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HomeMy WebLinkAboutBuilding Permit #104-16 - 575 OSGOOD STREET 7/24/2015 NORTF/ BUILDING PERMIT 20h z�eD''e�1p TOWN OF NORTH ANDOVER I APPLICATION FOR PLAN EXAMINATION _ o �D qc .",a.1. . Permit No#: ' `� Date Received �q pDRATED SPP��� � SSACHUS� Date Issued: L19-1 /1 IMPORTANT: Applicant must complete all items on this page LOCATION 575 6OOD 5—r Pri PROPERTY OWNER EV�OOD R—E Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: XCommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other C�1Vt-I ❑ Septic 0 well! ❑ Floodplain ❑,Wetl'ands ❑ Watershed' District ' 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Ly-IT L,t Z.� a>e is i f NCS rt L �l�c(n�a �K a� Y, Identification- Please Ty or Print Clearly OWNER: Name: T13\_T Phone: Address: S7J OS�4Q IQD, tQD0 M4 a Contractor Name:A0�l��. �(�� Phone: 6 - S2-2"rte EmailCoNsrp_uCllp (DUATIMEF ' Address: tv 6 0 Supervisor's Construction License: CS"O S 512 Ex . Date: � �( 2016 p p -Home Improvement License: H cC— 12486+ Exp. Date: 9)6(0_)(2Q15 CH-AFM/-1W CONS UG1�� 1 ARCHITECT/ENGINEER Phone: Address: IN CHE3FEg, NP—AtF6 I M1tg. No. FEE SCHEDULE:BULDING PERMIT:MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Now* FEE: $ Check No.: 0�1 Z Receipt No.: NOTE: Persons contracting with unregistered contractor a ol have o he guaranty fund 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 .4.. 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 OTE: 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/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) I Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) i 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 2012 I ECC Energy code ji Engineering Affidavits for Engineered products I OTE: 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 i Doe:Building Permit Revised 2014 J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/MassageBody Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS Yit HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments a ,Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit (' DPW Town Engineer: Signature: _ Located 384 Osgood Street q' Teem Dump step on sife. `` ' n L c ted a124 Ma n SfiF p � ' � s - ,o FIRE DEPARTMENT ye �,ment signature/dated C.®ME- NTS 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) . i ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 Location, O &40 No. A Date . - TOWN OF NORTH ANDOVER TUETY1 c Certificate of Occupancy $ ' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL $ Check# 29098 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 37,749.00 m $ - $ 452.99 Plumbing Fee $ 56.62 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 56.62 Total fees collected $ 666.24 575 Osgood Street 104-2016 on 7/24/2015 Edgewood Retirement New Spa NORTH Town of s 1, Andover 5. No. d� • T - Z y ver, Mass, coc"Ic Kl WIcK ADRA7ED S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System a THIS CERTIFIES THAT ..1. 6 .. . .Q0? BUILDING INSPECTOR has permission to erect . ......... buildings on ........ .. ..,,........•„•...............••. Foundation � T.....<� ' ��.�� )) C Rough to be occupied as .....