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HomeMy WebLinkAboutBuilding Permit #145-2011 - 60 OLD FARM ROAD 8/20/2010 L NORTy BUILDING PERMIT of �L�o �6 6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �J ��� Date Received v 1 q�R•1TeD�Ppy.( gSSACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �1fQ-afI Fnnt PROFERyTY 011VNER 'PARCEL o Z®NING 151STRICT Histone Dlstncf yes _ lM_ hFne Sh. Villa eF es n �. 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 Septic V1lelh- ' Floodplain 17Vetlarids UVafer hedxDistnct V!�atet,SEwer - - _ DESCRIPTION OF WORK TO BE PREFORMED: (-oasfruchon C3� Cin i c�rnund an Identification Please Type or Print Clearly) OWNER: Name: K( , skin and lAicLj ad Lb ne Phone: q-Jb-UZ6- q Address: Jpp OldFayMRd. , fth 010+5 CON TIRACTOR Name: _ i`I �L f�m1'��r Phono: S Address: ,. � Y In Supervisors Construction License:: 10.3U._' Exp: ,Date 7 �. 1! 4 Home ImprovomentLicense: I Exp. bate.: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PE�R-'MIT:M00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ I�. G FEE: Check No.: �f 6 Receipt No.: 7 , NOTE: Persons contracting with unregistered contractors do not have a t fy U Signature:ofAgent/Qwne� Signatiare of co_ritrac or_ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I 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 Aub` i_ %/�,z- C11,lrfe%.Sle DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS &&.z— CONSERVATION Reviewed onY110' 10 Si nature COMMEN k ��2 �_ ,gyp (.J) HEALTH' Reviewed on Signature COMMENTS or►_ <�e yrs/ __ `n Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit 1 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENTTemp•Dumpster on site yes Located ak 124,Mlin,Street - -' - Fic Departri�e:nt�sgnature/dater W - - - - - - 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) I I i ❑ Notified for pickup - Date E r 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of K.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) i ❑ Building Permit Application. ❑ Certified Proposed Plot Plan ❑ Photo of H.I.G..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 I ❑ 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 i Doc:Building Permit Revised 2008 Location No. Gl —. Oto Date NORT1y TOWN OF NORTH ANDOVER F? •. • OR D ` ( Certificate of Occupancy $ cNusEBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23) S V Building Inspector F ORTH TO" of Andover o " dover, Mass. 0 = LAK 1 COCHICHEMCK ADRATED CPa,`iC� `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT / /� BUILDING INSPECTOR �L . ...© ... ....U �... .4.C.✓ ....... . .............. ...................... Foundation r has permission to erect........................................ buildings on . ........ / ...... ��...' !...��[ ......................... Rough �� 1 � Chimney to be occupied as.............................._................�...................... ... ....�Q .............................................................................. provided that the person accepting this perrffd shall in every respect conform 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 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ...................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to 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. SEE REVERSE SIDE Smoke Det. A' North Andover MIMAP 60 Old Farm Road August 10,2010 2 y 3_. • dei`� f-(N163 , Id�Farr - . - -- 7 Interstates Interstate —Major Roads Horizontal Datum:MA Stateplans Coordlnate System,Datum NAD83, Roads Meters Data Souroes:The data for this map was produced by Merrimack NORTIy Valley Planning Commission(MVPC)using data provided by the Town of Ce Easements Ct 4•`•o ,•,�O North Andover.Additional data provided by the Executive Office of C3 MVPC Boundary ? �� •s O Environmental Aflairs/Ma.GIS.The information depicted on this map is Parcels 3' L for planning purposes only.It may not be adequate for legal boundary F is p MAKES NO Interpretation,THE TOWN LI D,CON ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING x THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY i s .^, ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ♦o�w .. �• • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION 1"=103ft ~� North Andover MIMAP 60 Old Farm Road August 10,2010 03 -0012 / 035.0.0102 035.0.010.5 035.0-0106 035.0-0104 035.0-0107 035.0-0064 035.0.0056 035.0-0063 035.0-0065 165' 284' ()Id,lFarm Road- 153' 143' 151, 1 159' 46' 031.0-0067 035-0-0066 035.0-0068 035.0-0070 035.0.0069 '17! 