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Building Permit #760-2017 - 128 DALE STREET 2/6/2017
4—our— NORTH 1 o BUILDING PERMIT TOWN OF NORTH ANDOVER ° ; APPLICATION FOR PLAN EXAMINAT ON " - H Permit NO: a.0�� Date Received '� `°, « Date Issued: �9SSAC HU`����h IMPORTANT: Applicant must complete all items on this page a:LOCAl IONS: P ^�PROP,ERTY , �.. MAI?�NO � bx_.�FARCEL :_ ZONINGDISTRICT _ Historic District yes, ,QO * ` o. ° a. ;'3 ex Machine SFop,Villagei yes s a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑Two or more family 0 Industrial 0 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑.Others: ❑ Demolition ❑ Other ❑ Septic, �IJ,Welllr` ❑;F,loodplain D}Wetlands w � x0�\NaterskiediDistncP. rho _❑Water/S"ewer �"P=e....I _ ,�; *� a '�+5 a"v �° ,� s. °' (e 1 :r Identification Please Type or Print Clearly) • D p� OWNER: Name: �� I"�S� Phone: Address: Ize 1 CONTRACTOR', Name Address d ` 6� R s ; i �' Y� a -• Y., � '3; yyySuperviso�rs Construction License :Exp: Date M,_ 4 41 x Y {�, ,Home°,Improve mentsLicense:' _• . Exp ; Date • �, r . iy,'� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:�$ /S 1< FEE: $ b Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignafure of Agent/Owne`' . ' .:, . � ,G 7r f .. Location ! 18 A 19 L ST. No. 7 4 0 /7 Date {o p 17 • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 1 ©" Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 31503 1/ BuildinOnspector i ' 1 j1 iJr=•3 M` I .-�- �� Plans Submitted ❑ Plans Waived ll Certified'Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL r Public Sewer ❑ Tanning/MassageBodyArt ❑ Swimming Pools - _E well ❑ Tobacco Sales ❑ -Food Packaging/Sales Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ t THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ -COMMENTS ' 4 CONSERVATION Reviewed on Signature ; a GOMMENTS , HEALTH Reviewed on Si g nature COMMENTS E ' Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments e' ii Conservation Decision: Comments Water & Sewer,Con ndGtion/Signature&Dale Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street i [FIRE DEPARTMENT' -.Temp Dumpster on site yes no ocated at 124 Main Street ire Department signatureldate/'� n n1—'AIT -imension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ; ELECTRICAL: Movement of Muer location, mast or service drop_xequires approve! of Electrical Inspector Yes N® ®ANGER ZONE LITERATURE: Yes No.. MGL Chapter.166 Section 21A—F and G min.$10041000 fine h , NOTES and DATA— (For department use) I t 4 - I . 11 ® Notified for pickup Call Email ate Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. C Roofing, Siding, Interior Rehabilitation Permits ; ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks g ❑ Building Permit Application ❑ Certified Surveyed Plot Plan _ ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ry ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products 10 TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family ❑ Building Permit Application - ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses `I ❑ Workers Comp Affidavit o 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 o Engineering Affidavits for Engineered products 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit t In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeak 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 t < Doe:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 1 5,000.00 m $ - $ 180.00 Plumbing Fee $ 22.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 22.50 Total fees collected $ 325.00 128 Dale Street 760-2017 on 2/6/17 turn one car garage into family room Location --1 No. 7&0-261&0-261 J Date � a 20>7 . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee N` TOTAL Check# ! / Building Inspector r - pORT11 W: Y, IF a 1A . " ve" . 2o (I Oq.A. h ver, Mass, oZ �o- 26 7 C0C"1C"1WKM 7' ,q A° "���c5 Py . C . Y/40 11 R'�TE D �'P S V BOARD OF HEALTH Food/Kitchen PERM LD Septic System THIS CERTIFIES THAT ............. .....�� 4 �. , , , .,., .... BUILDING INSPECTOR ................. ....... ....... ...T.........1............................ 1�. . .. 1 j� 1�. .. ,.,.. .. Foundation has permission to erect .......................... buildings on ��r�--11..! .... .........�!� Rough to be occupied as ....!Gtm... 4.4t:�...... �.�..�5�...�....... .. .. . . .. .t.l.. .....!��.�......... Chimney provided that the person accepting this per hall in every respect conform to the terrfis of the application Final 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service Final BUILDINVGP CT0R GAS INSPECTOR Occupancy Permit Required toOccupancy Permit Required to Occupy Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. r -1 - NORT11 W' ' 2 6 : 1 : ve No. IL 2 h oh ver, Mass, gob O O COCMIc"l WICM �' 4 PSV RArEo �P 5 S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT .........$.T.E VC. Q BUILDING INSPECTOR has permission to erect .....................:::.. buildings on .......�..!�.4.......DI �. ........�l.................. Foundation Rough to be occupied as ...... .V.�rr..T...... .! !.R*&&.......�........."ma.y............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final 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 V Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TA S Rough Service ........... ... ........... .................. Final 04 BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. E NORTH ' TOWN OF NORTH ANDOVER 3?°•tf`tD�`e�pp` OFFICE OF . ' A BUILDING DEPARTMENT « 1a, 120 Main Street North Andover,Massachusetts 01845 ,SSACHUSE� Donald Belanger Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Building Permit Application Please print DATE: 2/ 3 201 7 JOB LOCATION: 1 2-8 `8� 3-7 6 Number Street Address Map/Lot HOMEOWNER 'S�iO q78-07-83% 1 q38-8001 - 290p Name Home Phone Work Phone PRESENT MAILING ADDRESS 12-8 bna Ndc�- City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided . that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR Section 110.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE Wkd'17 APPROVAL OF BUILDING OFFICIAL Revised 9/16 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Garage Conversion 128 Dale Street 21'-0" 10 Propane Fireplace . 8 recessed lights 3 A • 2 skylights caning Window Direct Vent zero on rear wall • Exterior Security Light (36" x 24") Clearance . Exterior Outlet • 4 double hung Existing garage with Ceiling Fan windows 32" x 48" 2x4 walls N Walls R15 Rear Ln • Cathedral ceilin 16 Inch on Center F Location g� R30 2x10 floor joists 16 inch on center Smoke detector Front SD i 48" opening T-0" LL 0.25" = 1' Existing Finished Breezeway 10 x 10 i Existing Main House • Installation • qualified installers • Minimum Framing Dimensions Min.Enclosure 48"1220mm 44.75" 11 37m i i 42.75" �\ 1086mm 22"(559mm)Standard Facing(drywall contacts side of fireplace) 22.5"(572mm)Submerged Facing(drywall butts non-comb.facing) Travis Industries 4161122 100-01376 14 3.4 MINIMUM AIR TERMINAL LOCATION CLEARANCES COVERED BALCONY APPLICATIONS tt" D N Q S R G P a 8 Q - L QMIN=3 feet RMAx=2 X QACTUAL RMAx 5 15 feet � \ (0.9m) (4.6m) INSTALLATIONS CANADA U.S.A. A 12"(30.5cm) 12"(30.5cm) Clearance above grade,veranda porch,deck or balcony. B 12"(30.5cm)° 9"(22.9cm) Clearance to windows or doors that open. C 12"(30.5cm)* 12"(30.5cm)* Clearance to permanently closed windows. D 18" 18"(45.7cm)** Vertical clearance to ventilated soffits located above the terminal within a horizontal distance of 2' (45.7cm)** (0.6m)from the center line of the terminal. E 12"(30.5cm)** 12"(30.5cm)** Clearance to unventilated soffit. F 0"(Omm) 0"(0mm) Clearance to an outside corner wall. G 0"(0mm)*** 0"(Omm)*** Clearance to an inside noncombustible corner wall or protruding noncombustible obstructions(chimney,etc.). 