\,...1.u n.!. .......s„� ...... ...,....................... Chimney provided that the person accepting this permit hall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR T NS S Rough Service ........ ...... ......... ... ...::................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. POOLS AND SPAS, INC. Chapman Construction/Design Co. July 1, 2015 84 Winchester St. Page 1 of 3 Newton, MA 02461 EXHIBIT `Vs RE: Edgewood Retirement Community 575 Osgood St. No. Andover, MA 01845 ATTN.- David Coffey, Assistant Project Mgr. Please find (2) attachments accompanying this letter, known as Exhibit "C". First is the signature page of the Contractsigned 6/30/2015 between A uatime Pools and Spas, Inc. and Chapman Construction. Second, is my original email quote for requested additional insurance coverage purchased ($2M Umbrella Coverage) as agreed to by Jason Grinacoff as a result of this 5/11/15, 8:53pm email. I have only a verbal approval of this additional insurance purchase and require written substantiation before finalizing coverage. This Exhibit"C" is the quoted cost of the additional insurance Umbrella ($3,000.00+) less the amount of the MA Sales Tax included in the contract amount for materials used in the construction of the spa and previously included in the Exhibit'A" proposal ($508.44-). We had not been notified that this job was Tax Exempt Status when quoting. The NET result of Exhibit"C"would be an increase to the contract in the amount of$2,491.56+ Exhibit"C"will also include the Schedule of Values for which the payments are based. Each item represents a milestone in construction for payment and not necessarily the value of that specific phase of construction listed. SCHEDULE OF-VALUES: 1. Mobilization Payment. . . . . . . . . . . . . . . . . . . . . . . 15%. . . . $ 5,588.70 Exhibit"C" Payment (increased ins less tax credit). n/a . . . . $ 2,491.56 Mobilization Payment plus Exhibit"Cn NET total. . . . . . . . $ 8,080.26 2. Excavation, forming, shell plumbing completion . . 15%. ... . $ 5,588.70 3. Steel Rebar completion . . . . . . . . . . . . . . . . . . . . . 10%. . . . $ 3,725.80 4. Gunite shell completion . . . . . . . . . . . . . . . . . . . . . 40%. . . . $14,903.20 5. Tile and Coping completion . . . . . . . . . . . . . . . . . . 10%. . . . $ 3,725.80 6. Plaster Interior Finish completion. . . . . . . . . . . . . . 10%. . . . $ 3,725.80 TOTAL OF PAYMENTS (Exhibit's "A"and "C"). . . . . . . . . . . $39,749.56 Please find (2) pages of attachments. Please call if you have any additional questions. 89 RIVER RD., HUDSON, NH 03051 a (603) 595-5915* FAX(603) 595-5920 tr r ARTICLE 16 t ENUMERATION OF SUBCONTRACT DOCUtMENTS 16.1 The Subcontract Documents,except for Modifications issued after execution of this Subcontract,arc enumerated in the sections below. r 16.1.1 This executed AIA Document A401-2007 Standard Form ofAgreement 8ettveen Contractor and Subcontractor. 16.1.2 The Prime Contract,consisting of the Agreement between Owner and Contractor dated as first entered above and the other Contract . � Documents enumerated in the O-vner-Contractor Agreement. 