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HomeMy WebLinkAboutBuilding Permit #830 - Exception 6/23/2010BUILDINGPERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Rebeived 0' TYPE OF IMPROVEMENT PROPOSED USE--. & 2 Y " '�' . . ''I : . ''I Residential _,,_�­Non-'Residential New Buildin 1 9 One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Asses§6ry Bldg Others: 'tion Other DESCRIPTION OF WORK TO BE PREFC Identification OWNER: -,Name:A,,,N 4- LA A" 4 ase Type or Print'Clearly) RIVIED: Phone:M"' ARCH ITECT/ENG I NEER 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 Ptoject Cost: $ FEE: (90 CheckN6.: —Receipt No.:_Q 3 NOTE:. P�rsonsscontra"cting wit� unregistered contractors do not have access to the gu'aranty.fund Plans Submitted . Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer -Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpstef on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on �) /1� 1-0 Siqnature )v LAZ t COMMENTS e%! Hffi�!_T*H�­R`eviewedon �Si nature COOMENTS Zoning Board of Appeals: Variance, Petition No: -Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: LOcatea M4 USgOOa btreet FIREDEPARTMENT -'Temp,D6mpster-on,site yes. .no Located�at 124 Main.Street fi.re'De.partmb-nt,i�ignatu�re/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 21 A —F and G min.$100-$l 000 fine NOTES and DATA – (For department use) El Notified for pickup - Date — --------- - Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits L3 Building Permit Application ci Workers Comp Affidavit j Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract ci Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to i ssuance of Bldg Permit Addition Or Decks Ei Building Permit Application j Certified Surveyed Plot Plan c3 Workers Comp Affidavit Ei Photo Copy of H.I.C-And C.S.L. Licenses ci Copy Of Contract j Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Mass check Energy Compliance Report (If Applicable) Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) u Building Permit Application Li Certified Proposed Plot Plan L3 Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit Lj Two Sets of Building,Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ci Copy of Contract Li Mass check Energy Compliance Report o Engineering Affidavits for Engineered products' NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2008 Z);, j Location No. Date 40RTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ CHUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #,6-1,;? � 7 2 3 0 4 Building Inspector 70 South Broadway 45 Route 125 Lawrence, MA -,Q 1843 KIngston, NH 03848 Tel: 9�8W38-8307 b4 � Tel: 603-642-9909 Aid Fc 6(v� Fax: 978-688-1.949 7 bSINCE 1 78 Fax: 603-642-9906 providing afull,line of services and supplies fully licensed and insured www.familypoolsonline.com Name Address I ' 1 -2— M'h'Ao S_�' Home Phone I I 9q V ff 2-!t�? - Work Phone Cross StreeVDirections h_1A . 64pl— Esfimated Start Date city -A Date q Ajr, zo ca A/JeApg State A4-�f Zip QX VJ_ Cell (0 (7 0 Add'I # Estimated Completion Date We propose to furnish and install o unite L'Q sum of $ -e00 THIS PRICE INCLUDES: Normal Excavation up to 8 hours on day of dig Manual vacuum cleaner kit Backfill and Sub -Grade up to 3 hqurs 3 -Step stainless ladder Underwater White,+��� Rope and floats Steel Reinforcing per Engineered Plans for gunite Initial balancing chemicals Steel Structure per Engineered Plans for vinyl 8 to 12 Wk supply of maintenance chemicals Over -Flo Line for added protection (supply depends on pool size) Pressure testing of plumbing during construction Leaf net Ten Year Plumbing Guarantee (see specifications) Wall brush Transferable Lifetime Structural Warranty Extension pole Waterline Tile (6') Liner Choice Test Kit Surface skimmer (s) 2. Dual Main Coping Steps - "�W R� _� Handrails 5 t Filter r"VV (plumbed no more thpq 25P from pool) Pump & motor THIS PRICE DOES NOT INCLUDE: -Any plumbing over 25ft from pool. Additional runs are not recommended but would beat a cist o per foot per line. Machine time in excess of that specified above. APtional machine time to be billed at