2"(51 mm)*** 2"(51 mm)*** Clearance to an inside combustible corner wall or protruding combustible obstructions(vent chase,etc.). H 3'(0.9m) 3'(0.9m)**** Clearance to each side of the center line extended above the meter/regulator assembly to a maxi- mum vertical distance of 15'(4.6m). 1 3'(0.9m) 3'(0.9m)**** Clearance to a service regulator vent outlet. J 12"(30.5cm) 9"(22.9cm) Clearance to a non-mechanical air supply inlet to the building or a combustion air inlet to any otter appliance. K 6'(1.8m) 3'(0.9m)t Clearance to a mechanical air supply inlet. L 7'(2.1 m)t 7'(2.1 m)**** Clearance above a paved sidewalk or paved driveway located on public property. M 12"(30.5cm)tt 12"(30.5cm)**"* Clearance under a veranda,porch or deck. N 16"(40.6cm) 16"(40.6cm) Clearance above the roof. O 2'(0.6m)t* 2'(0.6m)t* Clearance from an adjacent wall including neighbouring buildings. P 8'(2.4m) 8'(2.4m) Roof must be non-combustible without openings. O 3'(0.9m) 3'(0.9m) See chart for wider wall dimensions. R 6'(1.8m) 6'(1.8m) See chart for deeper wall dimensions.The terminal shall not be installed on any wall that has an opening between the terminal and the open side of the structure. S 12"(30.5cm) 12"(30.5cm) Clearance under a covered balcony A The terminal shall not be located less than 6 feet under a window that opens on a horizontal plane in a structure with three walls and a roof. Recommended to prevent condensation on windows and thermal breakage It is recommended to use a heat shield and to maximize the distance to vinyl clad soffits. "' The periscope requires a minimum 18 Inches clearance from an Inside corner. This is a recommended distance.For additional requirements check local codes. t 3 feet above if within 10 feet horizontally. k A vent shall not terminate where It may cause hazardous frost or Ice accumulations on adjacent property surfaces. tt Permitted only If the veranda,porch,or deck is fully open on a minimum of two sides beneath the floor. t' Recommended to prevent recirculation of exhaust products.For additional requirements check local codes. tt" Permitted only if the balcony Is fully open on a minimum of one side. NOTE: Clearances are in accordance with local installation codes and the requirements of the gas supplier. 12.1E W415-1678/A/09.23.16 47 GX36-1 MAXIMUM REAR VENT CLEARANCES (EXAMPLE 1) NON-COMBUSTIBLE COMBUSTIBLE BRICK 0"(0MM)IF 141/2° NON-COMBUSTIBLE 3" FINISHING IS USED [36.8cm] F6.2mm] SUCH AS BRICK 93/8" AND STONE. 4411 [238mm] 1 1 24 [25mm] � [61 cm] MINIMUM PLUS RISE* 'i 100-20" [254mm-50.8cm] VENT RUN NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible wall penetration. REAR EXIT ENCLOSURE The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements, the enclosure space around and above the appliance must be left unobstructed. W415-1678/A/09.23.16 48 GX36-1 MAXIMUM REAR VENT CLEARANCES (EXAMPLE 2) VOW IF NON-COMBUSTIBLE 141/2" 30 FINISHING IS USED [36.8cm] P6.2mm] SUCH AS BRICK 93/8n AND STONE. 