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Home My WebLink AboutBuilding Permit #371-11 - 65 SAVILLE STREET 11/2/2010 II BUILDING PERMIT at"��r y.. TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION _ a Permit NO: ✓�l' Date Received 11 3 / U �s4"°RwrEv �SS—CHIJs�� Date Issued IMPORTANT: Applicant must complete all items on this page LOCATION . - . Pnnt PROPERTY OWNER'_ Q�, G7S ' P.nnt MAP NO �_PARCEL C ZONING DISTRICT: _. AistorickD(stnct yes do Machine,8hoP g Villa a es n _ .. 'Y _ 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 a Well ❑-Floodplain' Wetlands 0 Mtersfied((Pistrict DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Rcaf-e-r 26SS Phone: 603- Z31 - L4y1_7 Address: 65 VI'/le- Sf CONTRACTORName: O U5 ao �� Phone: __ - 27312 3.30 - - Add ress; . 714 Cao 2._ ST' _ jr-,?Lj r-fi a zk-% - 111 Supervisor's`Construction`License. . _ m Exp: Date Horne lmprovement:Licerise: /(off. 7.2- Exp. Date:_ 3-7 22.- /Z_ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ � , 99¢. 0Q FEE: $ � Check No.: `v Receipt No.: 3(`P� NOTE: Persons ontracting with unre i ed contractors do not have access to the guaranty fund Sgnafure of Agent/Qwne . Signature Of;contractor -�►. ; Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ �d / COMMENTS CONSERVATION Reviewed on !v Si nature a� cc �� – a.o Z�s � COMMENTS 14 Db —�—D HEALTH Reviewed on Signature COMMENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIREbEPARTMENT Temp Dumpsteron site yes- , Located at 124 Main Stteet Fii°e+Department signatureldate (`nMNIFNT. s 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.$10041000 fine NOTES and DATA— For department use t r - p i ❑ Notified for pickup - Date I Doc.Building Permit Revised 2008 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 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 MOTE: 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 2.2008 Location �J J� U/�/� S No. Date Z MORTh TOWN OF NORTH ANDOVER 0 p Certificate of Occupancy $ MUS<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #( v 2 3 6 `r 3 Building Inspector NORTIy Town of . Andover y Q — - LAKE dower, Mass., coc MIC ME WICK y�. 0RArr: fl? BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.............. v... ......... ............................ .... ............................................................................ Foundation has permission to erect........................................ buildings on ..........16. ..................q. 1 I...... ........ Rough to be occupied as �I.!! „a.�r chimney provided that the person accepting iffis permit shall in every aspect 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 300 ' PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRVService S TS Rough BUILDING INSP TOR 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. F 14ORTH TOWN OF NORTH ANDOVER �N 32� �6''b'°°t OFFICE OF b _ ' BUILDING DEPARTMENT 4( 1600 Osgood Street Building 20, Suite 2-36 �qs 1 North Andover,Massachusetts 01845 SgcHuse Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE:_ JOB LOCATION: 6s— - ,..;lIe _S ' Number Street Address Map/Lot HOMEOWNER (,)3% � 3� tib Name Home Phone Work Phone PRESENT MAILING ADDRESS 6 Ili. kid at!' M�, }� r— City Town crarw 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 (Code Section 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 that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE-'� APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA. 02111 qu www.mass:govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectricians/Pluxnbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �•.� Address: City/State/Zip: ``Phone 2E -,,;�-1 ' Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its equired.] officers have exercised their 10.[_1 Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.[]Plumbing repairs or additions myself. [No workers'comp. c.152,§1(4),and we have no 12.❑Roofrepairs insurance required.] employees.