including machine, operator, and laborer, due with second pool payment. All hours of trucking will be charged at $ . :1211 - per hour per truck due with second pool payment. Any dumping costs incurred for disposal of ledge, large rocks, garbage, stumps buried or otherwise, building materials, unsuitable or nonstructural soils, or anyunforeseen material that must be removed. Removal of ledge or large rocks by way of a Starr bit, chipper, or blasting. Additional fill, if necessary, for proper backfill or reshaping of hole, supply or spreading of loam, reseeding of grass. Patio, fence, retaining wall, or any accessory items other than noted on contract. Electrical wiring, fuel connections, heater venting, fuel storage tanks or permits. Repair or replacement of sprinkler systems or any buried Iterns such as well lines, drywells, leach fields, electrical lines, cables, etc. that are damaged during construction. -Costs due to water or soil conditions (ex. clay, peat live sand, excessive rock, etc.) requiring a stone pack of the hole. The stone pack will be at an extra charge of $'I minimum to $ maximum and at the discretion of thejob supervisor. Additional machine time and/or materials necessary to rectify such a condition will be at a cost over an above the stone paX and will be quoted by the job supervisor. - Water to fill pool. pool for the Initials CUSTOMERS MUST SUPPLY: Access for all trucks and equipment Building and Electrical Permits or assume the costs necessary to obtain such permits. Water and electric necessary for construction of pool Customer mustwater cure Gunite shell for 7 to 10 days if applicable. Water to fill pool immediately upon interior finish NOTES: FIA A-0 c�'u ts�- \A OPTIONS: TOTALS: Diving Board Basic Pool Price $ Solar Cover Additional Pool Lighting $ 16 1 N-0 Options Heat 6"'ronb,#,P1F,,8h �,2su,�fa�e( SUBTOTAL $ Additional Floor Heads Co. Z.51 Polaris Vac -Sweep 46&o Sales Tax -2, $ P!1� �'tofit only TOTAL <3 Uhdd*at&Whff - Rope'and floats Test Kit Steel Reinforcing per Engineered Plans for gunite - Initial balancing chemicals Surface skimmer (s) Steel Structure ppr Engineered Plans for vinyl - 8 to 12 Wk supply of maintenance chemicals Dual Main Drains Over -Flo Line.fAdded protection (supply depends on pool size) Coping Pre=0616sfing of plumbing during construction Leaf net Steps Ten Year Plumbing Guarantee (see specifications) Wall brush Handrails Transferable Lifetime Structural WarranlY Extension pole Filter (plumbed no more thap 250 from pool) Pump & motor THIS PRICE DOES NOT INCLUDE: -ZL), - Any plumbing over 25ft from pool. Additional runs are not recommended but would be at a cost of $ per foot per line. -Machine time in excess of that specified above. APtional machine time to be billed at& I 164"_ including machine, operator, and laborer, due with second pool payment. All hours of trucking will be charged at $ :15 - per hour per truck due with second pool payment Any dumping costs incurred for disposal of ledge, large rocks, garbage, stumps buried or otherwise, building materials, unsuitable or nonstructural soils, or any unforeseen material that must be removed. Removal of ledge or large rocks by way of a Starr bit chipper, or blasting. Additional fill, if necessary, for proper backfill or reshaping of hole, supply or spreading of loam, reseeding of grass. Patio, fence, retaining wall, or any accessory items other than noted on contract. Electrical wiring, fuel conneclions, heater venting, fuel -storage tanks or permits. Repair or replacement of sprinkler systems or any buried items such as well lines, drywells, leach fields, electrical lines, cables, etc. that are damaged during construction -Costs due to water or soil conditions (ex. clay, peat, live sand, excessive rock, etc.) requiring a stone pack of the hole. The stone pack will be at an extra charge of $ minimum to $ maximum and atthediscretion of thejob supervisor. Additional machine time and/or materials necessary to rectify such a condition *11 be at a �ostoverand abovethe stone paX and will be quoted by the job supervisor. - Water to fill pool. Initials CUSTOMERS MUST