes VKI needed. 4.Install air blower H.P. ❑Yes ;?o 8.Water cure concrete-gunite pool structure for a minimum of seven days. 9.Provide fencing to meet municipality codes. 5.Install booster pump H.P. ❑Yes 10.Provide water to fill pool immediately after completion of interior finish. 6.Install marine light Wafts Ty 11.Provide pool maintenance after completion of pool. 7.Automatic controls Type ❑Yes U(leo 12.Provide re-landscape of access and pool construction area. 8.Other GENERAL CONSTRUCTION SPECIFICATIONS 1.Access fence to be reved(fence replacement by owner): s ❑No ❑Owner Vools by Andrews 2.Stump removal'(day of excavation only): DECK SPECIE CATI N ``�� 1.Install Sq.Ft.Decking ❑Yes 340 ❑Yes 3 o ❑Owner ❑ Pools by Andrews �, Type Color �J Stumps ❑Leave on site ❑Remove from site Note:If Pools by Andrews installs deck,up to eight hours of finished 3.Site grading(prior to excavation): grading and up to two truck loads of processed gravel,if needed, _Hours I/Yes ❑No ❑Owner [/Pools by Andrews are included. 4.Rock pack w/hydrostatic relief valve Tons Tons ❑Yes ❑No 2.Other 5.Shallow end love bench�5 ei(� Feet Vooes ❑��,,Nsso 6.Shallow end assist rail Color ❑Yes VNO 7.Deep end ❑Ladder Swimout, ❑ Interior bench Feet S�ol� � FENCE SPECIFICATIONS 8.S I tandard 6"waterline tile `_ Selection 1.Install Lineal Ft./Type Fencing ❑Yes ❑No 9.Coping/Border PW!/�� �� Vc Selection � Model Color Height Gate[s] Selection 2.Other 10.Underwater lightingQty.�Watt s - Selection 11.Diving board s Size Color ❑Yes EV/No12.Pool interior finish:❑ Plaster�. CPebbleTec Othercaw'Color ADDITIONAL SPECIFICATIONS �e 13.Other THE LIFETIME WARRANTY,GENERAL TERMS A D CO TIONS ON THE REVERSE SIDE ARE PART OF THIS AGREEMENT . Owner agrees to pay to contractor the sum of$ Dollars. Down Payment$ the receipt of which is hereby acknowledged. Balance less deposit:40%day of excavation;alb%day of gunite-concrete installation, 10%day of deck form (if decking is not included in contract It%payment is due day of equipment set),5%balance due prior to plaster/interior finish. The following schedule will be adherYld` less circumstances beyond the contractor's control arise.- Expected rise:Expected Start Date: Expected Date of Completion LA � ,�(Date Contractor will begin contracted work) (Date when contracted work will be substantially completed) 1`� NOTE:All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration sho tY`b irected to: Director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108 617-727-8598 By \ Ee OWNE91PRIME CONTRACTOR CONTRA -S!`IRES ATIVE The Commonwe¢lth of Alassachusetts Department o f jradustri l_,accidents Off"ace of£nveszigations 600 Washinvon street Boston, .112-4 02111 Workers' Compensation Insurance on Affidavit: g /Contracto rsElectiAo licant cians/Plumbers Please Print Leaibiv Name (Business/Organization/Individual): G- --%­UAddress: (0 04 u4 v City/State/Zip: '® • Phone#:�d0 O`1 � Are you an employer? Check the appropriate boat `1 1•LI�J I am a employer with 4. ❑ I am a general contractor and I Type of project(required): 2.❑ employees(full and/or part-time).