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HomeMy WebLinkAboutMiscellaneous - 139 OLYMPIC LANE 4/30/2018 (2) 139 OLYMPIC LANE ` 210/106.6-0134-0000.0 Date... ....... ......... . TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING A 0 060 Wr This certifies that .................................................................. has permission to perform ......... ...... wiring in the building of...... ...... ... ......... .... .................................. at.... ............. North Andover,Mass. Fee . .......... Lic.No..ag?44....... ELECTRICAL INSPECTOR,. Check # 5528 Permit No: sp` eLl parintent'1cc77 ire services BOARD OF FIRE PREVENTION REGU IONS Occupancy and Fee Checked . [Rev. 11/99] leave blank) APPLICIATION work to be FoO�RinPERMIT TOrdancc with the MS' Et RFORM ELECTRICAL WORK Electrical Code(hIEC),527 Ch1R 12.00 (PLEASE PRINT IN INK OR TYPE.ILL INF'ORAL 17101,) Date: �hspectoiof City or Town of: V ,v?�,�Z�,,y ff�,� To the s: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street R Number) Owner or Tenant f9yJ Telephone No. Owner's Address S Is this permit in conjutictioti with a lluildin;permit? Ycs No E] (CheckAppropriate Box) Purpose of Building es'� e07ef' Utility Authorization No. Existing Service Amps / Polls Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters. Number of Feeders and Ampacity Location and Nature.of Proposed Electrical Work: Completion of the rollowin table in be waived b•the Ina e,;tor•o11 Vires. No.of Recessed Fixtures No.of Ceii.Susp.(Paddle)Fans No.°f Total Transforniers KVA No.of Lighting Outlets No.of I•lot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool..Aboti e ❑ In= o.o mergeRev UgnEllig . rnd. grnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No..of Switches No.of Gas Burners 0-o etectton and Initiating Devices No.of Ranges No.of Air Cond. Tons No, of Alerting Devices No. of Waste Disposers Heat Pump Number Tons K�__^ No. of Self-Contained Totals: Detectiot>/Alertintr Devices No.of Disliivasliers Space/Area Heating KWLocal ❑ Nluuicipa Connection Other No.of Dryers Heating Appliances KW Security Systems: No. of WaterN0-of No. C N. of Devices or E uivalent K1V a Heaters Sinus Ballasts Data Wiring. 11 11 11 TNo.of Devices or Equivalent No.Hydromassage Bathtubs. No.of Motors Total HP elecommunications Wirutg: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required 6v the Inspector of;Vires. INSUR.A.NCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may.issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ O-ITIER ❑ (Specify:) Estimated Value of Electrical Work:' (When required by municipal policy.) (Expiration Date) Work to Start: >� �� / ©� . Inspections to be requested in accordance with MEC Rule 10, and upon completion. I.certifY under thejrahis ajar pe nes of perjury,that the information oil this application is true and complete. I"1101 NANIE: /Lf�+�tv q v �L�y' LIC.NO.: 7k.)X Licensee: ` /C,4 ._ Q n,eL Signature LIC.NO.:�� (If applicable, enter "ereurp["in I/ license number line.) Address:�� / �C' �,r SZ` resi� � ���/^� Bus.Tel.No.: Alt.Tel.No.: - � ' r3 OWNER'S INSURANCE WAIVER: I am aware that the Ltcens e does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one) Elowner ❑ owner's agent. Owner/Agent Signature Telephone No. r PERAll T FEE: $ ROUGH FINAL I 1 Location No. ` ` Date MORTM TOWN OF NORTH ANDOVER is ff3 s A Certificate of Occupancy $ ��s''••°'Et`' Building/Frame Permit Fee $ y ACMus K Foundation Permit Fee $ Other Permit Fee $ /l t TOTAL Check , 17742 € /� Building Inspect a ' ` TOWN OF NORTH ANDOVER' BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 41 BUILDING BUILDING PERMITNUMBER: c:12 4 � DATE ISSUED: / 9, � l} i SIGNATURE: , Building crimnu'llionor/Inspector of Buildings Date SECTION I-SITE INFORMATION z 1.l Property.Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning lrilormation: 1.4 Property Dimensions: ' ZoninDistrix Pr osed Use Lot Areas Frontage(R). 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Prov�ded RequiredProvided m 1.7 Water Supply M.G.L.C.4o: 34) V1•5 • Flood Zone Information: L 1.8 Sewerage Dispo 1 ystem: Public Private 0 ZOne Outside Flood Zone ❑ Municipal ❑ On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record �- L 139 n,c, �-L•vw Q Name - Address for Service: Signature Telephone O 2.2 Owner of Record: Name Print Address for Service: O z ii nature Telephone rn iECTION 3 CONSTRUCTION SERVICES _ _ 9 I:('Licensed Construction Supervisor: Not Applicable ❑ ,icensed Construction Supervisor: b 10 0 O f License Number Z1 f/ ` ddress 10-7 Expiration Date gn re Telephone s 2 Registered Home Improvement Contractor Not Applicable ❑ v )mpany Name Zo rn Registration Number r v P" ldress kft L�- t3sC�s w:��e ' lJ C� Expiration Date ^� ;nature Telephone Y 0 y Ethe N 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result ial of the issuance of the buildingpermit. Si ned affidavit Attached Yes....:.. No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑. Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 2` Completed b emit applicant ,' ; ' krt � , 1. Building � (a) Building Permit Fee U Multiplier 2 Electrical (b) Estimated Total Cost of Construction C// 3 Plumbing Building Permit.fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5Check Number SECTION 7a:OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby au orize ^( w�A F �s' J to act on My b l" in i rs relative t wo authorized by this building permit application. Si nature of O r Date SECTIONN 7�b+BOWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject Properly Hereby declare that the stateme and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name .Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND3 SPAN Dlh ENSIONS OF SILLS DIMENSIONS OF POSTS DIIv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CF-DNINEY J.IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE u y Ph!�/oY ]FORM - U - LOT RELEASE FORM INSTRUCTIONS: .This form is used to verify Ythat all-necessarY approval val/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. $.......■.............■ .........■......■ ...none mom.........................■ APPLICANT PHONE 7�-7as as ASSESSORS MAP NUMBER 11616 LOT NUMBER SUBDIVISION LOT NUMBER STREET -C AL STREET NUMBER ............. . ...................................................to■......0 OFFICIAL.USE ONLY RE O AT ONS OF TOWN AGENTS YUDATE APPROVED CONtt, RVATION STRATOR DATE REJECTED ��Q CONSENTS b TOWN NER DATE APPROVED PLAN DATE REJECTED CON 54ENTS DATE APPROVED FOOD INSP CTOR-HEALTH DATE REJECTED DATE APPROVED " 6 SEP SP TOR- i DATE REJECTED COMMENTS ✓^ I ✓1 �'CY 8 I PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMNIENTS RECEIVED BY BUILDING INSPECTOR DATE .j N W The Commonwealth of Massachusetts tof = d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit :Name Please Print Name: O ¢Fenae Ca Yo Location: Ci Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers compensation form employees workin Yon this'ob. (� 9 J Com an name: (/tlil tl� Address so Ci �av Phone#: Insurance.Co. AJ A- Policv# Company name: , Address City: Phone#- Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,5oo.00 and/or one years'imprisonmentas welLas_civil.aenaltiesinlheforne&ABTOP-WORK ORDER-md_afine_cf_($1D0-oo)arlayagairyrtme. I understated that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. do hereby certify u der Me pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name OJA tti ✓1 Phone.# � Official use only do not write in this area to be completed by city or town official' City ar Town Permit/Licensi El Check if immediate re Building Dept �] sponse is regurred .❑ Licensing Board ❑ Selectman's Office Contact person: PhoneE]#. Health Department ❑ Other TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ThISn Sem.fOi' l cii&l U9C'UgI BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin g District Proposed Use Lot Areas Frontage(fl) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Re#red Provided Re red Provided 1.7 Waterly M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Tone Outside Flood Zone N Municipal 0 On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record GI CMZ.,, PSL L/j A4C- n/vn7tl d4/t/Gb UE2 Name(P 'nt) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone ' SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 �ompany Name Registration Number \ddress Expiration Date ;ienature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check su applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other r Specify 801/C 6,wu&ID ,Pyr Brief Description of Proposed Work: Fi f3avC 62d"O Poo?-- -Tl,) t3Acl< y4a-0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be X Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC r, 5 Fire Protection O `� 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT I, �r,-Z,d,y K 0 CC4/L® as Owner/Authorized Agent of subject property Here y authorize to act on My half, 11 mtteaelative to work authorized by this building permit applicati n. Signature of Owar Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby"declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief _ "- 2 c7 Print Name 00, Si ature of Owner/ ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 RD SPAN DIN ENSIONS OF SILLS DIMENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFDNINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM ` INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ..................mmum...................................................... APPLICANT b EC-A R o PHONE ASSESSORS MAP NUMBER ZQ LOT NUMBER SUBDIVISION LOT NUMBER STREET P l LA A STREET NUMBER 3 �.......................................................Name ■mmNNmomae.NNN■ OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS Inum■ .............................................Nguema .................. DATE APPROVED C N�RVATIONADMN]Sr'OR DATE REJECTED Aba COMMENTS MASI 617r . C., -Pi o m der aga- Iao4 CrseAr, (0J r Pool DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED 16d? �EPM INSPECTOR-HEALTH DATE REJECTED CONRVIENTS �(? LL \", ^ PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ATE APPROVED D . FIRE DEPARTMENT DATE REJECTED CONDAENTS RECEIVED BY BUILDING INSPECTOR DATE GLORAL ASSOCIATES Registered Land Surveyor Registered Professional Engineer 9 Broadway Wakefield, MA 01880 T:(781)246-9345 Fax: (781)246-4333 � � pRp�NP+6H IgM 40' _ I✓ LOT E9 c4 44,483t S.F. o b O M N I w �p�yL r I - a e M 2sf ,1 1 - I o� Q� 00 • H QF_A4gs�q o AI_E�_Ri �y o A. - N 3977 0� CERTITY TO SIB MORTGAGE CORPORATION L�'� �Fff9FCISTFR���Q THIS IS A TAPE SURVEY BASED ON SURVEY MARKERS OF OTHERS AND THIS PLAN WAS DRAWN FOR MORTGAGE PURPOSES ONLY. THIS PLAN WAS NOT MADE FOR: - RECORDING PURPOSES,DEED DESCRIPTIONS CONSTRUCTION VERIFICATION OF PROPERTY LINE DEMENTIONS,BUILDING OFFSETS,FENCES OR LOT - CONFIGURATIONS. ONLY A PRECISE INSTRUMENT SURVEY CAN DETERMINE ALL OF THEABOVE. Mortgage Inspection Plan THE PREMISES SHOWN ON THIS PLAN ARE NOT LOCATED WITHIN THE FLOOD HAZARD ZONE AS DELINEATED ON THE MAPS OF THE In COMMUNITY. 250098 0009 C 6/2/93 • NORTH ANDOVER,MASS 1 HEARBY CERTIFY THAT THE BUILD/NG(S)SHOWN ON THIS PLAN . ARE APPROXIMATELY LOCATED ON THE GROUNDS AS SHOWN THEREON AND THAT THEY CONFORM TO THE ZONING AND BUILDING Owner (DIMENTIONAL REQUIREMENTS)OF THE CITY/TOWN OF NORTH AND FRANK&ANGELA DECARO WHEN CONSTRUCTED AND TO RESTRICTIONS ON RECORD.. Scale 1+'= 80' Date 5/30/2003 5/30/2003 Signature Date ttORT{{ �r0`t«en*6'4ti� Town of North Andover _ Building Department 27 Charles Street � CHUSE��y North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE --a 3 JOB LOCATION / �lyLY�^P� ���/� /(,E,r'�TJ� iqn/ �� E2 ^q ol�yS Number Street Address Section of Town "HOMEOWNER F A_LV_& 57P- 72,s--2, '--7`7 Number Home Phone Work Phone PRESENT MAILING ADDRESS ' 124; G L Y—n r� L Atir City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six 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 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling,attached or detached structures ac- cessory ss ry to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be'responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require nts. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control_ o, FAMILY POOLS&PATIOS,INC. CSL#010330 PSINCE19 sales - service • supplies �� HIC#118204 070 South Broadway,Lawrence,MA 01843 P"a' WC#4951074 Tel: (978)688-8307 • Fax: (978)688-194 LIAB#C1098398230 78 Name { Date 3 Address City 6Ye/AV/ Stat Jd Zip aa- I— Home phone Work phone Cell phone 67 Ad� lW Add'l# Cross streeddirections &A !� Estimated start date Estimated completion date n We propose to furnish and install one-1s,� XZ36 Zr c,) pc,+ � f�,p swimming pool for the sum of THIS PRICE INCLUDES: •Manual vacuum cleaner kit •Leaf net •8 Ft Steps •3-Step Stainless ladder •Wall brush •Handrail S iCJus� •Rope&Floats •Extension pole •Filter C •Initial balancing chemicals •Test Kit plumbed no more tl#n 25ft from pool •8 to 12 Wk supply of maintenance chemicals. •Surface skimmer(s) •Pump&motor I L It.P. • (supply depends on pool size) •Coping _ •Choice of liner THIS PRICE ALSO INCLUDES THE FOLLOWING WORK TO BE PERFORMED BY,A LICENSED ELECTRICIAN: Bond and ground pool-wiring of"a 220 volt filter pump-one 110 volt plug-wire and install one 220 volt indoor time clock-outside wiring to be done in PVC pipe-sixty feet of electrical run from service panel to filter �(.