SUPPLY. Access for all trucks and equipment - Building and Electrical Permits or assume the costs necessary to obtain such permits. Water and electric necessary for construction of pool - Customer must water cure Gunite shell for 7 to 10 days If applicable. Water to fill pool immediately upon interior finish NOTES OPTIONS: Diving Board Solar Cover Additionall PoDl Lighting Heat A I AND Envirlono s, 8 h +2 surface Additional Floor Heads Polaris Vac -Sweep Pool �'rofi' only M—oti, ch -'C <ZnorFiZ KNk Spa Automated Control System JlAki( Salt Chlorine Generator Other f1f UJ'P_A TOTALS: Basic Pool Price Options s 16 SUBTOTAL $ Sales Tax TOTAL Less 10% Deposit b�> $ Balance of Contract s PAYMENTS: 113 EXCAVATION V3 BACKFILL + EXTRAS 1/3 SYSTEM START-UP The buyer hereby agrees to pay, in full, the total amount of this transaction upon start-up of the installed pool. Your salesman or job supervisor will meet with you pdor to excavation at which time all decisions including pool size, shape, elevation, liner print, and all options must be final. Changes after this date will be subject to extra charges, where applicable, and will result in unavoidable delays. You, the Buyer, may cancel this transaction at any time pdor to midnight of the third business day after the date of this transaction. Credit card payments not accepted on cooct amot(ht. to SELLERC( date date I I I -i I VVA4=i LI I III io.I-erwicaie UT inSurance (I DUZZ4r I 41JU) =:41 Ul IZW I Uij IV, 1 -12 Fg UJ -U4 ClIen,W: 53642 F-Amll vpr)nI 1 ACORD'. ILIQUIM A CERTIFICATE OF LIABILITY I DATE (MMIDD/YYYYJ *4 INS RANCE 1/2912010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB International Now England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardyale St Wilmington, MA 01887 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. A 978 657-5100 INSURERS AFFORDING COVERAGE NAIC # NSURED Famity Pools & Patios Inc. N_-URERA- Nautilus Ins Co iNSURER B: Technology Insurance Co - INSURER C� Safety Insurance Co 70 S. Broadway Lawrence, MA 01843 INSURER D. r1115URERE FjIqL,*jT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFRICD NOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS, EXCLuSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLCED BY PAID CLAIMS. INBR L R DOL NSRC TYPE OF I-NSURANCE POLICY NUMBER POLICYIEFFECTIVE QATP IMM/DD/YYYY) POLICY EXPIRATION DATE IMIA1001YYYY) LIMITS A GENERAL LIABILITY . NC939713 0911912009 0911912010 EACH OCCURRENCE $1,000,OOD X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 17X OCCUR DRAI�ArA T 101',�LD" P. �,gl 3 $100,000 I E 0) EXP �Anv one per5or) $5,000 X BI/PD Ded: $2500 -MED PERSONAL & ADV INJURY $1,000,000 X XCU incl GENERAL AGGREGATE s2.000,OOD GE 'L AGGREGATE UMIT APPLIES PER: PRODUCTS - COPPIOPAGG s2.000,OOD I PDLICY [7 JFE'COT- F� LOC C AUTOMOBILE LIABILITY ANY AUTO 3947232 1213V2009 12131/2010 COMBAED SINGLE -N] iEe acodeni) $1,000,000 BODILY IN' 'LJRY �Fel, person% ALL OANED AUTOS X SCHEDULED AUTOS X HIRECAUTOS x NON -OWNED AUTOS BODILY IN URY iPer acod,;,n PROPERTY DAMAGE $ ipe7xuld�nb GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY ALTO AUTO ONLY� AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE OCCUR CLAIMS MADE DEDJCTIBLE S RETEN71ON S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TWC3229154 1213112009 `1213112010 WC H- X I ,STAI`,U,� T R To . I JOE . E L. EACH ACCIDENT 000.000 AN' PROPRIETOR;PARTNERIEXEGUTI�E rXi� 1WaF3I C ds�;OZ./M�k ,W5RENCLUDSID? ry n I I N I I Binkt Subro Waiver Included F L. DISEASE - EA EMPLOYEE $1100,000 ffas, desciibe undcr 6 ECIAL PROVISIONS belm E.L. DISEASE -POLICY LIMIT jj500.000 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS f VEHICLES.'EXCLUSIONS ADDED EY ENDCRSEMENT I SPECIAL PROVISIONS I;1J*jIq9jqV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EVIDENCE OF INSURANCE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL —in— DAYS WRIT -EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 $0 SHALL IMPOSE NO OBLIGATION OR LLAMLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ftV/1W1 .9 13041011— ACORD 25 (2009101) 1 of 2 OS34739GiM341043 0 1988-2009 ACORD CORPORATION. All righ1s