* have hired the sub-contractors 6' ❑New constru tion I am a sole proprietor or partner- listed on the attached sheet �• ❑Remodeling ship and have no employees These subcontractors have working for me in any capacity. workers COMP. ' g' ❑Demolition p insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑Building addition 3•❑ required.] officers have exercised their 10 ❑Electrical r I am a homeowner doing all work right of ex epos or additions eemption per MGL 11. myself [No workers'comp. c. 152 1 ❑Plumbing repairs or additions § (4),and we have no 1 in.c,T*a*�ce required.] t employees. ❑Roof repairs [No workers comp.insurance required-] 13 0 Other :A nil app-licant that checks box-1 must also uu cu:icc s Hoffieowneis who submit this - a u e ow snot��`^.�a erl;ws'come s ` Adan affidavit indicating nadditi a._doing worb and then hire outside contracts:4=srbmit a new attrdavit indicating such. +Contractors that check,this bo*moat attached ar,$daitionai sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer thin�prot,�r�g workers'compensation inform P insurance for mY employees; Below is the policy and job site 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 gape(showing the policy number-and expiration date). !, Failure to secure coverage as required under Section 2 ) fine up to$1,500.00 and/or one-year imprisonment, SA Of c. 152 can lead to the imposition of criminal penalties of a Y prisonment,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. I do hereby certify under the otos and penalties o er , .fP .%m'J thQt Sic information provided a is true Signature: correct Phone#: a `\ Official use only. Do not write in this area, to be completed by czV,or town official City or Town: Issuing Authority(circle one): ' I'ermitUcense# I. Board of Health 2•Building Department 3. City/Town Clerk 4. Electrical Inspector 5.plumbic 6. Other d Inspector Contact Person: Phone#: Information ant d Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is deed as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is deed as"an individuaL partnership,associmLtion, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association Dg other legal entity,employing employees. However the owner of a dwelling house having not more than three allartrn_eats and who resides therein,or the occupant of the dwelling house of another who employs persons to do mainte:mjance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not be cause of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also,states that"every state or 10-4--a1 licensingoavency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co3rupfiance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work u>Z-iltil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,.are not required to carry workers' comp c--nsation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sore to sign and date the affidavit The affidavit should be i mt'u ncd to the.city or tcmm than the application for the pertait or lice.ngt uR being requested,not th D epar=--nT of Industrial Accidents. Should you have any questions regardiLb the lav;or if you art r,e. to Obtain a workers' compensation policy,please call the Department at the numbe=r listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sufe to'fi11 in the permit/lic--nse number which will be used as a reference numbe .'In addition;an applicant that must submit multiple prmit/license applications