[No workers' q ] 13. Other comp.insurance required.] l I *Any applicant that checks box#1 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certify under'thepains andpenalties ofperjury that the information provided above is true and correct. Signature �' J �- C Date: I I Ir) 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.PIumbing Inspector 6.Other C ontact Person: Phone#: vVL IL IVV%! V,.IfJ r%WIQIIIVUIvuIGI0 /V1-1-10-LL/ l P./- Store: 1 Work Order #15, Ordered: 7!29/2( Associate. S Page HAr 41Q po Ail- ■ • ' o m d ABRAW BROS POOL & SPA 374 A CAMBRIDGE ST BURLINGTON ,MA 01803 MON-FRIDAY 10-6 SAT 10-4 SUN 11-4 Bill To: STORE 781-273-2338 SERVICE 781-273-2330 ROB ROSS 55 SAVILLE ST NORTH ANDOVER, MA 01845 0603-231-4417 ISTRUCTIONS: INGROUND POOL INSTALLATION 3 X 36 MOUNTAIN LAKE rder Status: Closed je Date: m Name Attribute Size 3ROUND POOL Sold Due Price Ext Price Tax 1 0 1;24,999.00 $24,999.00 N Total Qty Ordered: 1 0 1 rcent Unfilled: 100 Subtotal:$24,999.0( Local Sales Tax 0 % Tax: +$0.0C TOTAL:$24,999.00 Deposit Balance: $0.00 Balance Due:$24,999.00 Thank you for your patronage! i 125' lob , PROPOSED POOL 35'--10 3/4" x 21'-4" 61' 41' O O N � N #f65 Saville St. LOTA 25,000 S.F. ` 125 SAVILLE STREET PROPOSED POOL t1OFAj4'q ? ICHAEL O J. G CLIENT.- ROBERT& KAREN ROSS SERGI m No.331 � LOCATION:NORTH 101 �q of SSI- DATE. 10/8!10 SCALE: I"=40' SURVO PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRIS TIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX. 978-372-3960 D WG.NO.:10066.001.002 Ul.l-loft-do'1(0 110: 7 rrom:CHYblHlt I-UULS bl(WJ(bW( 10: (bl cffJ cfdf f 1'.C'Cf 10/08/2010 PRI 10:08 PAX 5703851318 --•-- gery@baycam X005/005 35'-10 3/4" g, 6' 6 2'-11" R7' 4, 6, V-5 7/8" 6' R11' l RB' 18' wcv 6' CUSTOM R7' 11'/4'-6" RADIUS 6' R4'-6" STEEL STEP/BENCH 3'-11 7/8' 5' 4' 1'-5' R7' I I I. i NOTE: THIS IS A NON OMNG POOL AREA o 544.9 SO. FT. -NOTE- PERIMETER o 94'-4 1/4" D1W1 SYSTEMS 6 NOT RESPONSWE FOR THE INTERIOR DIC SPECFICATIONS ILLUSTRATED ONY CARDINAL SYSTEMS THIS DRAWING. THEY SHOULD BE VEMED BY THE LINER MANUFACTURER TO BE SURE THEY MEET US S R!01 (3M 306-{7A7 N.S.P.I AND AXS.I STANDAR05 rrARNfdG — OO NOT IN TNF SNAtLDW[]JD. IF DMNO BOARDS drKWUML MCK M (9700 315-1316 FAX OR Sl1DES ARE TO E USED WRH THESE POOLS PLEASE CONSULT TME MANUFACTURE'S INSIRU(M"asl O }O 1R1° 18 x 36' AND TME NATrONAL SPA AND POOL INSTRUTE'S MINIMUM STANDARDS PRIDR TO NSTAWNG DIVING mmovAALBOMPS OSP SUANDA POOL INSWE. 21111EEISUMMER A1DN ADDUNU(K VAA u3 4 (103)ON nM PWLS. 1 8 = NTAIN P N JASON nLE ewn BAYCAM175 '-r The Commonwealth of Massachusetts 6 Department of Industrial Accidents Office of Investigations t Utu 600 Washington Street Boston, MA 02111 - www massgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly Name (Business/Organization/Individual): h4qZ173 gen , LO-O./ j4,'-�7j Address: -7y Cq1,1&e)Q i City/State/Zip: ,( 7 L: ,4 Zc-f / -of R)3 Phone#: �r / 273 Z330 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.x El Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers'comp.insurance 5. We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.EJ Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t .employees. [No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks boz#1 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. I -� Insurance Company Name: j/ c5co J.r75 s co Policy 9 or Self-ins. Lic. 3o 12 3 9z, Expiration Date: Job Site Address: d5- 59 `o P l • �i4 Ojia42 !!jam' 6 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. 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 pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 7F/ 2 7 3 -- Z 3 3,0 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#: SEP-10-2010 FP,1 07:51 AM P. UUZ 09/09/2010 THU 16: 10 F2X rdlo01/001 35'-10 3:'4" 1/4' i. 6' • 16 R7' 4.