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Miscellaneous - 231 BEAR HILL ROAD 4/30/2018
231 BEAR HILL ROAD (. 210/065.0-0100-0000.0 I J. Date.... 1.!..................... NORT/y TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING mu 65 9 Thiscertifies that .............'..!.x..`.-..................................,.................................. ... . has permission to perfort-ii ....... ...A............................................. wiring in the building of. ,.. .......... ........... at ......... ........................ North Andover,M 'North Andover,ve Feeic.No. .. ................ ... ..... ... . ... ........... .......... I . 0 .. ....... EL*E*CT**R**i�*�L* N***SP'E*-C--T-- Check 4t 1r) (...ominoruuaatticof Majeachaast& Official GUse Only -- c� Permit No. 2epartmsnl o f 3ira S Pvicei E Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank n APPLICATION FOR PEJRMIT TQ PERFORM ELECTRICAL WORK \ All work to be performed in ac(�rcl tmce with the Massachusetts Electrical Code M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFr)RMATION)° Date: City or Town of: pit. &dovev To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. v Location(Street& Number) 61,31 ,&lr{, A-'I 15 Owner or Tenant b0bnou56, St.At,4 (,ISS Telephone No. Owner's Addr--ss Is this permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) A Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters ` y New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: yia d &Ull Completion of the following table may be waived by the Ins ector o iVires, of No.of Recessed Luminaires No.of Ceilp•(Paddle) Trans.-Sus Paddle Fans Total Trsformers KVA No.of Luminaire Outlets No. of riot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in- Elo.o mergency Lighting i g rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ion an No.of Switches No.of Gas Burners o. o Initiating DetectDevices Tonnss No.of Ranges No. of Air Cond. TotalNo.of Alerting Devices No.of Waste Disposers eat Pump Numb r ons o. oSelf-Contained Totals: Detecltion/Alertin Devices No.of Dishwashers S ace/Area Heating KW Loes�I❑ M Connection EJ Other P g Cyyonnection No.of Dryers Heating Appliances KW Securst ity Devictes or E uivalent No,of Water No. o No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunication! NofDevicer Wtnng No.of Devices or E uivalent OTFIER: Attach additional derail of desired,or as required by the Inspector of Il"ires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 0 BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the informad n on this application is true and complete. FIRM NAME: Village Electric Inc _ LiC. NO.:9163A Licensee: Anthony P. DelPapa Signature LIC.N0.:21861E (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.;978-256-4845 Address: PO Box 4044 Chelmsford, MA 01824 Alt.Tel.No.: 'Per M.G.L.c. 147,s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityinsurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)11 owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ �/ y ^�- ; .. r ,I 1 ,-S/.S /�9 -moo �`°� ��� �� �� Oct. 12. 2010 2:28PM No, 3610 N. I The Commonwealth of Massachusetts Department of Industrial Accidents Ojoke oflnvesdigadons 600 Washington Street ,Boston,MA 02111 ww»cmassgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/ElectrichmsiPlumbers Awn Leant Information Please Print Leaiblr► Address: A AU e,v V_� Uvx k S fie �-J , )AQ\ Z4 City/staterzip: Phone Are y n an employer'!Check appropriate hoz: Type of project(required): 1. am a employer with_� 4. ❑ I am a general contractor and 1 6. []New construction employees(full and/or part-time* have hired the sub-contractors 2.Q I am a sole proprietor or pamer- listed on the attached sheet:• 7. Q Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers*gyp.insurance. 9. ❑Building addition [No workers'eomp.insurance S. Q We are a corpotation and its required.] officers have exercised their 10.Q Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 1 LQ Plumbing repairs or additions myself.[No workers'comp, c. 152,$1(4),and we have no I2.Q Roof repairs insurance required.] employees.[No workers' 13.0 Qther comp.insmuaace required-1 •ter ms dM ebedm boot#1 most dao till cut the section below Aawiog&*wadwe�policy mfb=*dao. t x«oco.rrm weoubmu tis aieaavki ,sftyore dohan wort and Ili=hit onntaeroomers mva sica now ataaaric m0==g=dL tcooaacom ta.c ebwk this bm row attached sn addrttooat dm obowh s dm=me oft a subvUMU OM ad&*waft •Comp,pour wbrmstiaa I am an dovioyer diet&providing workm'eompoLudon Mmmi m for my mploymes'. Below Is the policy and job site h1formMdom Laurance Company Namc: Policy#or Self-ius.Lie.#: o Expiration Dat: Job Site Address: a 3 Irk M- fq v ��i't City/State2ip�l l GVn v ° y S Attach a to"of the workers'compensatlon polky declaration page(:bowing the policy nimin r and ovirstion date). Failrtre to secure coverage as regrrued under Suction 25A of MCL a 152 can lead to the impoddon of a iminal pawlties of a fine up to$1,50.00 ardor one year haprisamment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.0+0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Inuadigations of the DIA for insurance coverage verification. I do heroby wider Me pdm acrd pmaNn of peglury d Ow e infornratio�e provided abm►a Is&ue and correct phone#; - Offldbl use only. Do not wrrhe In this area,to be completed by city or toxm official City or Town: PermltlLicensc# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City(rown Clerk 4.Electrical Inspector 5.Plumbing Inspector (.Other Contact Person: Phone#: J ti 4 Q Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES .........................-..................................................................................................................................................................................................................... ....... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE More... Name:ANTHONY P. DELPAPA REFERENCES& Business:VILLAGE ELECTRIC RELATED INFO SOUTH CHELMSFO, MA Disclaimer Regarding NEW SEARCH I Website License Searches **This Licensee has additional Licenses,click here to view them.** Glossary of License Status Codes Licensing Board: ELECTRICIANS More... License Type: MASTER ELECTRICIAN TYPE CLASS:A License Number: 9163 Status: CURRENT Expiration Date: 7/31/2016 Issue Date: 6/28/1976 Exam Date: 6/1/1979 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Wednesday,April 22,2015 at 11:29:36 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=EL&type_class=_A&li... 4/22/2015 Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES .....................................-.................--..........-........................................................................................................................................................................ ...... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE More... Name:ANTHONY P. DELPAPA REFERENCES& SOUTH CHELMSFO,MA RELATED INFO NEW SEARCH I Disclaimer Regarding **This Licensee has additional Licenses, click here to view them.