16.1.3 The following Modifications to the Prime Contract,if any,issued subsequent to the execution of the Owner-Contractor Agreement but prior to the execution of this Agreemenr. NIA 1611 Additional Documents,if any,forming part of the Subcontract Documents: (List here any additional documents which are intended to lbrm part of the Subcontract Documents. Requests!'or proposal and the Subcontractor's bid or proposal should be listed here only if intended to be made part of the Subcontract Documents.) The Subcontractorsholl comply with the Contractor's most updated General Safety Policy,and Indoor Air Quality Plan,copies of which are aeaitable at the Contractor's office for review and copying. .4 copy of the Subcontractor's saft program must be submitted to the Contmoor. N/A This Agreement ent red into as of the day 29 and year first-written above. C P U IOIv/DES[GiV A UATPOT�SA .! c. {Si�itaturel (printed name and tide) (printed narne and title) {) AIA Document A401-2047 modifttied 4. r The Commonwealth of Massachusetts Department oflndustrialAccidents T. X Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE b'ILED WITH THE PERMITTING AUTHORITY. _Applicant Information Please Print Legibly Name(Business/Organization/Individual):___,=o4 rI I d � �� S P14✓t I N C Address: 0�1 rZ 1 VKP City/State/Zip: H L) t\. 6345 1 Phone#: 3 ZZ_ OCC I Areyou an employer?Cheektthee�appropriate box: Type of project(required): 1am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3_Q I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 9. ❑Demolition 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with to employees. 12_E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[]Roo£repairs These sub-contractors have employees and have workers'comp.insurance.: -� � � 14.•L 1 Other 6.Q We are a corporation and its officers have exercised their right of'exemption per MGL c. r s 152,§1(4),and we have nQ employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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. TContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-con6ctors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. , Insurance Company Name: -;_1LF1,11'� x = ! L Policy#or Self-ins.Lic.#: .'TC)C_ry )1.5q(02 -W1 A Expiration Date: Job Site Address: 57-156nc�QOi) ST City/State/Zip: NCS.4'1\).n0\A R, N14 61845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification Ido hereby certify'uy er tliepain dpeenna tees ofperjury that the information provided above is true and correct. Signature: "'E`er? �Q �'' Date: 70 z 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#: J/'f 7/14/2015 3 : 14 : 23 PM 8790 2 02/02 ���� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYYY) 07/14/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 04963-001 CONTACT NAME: MTM Insurance Associates LLC a7c°.NNo.Exc: (978)681-5700 F�X 1320 Osgood Street r EMAIL c.No.: (978)681-5777 North Andover,MA 01845 ADDRESS: INSUR S AFFORDING COVERAGE NAIC i INSURERA: A.I.M.Mutual Insurance Company 33 58 INSURED Aquatime Pool 6 Spas Inc INSURER B: NSU E C• 89 River road Hudson, NH 03051 INSURERD: INSURER E. Ll COVERAGES O7W 7H �q�plN qty RCEORuT�IIFIIMCEA�T�E'NrEURMMBEpRR:Cp p'T�pN pF qN CPN R �7 oR o�}�Ep pRE�VIIISSIIONWN�U�-IMBER: THIS IS TO CICY PERIOD ERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE IBESSSLIE6 OR MAYEPERTAII� THE INSURANCENAFFORDED BYYTHE PTOLAICIES DESGRIBEBDHEREINTIS �UBJEGi T�AIL D ABOVE FOR THE LTHECTERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP INSR WVD (MOLIC YYYY) MM/OD/Y1'YY) LIMBS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S PREMISES Ea occurrence CLAIMS-MADE f7 OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE $ ;EN'L AGGREGATE LIMIT APPLIES PER: OUCY r PRODUCTS-COMP/OP AGG S OC RO- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO Ea acciden t ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Peraccident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSh1A0E AGGREGATE $ DED RETENTION S S WORKER SCOMPEN SAT10 N _ AND EMPLOYERS'LIABILITY X t A ANY PP2PRJali §/P.4RTN9f5/P(ECUTIVE Y/N ORY LIMITS EF (M—d IAA MFIFD PYr'I i o �/ ei in AWC 400 701 50GO 2015A 1/9/201 5 1121201 C E.L.EACH ACCIDENT $ 1,000,000.00 (Ma.,d�eoy i�nrul DEII(( sCW(OfJ OF�1 E.L.Dt6EASE EA.EMPLOYEE C 1,000,000.00 OPERATIONS below E.L.DISEASE-POUCYUMIT 8 1,000,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Worker's Compensation Coverage Applies to Massachusetts Employees Only. r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 2010/05 ©1988-2010 ACORD CORPORATION.All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD 9133 CERTIFICATE OF LIABILITY INSURANCE FD /13/20/201'1 7 5 7/1315 FREPRESENTATIVE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED OR PRODUCER,AND THE CERTIFICATE HOLDER. RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to rms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the icate holder in lieu of such endorsement(s). PRODUCERCONTACTNAME: Lisa London MTM Insurance AssociatesPHON u (g7B)681-5700 FAX (978)681-5777 1320 Osgood Street ADREA/C No ADDRESS:SS:lisal@mtminsure.com INSURERS AFFORDING COVERAGE NAIC 0 North Andover MA 01845 INSURED INSURERANautllus Insurance Company INSURER B:Commerce 34754 Aquatime Pool S Spas Inc INSURER c 89 River Road INSURER D: INSURER E: Hudson NH 03051 INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR LTR TYPE OF INSURANCE WWIPOLICY NUMBERPOLICY EFF MM/DD POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY MM/DD ! EACH OCCURRENCE S 1,000,000 A CLAIMS-MADE 7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 NN557837 4/25/2015 4/25/2016 MED EXP(Any one person) S 5,0001 PERSONAL&ADV INJURY 1$ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 % POLICY PRO- LOC JECT PRODUCTS-COM P/OPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT y 500,0001 Ea accident � B ANY AUTO BODILY INJURY(Per person) S AUTO LL % AUTOSULED BCTPIO? 1/1/2015 1/1/2016 BODILY INJURY(Per accident) $ S HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident S S 7C UMBRELLA LIAROCCUR EACH OCCURRENCE $' 2,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS TBD EXCESS 7/13/2015 7/13/2016 1 y WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ~Y/N STATUTE ER ANY PROPRIETOWPARTNER/EXECUTIVE S OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 7ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) chis certificate of insurance represents coverage currently in effect and may or may not be in compliance with any written contract. :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P