*note:runs over sixty feet will be subject to an extra charge)_Initials 'IN ADDITION TO THIS PRICE,ADD E TI ATEB' 10 HOURS OF MACHINE TIME AT$ Jk-PER HOUR=$ 13`RJ THIS PRICE DOES NOT INCLUDE: �✓ _Initials Any machine time in excess of that estimated above. Additional machine time to be billed at the same rate as above due with the second pool payment. All hours of trucking will be charged at$ !7O per hour per truck due with the second pool payment. Any dumping costs incurred for disposal of ledge,large rocks,or soil-re-seeding of grass around pool- spreading of loam-trucked in water -patio or fence around pool or any accessories except as noted below-additional fill,if necessary,for proper backfill or reshaping of hole- dis- posal of large rocks-fuel connections-heater venting-fuel storage tanks-permits-repair of damage to sprinkler systems or any buried . items(ex.dry well,electrical lines,cables,etc.)in the access and pool overdig areas-plumbing to filter in excess of 25 feet-stumping and/or removal of stumps.brush or debris.Homeowner is responsible for repairs of damage to known or unknown buried items. Water or soil conditions(ex.clay; eat,live sand,excessive rock,etc.)requiring a stone pack of the hole will be subject to an extra charge of$minimum to$_maximum. Use of the above mentioned stone pack will be at the discretion of the job supervisor. Customers must supply access for all trucks and equipment. It is the owner's responsibility to obtain the building and electrical permits or to assume the costs of necessary permits. _Initials Notes: U Li Af (S1' OPTIONS TOTALS Diving board ( ) '"'" Basic Pool Price $ /T660 Main drain Estimated Machine Time Solas;cover ( ) Options 60 Pool light ( ) Heater ( ) —" Subtotal $ 50 Environpool Pi 4,8 head 5%Sales Tax hC S Caretaker w/Electrontc Valve, 16hd Additional-floor heads( ) Total. $Ju Polaris Vac-Sweep Less 10%Deposit N,d�' Polaris retrofit only co~µ- Balance of Contract $ Swimout/Buddy Seat PAYMENTS: 1/3 EXCAVATION 1/3 BACKFILL+EXTRAS . 113 SYSTEM STARTUP 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 super- visor will meet with you two to three weeks prior to excavation at which time all decisions including pool size,shape,liner print,and all options must be final. Changes after this date will be subject to extra charges where applicable. You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Credit card payments not cepted on contract amount. BUYER date < < ! Fran:Eileen P.Har;,AAI At:Fiazza Insurance Agency,a division of HUB Intl. FayiD:9789880038 To:For Family Pools Date: 1/21/2004 11:25 AM Page: 1 of 1 AC�' . CERTIFICATE ®F LIABILITY INSURANCE OP ID E DATE{MMfDD/Y1 PRODUCER EAMIL03 01/21/0 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Piazza Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C.J.McCarthy Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 299 Ballardvale St, ALTER THE COVERAOLICIESBELOW. Wilmington MA 01887 Phone: 978-474-4200 TaX:978-988-0038 INSU AFFORDING COVERAGE NAICtf INSURED INS_I.ER,A CNA Insurance -0. INSUR ; A. Family Pools & Patio Inc. INSURER.: ------- 70 ____.70 S. Broadway INSURER D: Lawrence MA 01843 COVERAIrJSURER E GES TFE POLICIES OF I`ISURANCE LISTED BELOW HAVE BEEN ISSUED TO T-IE INSUREC NAMED ABOVE=0R THE POLICY PERIOD INDICATED NCTWITHSTANDING ANY REQUIREMEIJT,TERM OR CONDITION OF ANY CDNTRAC7 OR OTHER.DOCUMENT WITH RESPECT TC AHICH-HIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IiNEURAPICE AFFORCED BY THE POLIO ES DESCRIBED-IEREIN IS SUBJECT-0 ALL-HE-ERMS,EX.^._USIOVS MD CONDITIJVS CF SUCI- POLIC!E3 AGGREGATE LIMITS&-IrWN MPY HAVE BEEN RED-r-ED BY PAID CLAIMS, CY LTR NS TYPE OF INSURANCE POLICY NUMBER DATEErFE 1Y1 J DATE(MMIDDIW) LIMITS GENERAL LIABILITY EACH OCCURRENCE 61000000 A X COMMERCIAL GENERAL_IPBILITY C1098398230 I12/31/03 12/31/04 PREMI=:Es;Eaoccurence) S100000 a-AIMS MADE ®GCC.UP MED H.Kp (Any,.