4?. dU.. ...... )35.0-0071 Rail Une Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstate Major Roads Meters Data Sources:The date for this map was produced by Merrimack ,AORT#q Valley Planning Commission(MVPC)using data provided by the To—of Roads Gtgo North Andover.Additional data providad by the Executive Office of C%Easements • Environmental Affalm/MassGIS.The Information depicted on this map Is for planning purposes only.It may not be adequate for legal boundary — Trails definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER 0 MVPC Boundary MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 0 Municipal Boundary 41 Ai THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 0 Parcels ♦ 0 • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrogrephic Features THIS INFORMATION Streams CH Wetlands Exempt Lands 103 ft 70 South Broadway rl 45 Route 125 Lawrence,NIA 01843 rAKingston,NH 03848 Tel: 978-688-8307 J1 Tei:603-642-9909 Fax: 978-688-1949 S,NCE 1978»78 Fax: 603-642-9906 providing a full line of services and supplies fully licensed and insured www.familypoolsonline.com Name + �� Date 7127110 Address 'UQ -)Ld' City p State zip 01(54' 778685--7-977 Home Phone (7g685'-7g?9 Work Phone Cell 1 �B�5 Add'I# Cross Street/Directions Estimated Start Date Estimated Completion Date We propose to furnish and install onvinyl;gunite 20 1 c)If Jud swimming pool for the sum of$ P9, 8a0 THIS PRICE INCLUDES: •Normal Excavation up to 8 hours on day of dig •Manual vacuum cleaner kit •Waterline Tile(16L •Backfill and Sub-Grade up to 3 hours •3-Step stainless ladder •Liner Choice �./►kA•/ �C/►iC •Underwater White Lightl2t7"P6It •Rope and floats •Test Kit •Steel Reinforcing per Engineered Plans for gunite •Initial balancing chemicals •Surface skimmer(s) •Steel Structure per Engineered Plans for vinyl •8 to 12 Wk supply of maintenance chemicals •Dual Main Dygiry,'C/� �n •Over-Flo Line for added protection (supply depends on pool size) •Coping__ K VS 1GN •Pressure testing of plumbing during construction •Leaf net •Steps 49 •Ten Year Plumbing Guarantee(see specifications) •Wall brush •Handrails 5 •Transferable Lifetime Structural Warranty •Extension pole •Filter STH_.___ (plumbed no more tha�,2p,from pool) •Pump&motor, ff►► THIS PRICE DOES NOT INCLUDE: ` •Any plumbing over 25ft from pool.Additional runs are not recommended but would beat a cst of$___ J per foot per line. •Machine time in excess of that specified a&e[�ditional machine time to be billed at$_16S including machine,operator,and laborer,due with second pool payment. •All hours of trucking will be charged at$—s)per hour per truck due with second pool payment. •Any dumping costs incurred for disposal of ledge,large rocks,garbage,stumps buried or otherwise,building materials,unsuitable or nonstructural soils,or any unforeseen material that must be removed. •Removal of ledge or large rocks by way of a Starr bit,chipper,or blasting. •Additional fill,if necessary,for proper backfill or reshaping of hole,supply or spreading of loam,reseeding of grass. •Patio,fence,retaining wall,or any accessory items other than noted on contract. •Electrical wiring,fuel connections,heater venting,fuel storage tanks or permits. •Repair or replacement of sprinkler systems or any buried items such as well lines,drywells,leach fields,electrical lines,cables,etc.that are damaged during constructi�'�"} •Co due to water or soil conditions(ex.clay,peat,live sand,excessive rock,etc.)requiring a stone pack of the hole.The stone pack will be at an extra charge of$ 7 minimum to $-MO maximum and at the discretion of the job supervisor.Additional machine time and/or materials necessary to rectify such a condition will beat a cost over and above the stone pack and will be quoted by the job supervisor. •Water to fill pool. Initials CUSTOMERS MUST SUPPLY: •Access for all trucks and equipment •Building and Electrical Permits or assume the costs necessary to obtain such permits. •Water and electric necessary for construction of pool •Customer must water cure Gunits shell for 7 to 10 days if applicable. •Water to fill pool immediately upon interior finish NOTES: OPTIONS: 44tAL�/�,�„� J} p Ca TOTALS: Diving