** Website License Searches Glossary of License Status Codes Licensing Board: ELECTRICIANS License Type: JOURNEYMAN ELECTRICIAN More... TYPE CLASS: E License Number: 21861 Status: CURRENT Expiration Date: 7/31/2016 Issue Date: 6/24/1974 Exam Date: 6/4/1974 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Wednesday,April 22,2015 at 11:30:29 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=EL&type_class=_E&li... 4/22/2015 Location 2-3 1 94, k, No. Date4 Iq L� • - TOWN OF NORTH ANDOVER � n r ` Certificate of Occupancy $ ., Building/Frame Permit Fee �) Foundation Permit Fee $ Other Permit Fee $ c AIto, ti TOTAL $ Check# 2,d 2 2 0 2 7 Building Inspector �-!(4V TOWN OF NORTH ANDOVER � � LF APPLICATION FOR PLAN EXAMINATION i Permit NO: Date Received Date Issued: '*IMPORTANT: Applicant must complete all items on this page LOCATION , �- ��( �. �: A(%,W, AAAA- t01s�4.S' Print. PROPERTY OWNER ��_� A aga Print 100 Year Old Structure yes MAP NO: PARCEL: ZONING DISTRICT: Historic District yes C6� Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential tNNew Building Fcpat ibv3k ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement VAssessory Bldg Roo L- ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print C early) OWNER: Name: Phone: Mr Address: � r4R► ��r�ll VD AAA&MX16 M4F- OLTf CONTRACTOR Name: %bag Phone: tOO i Address: !? Supervisor's Construction Licenser D 5�0 _Exp. Date: r Home ImprovementJicense: CLIT 4RS Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ �Z� Check No.: `�'e Receipt No.: b Z� NOTE: Persons contracting with u red contractors do not have access to the guaranty fund ;Signature of Agent/Owner nature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i r Building Department ! F The foli,:-iwing is a list of the required forms to be filled out for the appropriate permit to be obtained. C! I Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application I ❑ 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: Ali 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 Li 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 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 apo•-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submated with the building application Doc: Doc.Bui?;ding Permit Revised 2012 f Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF.SEWERAG ISPOS 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 & DEVELOP ENT ❑ ❑ COMMENTS gO1 n 5 CONSERVATION Reviewed on Si nature lu I ' COMMENTS W -r'j— v� �C7D� ��M a/\ HEALTH Reviewed on Signature COMMENTS 1r.1 .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 Toga;: Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Departinent signaturb/date COMMENTS 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 ® Notified for pickup - Date Doc.Building Permit Revised 2010 Enter construction cost for fee cal - North Andover Fee Cakulatlon Construction Cost $ 649372.00 m $ - $ 772.46 Plumbing Fee $ 96.56 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 96.56 Total fees collected $ 1,065.58 231 Bear Hill Road 774-15 on 4/9/2015 Inground pool E ZONING INFORMATION: ZONING DISTRICT. R1 ASSESSOR INFORMATION: MAP 65 LOT 100 ' OWNER INFORMATION: SEAN & LISA MCDONOUGH •��0, 231 BEAR HILL ROAD a9 20 NORTH ANDOVER, MA 01845 DEED REFERENCE: BOOK: 12596 PAGE: 9 i LOT AREA 73,849 S.F.f z 129.3' W � O N N p NN p N 1 � v cyl rT N N c0 Oo —t PROP. 5' HIGH ALUMINIUM FENCE PROP. WATER'S EDGE 13.1' PROP. PATIO PROP. INGROUND POOL- 10' OOL 10 MIN. Bit. Conc. � J Driveway O 36.4' a o � av — o C ,� R—159.74 U w o L=34.47f N3� W 35.9' OP 03 Soo �� �� Vv 'mss o '��� SAF � I CERTIFY THE STRUCTURES SHOWN WERE LOCATED BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. PLOT PLAN OF LAND OF 231 BEAR HILL ROAD VkoF s :, ' pm NORTH ANDOVER, MA RMCOM PREPARED BY. `" X915 CML ig SULLIVAN ENGINEERING GROUP, LLC No.41522 MOUNT VERNON ROAD os�0NAL '\� BOXFORD, MA 01921 i 978 352-7871 DATE: 11112114 SCALE: 1 "=40' i i. �� � Nun �� Town t E . Andover _ . h ver, Mass, 4 COC NICHE W'CM y7' A°Rwreo `s U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT ��•_ ......... . P� rr . BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on �...... •••••• •• • MA4 Rough to be occupied as ...... ......••.••• ••••• ............................................................ Chimney provided that the person acceptfhg this permit shall in every respect conform to the terms of the application Final p 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 0TH ELECTRICAL INSPECTOR. UNLESS CONSTRUC S Rough . Service ............ ........ ........................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Repuired to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ` Smoke Det. I I Homeowner Name: Sean&Lisa McDonough lobsile Address: 231 Bear Hill Road,North Andover,MA 0I845 SOUTH SHORE GUNITE POOL& SPA, INC. Homeowner Information Contractor Information N.tn,e,Sean & Lisa McDonou h-- CwnpunyNamc sneer 2, 31 Bear Hili Road ouch Shoro Ganite Pool & SQa Inc - ---_�____'] st2etI/ Progress Avenue I tura Pr , lice t3oxi - ... _ cn,• (Chelmsford ST MAl-- VilydNorth An _ r 01824_ dover sTjIV A?7_ip 01845 Boatm.,lrh„nc 800-649-8080 Strcct Addne..a if dilfcrem from+hv,•c) --- _ t , 04-31465071 - t•cdcrul Em,In•cr ILl City rC:ontractor is also referred to as"Seller”herein for some City STL--Jzip purposes n�ytirt,e rhan,e '617.737.8835 t:ventng Phone r-�`�-•_—^- cell Phone 617.335.7221 Fax Numbu Email smcdonough morrisonmahone SSG Repfc.:nnnnve, Scott.Pancake South Shavc Gunirc P.n+i.A Spa.•Inc.Connactor RcgisrratLon p•I05385 Fxp tate:7-17-2(Il6 Work to be Performed and Materials to be Used Contraciot Agrees To Do the Followmg Wort;for Homeowner. Contractor will build an inground swinttning pool to be located at j231 Bear HillRoad 01845 in accordance with the drawings and specifications which arc or shall he attached hereto as Exhibit A. and in accordance with the provisions of Exhibit B. Matcnak Expected`ro Bc Used: The Contractor expects to use the materials which arc: or shall be specified in Exhibit A and those which may be needed under the provisions of I-xhibit B. 7ba 111+,virrA s/-dW,will be rtrllfe d to(11dess riresnasrun"es be-1-10 rkc auntraer/ur's tor7trvl arise+: }�-•^• Want,Expected t,Begin: 1-2 `Z `�'�4 1?xpcctcrt 1?r[e<rf C,mtPleti„n: I/F - tl)nte Contractor will bcgh,contracted work) i.Dstc..hen contracted work will he-+ut%Uh+.t.inrally ci,mpietctli SSG Representative Homeowner �1 Officer of S.S.G.Pool and Spa 1n *PageI c1 i' 10 i Homeowner Name: Scan&Lisa McDonough )obsifc Address: 231 Sear Hill Road,North Andover,MA Of 845 Total Contract Price and Payment Schedule The Contracior:agrors to pwrfurni the.w'orlf.lomisb the ni3ter441 and labor sNcificd Owwa:for the SUM ('inrlude all A"h+t+rr t'lPifibcs rat Phi''rtmnunl`') ---t Payments will he made according to the following St.'}imli,1;: ' DDQ r+f upon 6ii±n111f`contract t'Nrrl n"_,_eel_,_eel/M !