44^ [238mm] [1.11m] 1° COMBUSTIBLE ' [25mm] 24 [61 cm] NON-COMBUSTIBLE MINIMUM BRICK PLUS RISE* i --I 10"-20^ I--- ' [254mm-50.8cm] VENT RUN NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible wall penetration. REAR EXIT ENCLOSURE The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements, the enclosure space around.and above the appliance must be left unobstructed. W415-1678/A/09.23.16 46 GX36-1 MINIMUM REAR VENT CLEARANCES For rear vent termination MQJ exceeding 10" (254mm)of horizontal vent run. NON-COMBUSTIBLE COMBUSTIBLE I BRICK 01(0MM)IF NON-COMBUSTIBLE 3" FINISHING IS USED [76.2mm SUCH AS BRICK 9 3/8° AND STONE. 44" [238mm] (1.11mj 345/8" [87.9cm] 1 [25mmj 24" [61 cm] MINIMUM PLUS RISE* i ---i 1" 10" I— [25mm-254mm] VENT RUN NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible wall penetration. REAR EXIT ENCLOSURE The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements,the enclosure space around and above the appliance must be left unobstructed. W415-1678/A/09.23.16 45 5.4 MINIMUM ENCLOSURE CLEARANCES GX36-1 GX36-1 TOP VENT COMBUSTIBLE NON-COMBUSTIBLE 3"[76.2mm] BRICK MINIMUM 0 (OMM)IF 3" NON-COMBUSTIBLE [76.2mm] FINISHING IS USED SUCH AS BRICK 3" AND STONE. 15 5/8" [76.2mm] [39.7cm] "T'= 54" 1" [1.37m] [25mm] CEILING (MIN) 2" [50.8mm] 501/2" [1.28m] 42 5/8" [1.08m] MINIMUM PLUS RISE* i 1" [25mm] NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible wall penetration. *See "MINIMUM FRAMING DIMENSION" section for details on reducing vent pipe top clearances. These parameters also apply to the illustrations found in the "MINIMUM ENCLOSURE CLEARANCES" section. TOP EXIT ENCLOSURE The appliance requires a minimum enclosure height of 50 1/2" (1.28m). For temperature requirements,the enclosure space around and above the appliance must be left unobstructed. W415-1678/A/09.23.16 44 Minimum clearance to combustible construction from appliance and vent surfaces: Combustible Framing: 0" to stand-offs 1" (25mm) to bottom and sides of the vent pipe* 3" (76.2mm)to top of the vent pipe* Combustible Finishing: - 0" to rear standoffs 0" to front face top and sides Top Exit 50 1/2" (1.28m)to combustible enclosure top from base of the appliance 54" (1.37m)to ceiling from base of the appliance Rear Exit 44" (1.12m)to combustile enclosure top from base of the appliance - 54" (1.37m)to ceiling from base of the appliance *GX36-1 HORIZONTAL VENT SECTIONS:A minimum of 1" (25mm) at the bottom and sides and 3" (76.2mm)at the top of the vent pipe on all horizontal runs to combustibles is required. Use firestop spacer W010-3440(supplied). i NOTE:The minimum clearances from the top of the horizontal vent pipe to combustible materials may be reduced from 3" (76.2mm)to 2" (50.8mm) in those installations with a minimum 38" (0.97m)vertical vent rise made immediately off the fireplace collar. I *GX36-1 VERTICAL VENT SECTIONS:A minimum of 1" (25mm)all around the vent pipe on all vertical runs to combustibles is required except for clearances in appliance enclosures.Vertical runs within the enclosure must maintain a 3" (76.2mm)clearance from combustibles. See "MINIMUM ENCLOSURE CLEARANCES" section. Use firestop spacer W500-0096(not supplied). OUTSIDE cc - CHASE [40.6tm] 337/8° O 351/2"[902cm] --I [86cm] 11\ 16" INSIDE [40.6cm] OCHASE 351/2°[902cm] SIDE 42"[51 mm] WALL I-- W415-1678/A/09.23.16 43 5.3.1 GX36-1 MINIMUM FRAMING DIMENSIONS rY i ENCLOSURE TOP i FINISHING MATERIAL i i i GAS 35" INLET [88.9cm] LOCATION ELECTRICAL i CONNECTION i 17/8" [47mm Sl „`902cm� 16° �4 35112 [40.6cm] W415-1678 /A/09.23.16 11 3.2 TYPICAL VENT INSTALLATION 16" (40.6cm) MINIMUM 40 FT(12.2M) MAXIMUM 24" (61 cm) 3 FT(IM) MAXIMUM MINIMUM 8" (20.3cm) MINIMUM i 425/811 (1.08m) MINIMUM 34,811 PLUS RISE* (88.4cm) 34.811 (88.4cm) TOP VENT W415-1678/A/09.23.16 12 16" (40.6cm) MINIMUM 40 FT(12.2M) MAXIMUM 3 FT(1 M) MINIMUM 20" (50.8cm) i MAX T 24" (61cm) MINIMUM 24" PLUS RISE* (61cm) REAR VENT *SEE "VENTING" SECTION W415-1678/A/09.23.16