Board (U �'(y .f' ) •14' �7�7 l�� ��'y� Solar Cover ( ) ---" Basic Pool Price $ Additional Pool Lighting j.El)( A EAX VS ) IN& V � Options $ Heater ( ) Environpool Plus,8 hd+2 surface (N/ 38d} �d SUBTOTAL $ Additional Floor Heads ( Q,,�� 5%Sales Tax $ Polaris Vac-Sweep ,a6j br/•^'o'�"�"-` ) Polaris retrofit only ( r ) TOTAL $ Swimout/Bench ( ) Interior Finish { ) +_ Less 10%Deposit $ Spa { ) Balance of Contract $ Automated Control System, Salt Chlorine Generator 0.0 Other ( ) PAYMENTS: 113 EXCAVATION 113 BACKFILL+EXTRAS 113 SYSTEM START-UP The buyer hereby agrees to pay, in full,the total amount of this transaction upon start-up of the installed pool.Your salesman or job supervisor will meet with you prior to excavation at which time all decisions including pool size, shape,elevation, liner print, and all options must be final.Changes after this date will be subject to extra charges,where applicable, and will result in unavoidable delays.You,the Buyer, may cancel this transaction at any time poor to midnight of the third business day after the date of this transaction.Credit card payments not accepted on contract amount. , BUYER date SELLERC�"\ date CO-BUYER date I CAME 'LOT 6 ,I AREA = 44,342 5q.Ft. r ' EXISTING '�' •� / / BUILDING #BG �� 'L ORK AY ORNEWAY "•,'--....35.00' it .. S8 f•��0"&•.„,.,,.,,.� `� •"..,,,,rte,. L ' 1 . CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER.MASS. 72 �' ����/STEt�'�� SCALE':7"=50 DATE:B/5/2010 � CAgD ScoltL. Giles R,P.L.S. 3-s ` Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. Massachusetts- Department of Public Safety Board of Building Rc4ulations and Standards Construction Supervisor License License: CS 10330 -- - -:;- Restricted to: 00 - WILLIAM C POULOS 70 S BROADWAY LAWRENCE, MA 01843 e;N Expiration: 7119/2011 ( mmi..i,nrr Tr#• 1306 i SINBoard of Building Regulations and Standards = i License or registration valid for individul use only = HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: Registration: 118204 ! Board of Building Regulations and Standards Expiration!:Z13/2011 i One Ashburton Place Rm 1301 Type:.Supplement Card �i Boston,Ma.02108 FAMILY POOLS&.PATIOS INC GLEN WIGGIN I 1 70 S.BROADWAY LAWRENCE,MA 01843 Administrator Not valid without signatur ff�6-� ! ; r I i i :m:Eileen P.Hart,AAI-Hub International New Engl TO:COI&req: Lane(19786881949) 10:46 08/03/1OGMT-04 Pg O"7 Client#: 53642 FAMILYPOOLI DATE ACORD- CERTIFICATE OF LIABILITY INSURANCE 8/03/20101rrrr> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB International New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardvale St HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington,MA 01887 978 657-5100 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Nautilus Ins Co Family Pools&Patios Inc, INSURERS: Technology Insurance Co 70 S.Broadway INSURERC: Safety Insurance Co INSURER D: Lawrence,MA 01843 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. LTR CY NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DIN5KUU POLICY Dn IYYY DATE MM1DD YISY LIMITS A GENERAL LIABILITY NC939713 09119/2009 0911912010 EACH OCCURRENCE $1,000.000 X COMMERCIAL GENERAL LIABILITY DAMAGES I RENTED $100,000 CLAIMS MADE Fx1 OCCUR MED EXP(Any one person) $5,000 X BI/PD Ded:$2500 PERSONAL 3 ADV INJURY $110001000 X XCU Inc[ GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s2000000 POLICY PRO- LOC C AUTOMOBILE LIABILITY 3947232 12/31/2009 12/3112010 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Per person) $ X HIREDAUTOS BODILY INJURY ( X NON-0WNED AUTOS Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s OCCUR FICLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND TWC3229154 12131/2009 12/3112010 X WC STATU- ER EMPLOYERS'LIABILITY ANY PROPRIEIOR/PARTNERIEXECUTIVE�Blnkt Subro Waiver Included E.L.EACH ACCIDENT $100,000 (Mandatory En NH)EXCLUDED? N E.L.DISEASE-EA EMPLOYE $100,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE.POLICY LIMIT 1$500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Lane,Michael&Kristin DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1n DAYS WRITTEN 60 Old Farm Rd NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover, MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED UUfTTHH O,RRIIZ`- E-DREOP REPRESENTATIVE ACORD 25(2009101)1 of 2 #S4156381M341043 0 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EH002