/o-trriul rritrr ,(FY'lIPCI'n""""�'�"'•--- cnnrrzrrr/ ��lY7d z.rr.fro¢,rlp-ttiu7 ansa revl)c,1!'fllL'lPdii'I•rr' 40''e tlrss ubmr omou tl)of amlraGt clue day of excavation S 404—f czmlract due day of gunite S /S%of ern tract due day,,f tits G 1-8-6 .5%of colltravt due day of fitter fin tK<r..p start up In order to meet the cumpletion.schedule.the following materidl/eyuipmcm mu:t be special ordered before the contracted work begins $'---"--0- to be paid for DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES ldentical copies of the contras:!should go u7 the homeowner and the contractor, 1 t Homeowacrs Signature Contractor's Sig4�AWC_— Date /�z��� r'm D;ac You may cancel this agreement if it hats hien signed by a party tberefo at a place other than an address of the seller, tlhe contractor)which may Ike his main office or branch thereof,Provided you notify the seller in writing at his train office Or branch by ordinary otail posted,by telegram sent or by delivery.Out tater than midnight of the third bosincsa day following the signing of the agreement. See attached""lice or cancellation fpr all explanation of this right. SSG Representative Homeowner Officer of S.S.G.Pool and Spa Inc.. Page 2 of 10 Homeowner Name: Sean&Lisa McDonough Jobsiie Address 231 Bear Hill Road.North Andover.MA 01841 REQUIRM TFRMrrs The fnih.wiliF building perniits are required. It is the obligation of the cnnlrat3ur to secure such permit,as the htnncowner•l: agent:PIXASF.REFER TO EXHIBIT B.AGREED CON> MO.,4S PARAURAP11 y Nt)1L'. fuwnc,.who Secure their own hcrmir+ordeal with unrepee.lcred uar[ract.vt are eXeltldrrllrTnr,ih,eiun.unn•F7tirri provision Qr MCI,C.14 A Is an EXPRESS WARRANTY being;provident by tits contractor'? NO � YES 'i s t "All te""'T rtftGe•w,rrrauty Mil'11 be urr,,,.lrrd ,,dw c(mirm-1— NiyfE: All home improvement contractors and subcontractors shall he re fistered and any inquiries about a contractor or subcontractor relating to a rcgislration should be directed to: Direcnvr.Hone Impnivcmwtt Clintractnr Registretinn One Ashburton Place,Room 1:401 Hosion.MA(12108. 617-727-8598 ARBITRATION The i.nu-acavr a the hmncowner heichy mutually n9lee in advance that in the event the it - -u,r h ntr cnncerum• thr.contract.the corn, may submit such dispute lou povate urbr('anon service has been approved by the 5ec•retary of live Ekcct.nlvc Office of Co mer Affair%and BUSiress Rcgnhnioni and •onetnncr shall be required to suhnnt to Such arbitrawm as provided in M,G,L.c. Homeowners Signature C.antructors Signature Date Bate -- CThis ctau optional,cross out if nog applicable) C'ontractor's Financial Insecurity - In instances where a contractor has, it rcasrmahic ha>is ui believe hnnllrer,ctf ,,he bnanc•iahy insecure,dial is the contractor reasonably believes the payntcnl of fun&due hint ntuy he in)eopmrly,thecontractor mat require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to cnutttnuing the contracted work. Withdrawal from said account would require the signature.of hath parties. THE CONTRACT MIIST AI 14()CCK A1Nc l? A Complete Ocscriptitm of any other documents which are part tvf the agreement, =1 A List and Ixscriptirm of other matters upon which the contractor and homeowner Ituwluily agree: 3) Any Other Provision.otherwise required by applicable laws of the Commonwealth, The Contract must he the f'Arrrrdrre Agrccnvcut between the contractor Lind the homeowner. Exhibit A attached hereto contains the specifications of construction which forthart of this contract. p Exhibit B attached hereto contains the guarantees and conditions which form part of this contract. SSG Representative Homeowner /,; ✓ Officer of S.S.G. Pool and Spa Inc. 'f Page 3 of 10 Homeowner Name: Scan&Lisa McDonough Job-site Address: 231 Bear Hill Road,North Andover,MAO 1845 SOUTH SHORE GUNITE POOL&SPA,INC. EXHIBIT CONSTRUCTION SPECIFICATIONS T Pool size 2TIX 19.1 Depth=it) 16-SISurfacc Arva [7-91 plana;and carr 1) Elt9inccredstruciural 5 57,lshw Free-For& �_]_)W.t1_11 illies to heate'r connected by working drawing.i.......................... ............Included contractor.................... .......4_........... ....Included 2,;Swimining Pool construction permits. 22)Gas or Propane connections.venting and fuel as required by state and local codes.......Enc I=Ud—ed permits.. -:.N'A-7 3)Established shape,location and elevation ............................ prior to excavation Of swimming Pool..........Included 23) 14eater other: 4)Normal excavation of Pool,removal of soil, PLUMBING SEECIFI CATI()NS and placement of wood fratme work- (up to 16 hours)...........................................Included *24) Non corrosive plumbing and fittings Additional Excavation$2000)per hour throughout.........................................Included 4 hour minimum. *25)Self adjusting Surface skimmers....(3)...Included 5)Engineered steel reinforcing throughout *26)Pressure return outlets to pool....(5)....Included pool................. ....... ...............................Included 27) Main drain receptacles C21)with grate.....Included 6)Engineered concrete.gunite structure to 28) Max.piping between filtcrand pool, Meet or exceed state local codes..................Included ]ft 7)Water cure gunite shel I twice daily for 7 125. ...............................................included days............. ............... ............. ........ 29)Additional piping ___(F�pel.ft.. not Included By Owner Cd,$4 8)One set ofshallow end steps with([11) [67 1 �]Anftl. d e d u AUTUATItIC)I 'i hench(es)................... ................_... 9)Swim-our bench deep end.....rot 1...... cncluded ANO a Rct JI'ATION 10)Concrete,or other dehris removal............................... ........... Included *30) Floor recirculation......................LWn66_t_1t-c1,d,d Lqpu _7� *11)One 6"hand waterline, *31)Deluxe PCC2000 WAcuf canister.[n6t)iicluded Frost-proof tile.. ..........._...... 3 2) Pool Cleaner.other[P�ofla�ris 2fiq_ - �ncludcd =11noluded 12)Coping style ra7 Included DISIN EEC_TL(AN__S_YSTEM *13) Interior finish to be water proof. — ncluded ED 3 3)Ty Pc 16 fie—h 10 r (Refer to footnote Ific lo IC-40 Saltjlln—ClUded C1 34)Type �lnitelll ��C-i _Lndude�14) Filling Of Pool within 24 lirs(4)loads �.'nC'P�d�e� *35)1�pe[ P--"H S $tem Included Y I Included EuxEm P IF1 A 10v1Q M1SCF1.1.AN 15) Filter:type FC—a-r-t-I size L4$7Q—i Included VnT1Q ..- O U.L.Approved marine underwater V ...Included 16) Pump and Motor:Size F *36)f Lliiht[5��J'c-rd....Pentair5g LED's.... Included 17) U.L.listed exterior timing control..........Included g *37) U-L.Approved deck box(es)and conduit(s) 18)Complete hookup or all Pool lines to filler......................... ....................... ......Included for light(s)...........................ia.............Included *38) Diving board sizeNL /A RE"EAAPE_C__tF)CAILOMS Color not ncluded *19) Approved Heater type: *39) Ladder type Pentair UltratpLnp 120 ................................. not I,nfluded FElect Included *40)Stainless steel step rail. t Fuel EffeectriC Heat IP5u�m�p J -�re�-4tlnjOt ncluded P 20) Heater BTU ratin k I Indoor r7ro-tdoolx- ] SSG Representative Homeowner _A" Officer(A'S-S-G.Pool and Spa Inc. Page 4 of 10 Homeowner Name: Scan&Lisa McDonough JoligiteAddress: 131 Beat flill Road,North Andover.MA{11845 panel................................. N 41) Electrical to motors clocks arid Nwitch 48)I'lierapy Spa; sizCRX PN/ /A =".Included 49) Therapy Spa!Attache N1 se' Electrical illdukU mconq;up to 60'from panel, 50) Spa Light., 12()Vol,50-Cot parate NTA_ N/A 11pplicalalp 0 change and/or ul)grude to Service into5 1) Water or unsuitat;i1c soil corujitiow., rn'O�tA residence,.witch and fillic c-,Ivvk location at [j7-1 lcidt,of Crashed itom: pool equipment,pool related electrical only. Io at t INQ I-- landscape lights,sheds.etc. Pcr 20 tun I load.......... Included Additional stone at Pit Cost, Not included Electrical not inchided means,your electrician 52) Rough hackfill to pipe grade... Not Ap—p—Lic—ai—b—le] does it all.Wiring Schematic not available.they 53) Grading and compacting of deck arca up call in their own inspections and notify SSG _L`;_j f.7- _.._!lncJudcd completed and signed off for SSG 54) Gravel for deck......................NOT.Included when they are cot to hours........See#71 to proceed to next phase.they install pool lights and or spa side switches.No electrical consul- STA—RTUPMAINTENANCE tation or technical support provided by SSG. 55) Deluxe cleaning tools(wall brush.leaf 42) Electrical bonding of steel reinforcement................................ ncluded skimmer,pole.vacuum head and hose. 43) Safety rope and floats, -=. .J test kit.thermometer)....................._Includcd .............. ....... ...Included 56) Start up and operation.- Instructions ...Include .... d 44) Property damage negligence insurance ) Start up and balance chemicals................Included during c""stl-uctic"'.......................-.......Included 58) Daily testing &adjustment of ph levcl.By Owner 45) Public liability and workman's compensation 59) Brushing of interior surface after pool insurance................................................Included is filled with Water................. ...........By Owner 46) State and federal sales taxes..._-__...........IncludedDepending on interiorfini.vh, brushing 47) Written lifetime structural guarantee...,.Included. ivill be /to 2 tinies&jjj%-. 5 YEAR PARTS AND LABOR WARRANTY FILTER HAS 5 YEAR WARRANTY—FILTER TANK HAS A 10 YR WARRANTY 'PLEASE REFER TO EXHIBIT B ****SLIGHT VARIATIONS IN THE PLASTER WILL HE ACCENTUATED AT NIGHT WHEN THE POOL LIGHT IS TURNED ON,WHICH MAY CAST SHADOWS ACROSS THE FLOOR.THIS IS NOT CONSIDERED A DEFICIENCY.BY NATURE,COLORED PLASTER WILL ACCENTUATE ALL OF THE CHARACTERISTICS NORMALLY FOUND IN WHITE PLASTER.MOTTLING CAN BEMOREPRONOUNCED.THE PLASTER CAN EXHIBIT PIGMENT STAINS,STREAKS,MORE NOTICEABLE CHECKING AND CRAZING AND HE UNEVEN IN COLOR.COLOR SHADE VARIATIONS WILL EXIST BETWEEN COLOR AND COLOR SAMPLE CHIPS AND ACTUAL MIXED PLASTER.THE Cot-OR MAY FADE COMPLETELY OR GET GRADUALLY LIGHTER OVER TIME AND OFTEN WILL NOT BE THE SHADE ANTICIPATED.NONE OF THESE CONDITIONS ARE CONSIDERED A DEFICIENCY. SSG Representative Holneownerzz�. Officcrul*S.S.G.Pool and Spa Inc. Page 5 of 10 Homeowner Name: Scan&Lisa McDonough Iuhmle Address; 231 Bear Hilt Roast,Noilh Andvver,MA 01845 ADDITIONAL SPECIFICATIONS I 60.) Removal and disposal of existing fencing in pool construction area is included. 61.) Stump removal and disposal included at excavation, tree & brush removal by others prior to excavation phase. 62.) Pentair LED controller Included 63.) Chester Granite Jump Rock 2'x3'xi'tail Included at Deep end 64.) Certified Plot Plan to be provided by owner, Not Included. 65.) 175' Electrical Run from main panel to pool equipment location included. 66.) Opening and Closing of pool in 2015 Included --- - 67.j Precast Concrete pads for poo! equipment Included. 68.) Wet Edge Technologies "Pearl Matrix" Interior finish included/ U1,41 I&V 7 Cyt e ke 69. Pearl Matrix Interior finish color to beChilean BeachCaribbea n' t esif� Included. 70.j Lifetime Warranty of Interior Finish h included-see Page 9 ofC'of this document section E.3 Interior Surface - 1.) Compaction and grading time is included for pre-quoted deck area listed in #72. Suitable fill material to be trucked in at additional cost if excavated soils are deemed unsuitable. 72.) 1140 Square feet of Texture Mat Concrete Prequoted as additional $13,110 Not included in this contract. 73.) 113 Lineal feet of cantilever edge Prequoted as additional $1,695 Not included in this contract 74. 5 triaxle loadso f processed ocessed gravel for use aso01 as additional $2,750 Not included in this contract. p deck substrate Prequoted SSG Rcpresentaifvc Homeowner Officer ol'S.S_G.Pool and Spa Inc. Page 6 or 10 Homeowner Name: Sean&Lisa McDollough Jobsitc Address: 231 Bear Hill Road,Forth Andover,MA 0184.5 EXHIBIT B LIFETIME GUARANTEFS,GENERAL TERMS AND CONDITIONS (._'oiitr4V(ur guarantees ity,work to lie free froill defects in material and-orkniatiship file a period Of ONE YEAR tram daft Pool is Plustc-11cd Provided owner hax cQjilpliLd in full with terms and puyments utid other conditions(if thm contract. Contractor further guarantees 111,11 the structure will remain structurally sound for the lifetime Of the Pool.The tent. "Lifetime Of the Pool"shall be construed to mean the period that the Pool is owned by the original purchaser, The term "Structurally Soulld*,implies that the swimming pool is Capable of containing and holding water and in the event Of a failure to do so the contractor will within said period repair the same so that it does hold water, The Lifetime structural guarantee therefore would not extend 10 Or cover items external to the pool.such a.,coping. coloring,plaster,Plumbing,electricity,filter,heaters,decking or pool accessories. Plaster is riot guaranteed against discoloration or staining in as much as this is commonly due to the local water,wrong use ot'chemicals or lack of cleaning. The Lifetime structural guarantee is also invalid should the pool not be kept full except when emptied by the contractor or under his supervision;should the water table be above the lowest point Of the Pool;should the structure be damaged by earthquake,war,earth or earth fill movement,Of disasters nol occasioned by the contractor such as explosions,wrecking and the like,items damaged due to negligence of improper winferivAtion or vandalism, shall have the sole light to replace or repair any warranted item. And that further,there is no transfer or change or ownership in the subject property. AGREFD CONDITIONS I. If plans and specifications are attached to within agreement.they form pan of this contract.In case of conflict between the provisions stated in such plans and specifical ions and the terms of the within contract,the terms of the within contract shall prevail. 2. Contractor shall pity sales tax an all materials,shall pay necessary levies on its men,and shall carry public liability. workman's compensation,and property damage negligence insurance.Contractor agrees to do all work provided in this contract in good and work-manlike manner.but shall not be responsible for delay or failure to perform work when due to acts of God,strikes,war,government prohibition,non-issuance of all required permits affecting pool construction,or reasons beyond its control, 3. Owner is required to do all acts necessary,all construction necessary,or meet all conditions necessary to allow contractor to complete construction of thepool and utilities as provided in this contract.All such acts.construction and triecling of necessary conditions shall be paid for by the owocr, ***Owner shall furnish any necessary variaoccs and permits other than building permits. Proper drainage farm around swiniming pool is to be provided by owner and must meet municipal.county and state regulations. All water must drain away from pool decks,If Sewer connection is required by City Or County,owner is responsible for same.O%Vller is responsible for locatiol,of pool and equipment other than public utility or other assessments.No grading will be done unless specified.No soil will be removed or returned except on excavation day. The pool elevation is to be approved by owner or his representative on the day of excavation.contractor is not responsible for damage to such items as,but not limited to,curbs•sidewalks,driveways,sewers.and Patios.lawns.shrubs avid appurtenances arising out or reasonable And expected pool related construction activity. 