in any given year,need only submit one affidavit indicating cm=t pgliey information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stampe=d or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future per-lits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pert not related to any business or commercial venture (L e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Irlce to than you in achance foryour cooperation and should you have any questions, please do not hesitate to give us a call The Deparunent's address,telephone and_fax.mnmb=_ The Com monwealth cif Massa&==ctts Department of Industrial Accidents Office of Inrestigat ons 600 Washington Street Boston,M-A 0.2111 Tel. 4 617-72.7-4900 ext 406 or 1-8—77-MASS_AFE Revised 5-26-05 Fw, rr 617-72.7-7749 ��rur.mass..Dov/ciia i IN LINE 2 x— 16.6 2 2_00"BUFFER___ I I PROPOSED 1 I 1h POOL 1 1 57' / EXISTING DWELLING 1 1 #524 • E� w PROPOSED POOL N°F SS 9 CLIENT DANIELLE& JOHN WOLF 0 MICHAEL= s � J. N SERGI rn LOCATION:524 REA ST.,NO.ANDOVER,MA. L No.33191 DA TE.- 90/96/90 SCALE.f'40' �R��Ess%O � q�SURV�� PROFESSIONAL ENGINEERS& LAND SURVEYORS CMRISTIANSEN & SERGI, INC. 960 SUMMER STREET, HAVERHILL, MASSACHUSETTS 09830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.ND.:9 006 9.00 9.002 -AC0R1Q CERTIFICATE OF LIABILITY INSURANCE DATE(MIWDD/YWV) PRODUCER 800-572-9538 FAX 03/09/2010 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,EICTEND OR Northboro, Na 01532 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED ,Andrews Gunite Co. Inc ENSURERS AFFORDING COVERAGE MAIC# INSURER A: Acad7.8 insurance Company D/B/A Poole by Andreas INSURER B: Continental Western Insuran 6 Republic Road INSURER C: ce North Billerica, MA 01862 INSURER D: 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'L TYPE OF INSURANCEPOLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER GENERAL LIABILITY LIMITS X COMMERCIAL GENERAL LIABILITY CPA0136208 03/01/2010 03/01/2011 EACH OCCURRENCE $ 1,000,00( DAMAGE TO RENTED CLAIMS MADE a OCCUR $ 300,00( A MED EXP(Any one person) $ 15,00( PERSONAL&ADV INJURY $ 4-0-0-0,00C GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY MX jPERG0j LOC PRODUCTS-COMP/OP AGG $ 2 OOO OO AUTOMOBILELILIABILITYA0136210 03/01/2010 03/01/2011 ANY AUAUTO MACOMBINED SINGLE LIMIT ALL OWNED AUTOS (Ea accident) $ 1 000 00 X SCHEDULED AUTOS BODILY INJURY A X HIRED AUTOS (Per person) $ X NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE ( . GARAGE LIABILITY Per accldenl) $ ANY AUTO AUTO ONLY-FA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CUA0136211 03/01/2010 03/01/2011 EACH OCCURRENCE X OCCUR CLAIMS MADE $ 1 000,00 A AGGREGATE $ 1,00-0,000 _ DEDUCTIBLE $ X RETENTION $ 10,00 - $ WORKERS COMPENSATIONAND WCA0136213 03/01/2010 03/01/2011 X $ EMPLOYERS'LIABILITY WC STATU- OTH- B ANY OFFICER/ME BER EXCLUDEE�ECUTIVE E.L.EACH ACCIDENT $ Z 000,OO If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1 000 00 SPECIAL PROVISIONS below OTHER _ E.L.DISEASE-POLICY LIMIT $ 1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CE FICATE HO CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SPECIFIC CERTXFXCATES BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SII'XLL BE ISSUED UPON OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. REQUEST