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HomeMy WebLinkAboutBuilding Permit #391 - 26 HEMLOCK STREET 11/14/2007 BUILDING PERMIT of"°RT b qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 9 1• Permit NO: Date Received ��— 19— e>7 ArID �SSACHuSE� Date Issued: o I PORTANT:Applicant must complete all items on this page in UP "�ROER 'Y OWT�ER ,. � ,.�� h+�+x r e `` sT�K �'a U 5� �,::'�?� s 7.h ';��' � `! •�"'...!+. �' �171achirieShop Village�;�,;yeS � {rao���'�� i TYPE OF IMPROVEMENT -PROPOSED USE -Re irJPntiq1 Non- Residential New Building - One famil Addition or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sepfic7ell °' �` °s loodpla�n ' Wetlands �1latershd District DESCRIPTION OF WORK TO BE PREFORMED: /IU L 1-0 T/6 0 a e L LL. r S7_6UC RrtJ D (Jt rll 7- - I o Identification Please Type or Print Clearly) OWNER: Name:- EA/ LJR5�o9L Phone: 7/1 6045 6M Address: a (0 k(Et4 LOCt<' 5-1. /U " ;41At1;D6 ( ,'CP_ A4!4 6 /'9 S 4.. N, C©NTRACTOR aNarxie �, De Address' °t 5 z7 5 i r y xs b ,awt c x �-ka5`: .c w-• q ro � °'"` >&"� - r `$ tt `' `"� 3 - P,�s `' r 'qx y off• u a t'"-h a ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULGING PERMIT.MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2To 0O• FEE: $_ 3d Check No.: JVD Receipt No.: v2d�/d NOTE: Persons contracti ith unregistered c n"tractors do not have access to the guaranty fund Signattyre of Agent/�wner . 5gr3afure of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales . Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED ` CONSERVATION COMMENTS ' DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments FC Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street FIRE;DEPARTMENT'­ Ternp Dumpster on site yes no ' Located at 1241>ilain'Street Fllre Department s�gnaty"pa'date y = �OMIVIENTS = - 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 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 w Location /�F /r�G �✓ No. Date 1-111167 NORT►, TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ } C Building/Frame Permit Fee $ sACMUSE Foundation Permit Fee $ Other Permit Fee $ Y TOTAL $ Check N 20810 / 6"Milding Inspector ORTH Town of Andover No. 3q / 'F 0 a2 0 011. dover, C 0111 HICHEMCK * 0"?ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................s �`.. ..y ............................................. Foundation ............................. ......... Rough has permission to erect............ .......................... buildings on —el........ /' Chimney ............................. /.....sz. ........... to be occupied as.... ......... provided that the person accepting this permit shall in everespect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS 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 Street No. SEE REVERSE SIDE Smoke Det. � d.��', �� ,, �., u - �9•,N� � r ��. is`A;'�,�,` "� �;` S�. y��yu � ray` � r� �r�• � ^•_�"�� ;r Via^ � �,"�,��y � s w�� ��� �� w� ��" a{� ��` � � 3y�. I �^ �:����1 P I � s 3, 4 �'�� � �t� ,�fR g � r � • � n ggp wk �e RN" E CK WE' L� � 4' N r Z k. h x ptP p S 1�y, 2•, Hearth .Produc.ts` r5 I The BIG E x Home Heater with ashP an and large cast door ECONOMICAL TO BU( EFFICIENT TO OPERATE EASYTO USE 4 THE-_:8-1GS,�� HOME H AT, {..� . ECONOMICAGTOBUY-EFFICIENT TO`OPERATEAAA ' EASY TO USE ' BreckwelHome Heater,brings.together x ECONOMY EFFICIENCY, and EASE of,.ope wrion 6 ECONOMICAL Wheriyou compare the features:and opt,, you getwltll THE BIG E to similarly priced stoves you'i see real value it this newest xis entry.in the Bzeckwell line THE BiG E brings"to you all of the Mckwd xreliability and craftsmanship of a very affordable price:, EFFICIENT Whether you're operating your stove'at rts highestlsettmg or:.; ' x heating at itslowest level It conserves pellet usage z; - ,.. ..,. EASYTO.USE THE BIG E Is operated with Its digital one-`touch control pad No further adjustments are necessary N i k � Y F. F o 238' FEATURES and OPTIONS 44. 916 •Large ash pan •Large glass/cast iron door •"Hot Rod"Automatic Firestarter 325,, •Heats up to 2,200 square feet •Digital one-touch control with diagnostics •Up to 55,000 BTU heat input e®° e8 68 •13 tube heat exchange system 1-253< _� •Up to 140 lb.hopper capacity •81%fuel efficiency •Two thermostat modes:high/low or on/off BACKWALL ADJACENT WALL •Five heat settings WITH WITH •Low speed trim settingVERTICAL 3" 1" HORIZONTAL 1" J P EXHAUST EXHAUST 3" J •Removable burnpot with stainless steel insert _j a •Limited five-year warranty a 3" 3 •Optional radio frequency remote control 3 12" 1" z Li •Optional 210 lb.hopper extension Q o p U U Q •EPA exempt v Q a SPECIFICATION 30" Pellet Vent Kit 3000 Widtl5.25 3/4" 3 inch diameter kit Height 25/8 contains a Horizontal Heightfincluding hopper extension): 50_-,--­6Cap,90°elbow,Wall Depth:23 7/8" Strap,Wall Thimble, Weight:275 lbs. Pipe Adapter and 32 0 Flue Size:3" five one foot Pellet Hopper Capacity:Up to 140 lbs. Vent pipe lengths 6„ as shown here. � HEARTH. PAD (This can vary widely depending on I pellet size,length and diameter.) EPA Status:exempt BTURange:8,200-55,000 Approved'Installations:mobile home, conventional B R E C K W E L L Ilearth Products Hand-crafted in America Dura-Vent Pellet vent double-wall pipe is UL listed at EUGENE, OREGON•ARLINGTON,TEXAS ' • Pellet Vent chimney 3 inch minimum clearance to combustibles.Installations with a 25 year warranty of 15 feet or more,or when more than 90°of turn is f `„' 866-606-8444 11 w, i UL and ULC listed. required in the system,Breckwell recommends 01 visit our website at www.breckwelhcorn "-------C-__O—n:__L.__11..4......1 - Koerp TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ° ,* 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 s�c�ws� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings s.. Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pgi DATE: /O JOB LOCATION: 02 I'0 l�ii� CSC Number Street Address Map/Lot HOMEOWNER E7-L U PA / Z,,E-61q� L 4� ( & 6 (0 Name Home Phone r Work Phone PRESENT MAILING ADDRELo l7 � I o e ' �j AIV (ALle City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Cade$Ction 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that helshe understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requiremems• HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fonn Honwowms ExwWdon BARD OF \PPE:V_3 633-9511 CONSERV.VrION'638-9530 ITEAurH 688-9540 PLI-NNING 6W9535 ,1,