4. Owner shall verify the actual location of the pool and there shall be no liability on the part of the contractor for incorrect location thereof,whether on owner's property,or a third Person.The contract price is based on the owner's representations that:the site is not fill ground(fill ground mean,soil not compacted to 90%and bearing capacity of 1,000 Tbs.PS,F);contains no rack formation or boulders,and has adequate bearing capacity before and after excavation for the pool,land,and improvements of the owner and land and improvements of adjacent land owners; contains no Cesspool,septic lank,gas line,water pipe,drainage pipe,irrigation pipe.,or underground electrical conduit:contains no other obstructions or other unknown ground conditions;no underground Or surface water conditions will interfere with the work or operation Of the completed s(ructurc or installation; no blasting or jackhammer work is required:there are reasonable means of access for contractors and equipment.It is understood and agreed that,after guniting,contractor is not responsible for notation of pool due to external water.It is, understood and agreed that if any of the foregoing representations should be incorrect.and it'any additional work or material,are required to complete the contract,contractor is hereby authorized to make such corrections and the cost shall be added to the contract price plus 10%.if,after the pool isstaned.the soil condition requires extra steel Orgullite(other lbanexpansive soil) other than specified elsewhere in this contract.owner agrees it)pay for the additional labor and materials plus 10%.0%.if survey,geological report.topography maps,or ..oil rep should he department,owner is responsible.Removal ol'blasted ledge is not included in contract price. required by building on s. SSG Representative Homeowner Oft-1cce Of S.S.G. Pool and Spa Inc. Page 7 of 10 Homeowner Name; Sean&Lisa McDonough dobsit 1; a Address: 231 Bear Hill Road,North Andmir,MA 01845 5. Additional equipment or size,changes added to this contract must he sigacd fitr hefnre work can be performed. Payment for added werk is to be in Advance of work unless Cost is unknnwn. if cost is unknown,work must he authorized in witting;and payment must he made on completion of addert work with to reasonable:advance as contract0i`S option. 6. In event US&of nciAbbols'properly by corniactors during prcpar�tttt7ll and c8n.truc1101)iN aulhori7.etl and C1CCeCCary,rrwttel':t�`1'0f`.S to be rCCponSible and to indcunlily and(told harnicss the contractor for any damage, caused thereto or thereon. 7. Walks and decks are not a pan of the pool and owner understands that there is no warranty covering same regarding cracking,checking.raising,setting or discoloration.Any damage occurring to pool resulting from decks and walks not being installed in accordance with contractor's specifications is not covered any the guarantees contained herein. 8. All pool dimensions are measured front water line and are approximate with reasonable tolerances either way. Liquidation damages for errors of the contractor in the.cite to tite pool are agreed to be$20.00 per square foot. Payment schedules"lust be(net regardless of any necessity of repairing Previously completed work. 9. This agreement constitutes the entire:contract of the parties if not supplemented by any addendum or retail installment sale agreement in writing and signed by both panics.The parties arc not bound by any oral expression or representation by any agent of either party to act for on behalf o1'either party which is not recited herein,and contractor is not bound to any commitments or agreement not specified in this contract. Id. if security is given to the contractor or tender for payments due under this contract,it is agreed that such security is collateral security only,and that contractor has the option to disregard said security in case of default in payment and pursue any other legal remedy. I t. if ownerhould default for a period of 30 days,contractor shall charge owner with a delinquency charge of 1.5%per month(18%per year),Also if such payment so in default is referred to any attorney for collectfon, owner agrees to pay reasonable attorney's fees with the amount due plus all court costs. 12. Water to fill pool upon completion is included. Any repairs that may be necessary to pool shall not include the replacement cost or replacement of pool water. 1.3. The owner is responsible for any and all fencing,temporary and permanent,around pool as required by state or local code. 14. Owner is solely responsible for any and all violations rq'any easements which occur as a result of the pool construction. Owner agrees to indemnify contractor for and against all claims of said easement violations person or entity, b? any 15. If an revision of 'a Y p the. Agreement or the application thercol'shalt,for any reason and to an unenforceable,neither Y extent.be invalid or unenf ether the remainder of this Agreement nor the application of the provision to entities or circumstances shall j other persons. be affected thereby.but instead shall be enfo • law. reed to the maximum extent permitted by 16. This contract is not valid until approved by an officer of South Shore Gunite Pool and Spa.Inc. SSG Representative Homeownerf Officer of S.S.G. Pool and Spa Inca-� J Page 8 of 10 � Homeowner Name: Sean&i..isa McDonough Jobsite Address: 231 Bear Hill Road,North Andover,MA 0184.5 South Shore Ganite Pool & Spa,Inc. Partnership in Excellence (nfaIn 0171ec)p17tRT11S9 AYf 5-Year to Lifetime Chclmfnrd,RIA Ill 82t1 Limited Pool Warranty South Shore Gunite Pool&.spa.Inc.,("SSG"')will during the five(5)year warranty period repair or replace the covered pool structural items and equipment in accordance with the terms and conditions set forth herein: A.WARRANTY J.Tile 1.This limited warranty outlines the specific coverage provided with WARRANTED-All waterline ceramic life, spa dam wall ceramic your swimming lxw)l.Coverage includes only the items stated tile and water feature ceramic tile, isuhiecl to eenain limitations and conditions).All other items and NOT WARRANTED-Other than standard warranty: cap tile, all equipment unless indicated as"lifetime"are covered for a period up grout,fading or calcium deposit build-up,separation between deck to two(2)years as specified under SSG standard pool warranty, and tile due to deck movement.ice damage, 2.This limited warranty sewers only the original fx)ol owner and nlay d•Interior Finish not be transferred.Properties which arc used for rental purPot arc WARRA:NM D- Subject to conditions of separate S year warranty not covered by this warranty. document. NOT WARRANTED Other than standard warranty: plaster. 3M Quarte Color Magic, B.WARRANTt'PERiOD 5.Equipment 1.This limited warranty is in effect front the date the interior surface WARRANTED-P-il motor(s),pump(s),filter(to year warranly on is applied and continues liar a period of five(5)years from that date. filter tank). back-wash value, sf>i blower, manual vahcs. PCC distributor valve,heater,and PCC debris canister cartridge element. NOT WARRANTED-Other than standard warranty:pump seals and C.WARRANTY CALLS gaskets, ribber 0-rings, pump haskel, deck fids, filter pressure 1.Thr(tool owner or authorized agent must notify SSG of gauge.filter grids,filter media and light Mulles. malfunction of warranted item,and equipment by calling 978.250- WARRANTED BRANi)NAME EQUiPMENT 61445 within a reasonable time after a problem is discovered. All Tandy Manual Control Valves Skimmer PCC 20119)Main Drain Cover.Debris Containment Canister. 