� J o; 1� { 1' S 7/S 6' r, u: i! ( R 1 1' I � � /f N Ul N I �P. 6' R5' 1.4 L11 CUSTOM a R7 V/4 11'/4'-6" RADIUS 8' • R4'-fr" \ STEEL STEP 3'-11 7/8" HACH 1475 5' 4,-9„ ! , R7 i j 35'-10 3/8" VIEW ACROSS HOPPER CENTERLINE 3'-4" •5 i i AREA = 544.9 SO. Fr. i PERIMETER = 94'-4 1/;- -NOTE- CARDINAL /;"-NOTE- CARDINAL SYSTEMS BS NOT RESPONSIBLE FOR THE INTERIOR 010 SPECIRCAMONS k.11USMTED ON CARDINAL SYSTEMS THIS DRAWING. THEY SHOULD BE VWFIEO BY THE LINER MA NLIFACTLIRER TO BE IIURE THEY MEET tae S AT In (570)3p5-47JJ N.S.PJ AND A.N5.1 STANDARDS. WAR INS — DO NOT DIVE IN IPS DIVING BOARDS SCHU LpLL IWO,PA 070)W-UIO FAX, OR SLIDES ARE TO 8E USED WRM'THESE.POOLS PLEASE CONSU �R�"S INSTRUCTIONS ANO THE NATIONAL SPA ANO POOL iNSTITLITE'S MINIMUM STANDARDS PRIOR TO 13TALLIN6 01YING °A 9/9/10 "' 18' x 38 NA�SALO PA�ANO POOL IDES ON THM NNSTIITUTPOOLS.1.f1�OraHOOWER AVENUE, ACNON��A v 12M23�i��(703) $ 3 Mum%WRITE* MOM I ED nIx„M"OUNTAIN POND 6 SED BAYCAMI t Lie -�am��u»ievea�i a�✓�aoac`utaella jOffiee of Consumer Affairs& nes .Busis Regu]ahQn 'HOME IMPROYEM f CONTRACTOR Registration ��6572$ ; Tr# 294871'' ExpiratfPA / 012 TYp ABF2XMBO Bko,;, SrP IAL`I S STEPHEN ABRA" T ' 874 CAMBRIDGE BURLiNCtON,,MA 01803; "p Under.5ecreYar}'_ '� ' VtORT11 A. r Q�1t l!C I61 - S�� bt'��- a Omop L 41 044rEV P,'r Oq4 COCMKMI WICM`y7 ��SSgcHus��y CONSERVATION DEPARTMENT Community Development Division October 28, 2010 Robert Ross 65 Saville Street North Andover, MA 01845 RE: VIOLATION of the Massachusetts Wetland Protection Act (M.G.L. C.131 § 40) and the North Andover Wetland Protection Bylaw (C. 178 of the Code of North Andover) at 65 Saville Street Dear Mr. Ross, During a site inspection to review the wetland resource area related to the building permit submitted for an in ground pool at the above referenced property, I observed unauthorized dumping of brush and yard waste within the 25' No-Disturbance Zone to jurisdictional wetland resource area. Yard waste observed included leaf mulch, grass clippings and brush debris. According to C. 178.2 of the Bylaw, "No person shall engage in the following activities: removal, filling, dredging, discharging into, building upon, or otherwise altering or degrading the wetland resource areas..." including any 100-foot buffer zone. Work within 100-feet of a wetland resource area requires a filing with the North Andover Conservation Commission ACC under both the Massachusetts Wetland Protection Act and the North Andover Wetland Protection Bylaw (more information is available at the Town of North Andover website under the Conservation Department link). As such, The North Andover Conservation Department is hereby issuing this Violation Notice requiring that you cease the aforementioned activities within the jurisdictional resource area and remove all stockpiled materials by November 30, 2010 and relocate them to an area outside the 100-foot buffer zone or properly dispose of them off site. In addition, as discussed the in ground pool as proposed is outside of the 100-foot buffer zone and therefore the building permit has been signed by the Conservation Department for the pool only, any decking, fencing or additional work that is proposed within the 100-foot buffer zone will require a filing with the Conservation Department. The North Andover Conservation Commission(NACC)has the authority to undertake additional enforcement action including the levying of fines. The NACC does not feel such action is necessary at this time and looks forward to your anticipated cooperation in this matter. Please do not hesitate to contact me should you have any further questions or concerns in this regard. Sincerely, NORTH ANDOVER CONSERVATION DEPARTMENT Heidi Gaffney Conservation Field Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www.townofnorthandover.com 125' \� 1 1 LUTA 25,000 S.F. 100'BUFFER LINE PER PLAN ON FILE ATNACCBY ___ _ _----- - MILESTONE CIVIL ,-------- — PROPOSED POOL 61.0' 35`--103/4" x 21'-4" 41.4' t � t _ _ t � � t t t I I 1 i I I #65 Saville St. 125' SAVILLE STREET PROPOSED POOL jN0FSs90 �= MICHAEL SG CLIENT.- ROBERT& KAREN ROSS g s I m U . LOCA TION.•NOR TH ANDO VER,MA. N N s191191y DATE: 10/25/10 SCALE: 1"20' ^a SURIJ PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRIS TIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX. 978-372-3960 D WG.NO.:10066.001.002