reserved. The ACORD name and logo are registered marks of ACORD WR001 Board of Building RegulatiZ s and Standards HOME IMPROVEMENT CONTRACTOR WN 10-01 Registration: 118204 Expiration: 2/13/2011 Tr# 280313 Type: Private Corporation FAMILY POOLS:& 'PATIOS INC. WILLIAM GIANOPOULUS 70 S. BROADWAY LAWRENCE, MA 018 43' Administrator License or registr ation valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Asbburton Place Rm 1301 Boston, III.a. 02108 �4 a ft4% b4% A 9 U) 0 110 cl) U) 0 u U) C/) I (U P4 4-j .1.1 0 .E CD CA cm w CD MA cD E co'ca ow CL. CD Q CL C3 = CO2 E 4— C Cc c —J CD Co. t; CD CL cc cc CL CO) LU ui U) 19 w w 19 LU LU U) C/) u CL ca :i u co x —co x co to —co E 6 z C/) 0 cn U) 0 110 cl) U) 0 u U) C/) I (U P4 4-j .1.1 0 .E CD CA cm w CD MA cD E co'ca ow CL. 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I— CD CrtL):e 0 0 o COD C', U-- a c=G co E CL= -.S c.2 -o coD Z C—D LU C.2 CD cwm ca a !E c CL (a 0:0 =0 -0 w CD cc = L -:a CL - CO — Zip U) 0 w P-4 C/) P-4. z 0 u Cf) CV) 4.) �121 4-J P.4 �—ftv Al 0 CD E CD C z CO CL 0 CO2 CD Cm LO) E cc ca CD cc CL ca E C* Cc C,3 F= ca ca LLI LU U) 19 LLI LLI I% w LLI 0 54— Yle Commonwecelth of Alassachuseas Department qr rJ2&strial Accidents ffice of rnVesvolations 600 Washinvon Street AlA 02111 w`MaSS-&G,,0v1&a Workers' Compensation Insurance Affidavit: Builders/ContractorsTier-tri Aicant formation cians/Plumbers Name (Bminess/organiza6on/Indi�,iduq): Address: City/State/Zip: 4 Pbone Are You an emploverg rh..i, 4-t. 1. f e al ropria box: W1 am a employer with _Zb _ 4. 1 am a general contractor and I employees (fiffl and/or part-time).* have hir�f--d the sub-conuactors 2. 1 am B sole Proprietor or partner- listed oil the attached sheet I Q'k;� —A L— e no employees worlCing, for me in any capacity. [No workers' comp. ins;urance required,j 3. [].1 am a homeowner doing all work myself, [No worl=s I comp. insurance required.] t These 'ul>—cOntractors have workers' COMP. insurance. 5. We area cc)rporation and its off'cer' have exercised their right Of exemption Per MGL c. 152, § 1 (4), and we have, no =P1OYeeS- [No workers, Pom-n ms :A-YaPplic-ant that ch—la box tl must ais(I 0 uL.t the Be, allce requzmj who submit thij, affidavit indicating the,, are do-ing BE w0Tk- and th OIL �Contmcton that ch=k- this box Must attp—ched = additi = hi- outs de co 013a] sheet showing the 3=me of the s uto`-^tOr7� In -1 Submil, a new affid-it indi=ting rurh. 11b-c=tt=ton and their -- - I- MY--" 1710 TYPe of project (required): 6. KNew construction 7. Remodeling 8. Demolition 9. Buildin�-g addition 10-0 Electrical repair, oraddition, ILEI Plumbing repairs or additions 12.[] Roof repairs 7-4 M n4-1--- . -- wit '"'Wflyar ""u ff PrOv"Ung workers I compensation iftsAtrancefor nzy einployeca information. Insurance Company Name: 0 . I —.T LILLduon, Below is thePolicy andjob site Policy # or Self -ins. Lic. #.- Expiration.Date: Job Site Addre —1k3 10 ss: city/state/Zip: Attach R copy Of the workers' compensation Policy declaration pa e A t 5 -- Failure tc) ft' (Shoming the policy number and expiration date). secure coverage as required under Section 25A of M'GL c. 152 can lead to the imposition fme up to S 1,500-00 and/or one-year imprisonment, as we Of criminal penal�es of a V as civil Penalties in the form of a STOP WORK ORDER and a f of up to S250.00 a day against the violator. Be advised that a cc>py of this me Investigations of the DIA for insurance co statement may be, forwarded to the Verage verification. Office of r do hereby cervo, el under the, 3igmature- _ 6� Officid use only. City or Town: anapqL�es ofparjur"h4rt the information ProWdee above is true and correct DV no� M"te in thiS area, to be comPle`tOlf bi, cify or tiolm officiaL rense F "suing Authority (circle one): 1. Board Of Health 2. Building Department 6. Other 3' C'ty'TowE Cierk 4. Eiectrical Inspector S. plumbin, Inspector ZIP ki. Contact Person: Phone Information an- d Instructions Massachusetts General Laws chaptcr 152 requires all employ 4--rs to provide workers' conipens�ation. for their employees. Pursuant to this statute, an employee is defined as "...every P=rson in the service of anotheT under any contract of hirt, express or implied, oral or writt:en." An employer is defined as "an individuad, partnership, *associ.