2.Service culls willbe dispinchcd promptly by SSG ht-hoa,e Warranty Department.Sonic repairs or service may be subfect to Distributor valve weather conditions_Effort will be made to expedite wartmpy Time Clock.Pump(s)&Mt)tor(s).Filter,Spa Blower and Haters service ht ease t)1'emcrgcncy.Warranty service calfs after the ANN'THING NOT LISTED IN THE ABOVE r3F,SCRIPTIONS standard warranty period expires will be charged at the current OF ITEMS AND COA111ONENTS IS NVARRANTED FOR SSG service call fee plus the current hourly tate.THERE IS NO STANDARD WARRANTY PERIOD. CHARGE FOR REPAIRS OR Sf:RVICE ON WARRANTED ITEMS. 3.Notice of malfunction must be given to SSG prior to the expiration E.SPECIFIC DES(-RIVrION OF I,iFFTItiIE LIMITED of this warrant'. WARRANTY 4.Warranty service calls,repairs or replacement of items'hall be 1.Pool Structure Shell deemed as covered in this limited warranty at no cost to pool owner, *%VARRAN-MD - Gnurc pool shell including g structural steel and except for the service fee.as outlined in section C.2. Gunite. Subject to conditions of separate lifetiole warranty document. 2.PCC 2111M1 Cleaning and Direetor Nozzles f).SPECIFIC DI"CRiPTION OF 5-Y[-,,AR LiMITED WARRANTED-All PCC in-floor cleaning acid director no2zlc., %%ARRANTV i.interior Surface 1.Plumhing System WARRANTED - Workmanship and material, Material will not WARRANTED-Leaks and breaks)n PVC pipe,PVC manual delaminale from gttute shelf. control valves and connectors it)all equipment,skimmer.main drain. NOT WARRAN"TED-Color.Shadin motilin+or PCC Cleaning System and FCC Debris Containment Canister, bdiscoloration.e NOT WARRANTED - Oilwr than standard warrant eye hall Staining,scaling or pining duet x water or chemical sure, uncr_ 5 Y Check cracking.crazing due ui extended d to ex sure. finings,skimmer, weir.lid and 1)askct,any ribber gaskets 0-rings � i= � or frosVfrecze damage.Exoludes City wutcr,and gas pipe:. 2.Steel System WARRANTED-All rebut Stccl reinforcement in structure of pout shell,also rchar steel guartntecd against rust migration through concrete to interior surface finish. SSG Representative Homeowner Off•icet-rtf S.S.G.Pool and Spa In' Page 9 of 10 Homeowner Name: Sean&Lisa McDonough Jobsite Address: 231 Hear Hill Road,North Andover.MA 01945 F.I-IMITATIONS ' SSG is 1101 liable for consequential or sta:nndary damages resulting I.SS0 is responsible only for repair or repfacemeril of wnrranicd front taiturr or wartaratil llem or equtrmrew tiny failure to provide items and equipment that malfunctions Burin 6+the course of normal scre-ice due to condition.beyond its cuntrul,such as but not limited to delays in obtaimne,parts or equipment.or luhortliflicnhies. use.SS+J is not respon.4iblc t<+repair or teplace an Ilemi t a- ey 1,SSG hes 111c""right it)detral"W)it if itemk or equiptnenl shill he quipmcnl which is damaged ter malfUtiCllrSni as n rc!:ulr of: rcpari ed ur replaecd.SSG will taut upgrade and is not respritjo ole u A crsndruVn wl1iC11 CAnBldutrs a vitrlatlVn i)f CitRl'Iit tiuildron}t for malehinp cohr axles r or brand.Should replacement pall%or items not he aVailablc.or For whatever icawn SSC;rttay circa!accessary to b.Inlpruper repair or work mal perforntrri by aurin+tied SSt; perhnnnelrepair of replace part$or Item".SSC;rescrves the right to 9tth81tt Ute c.Failure to maintain or service equipment as outlined in pars or items, manufacturer's owner's manual. 4.When performance of scn•ice is allected by building or similar d.Alterations or nurdilicrtions made to items nr equipment from cordes so that restoration to original condition is not permitted and/or requires more costly material or udditinnal expense,SSG has manufacturer's original specifications, no obligation for the additional cost. e.Failure to maintain proper chemical balance of pool water, 5.SSG is not responsible for providing access to or closing access f.Misshtg parts,structural changes,lirc,electrical failure or Surge. Irnm any warranted itetn or equipment. Walcr damage.lightning,mud,eurliquake,storms,freezing. 6.SSC.is not responsible fur landscape,water,electrical,or chemical accidents,pest damage,or acts of God. replacement costs as a result of repairs or nplaccment of items or ..Damage caused as a txsult of customer neglect or ahuSe. equipment. T hereby accept and agree to all the above terms of this limited wan a my which I have read and undecmand.This limited warranty shall not Ire enforceable until after interior surface is applictL and until it is properly accepted and signal by South Shore Gunitc pool Kt.Spa,Inc., and all financial obligations are paid in fall. Pool Owner: Canre[Sean& Lisa McDonough i Canrra.t No. Date. strcct,1231 gear HAJoh No., Road City .North Andover sr - _ MA zip 01345 Telephone ! To be completed at times of start-up by pool owner Sian-Up Date- 2 12A —5 PoQ)I ner Signature Date Pool owner Signature Date SSG Represe Date 46 ffit unite Date SSG Representati "0111eowner Officer of S.S,G.Pool and Spa c. Page 1001*10 1 44 &Xe 0WIN, wea aluan"Je�(J, - T r Office of Consumer Affairs n Regulation Business - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improveme t'' ontractor Registration ® - - Registration: 105485 Type: Supplement Card _ Expiration: 7/17/2016 SOUTH SHORE GUNITE POOL & SOA.INJ . , SCOTT PANCAKE - 7 Progress Ave. Chelmsford, MA 01824 -- Update Address and return card.Mark reason for change. Address Renewal [] Employment ❑ Lost Card SCA 1 20M-05,11 C-��/c fsliJ`?lf:ttl.GtL'frt�fl [���N�IY,dJfxGfdG!Jv'��1 ffce of Consumer Affairs& Business Regulation License or registration valid for individul use only N 1 ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation eg stration: . 105485, Type: 10 Park Plaza Suite 5170 i Expiration: 7/17/2016 Supplement card Boston, MA 02116 SOUTH SHORE GUNITE POOL A SPA INC. j SCOTT PANCAKE 7 Progress Ave. ' -- Chelmsford, MA 01824Undersecretary of valid signature M'Issachusetts-Department of Public Safety Board of Building Regulations and Standards f C�►►tern►�ti+�n 5uperi i►i,r License- CS-056070 Robert Guarino,` '�� i 7 Progress kvenu+� { Chelmsford MA 0t82 i J „,+►�' Expiration �-+ 05!1312016 Commissioner North Andover MIMAP April 2, 2015 #358 064.0-0106 064.0-0123 064.0-012-4 064:0=0126.,111 .0-01X7 #64 064.0-0107#346 0-0 064.0 20 065.0-0110 �/t� 064. 108 #334 #310 #294 #50 065.0-0113 064.0-0090 #324 064.0-0135 #32 064.0-0109 #272 #265 065.0-0111 065.0-0114 064.0-0089 065A-0112 #172 065.0-0118 065.0-0115 a Ora #55 #188 #250 $tae #35 #234 a �o`� #29 065.0-0116 11 065.0-0104 065.0-0103 #210 _ , '• 065.0-0102 065.0-0111:::._ .�..... 1,••: •- / � 065.0-0096 , '`';_• ,f `� #243 #183 -#195 065.0-0119 Rl 065.0-0097 X31 � 065.0-0101 065.0-0098 X07 065.0-0100 065.0-0099 j 065.0-0002 065.0-0121 #217 + #80 #296 065.0-0079 065.0-0122#10 065.0-0123 #22 065.0-0124 065.0-0126 065.0-0127 #34 065.0-0125 #58 ""=:?? 