—n parson) S 10000 X pex proj agg / Bi PERSCNAL&ADV INJURY s1000000 I GEN'LAGGREGATELIPAITAPF_IESPER: I GE!•IERALA.GGREi,A,TE S 2000000 POLICY PRC} PRODUCTS-COMP/0PAo3 $2000000 .IECT LOC AUTOMOBILE LIABILITY —4I COMBINED SINGLE LIMIT A l ANY AU-0 8414071 12/31/03 12/31/04 (Egaooiderr..) `1000000 ALL OVVED AUTO` BODX SCHEDULED AUTOS (Parpe INJURY S (Par person. X HIR=DA.UrO'o' X NON-OWNED AUTOS I BoD'L"IN.URY (P@r accidanb S I PROPERTY CAPVAGE S {Par arcidantl GARAGE LIABILITY GA AU-0 AUTOUTO ONLY'-E4 ACCIDE'IT S OTF-EF.THAN EA ACC S - AUTO ONLY: AGG S. . EXCESSIUMBRELLAUABILITY I EACHOCCURP,ENCE S OCCUR a_AJNIS MAL E ---- ---- ---- — I AGGREGF.T= R S DEDUCTIBLE RETErli ON $ I I S WORKERS COMPEENSATIONAND1 - B EMPLOYERS'LIABILITY TORY LILA TS _ _ER MY FROPRIETORp!P,4RTNERiFNECU-!'VE 7481901 12/31/03 12/31/04 E.L EZt3-ACC0=-IjT ;+100000 CF°ICERINIENIBEP.EXCLI.CED? res,AL FRba underEl DISEASE-EP.EVF_O:(EE 5 ]IIT o o o O Q SPEC AL RCVIShJNS pelOW OTHER E.L.DhEASE-PGLb'+'LltoilT $500000 DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES I EXCLUSIONS AD7DED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION NOMORT* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHOR176D REPRESENTATIVE ACORD 25(2001?08) CORD CORPORATION 1988 � P—Jul 15 03 01 : 44p Family Pools & Patios Inc 9700001949 p. l Y i..}..a!? :ihwwr.+wh�.«•vwrws�M6`Wwwr.erwy i `�e�or+anumuw,ra��'��jrrac..r�ivael�d r' BOARD OF suiLDING REGULATIONS ?; License: CONSTRUCTION SUPERVISOR Number: CS 010330 t. BIrthil414:0711911960 F,.xjft:07119/2005 Tr.no: 61 Restricted: 00 WILLIAM C POULOS 70 S BROADWAY �o LAWRENCE, MA 01843 Administrator Board of Buildin Re ulatio - One Ashburton Pace30� m nS License: CQiygT Boston, Ma 0210'.16 8 Number: CSE 010330 Expires:07/1912005 Birthdate: 07/19/1960 Restfided To: 00 WILLIAM C POULOS 70 S BROADWAY LAWRENCE, MA 01 843 Tr.no: 61 Keep top for receipt and change of address notification. I I I i` h • r Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement.Contractor Registration Registration: 118204 Type: Supplement Card Expiration: 2/13/2005 t 4 e FAMILY POOLS & PATIOS INC GLEN WIGGIN 70 S. BROADWAY LAWRENCE, MA 01843 Update Address and return card.Mark reason for change. E] Address 7 Renewal ❑ Employment F� Lost Card I e& e.".af o /�aaaaolu�aeCta tRegistr0t Building Regulations and Standards g g License or registration valid for individul use only O CTOR before the expiration date. If found return to: ions 118204 Board of Building Regulations and Standards One Ashburton Place Rm 1301 tion 2/13/2005Boston,Ma.02108 Type _Supplement Card FAMILY POOLS&PATIOS n GLEN WIGGIN 70 S. BROADWAY '< LAWRENCE;NIA 01843 Administrator Not valid without ni4e I, c. 21, d i BILL tNacas�+- .. --....,, ..,, .... ....:..:...� ..�_.>.._,>. mar-+�:^•r�-e.�.^, - _ -. _ OF , T 10-8'Plain Panels 08-009.5 08-009 L 1-6'Plain Panel 08-014-5 08-014 -�-F�--- -36'-0' 2.3'Plain Panels 08-017-5 66-611 LE F G H J K J 4-2'Radius Comers 08-141 08.141 _ in 2'RAD. 8' 8' 8' 8' 2'RAD. 11-Braces 08-214 08.210 SIZE A B C D E F G H J K L 1-Steel Hardware Kit 08-204 08-204 18'x 36' 18' 36' 8' 3'4^ 12' 14' 5'6" 4'6" 4'6" 9' 4'8^ 36'-8 1/2' 1-18x36 Straight Coping Set 6"Radius 10-002 10-002 3' 1-2'Radius Coping Comer Set 10-138 10-136 xsP�ocillo Tm mm 18' 81 1-Finyl Liner ImoBRACE OPTIONS ST MING" I y e F P O OLSR 2 STEP PCOLS 18'-0' 8' i „ '" ""•'•• ANGLE ADJUSTING 6 Step-Remove 1-8'panel and 1.6'panel.Insert 1-6'step, TURNBUCKLE BRACK rrxREAOED 24'panels and 1-brace. THREADED 