-�tion, corporation' or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including t7ae legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association ox- other legal entity, employing employees. Howt-,vcr the owner of a dwelling house having not m6m'flm three apardnL ent . s and who resides therein, or the occupant of the - dwelling house of another who =ploys persons to do mainte:maiice, construc6n or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not be-c--ause of such, employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or lcoo&al lic * ensing agency shall withhold the issuance or renewal of R license orpermit to operate a business or to r--onstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence Of c0ampliance with the inmirance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the c--omnionwealth nor any of its political subdivisions shall enter into any contact for the performance of public work- Uwe acceptable Midence of compliance with the insurance requirements DfthiS chapter have been presented to the cont.-Ncting authority." ,kpplirants Please fill out the workers' compensation affidavit comPletel3r, by checking, the boxes that apply to your situation and, if necessary, supply sub-contract*s) naine(s), address(es) and phone number(s) along with their certificate(s) of ins�e. Liinited Liability Companies (LLQ or Limited Lizability Partnerships (LLP) with no employees other than ffie members or partners,. are not required to carry workers' comp, =sation fimirance. If an LLC or LLP does have employees, a policy is mquireA Be advised that this affidavit may be submitted to the Department of lndustrW ,kccidents for confirmation of insurance coverage. Also be sxire to sign and date the affidavit. Tbe affida-vit should be mtmmed to the city or town thaa the application for the p ,=aait or License is being nauest:vd, not the D --n =t of Industrial Accident&. Should you have any questions regardin,- the law or if you are, rmpired to obtain a worl,---rs' compensation policy, please call the Deparlanent at the nuinbe:r listed below. Self-insured companies should enter their self-insurance license number m the appropriate line. City or Tova Officials Please be sun that the affidavit is complete and printed legibly. The Department has provided a space. at the bottom of the afEidavk for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/licm'se number which will be. -used as a -reference number. In addition� an applicant that must submit multiple perinit/license applications in any given year, need only submit one affidavit indicating cumnt policy information (if necessary) and under "Job Site Address"" the applicant should write "all locations in _(city or tow,n)." A copy of the affidavit that has been offici�lly stampc-,d or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for filtare PM-inits or licenses. A new affidavit must be filled out each year. Vvicre a home owner or citizen is obtaining a license or pmMit not related to any business, cr commercial ve;xitire (i.e. a dog licmse; or permit to burn leaves etc.) said person is NOT required to complete this affidavit. ne Office of Investigations would lile to than you in advance for your . cooperation and should you have any quesdons, please do not hesitate. to give us a call. 71heDepartmeat'.s address, Wlephone.and:fax..-mmiber:.-....