MacDonald CPCU, CIC ©1988-2014 ACORD CORPORATION. All rights reserved. -ORD 25(2014/01) The ACORD name and logo are registered marks of ACORD S025/2mnnn i xt leiGILJ Office of of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR - registration: 924884 Type: t I ®;expiration: 9/8/2015 Private Corporation; . Aquatime Pools Peter White 440 MIDDLESEX#102 TYNGSBORO,MA 01879 i Undersecretary Massachusetts -Department of Public Safet, Board of Building Regulations and Standards Construction Super)isor k License: CS-059582 I Is PETER F WHITE 4401 MMESEXRD'#09 � TYNGSBORO Aa 018 Expiration i Commissioner 07/26/2016 NOTE S GENERAL SPECT ICALIONS j II . APPL1 CQ BLE CODES � 5rT: 14-)� JL 6,D ACT 318- 02189 9 8� EDI-FloN ,MA BoiLDIN6 �.l�APPEND! `r � POOILS AND`SPA,S, INC. DEFTH 6" 2000 TRG 2C?_Q6he � 5"�[t�C QTS (�(� 7 MIDDLESEX RD.,TYNGSSORO, MA 01879 • (800)322-0001 VOLUME A ,t. CON c�E�-E-sr-(ALL_ 3 rPt..ac D oN u�D�5�uR8 !A-(, 501 L. OR COMFAC D Gp4V EL.OR Sroj\ e'. ,yAsnc 1ANT EY DECK L F j 3: WW4 L-L` Ff.EIG►HT" 1 1ftr : -. C0NCPl:27 STRENGTH MIN 4.C� VZ uEr-FF NOTES _r. _ IVIG COCTa R I cct-icRETF_ _DewcK1 oR 6!, WATER L v4e i7 LE � CECK�i31�IC7I Qin . 3r41 3� � ,,•� jH OFb;H .► — �� f1© 1" cQNDviT Cott nNL� 00S PAUL A. �� 0� PROOF ' I I I -� CECK aOX �`�O� PHELANJR. yam Tll W1-0i 'DFTti ' STRUCTURAL N i No.42538 ' p NiCH� Got1;�l� 8S1 e t✓oP�Fzk AND moi' Cf A�; �" NAL� + �t 1 �E�~ - "S10 Get, � h+AR6Irk---->JLIGHT N STANIC b,'AL-M�A BAF-S ` _ ISN „ _ ' KORtzo�T,A�' INJ �D --AP-ARS—�-1 Ui�R V�AT€� Ll GHT �T-;c�L� -► r z1 - I _ NAM= up TOgRFAh AREA I i Q � -:=li. :-:E'er: ADG?EJJ_ ��7 S I t q SHALLOW E)Ij D 2Y Rte VALVE`€' 7VB E - I FLOOR ►t_�:- � _= 21� -mFvmp(�F) �° � :`�fIFL1J+ SeCT ION OF POOL WALL NIN .j RA 11 U6HT PIT ,'0N op THE ENGINEER'S STAMP ON THIS DRAWING O.ALIFIES THE ALL /�4)N DRQi��; 5u BM C D �UC�I�N POOL �' �'N S t�vGT� rf y STRUCTURAL DESIGN ONLY AND ASSUMES THAT THE POOL MAP EC1OK EC: SEC: AAUP,-1FANC E Nr-jH ��tom,._{ �� *ON BEARING SOIL IS UNDISTURBED, NON-ORGANIC AND NON - 5HA 4- 5� 1)L1.L�L- EQUAL(ZED AND I NSAL-� EXPANSIVE WITH A MINIMUM BEARING ALLOWANCE t?��/1/1 EOF 3000 p�_ F� VilCvi iv!,i$ 7 f�rH- -MA5-` Q-I RGS(D���L PSF AND THAT ALL CONSTRUCTION WILL BE PERFORMED BY JA �A•K�� �c�Lp4N D SPA � _ COPE {:Ci?ON E AND T,� I ) CRAFTSMAN IN CONFORMANCE WITH THE 8TH EDITION OF �,E�" -�'rCi �'r' A5�'�E/,4NSl_ �1.1ZP�. \ '/�, ' '�Va �`"t _`��; THE MASS. BLDG.CODE.ALTHOUGH ON-SITE VERIFICATION J j���` _ D����- A Vols. I NCIJJD �*?64.01 X G OF CONST. IS NOT IN THE SCOPE OF THIS PROJECT AT THIS �,? �c�/BARFeRS Q L� cOMPL/lr�rllT TIME, IT IS RECOMMENDED.LIABILITY IS SIGNIFICANTLY t t ` ` � vii PCL�L I'LCl• Y DIMINISHED IF PHELAN ENGINEERING IS NOT EMPLOYED TO N 1��►� SDI? ``C7S �1O 5 zcLupl `& &,ATE5 3Z(i 1'N��`NAT(ONA-L �S) , L ENSURE PROPER CONSTRUCTION. !YZASSr Ci�-�C M-�( SCALE 'ITFS DIG SAFE # PSI t.GENERAL SPECIFICATIONS Y1 17 Mimi.. 4 su- a E:.E G E X , DEPTH �1� a�VB � ' �Fa� FT, 10?jD $ e:-: i ;�"xa -. SPA WON PERIMETER �. I ��t �� y �:Lyl LUME GALLONS MACHINE TRACTOR❑ BACKHOE❑ STUMPS # LOADS# FILL sir AWAYD.O.P.