61 STEEL POOL PANEL STEEL POOL PANEL '31 40'-3'eE 8'Step-Remove 1-8'panel and 1-6'panel. Insert 1-8'step, °EAD DEADMAPLAPLATE) TNE 2-3'ponels and 1-brace. ONE PIECE FORMED ANGLE BRACE TWO PIECE BOLTED ANGLE BRACE 2'RAD. 8' 81 81 81 2'RADr CONCRETE FOOTER CONCRETE FOOTER [2-8' eplace 4-8'plain panels with: -8'skimmer panel Optional Optional 2'POOL BASE 2"POOL BASE inlet panels 08-010-5 08-010-8'light panel 08-012-5 08-012 STAKE STAKE CO LAYOUT 36'-0' 2'RAD. n 8' n 8' 8' n 8' 2'RAD. 3' 36'-8 1/2' 3' 4' 18'-0' 8' 8' 1 6 '31 40'-31* 3' 4' 2'RAD, 8181 81 81 2'RAD. THIS OOCUMBVT ADDITIONAL NOTES 15 FOR ILLUSTRATIVE PURPOSES ONLY. ANenNen De61er,a is you responsbiliy I-see that the safety pockage provided by FWP is delivered to pool owner and flat the NO OWING FWP makes arty those representations whirl are stated in its writkn wan-y.Any other warning libels are properly i rnstalled. rspresmesti s,statemeats,or contracts made by the dmfs/cmtreaor to the cosrom-Y. erns � .. - re any maN ab p oduced by FWP a e o m1u ab6 ta he dads/co traaor mb.s ® BUILDING THE ® FORT WAYNE POOLS®,INC. The Ned coneroaor who sdh or installs your pool i 'ndepes)dw esnms STEi�LII VI.T rat m tar emplayee of FWP The axrstreaian method,illustrated here are 6930 Gettysburg Pie "Diagonals give n to 90°point of corners. NSPITYPE11 �adytanmmlgroundnandxa1.Theremaybeadd�analpre—tiamm,d/a, FOUOWINGPOOL FT30Gettsb46804USA d camtruaion. a pambility is the contradoes. 1 �LS ❑STERLING° WAYNE,IN NOTESGENERAL • • These dg dimmsians-ma�with he National Spa and Pad Ins nne sagges ed B � s L= (219)432-8731 1.,411 vertical dimensions are ham fins 1.Soil to have minimum bearing capacity of 2000 P.S.F. 3.Exa>mon shall be 2'la s than I all mound. "n'* ORIS r°r restdmh°I pools.IF diving boards or slides am ro ba sed ❑FRONTIER" ' wwwsurhhepooLmm extrusions an a0 Is. 2.Locale rS spools please consult the manuhseurer's instructions and the National Spa a xs poo top a pod at lean 6•above sunou ng FII voids under base of parrots an�p wail. Pod Inshh te's minimum standards prior ro installing diving boards or slides an these F f2 O N T I =r2 DATE mu , DRAWING N-ER land e�a an. A.eaal�I with ran material. 18 X 36 sess. g yam a pad.For information an aonaming NSR minimum standards,write:Nat aalSpo a POOLS JANUARY Pool Insfitare,2111 EisenhowerAvmue,Alexandria,VA'2231A•703/838-0083 1999 RECTANGLE 2 RADIUS STL-008 cop'snGM 1999,EGR?WANE PooE 'INC. �AORTH Town Of .. over 0 No. �`y zdover, Mass, /d /at C O T Q LC E COC KIC ME WICK V x.95 RATED p` �(7 1 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT...A, ,� d �i�oa K BUILDING INSPECTOR C CA A .................. ..........................�..... Foundation has permission to erect...�.. 3` ........ buildings on 4+ y/M�(�/t ................... ...... ..... ........................... .... ...............��........ Rough r�v�ort P•w� to be occupied as....I.................................. I rV....../� ..+..r`........y. .r .............................. Chimney provided that the person accepting this permit 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-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 0 6 , PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC7 N T TS ELECTRICAL INSPECTOR • ♦ Rough .............. Service -00e... .. ... ...... . ... ..................... B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Final Rough No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE - Smoke Det. `