0 5.0-0146 "> - #46 #70 065.0-0128 :' `:: :•`?Aze #11 ""Me•Ridge,Road 065.0-0145 #325 065.0-0129 #71 065.0-0144 #.92 065.0-0142 #57 065.0-0140 #344 065.0-0141 065.0-0148 #45 065.0-0130 #337 065.0-0139 065.0-0143 #117 065.0-0138 065.0-0131 065.0-0149 #356 65.0-0137 Rail Line «Wetlands Zoning Interstates Q Exempt Lands C`.Buz s 1 District _I Q Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, SR G Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack N Bus!-s 4 District AORTM Valley Planning Commission(MVPC)using data provided by the Town of Roads - 0 Gene Business District of t`�p r q� North Andover.Additional data provided by the Executive Office of O Planne Commercial Dev • •i Co Easements ? �� 1 Environmental Affairs/MassGIS.The information depicted on this map is fl Corrido Development Dist 3 _ L for planning purposes only.It may not be adequate for legal boundary 0 MVPC Boundary O Corrido Development Dist 0 _. " fa definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER 0 Municipal Boundary O Corrido Development Dist F p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri I 1 District Zoning Overlay • ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Q IM 1 2 District E3ndus Adult Entertainment f i ° � OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Q Downtown Overlay District G Industri 13 District lF moo' er i ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Historic District C Industri I S District b THIS INFORMATION ®Water Protection Reside ce 1 District �1,' •�r�o r•�t� C.Reside ce 2 District SSwCN ❑Parcels Q Reside ce 3 District Q Hydrographic Featuresde-4 District -Streams 1"=210 ft de ce 5 District - ede ce 8 Oistrict ,,,age esidential District c c ` MIA k / •I ^ J < 3 1 ria w.',y,r._ as•Fb'!`' n/ w ,bw�'�, y .T, r AL WA '.:% - ',�, �/. �' •..� � $ '' � 7, � w � �3",,���'+�'' "q i j� '� Yom.. �.fi Jy �` w it �i-�-�. /� ��•''�'� � '� ��y ''>�\ r ..� � a � �'�',. a ".��.. ''•�� Y�, "tam r�� & M1 �c k'�- Y `� �i. '"rw y�•,, r' � Fav . .. Com.3 ham. �$4'�• �. S 44 j i 9 1 4M \ PQM-r.�` 'R '... INN r , k , �"�-.-jam •� �k � �1���'V I�rkJ� r' f 1 . � '� \ Ali y•.�''� i• � > / ' fir�< ,,,•y t z - x M �, a.` }, �.,-i�`� ^'1,,.,,�, \ a, , y. :y �iyq� ;x./ i.�,y�,,� ,. /, ', /� ; •:i °>t{4 spat L._ s *• a =ap m {`- 'w ` "ra"`,, .�S :, y 'fN • 1.,.�r ata, `�"*` � S �-�• x. i �t $ .',h "a TK 1 � �Ze '4� CERTIFICATE OF LIABILITY INSURANCE 4/2/2015 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 CNAMEC Judith George CIC,CPIA,CPIW FIAI/Cross Insurance PHONE (603)669-3218 FAX (603)665-4331 1100 Elm Street 'MAIL :jgeorge@crossagency.com INSURER(S)AFFORDING COVERAGE NAIC 9 Manchester NH 03101 INSURERA.Valley Fore Insurance Company 0508 INSURED INSURER B.Nationall Fire Ins Co of 20478 South Shore Gunite Pools and Spas, Inc. INSURER C-IIerican Alternative Ins. Corp 7 Progress Avenue INSURERD:The North River Insurance INSURER E: Chelmsford MA 01824-3606 IINSURERF:-- COVERAGES CERTIFICATE NUMBER:15-16 All Lines 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. IEXP LSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY M DD EFF POLICY M GD YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEff-- X COMMERCIAL GENERAL LIABILITY PREMISES occurrence) $ 100,000 A CLAIMS-MADE 7 OCCUR 4013391907 /1/2015 /1/2016 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 7X POLICY JECTPRO- LOC $ AUTOMOBILE LIABILITY COMBINEDLIMIT11000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 4013391888 /1/2015 /1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED Per accident) cct a DAMAGE $ Rental Reimbursement 30 $ 75 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,OOC M2A2UB0000865-01 /1/2015 /1/2015 $ D WORKERS COMPENSATION 408-726195-3 S WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE YIN (3a.) CT, MA, ME, NE, RX E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ NIA (Mandatory in NH) & VT /1/2015 /1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifyes,desaibeunder All officers included DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Limited Pollution 4013391907 /1/2015 /1/2016 Occurrence: $1,000,000 Worksites Liability DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,M more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sean & Lisa McDonough ACCORDANCE WITH THE POLICY PROVISIONS. 231 Bear Hill Road North Andover, MA 01824 AUTHORIZED REPRESENTATIVE J George CIC,CPIA,CPI �^- ACORD 26(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 orrinnsi m Tha Ar'nRn name and Innn aro ronicfarad marlrc of Arnpn Locationf r r/ / e7,q No. 4! 71 Date `NOR71� TOWN OF NORTH ANDOVER Ot� � o , 1h0 O� ��.. _' .• O� p Certificate of Occupancy $ A-/\./ /,,, -U 7 • i Building/Frame Permit Fee $ AGNUS ��"'�` �' ndV4oAerfnit Fee $ J Other Permit Fee $ ftwb"ection Fee Water Connection,Fee $ �� • TOTAL ,,$ !'Building Inspector i �7L'4 Div. Public Works � Location w No. A' 21 Date TOWN OF NORTH ANDOVER 3:0: t..o •,�OOL . ' A Certificate of Occupancy $ * ^ ' Building/Frame Permit Fee $ ,SSACMUSEt Foundation Permit Fee $ Other Permit Fee $ ection Fee $ Wonnection Fee $ �'J� OCT 1 UTFA $ ,� ��� , t� Andover COIIeCrOr l✓ Building Inspector Div. Public Work rqi,� Location Z t ��'I �-k/2- No.,: Y 71 Date &CRT" TOWN OF NORTH ANDOVER Cttt�ae ,h Certificate of Occupancy $ B5�1 � ` A 1i IFrame Permit Fee $ ;lwundation Permit Fee $ Other Permit Fee $ No.AndeveriGOA 'WConnection Fee $ 1 Water Connection Fee $ TOTAL $ �? oa v u J /---I .�� Building Inspector I � yam� G 9/z�/ 1��.�!U,�.". / 1,41. J (�j Div. Public Works P LI ATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. (�PAGE 1 MAP 4-40. F.- -4O. OT NO. 2 RECORD OF OWNERSHIP (DATE BOOK/ PAGE OZONE I SUB DIV. LOT NO: LOCATION6 pLf j " PURPOSE OF BUILDING /J `I f dLc,,, / C�O�JAra OWNER'S NAME NO. OF STORIES - SIZ /7e,.46 L 41Ac,/7 _ OWNER'S ADDRESS / ow, BASEMENT OR SLAB ARCHITECT'S 'EZr SIZE OF FLOOR TIMBERS 1ST OG�1 'y�1 2ND /� fo/'7 3RD BUILDER'S NAME CTI 04,7SPAN h / DISTANCE TO NEAREST BUILDING ` DIMENSIONSFO SILLS DISTANCE FROM STREET 1J - POSTS -- a DISTANCE FROM LOT LINES—SIDES 'D � REAR /C�'.�-. " " GIRDERS AREA OF LOT FRONTAGE lJ� HEIGHT OF FOUNDATION "7 /// THICKNESS S` IS BUILDING NEW p��_ SIZE OF FOOTING X IS BUILDING ADDITION 'tel MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE !/_-je- IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY _ IS BUILDING CONNECTED TO TOWN SEWERO IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS _ .. 3 PROPERTY INFORMATION AND COST SEE BOTH SIDES !@f/1!!1� paw (� U V �.y�y}� EST. BLDG. COS '1 �� 2��. v 0 PAGE 1 FILL OUT SECTIONS 1 - 3 LMMFEE ■i.rr�rrf 6v�' U EST. BLDG. COST PER SQ. FT. PAGE'2 FILL OUT SECTIONS 1 - 12 WE MMEIF®R Q`�U• E1 ® EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. -ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SI ATURE OF ER OR AUTHO IZED AGENT r(Nc.;?TEL.# [� F E E rl r !, Q N I R. 1 tL.# vCNTR. PLANNING BOARD PERMIT G.RANTE15 19 � BOARD OF SELECTMEN �5 6 �. �' BUI INO INSPECTOR J BUILDING RECORD ! ,� 1 OCCUPANCY 12 ` SINGLE FAMILY I_C-TSiOWIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI, FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. �\ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE CONCRETE BL K. PINE BRICKOR STONE HARDW D PIERS PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL IN. B'M'T AREA _ '/, 1/2 % FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS ei B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING _ COMfAON (� VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. .eosea STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR ADEQUATE NONE i 5 ROOF 10 PLUMBING GABLE HIP ARD BATH (3 ( — GAMBREL MANSARD TOILET RM.M. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY f� WOOD SHINGES KITCHEN SINK ` SLATE NO PLUMBING ' TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING \ WOOD JOIST PIPELESS FURNACE �- FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR \ \ WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS 12' IL B'M'T 2nd ELECTRIC 1 st 13rd ♦I NO HEATING �fOvS LpOOSEJ.�uvca� .-.- —_ / � -Y �:J ��. ►/ l C !• _l.G..��.. ' -I ' i-rL.rA+G ✓.c .2.c .$'v.e:. Y�oo�.L�' Ai I Aj Iib � \ `\ � '. 1 r •�:�—�,� ---- - � �: ., -� - �� �; low 10 • ) IVJ Al Li ,��/ '(;���'�l� 41 Ole Oy � �j ///� , 1 t ; �11 , i � ,, il I � r l of ,•' ; \ ' � r � I l • _ -; � � ( goy \ % ,• ,. Co 09 ���'�' \` i ( rr ► +: 'i f� ` ` ` \� `-z9�g OGT — 6 !99? !1_u_t_�� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or ' landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant /fills out this section***************** APPLICANT: �° C/w G��!//l�Q �4 �-i c Phone LOCATION: Assessor's Map Number s Parcel le-0 Subdivision Gl;/ I) t�z Lot(s) �u Street - rte St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: � f'p10(J(n Date Approved 1� Conservation Administrator Date Rejected Comments 11 16& Date Approved Town Planner �; Date Rejected Comments I' OCT - 6 1992 th Date Approved Health Age�npt11I�r Date Rejected Comments Public Works - sewer/water connection driveway permit cr.n.i 1SaUed h.,4 n34 j4cf- QaQro.,eo! &kc l/ta/4L Fire Department 0.,.« " Z"✓� -✓ Received by Building Inspector MDate OCT - 6 1992 � I C,p-e7r i v=n Ec> Fcu U 1�P►Tl o u �.q L.oGA-rE� 1 U l�.I,artT N ��»dv�>z�r-tA. i • �oT�Tt-1 A �...a�ovE,2_ � M A SS. II �� �`I 1 � �. - �� . , 6 1992 G tb r 2 LoT 2oA r Q C' � o- �O /Lto � �� Lam-- 18A I 1 1 137.12 - Z �s9.7d- THAT o �FSETS S+4dw T=cT�, 'THS oFFSErT"S USE. off" V4 Ce— 1:::>L t.J C=- uSPECTt7 O • c7 K o k l 4 1 Cot�lP(y :O 1.j�y A—fl S -> H S E. % S ;=a iZ, 9 GY'„ W tTtF TKEZot.liuC3 �rc.T E.tZtilt�+ Alto►._{ <=2.r-=- �owJ ts"iG, ILES H Co►-+�of�t-�11T'y oQ� �►0 0. 13$72 Sy l�atia S o� ►..1 Co1u F-o Q�fT)/ � 'PfCfSifRE��,�`' f lo��4+ Aum Q Ma `J N E.>,i CouS'T'2.ucr-r�D. �A�AL LApQ�'� • �a.L H E.�1 �.U t l_.T " (0(22�42i QiVhi _ .�FINAL PLANNING ,� _ FINAL - -- EINE WATER FINAL own of �` O n over 0 No. `E 71 ter ^5 )RIVEWAY ENTRY PERMIT Ano,J er, Mass.,dait I 19POL Al oR` Pf' �o/ I LD s .'! i 3 BOARD OF HEALTH PERMIT T THIS CERTIFIES THAT... ��..49 ....A. .�i.. ....................................... �e �• � ��•�••��• BUILDING INSPECTOR ... . mo • has permission to erect . . ldings on .. ... Rough to be occupied as t � .� .. .� .y.. . • Chimney . .. •• Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Constru tion of Rough PERMIT FOR FOUNDATION ONLY Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. lid-y� PLD °�= ELECTRICAL INSPECTOR PERMIT EXPIRES IN 6 MON] Q F1 et v Rough I,.JNLESS CONSTRUCTION STARTS Service PERMIT FOR FRAME/BUILDING Final DATE; �1Ca FEE PAID:...,,.....,.... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. id.-,�3oI' CCK yB Building Inspector ; Location f No. 11 %f -/� Date NCR7p TOWN OF NORTH ANDOVER F „ Certificate of Occupancy $ pc"/e"&Y- *mit Fee $FOMMO 4 y,:L k� Ii,: -- -7- t. Other Permit Fee $ r� ,Sewer Go"ection'Fee $ W--r CoI1#ed1ee $ TOTAL $ 1 Building Inspector L Div. Public Works APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ���� ���' ✓ PAGE 1 MAP h40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE — ZONE SUB DIV. LOT NO. 9 :2(" i LOCATION ' //T — — PURPOSE OF B 1 + OWNER'S NAME Com/ NO. OF STORIES 17 1 OWNER'S ADDRESS vBASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME l SPAN --- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET - "' POSTS - DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING % IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. r PAGE 2 FILL OUT SECTIONS 1 • 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FIL D BOARD OF HEALTH 81 ATURE OF OWNS. R AUTHORI ED AGENT FEE dJ 4 PLANNING BOARD PERMIT GRANTED OWNER TEL.# '" ���9 CONTR.TEL.# _ 19 CONTR.LIC.# d (5 BOARD OF SELECTMEN f 4 2 ° uE 6 RUILDING INBPECTOa BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S�oulEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. ---III PINE _ BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ '/. 1/1 '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDV✓'D ASBESTOS SIDING _ COMIAGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME I r' BRICK ON MASONRY ATTIC STRS. 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. + STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR _ ADEQUATE 1 NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. S COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING NORTH • ( � E Town ofAndover � -L,iP'v'*'zL1:. vo No. 4eW �JS o� cocH� art dower, Mass., A&I �. 19 q3 ADRATED PP�\��� '9S f BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......./y .i .. , .. �.. T ....... .................................. Foundation has permission to erect....`.. M............... buildings on.41.. 1..� .*4....h..il...LL...40.. Rough to be occupied as..... .000_0N.A..Av..A0.+r.e.# ..Arm.. ..... htmn y C e 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-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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR S 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 PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. CCIAICD /IAIATCD Finini .".' DRIVEWAY ENTRY PERMIT— CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number 471 :(1992) Date APRIL 14 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON LILT 19A BFAR HILL ROAD (#231) MAY BE OCCUPIED AS SINGLE FAMILY DWEUJNG W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NOR7N Lynch CERTIFICATE ISSUED TO Herb L X Bear Hill Rd. ADDRESS North Andover, MA �.7 CH,s�` Building Inspector ATTORNEY HERBERT J. LYNCH 156 STATE STREET BOSTON,MASSACHUSETTS 02109 /�7f3 /6L-?� I�W o-<�cQ, - 2,?l �C arcs az���✓� Y�-c "o-'" j r a, ,hoP7- , 'J'#'0NSE VATIUN,9yY Q FINAL PLANNINGil - `�� . NAL ��-- - EINE WATER ,�� 4-13- 7FINAL own of : :. naov er r, 'No. 471 DRIVEWAY ENTRY PERM.1.7 � _ J E Ic n o er, Mass.,d 19��- AOR 7 1 L 0 a IBOARD OF HEALTH PERMIT T '0 illl THIS CERTIFIES THAT../.�..� A.IVI.-A....... ..................... ..... ���� g �e. �. �... .�..��• BUILDING INSPECTOR -. has permission to erect .. .... .... .. uildin s on Rough to be occupied as. � .�1 ..� .� .y.. �AW.C..Is.eleA.lei#ot Final A &/,0. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in IUM ING NSP JOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and MIT FOR FOUNDATION ONLY ou /l ! S PER Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. in' �jAij VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MON 1gA O�U ELECT I A NS CTORD/ ` J�ID e), ri C3 Rough ©� rr . UNLESS CONSTRUCTION STARTS Service PERMIT FOR FRAME/BUILDING Final DATE: #6% FEE PAID- p� BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display inYa Conspicuous Place on the Premises y FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by ,!Hoke Det. dv�� X1801 610"Of Buildin Ins ector f �ej6,2U cam: 8 P