❑ POOLS AND SPAS, INC. �v/ k� ��a ' y� GRADING YES❑ N(y� HRS fr,60X kb�LLf�-0 - ��� NO GRADING RAISED BEAM ft.6" ft.12" ft.18" f°� 16YO JR4 OR LIGHT# 110v❑ 12V❑ ON 61, 6UN E 04 L-L- BACKFILL MATERIAL SKIMMER# ( 11/2-❑ 2.. UNLESS SPECIFIED RETURNS# 12 ❑ NOTES 2"POOL CLEANER � STUB ONLY❑ :._ VE �►Q 11 FILTER RAIN DR ��1 O VALVE 7777-= ri PUMP E . LST SIZE I lL� D�N1 �t�ifV SEPARATION TANK YES❑ NO r, HEATER BTU NA PRO❑ OIL❑ IN>< OUT❑ - _ TOP FINISH Ccpi '5DE-5 AT.STONE#ft. --BRICK#ft. � :- - ,�- �-_ � � •.,-� � _ ._ INTERIOR FINISH W}{Il"E rlV Ff" (Y A��j ��p� �� TILE r1 IT � 1 T t I LA11`4 -109A1 �:i+ BOARD: SIZE _ JN � COLOR � " 41 '; £ LADDER NQ SWIMOUT rg n? SIV �i� HAND RAIL (Z41 us°I SLIDE COLOR f— �- ,- , ..t $ �- CHEMICAL FEEDER a r It TIME CLOCK s^ - - �� C y-_ ' ROPE RINGS W/ROPE&FLOATS BACKWASH J, :i e HYDRO THERAPY SPA SIZE L`�'><�r JETS JZ I' �- DATE SOLD JOB# MAIN DRAINS SKIMMER YES�(NO❑ LL 4b�F. a j DESIGNER v`,� LIGHT No 110v 012v0 CD` 1Z OWNER: AIR BLOWER '` YES NO❑ BOOSTER PUMP�CI�_7YES,�10❑ To approve design,location of pool and equipmenp and goal P \ Q{ elevation onexcavauonday. DECK BY Pool area to be fenced and alarmed per city at lown ordinance. - _ AlelecWcal.grounding.healerventingand fuel conneWonsbr ELEC. BY w L ... .- .. yt FENCE BY I�s•� I nuWas work byowne` WATER FOR GUN E "' "" 4m I Wet down concrete shell at least twice dell for 7 days. j � p FILL WATER Oo nal tum an pool light when pool Is empty. - - - v SETBACKS: not use rubber hose when filling pool as it wfi mark plaster. t ! 3apetyn.awnexresponsibility. FRONT: NA SIDE: REAR: BLDGS.: DIRECTIONS NAME f ''� 03 ADDRESS ✓`7� g 3 -E s� si I F CITY VC�STATE. ZIP d 1 I Esu;sTuNIG -^e`tC4 -7/17/20 © P/`Hi7ONNE� lV�u� �C71 [`„ 6.3C—J340 :3 BUSS ZAP R-em fir P/ !1 - or ;. Y. .+ /�b�+`i�% w�•, e DIG SAFE # 0,1C),GENERAL SPECIFICATIONS SIZE X i DEPTH ��� VWM . c SO. FT. 1.Q; -0PERIMETER 'p / VOLUME GALLONS AIM 0 V6 f+�1 j � ��/� /�A /� MACHINE TRACTOR❑ BACKHOE❑ ii i v �v `tmJ '"F 11�� STUMPS# �� LOADS# DA6Wy am+- C � -t�lV•' V1��L-G1/�f '�T�� FILL_�r AWAY ,� D.O.P.❑ POOLS AND SPAS, INC. GRADING YES❑ N¢K_ HRS r, NO GRADING RAISED BEAM ft.6" ft.12" ft.18" Ai OR LIGHT# No 110v❑ 12V❑ BACKFILL MATERIAL SKIMMER# ( 1112^❑ 2" - WAMI - UNLESS SPECIFIED RETURNS# 11r 2"❑ NOTES POOL CLEANER NO STUB ONLY❑ MAIN DRAIN w/HYDRO VALVE 3 N�1�1 FILTER 1 SIZE 7- 7 PUMP EE . -1 SIZE SEPARATION TANK YES❑ NO HEATER BTU NA • PRO❑ OIL❑ IN>< OUT❑ p _ TOP FINISH COPT ,5 AT.STONE#ft. BRICK#ft. xINTERIOR FINISH Wl4ITE �Ll I TILE e �� BOARD: SIZE N/A COLOR614 �r LADDER No SWIMOUT �` �PrF.-TY C 2� IN1G HAND RAIL Z � r-- 6V �' lv4i :i - ; SLIDE NO COLOR N DRAIN AT CHEMICAL FEEDER 1 - ATE I j TIME CLOCK (ra t-- �� �� --� _ ROPE RINGS w/ROPE &FLOATS ase- SILL I..II�E _ l fiM BACKWASH E 1 m 1 r ' HYDRO THERAPY SPA SIZE lt JETS (Z - DATE SOLD JOB# MAIN DRAINS SKIMMER YESPQNO❑ DESIGNER LIGHT 110v ❑12v❑ OWNER: AIR BLOWER '` YES XNO❑ To approve design,IomUon of pool and equipment,and pod Z,, I.: ` :� -. _ :._ - _ .