AUTHORIZED REPRESENTATIVE _0 Francis Kittred a EO /CLUI �� �� °� ACORD 25(2001108) ©ACORD CORPORATION 1988 Nlassachusctts - Department of Public Safit% Board of Building Regulations and Standards Construction Supervisor License License: CS 27999 - Restricted to: 00 RODNEY P ANDREWS 1647 LOWELL RD CONCORD, MA 01742 � - --�--� -� Expiration: 3/14/2012 4pni�� ,,� �,��� ( missitsncr Tr#: 19942 Office of0oon ume�a Si�usine` es"s tgaiat;on License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 113772 10 Park Plaza-Suite 5170 Expiration: 7/15/2011 Tr# 287951 Boston,MA 02116 Type: Private Corporation ANDREWS GUNITE CO., INC. RODNEY ANDREWS 6 REPUBLIC RD N BILLERICA, MA 01862 Undersecretary Nota lid wit gout signature .b Js (3) y4 BAMS CONT GENERAL NOTES r-O' N BOND BEAM WATER LEVEL •31 /a BARS CONT (3) R•4 BARS �3 BARS ® 1?' X13 BARS eD t?' �• O.C. (CONT) WATER LEVEL OC. BOTH WAYS r-o' N BOND 9EAPt WATER LEVEL ' -- - --ELEV = 0-0" • CONSTRUCTION SHALL CONFORM TO CITY DEPARTMENT OF BLDG ELEV - r-0• O.C. BOTH WAYS r-o• - & SAFETY CODE & STANDARDS. FILL - NON p I CUT OFF r —- -�ELEV = 0'-0" - - SUPERVISED 9'� 7 at T- Asks -—�V - 7-0' `0 ^^^"-'~� &r'+ • DIVING BOARD NOT PERMITTED ON POOLS LESS THAN SEVEN FEET - I — - - — -— ELEV ?=p• I ?5—-_� —-—ELEV = 3•-0' A � � —_ _—Y.t HEV ' ?=0' IN DEPTH AT BOARD. °/3 BARS A r?' h GUt OFF _ �, L F.L'EV 0- 6' —cLEv = 3'-v' 1 g ELEV 4'-0' __ 3 • HEALTH DEPARTMENT APPROVAL REOIJIREO FOR ALL NATURAL O.G. BOTH WAYS 2• - EVERY ELEV = -O' COMMERCIAL "PE POOLS. $-T- —-—ELEV - 4'-0" y7i R b 3rd BAR - -—ELEV = 4'-0' CROUnD ( 5 nL_ i y• o"-O' •� 5 ha _ • ELECTRICAL SHALL.CONFORM TO LOCAL CODE REGMEMENTS. —ELEV - 5'-0' 7, iI —ELEV 5'-O" :? ELEV 7-6' CUT (3) BARS 6 6* O G. - Ir--—ELEV x T-0" 1 !9 ELECT. INSPECTION FOR GROUNDING OF REWF. PRIOR TO GUNITE. OFF ALT BARS 1 --� - ELEV = 0-0' CUT OFF A$ NOT 1 '� - - ELEV = 0-0' \./ o ELEV - 8'-0' UNOtSTURBED �^ ELEV - 7-0' _ r T EARTH � —ELEV 7'-0" DESIGN NOTE5 ELEV = 8'-O" n '� '_ ELEV 8'-0' (3) BARS ® b' O.G. "9' -- `D - CUT OFF AS NOTED �' / t AREA BELOW RAMP (3) BARS 0 6" O.C.OGj • THESE DESIGNS CONFORM TO LOCAL CODE AND BASED UPON A UNE TO BE EXCA- r I, I I I CUT OFF AS NOTED • / OFF VATED 0Y HAND. CUT OFF � FLOOR RERJF. - p' 3 BARS REASONABLY LEVEL SITE AND APPROVED NATURAL GROUND WrrHM ?' CLEAR COVERAGE 2' \`aLT. OARS ALT. BARS '. CLEAR ®n' O.G. (80114 WAYS) TWO FEET OF TOP OF BOND BEAM (EXCEPT AS SHOWN). ANY #3 BARS ® 4' O.C. COVERAGE DEVIATIONS FROM THESE CONOITONS WILL RE^OLVE SUPPLEMENTARY BETWEEN CUT OFF LINES DETAILS AND CALCULATIONS. EXr-,4N51yE SCIL W:=LL SECTION NOTE: DIMENSIONS SHOWN ARE THE nMRTUM REQUIRED STANDARD WALL SECTION a NO GROUND WATER SHALL BE AT POOL LEVEL. ANO MAY BE INCREASED TO %ff CURVATURE OF POOL, N.T.5. FENCE NOTES DEEP END RAI'"IP OR 6' FILL WALL 5EC''i0N NT3. • OWNER SHALL PROVIDE FENCING N COMPLIANCE WITH LOCAL CODE REOUIREMENTS PRIOR TO OCCUPANCY. EX61INC OR ASSU.-IED FOOT1r,: CONCRETE DECK f'COPe•!G `_ ,, PLTE ASR ALLREINF'ORGING 5T="L NCT>=� BEARWG 10001 P.S.F. �1, r WATER _VWL F 2 E& SURFACES 3'-O' MM FROM POOL g. _e -\ // • REINFORCING STEEL 5HALL CONFORM TO A.57.M. DE5IGNATION5 /% � , � t a-15 AND A-305. LAPS SHALL 9E A r;INI'fUn OF 30 CIAnETER$ 3" MN ' I" !J 3Or1L � _y c:,. _''WATER LEVEL I .