- The CGmmonwmltb� of Mass;achusetts DePa�ent of Endustrial Accidents 0 Mice of lRyesutgations 600 Washmgton St -tet Bo-stol� MA 02111 Tel. # 617-727-4900 mxt4o.6 or 1-977-MASSA.FE Re-viScd 5-26-05 Fax # 617-727-7749 m X 0) PAM (D J�i < VA oli coo) P > m z 0 o > > > ol < c 0 0 W 0-1 OD Ct),. o (1) CA) m X 0) PAM (D J�i < VA t%ORTFf cot 0 Z. 0 CONSERVATION DEPARTMENT (ommunity Development Division September 4, 2009 James and Linda D'Angelo 172 Summer Street North Andover, MA 0 1845 RE: VIOLATION of the Massachusetts Wetland Protection Act (M.G.L. C.131 § 40) and the North Andover Wetland Protection Bylaw (C. 178 of the Code of North Andover) at 172 Summer Street Dear Mr. & Mrs. D'Angelo, During a site inspection for a proposed fence installation on your property, I observed unauthorized land clearing in the buffer zone to a Bordering Vegetated Wetland (BVW) and an associated Vernal Pool (VP). According to C. 178.2 of the North Andover Wetland Protection Bylaw, "No person shall engage in the following activities: removal, filling, dredging, discharging into, building upon, or otherwise altering or degrading the wetland resource areas..." including any I 00 -foot buffer zone (see also Wetland Protection Act Regulations 3 10 CMR 10.55). Work within 100 -feet of a wetland resource area requires a filing with the North Andover Conservation Commission (NACC) under both the Massachusetts Wetland Protection Act and the North Andover Wetland Protection Bylaw (more information is available at the Town of North Andover website under the Conservation Department link). On August 26, 2009, the NACC issued a small project permit to allow you to install fencing along the perimeter of your property up gradient of the 25 -foot No -Disturbance Zone. In addition, the NACC agreed an Enforcement Order should be issued requiring you to restore the 25 -foot No -Disturb Zone to BVW and the 50-footNo-Disturb Zone to the Ve mal Pool, on, the southeastern portion of your lot along an existing path. Attached photos show that the existing path was widened and now encroaches on these buffer zone areas. In addition, the applicant shall file a Request for Determination (RDA) by October 15, 2009 to properly permit the land clearing which occurred in the buffer zone. This RDA shall address any additional work you wish to do in the I 00 -foot buffer zone including grading, landscaping and brush storage. A proposal which includes additional work such as excavation or structures within the I 00 -foot buffer zone may require the filing of a Notice of Intent (NOI). 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9530 Fox 978.688.9542 Web www.townofnorthandover.com Failure to comply with this Order and the deadlines referenced herein will result in the issuance of additional penalties. MGL C.131 S.40 and the North Andover Wetland Bylaw, C.178 authorizes the Conservation Commission to seek injunctive relief and civil penalties per day of violation. In addition, a violation of the Massachusetts Wetland Protection Act and the North Andover Wetland Bylaw constitutes a criminal act, which is subject to prosecution and the imposition of criminal fmes, also per day. This tnforcement Order shall become effective upon receipt. Your anticipated cooperation is appreciated. Sincerely, NORTH ANDOVER CONSERVATION DEPARTMIENT Jennifer Hughes Conservation Administrator CC: Mass DEP, Northeast Regional Office 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9530 Fox 978.688.9542 Web www.townofnorthandover.com . �6 000 CONSERVATION DEPARTMENT Community Development Division NEGATIVE DETERMINATION OF APPLICABILITY SPECIAL CONDITIONS 172 Summer Street, North Andover At the November 4, 2009 public hearing, the North Andover Conservation Commission (NACC) voted to issue a Negative Determination of Applicability for site grading associated with the construction of an in -ground swimming pool and cabana within the Buffer Zone to a Bordering Vegetated Wetland (BVV)). All pool and cabana construction is located outside of thelOO-foot Buffer Zone. Applicant: James and Linda DAngelo 172 Summer Street North Andover, MA 01845 Record Documents: Request for Determination of Applicability, prepared by TEC, Inc. Brian Pendleton, P.E. 65 Glenn Street, Lawrence, MA 01843 Dated: October 23, 2009 Site plan entitled, "General Plan" prepared by TEC, Inc. Brian Pendleton, P.E. Dated 10/23/09 Pre -Construction & During Construction Erosion control barriers shall be properly mistalled and shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. Erosion controls shall be inspected by the Conservation Department prior to the start of construction. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the NACC. Should additional measures be required by the NACC, they shall be installed within 48 hours of the Commission's request. Excess material and construction debris shall be properly disposed of off site and all stockpile areas shall be located beyond the 50 -foot No -Build Line shown on the plan referenced herein. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phon6 978.688.9530 Fax 978.688.9542 Web: http://www.toxvnofnorthandover.com/Pages/NAndoverMA—Conservafion/index Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 4* The applicant shall install a rock wall/border at the edge of tree line (completing a partial rock border already established in this area) on the southern portion of the property. Wetland Markets have already been established in this area. Post Construction Immediately following completion of the work, any disturbed areas shall be permanently stabilized against erosion. Grading behind the proposed cabana shall be the limit of the proposed lawn area. South of this grading line shall remain in a natural state due to the sensitivity of the adjacent wetland and vernal pool. 1'* Once the site is adequately stabilized, the Conservation Department shall be contacted to conduct a final site inspection. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web: http://www.townofnorthandover.com/Pages/NAndoverMA—Conservation/index August 28, 2009 James and Linda D' Angelo 172- Summer Street North Andover, MA 01845 CONSERVATION DEPARTMENT Community Development Division 172 Summer Street, North Andover Fencing Conservation Conditions of Approval, NACC #60 Pursuant to section 4.4.2 H of the North Andover Wetlands Protection Regulations, James and Linda UAngelo, applicants/ owners, filed a small. project request for work proposed at 172 Summer Street, North Andover. The work consists of installing fencing within the buffer zone of a Bordering Vegetated Wetland (BVW) and an associated vernal pool. All work is outside the 25 -foot BVW No - Disturbance Zone as shown on the plan referenced herein. The Conservation Department conducted a field inspection of the site on August 21, 2009 and agrees with the proposed fence location. During the August 26,2009 public meeting, the North Andover Conservation Commission (NACC) voted unanimously to. approve this. project as described above and shown. on the record documents. referenced below. The following conditions were hereby mandated for the proposed work: RECORD DOCUMENTS: Small Project Application Letter Fencing - 172. Summer Street Signed by James D'Angelo Dated: August 19,2009; As Built Base Plan I Prepared by James D'Angelo Dated: August 12,2005 (hand drawn edits); Supplemental Plan, Lot 1 Summer Street (fencing only) Prepared by: Christiansen & Sergi hand drawn fence locations by applicant; Negative RDA previously issued for house construction (Lot 2 Summer Street) 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www. http://www.townofnorthandover.com/conservel.htm A . #P CONDITIONS: 1. All work will be conducted more than 25 -feet from delineated Bordering Vegetated Wetlands. No soil disturbance shall occur inside of the 25 -foot No -Disturbance Zone. 2. No additional clearing shall take place on the property without a filing. Recent clearing will- be addressed by -the- Conservation Dep thibugh-the-issuance of an -Enforcement Order. 3. Excess material shall be properly disposed of outside of the 100400t Buffer Zone. 4. Upon completion of the approved project and site stabilization, please contact the Conservation Department for a final inspection. 5. This Rermit shall Mire on December 31,2009. Please do -not hesitate to contact me should you have any further question. s or concerns in this,regard. Thank you in advance for your anticipated cooperation. R-espectfullyj NORTH ANDOVER CONSERVATION DEPARTMENT Jennifer A. Hughes - Conservation Administrator 1600 Osgood Street, Building 20, Suite 2-36, North Andoveri Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www. http://www.townofnorthandover.com/conservel.httn Av� i V4 I" oc H D -mm cuL cu V fe I 39vd 5,700', WVxsxvsr 91 CD ao 10 4c ix cyl z 2b D -mm cuL cu V fe I 39vd 5,700', WVxsxvsr 91