•. - __. _ ___ ef—donaneanvallonday. BOOSTER DECK BY }' PUMP�.I YES O❑ f3TH Els �. Pool area to he fenced and alarmed per city or lawn ardmante, ELEC. BY C ^ NI electrical,grounding,heater venting and fuel connections by owner. • FENCE BY At Vee work by owner• WATER FOR GUN E j Wet dawn concrete shell at least twke dafly for 7 days. Do not tum on pool light when pool Is empy. FILL WATER �J Do not use rubber hose when hIDng pool as it m1l mark plaster. SETBACKS: Property line owner's responsibility. FRONT: SIDE: REAR: BLDGS.: DIRECTIONS NAMEL( ADDRESS ITT CITY' ►`�'�4C TATE•` f&ZIP��'ti� v � PHONE l V ` 0167- 6- - 17 '00 1-5 : Bus. �I ,'via a461bAA 02146 V:- 617 &3 t)-GENERAL SPE (CATIONS .. =DIGSAF] # slzE I X 16' DEPTH �j�r' MAIN DRAIN WITH SO. Fr. �� PERIMETER ' ANTI-VORTEX COVER- VOLUME GALLONS VG R CCOMPLjANT ' MACHINE TRACTOR❑ BACKHOE❑ POOL FLOOR STUMPS# LOADS# Q+ �. FILLS AWAY D.O.P.❑ f OLS:-AND-S .PA'S, INC GRADING YES❑ Nr HRS D ,._' : .�_. _; : . 89 RIVER ROAD, HVDSOfV; NH 03051. 1-800-32Z-4001. RAISED BEAM tt.s" tt.12" ft.18" 'Q.'...:.: :a. .:.. ;.__�_x; _ NO GRADING LIGHT# 110v❑ 12V O . . . . . . GRAD .a` . . a-:. .•. ._. b. BACKFILL MATERIAL SKIMMER# 1vz^❑OR 2" •�;d r';• �,/��J n 1 /"i �i � �� / UNLESS SPECIFIED RETURNS# 1in• 2"❑ Q . : Phi V t`, ` [uvv LT\ E _ P. . . . . . . ... . - a_�. . . . . e; NOTES POOL CLEANER NO STUB ONLY❑ Ii 6;VIA / �. MAIN DRAIN w/HYDRO VALVE 3 `.� III �a T]Tff7� SLICTlON LINE . a a ° e t . . 7_ + ['�l FILTER 1 SIZE PUMP 1 SIZE 1 D 10IaAL /Oil = �P ° 5 I EARTH j�LE¢ lleM1� LA� � s .• ,.r_ _T EPARA YES - EATERY BTU❑ n rt ION TANK NO HYDROS T,�T{C J� /O 5_!t iN�; `� � ► . H i RELIEF ' - j T _ NA PR OIL❑ IN OUT❑ . _ VALVE TOP FINISH C.�Pjr� J�I f I AT.STONE#ft. 'BRICK#ft.-- 9d,,t Ptj .PCS t- INTERIOR FINISH \M4 ITE y. , ' • 18 X 18" X:24",GRAVEL SUMP L 4i� ,� IU�aVil.��1.�t�� � �- ����� V65 ``4�2� TILE _T5_0 I �. I9�I� BOARD: SIZE N .A COLOR ✓' _WITH 314-__STONE LADDER No SWIMOUT QQ A FTY C�QI•��D�1(L;G HAND RAIL 2I r SLIDE ORSPA ! i r i f g� CHEMICAL FEEDER CE �1 E i L✓ TIME CLOCK &FLOATS ROPf x ; KWA HS w/ /`i3 ��� ROP CONCRETE DECK AI3.l{JST1•��3LE WEIR /� /� \�J /'�y /�I� F�A�2-�T��1��1 BAc _. " AX TbAL �"V G-4 '� 1.....v.l HYDRO THERAPY SPA r -/S,' JETS (2 M t 2 - - WATER LEVEL- �, DATE SOLD JOB# MAN DRAINS SKIMMER YES NO❑ ...-.-: 2_46 G j �_ .: l��bj-��" �V DESIGNER LIGHT IVCD 710v ❑12v❑ u _ _ -�` SLOWER t _ _ AIR YES XNO El OWNER: ' '.- -�: To approve dmign,location of pool and equipment,and pool _ . E �t C ;.... SI� vo p U �?�v �L� Si�'��\`►� lemaanoneaca, uon y BOOSTER PUMP'�IfjYES,�NO❑ BA T r. ,�. �--•ir .�... ., _� ��J . e da. DECK BY CJI(li'i�� I . .-.}.9.`•_ .. a- - - .. - - _ , Pool area to be fenced and alarmed per city or town ordnance. I If - _ - •e:•II.S�,.4.'-�- _ - - _ _ _ All electrical,grounding,healer venting and fuel wnnedlons by C �+ p b- C.. t V -VL.��M.. _ _ owner. CLNtrc UY {1�1D a ,a — TILE . _ ' R r All bee work by ownec• - _:,: .._ .:..: .. _' r. "'-... _ :: .Q•'.'1'_r . •... . ::._.:o•.D- - �r• Wel down concrete shall at leutlwke dally for days. /. E. FOR WATE UN E � `p'• N FILL Ci .a -t Do not tum an pool light when pool Is empty, j •` ��. b b - a•- 2 EQUALIZER SETBACKS: Do not use rubber hose when fl I as it will m P ter •�- p -•a 0 lin �aa ark las _ - .. p rry a owner's r p ib ty Pro a Ik ea arts lu FRONT: - - LINES: SIDE: REAR: BLDGS :.SUCTION LIFE LL t _ DIRECTIONS NAME (TO FILTER) Q:' _ ' •' S7C •:r � ESS CIIT�(� " RTATENA ZIP I >. .d f20 ONE�rfrt lV lea( � ��«� I � PH EARTH Bus. �i�^ ' / � 1 hCH�`T�E� / _