-.� � _ _�-------- ----,�--=�--•--f-� OQ 18' WHERE SPLICES OGGIJR. —� ;;-1—- - -—ELEV = 0'-0' ``\ � -- -•-I I i� GUNITC NOTES tS ELEV--- ---� � �- —-— CI ELEV = ?-O" (TOR OWEROURCE •I j� I I •I ' • GUNrrE SHALL BE MACHV-k MIXED AND APPLIED 01$*UMATICA.LLY. —ELEV = _-0' BY ELcC. CONTR) MIX ;HALL BE ONE PART CEMENT TO FOUR AND A HALF PARTS y3 BARS ® 12" - - --ELEV - 4'-0" 1 i 3ARS .9 o" AT 2 awl SAND (I 4 1/2) ULT. COMP. STRENGTH OF 2000 P51 WAYS . O.C. BOTH WAYS J i- - _ f i I d' 8 DAYS. J -— LEV V-0' DOTH 'WAYS j I I • WATER CEMENT RATIO SHALL NOT E!CEEC 3 I/2 DLLONS OF ELEV 6'-0• �r — (3) BARS 0 S' O.C. _ _ _ J `� I i ` i WATER PER SACK OF CEMENT. GUT OFF AS NOTED - —ELEV 7-0' �`'' q CIAL ,1_E: I j ; ` f `- r-—ELEV d-U" 4GHt NICHE S D.�_• o uJ c \. N 4opA ESS'ATED ���>d o • CURE GUNITE BY A WATER FOG SPRAY THREE TP1E A -AY FOR BY VL GRLUNJ WATER :? FOUR CONSECUTIVE NE DA'r S MNIMUTT. 2" CLEAR � 41 POOL LiGi•T 624f.'VG .4V:5IOK .4 I O°pJJJ I ENCOU!JTEP.ED INSTALL COVERAGE - I �'' i2GSTAT C RELIEF RELIEF S1+A.1-_ BE i 74' 50. VALVE AS PER MFGR SPECIAL NOTE -'—r,�•- "UT OFG I i If p•$TG:.LED. !N EAC.+^ SUMP ALT. BA25 • FOR COMMERCIAL POOLS ONLY: A RADIUS OF 0'-0' AND MAX VERTICAL WALL OF 2'-0' 15 PERrTISSABLE FOR ABOVE 5ECTION5 (CONSERVATNE). SPECIAL DESIGN IS RECUIREO '•INHERE FILL FOUNDA.TI N �LIr�C_ _r�r-.E W;:L_ SEc'TICN UNDERWATER LTG+-+T D=`-=+IL `:A1N DRAIN DETAIL EXCEEDS Z-b 14,731N.T S. NTS =D DA 0 �1 3/4" .ROME PI ATE L 6� M /i FLL SPOUT `N/ AIR G,:P f ISTEPy 10 5/8". P' U -,8 - -� cXlStex: �� . LSM i DECK COPING + FOOTEk-., i F i MOP •:F I i IT -Ex511N!.' Zo yC'r7 I BOND E A?- I GOOIER �� I _I _ �9 grEO I I POOLS byVi 7 1/2.I -— I ; ' _ j I I r-I ;'f n KEPUBLIC ROAD COLLAR r !,oi _ �� °; "i ' `i-r!rR /45r ANDREWS N BILLE21CA^IIA J 186 wE� wAtER LEVEL `� _ 9 1/4• ek7 �'/ �� 1 j ,`% ,��i I �q78) -3-0724 r PERFORATED Y IGUW�`'0. MM LEAK' 9I � BASKET TO `NATER •1 a � A1.L SURGACE -WATER FLANGEJI i \ SUPPLY 1 `GLJVTE .3/8" MIJ SHALL GRAN AWAY _�� _I STRUCTURE WATERDRGTF / FROM POOL STANDARD SWN`T11NG POOL FOR: PLASTEF / Y MN ( MAIN 8 3/16' 19 i!Ifi r \ ENTRE PC, FlAOR� DRAIN NAME: ADDRESS: ;KIMNER DET 111- FILL SPOUT DETAIL POOL SECTION CITY: (SEE ALSO DETACHED PLOT PLAN DQAWNC) .� r � S � l-r z ��.� . �� ����� l� 1-31 \ m\ J \ O ti Q 200.BUFFERE. -- 16.6 Z 2 ' PROPOSED \ POOL \ 57' �� \ / EXISTING DWELLING \ #524 ,QST 61. SO PROPOSED POOL -1%A � MICHAEL CLIENT.- DANIELLE& JOHN WOLF o? J. SERGI m LOCATION.•524 REA ST. NO.ANDOVER MA. ° No.33191 ti~ DATE. 10/16/10 SCALE:1"--40' c�5 S PROFESSIONAL ENGINEERS& LAND SURVEYORS CHI�tIS TIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.NO.:10061.001.002 f J'� b LwT' 1( lm ? s �o N Vt � - �� Ids• S�►1�6r 1 i � J � • • ti O N w 200'BUFFER LINE f 57' . ' j `�- -- f . J It � - EXISTING/ DWELLING #524 ; %S6 v V Poo v�- -2� � I1 7�w6100' �PQoP�SED u�►�i N u M FW(T; . �PFJ)P06ED BP-t W- PA--1 D PROPOSED POOLD - �.THOFAt,S+ CLIENT.- DANIELLE& JOHN WOLF02�MIC JAEL S9nZN OCT 2 SERGI m LOCATION:524 REA ST,NO.ANDOVER,MA. °�, A No.33191y y-ir 005RTHM0,0Y;9R DATE.• 10/16/10 SCALE.-It-40' �O ssl°�'P ;a lw RU T,if�i �GQM{V}kS. N PROFESSIONAL ENGINEERS&LAND SURVEYORS CHRISTIANSEN & SERGI /NC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.N0.:10061.001.002