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Home My WebLink AboutBuilding Permit #315 - 28 SAWYER ROAD 10/24/2007 BUILDING PERMIT c* NORrN `Sg1.tD }6• �O TOWN OF NORTH ANDOVER F? '.,>" - `, °p APPLICATION FOR PLAN EXAMINATION Permit NO: y'S Date Received 4 ' 4 ��SSUS'C Date Issued: v iCH IMPORTANT:Applicant must complete all items on this page SIZ > .nnt PROP..ERTY D LINER: MR M P O y re"PAROEl_ �ON1NG 1Sa w if 3s#or c Distr ct Y nom a r�� - c ; °Machine Stipp V�liage „des ono 5 ,: TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well �i� Flnoctpla�ca Wetlantls UVatershetl Distract r' is 4 to"., "' : w. •* A k 1 t , Water%Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) ? OWNER: Name: C 'LT � Phone.( -,,;9QS3 Address: R •b .� #' i., � �. d _ � x ..err' CO;NTIZACOR NameV :Phon ,c' .; ..., N. z �F 3 w Super�risor�s Constrtaction .icense r' Exp Oate Horse�mprovment Lrcense. w «, cp bot ARCH ITECTIENGINEER 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: $ ��- Check No.: ' 8 Receipt No.: O d 7?z:90 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signaturepf ture 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 k� 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 hermit Located at 384 Osgood Street F1RE DEPARTMiNT -Temp Dumpster on site yes no Located at 124.Main Street: Fire iDepartment;sigraa#ure'Maie '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 2007 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 o 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 o 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 DEPARTMENTMFORM07 Revised 2.2007 Location28- �-- No. Date NOR71y TOWN OF NORTH ANDOVER 3?O�tt`•o ,•,MO O � w a Certificate of Occupancy $ sAeMus<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20 / 43 �"' Building Inspector _..___.. 10/11/2007 02:42 FAX 603 537 0557 SAL$ Fj'a 002 ThiC The Cotnmons -- -- 25Indian Rock Road - SAMS ORDZR :%P-rlvz Windham', NEI 03087 GHOPPE Tel:603-337-0555 SO-7447 - - 1 !3/2007 "r Fax:603-537-0556 Customer �&ntact { " - ' Meiidith & Scott Mayo McFidith & Scott Mayo '28: Sawyer ave IN ANDOVER MA 01845 Tel: (978)975-5453, (508)414-2049 Account Terms Due Late A000=t Rep t :Schedule Date .........._. '-- 9789755453 Cash 10/3/__>00 Sue 13ilone 10/3/2007 Quotation Po # Rltebu30 Ship VIA pa9Q Printed SQ-7943 Installer To B... I .1 '2:06:21M $ Item Description i Order Sl: .p. Price U �Uscount� Amount ,1;LAB02 Labor - Install 11� $695.00 EA � $695.00 2EXC6F,DRC Pipe, Class A - 6" Deluxe'Rain Cap 1' $75.00EA $7.50 $67.50! 3 EXC6EFA ;Pipe, 6" Flashing 1-7/12 w/storm collar 1 563.00 EA $6.30 $56.70' j4jCxc6ERDS Pipe, Class A -6" Round Ceiling Supprt 1 $101.00 EA $10.10 $90.90 i5 EXC6EL98 Pipe, Class A - 6 x 48 Length 2 $194.00 EA $388.00 6IF.XC6UBAF Pipe, 6" Dbl wall Smoke - Adj 40-68 1 i 5168.00`EA $16.801 $151.20 i 'I • I � I I i so-IN i Our Store Policies are located on the back of this document Tax Details Taxable 5754.301 J Thank You for your business! ! EXEMPT $0.001: f MAss_STAX $3 Y15 I j Payment Det. Us Total Tax $37.72 :Exempt $695.00 Total $1,48.1.02 X: i j Paid _S-0-00; j Balance51,481.02 Dep. Avail I i — - --- —�— ------ f `� THe- The Commons _ 25 Indian Rock Road SALES ORDER Windham, NH 03087 -- H C) SO-7424 9/30/2007 Tel:603-537-0555 Fax:603-537-0556 11H1 1111111111111111111 IN j Customer Contact Ship To �Meridith & Scott Mayo IMeridith & Scott Mayo ;28` Sawyer ave !N ANDOVER MA 01845 Tel: (978)975-5453, (508)414-2049 i I I i I Account Terms Due Date Account Rept- Schedule Date 97897554.53 Cash 9/30/2007 Sue Milone 9/30/2007 Quotation Po # Reference Ship VIA Page Printed SQ-7921 Customer Picku. . . 1 9/30/2007 2:44:53PM L,_Item Description Order Ship Price UM Discount _Amountj 11JOT350336 3 CB Wood - Matte Black 1 $1,449.00 EA $144.90 $1,304.101 !2; 1 i 1 i i i I i � I i I 1 I � i I Our Store Policies are located on the back of this documentTax Details Taxable j $0.001 Thank You for your business! ! EXEMPT $0.000 1 I I ! Payment Details Total Tax $0.00 9/30/2007 CHECK 844 $844.00 Exempt $1,304.10: Total $1,304.10; X'. i Paid $844.001 Balance $460.10; Dep. Avail $849.001 I a x Model Jotul F 602 CB Jotul F 100 Nordic OT Jotul F 3 CB Jotul F 400 Castine Combustion Non-Catalytic Non-Catalytic Non-Catalytic Non-Catalytic Technology Clean Burn Clean Burn Clean Burn Clean Burn Construction Cast Iron Cast Iron Cast Iron Cast Iron Height 251/4' 221/2" 28" 281/4" Width 12 5/8" 20 3/4" 22 7/8" 25 3/4" Depth** 21 1/4" 171/2" 19 1/2" 231/4" Weight 160 Ibs. 215 lbs. 265 lbs. 375 lbs. Flue Size 6"(w/standard 6" 6" 6" adapter) Minimum Hearth Dimensions 281/2"W x 451/2"D 37"W x 38"D 39"W x 41"D 42"W x 44"D Height to Top of Flue Top 261/2" 24" 28" 29" Rear 24 3/4" 213/4" 251/2" 281/2" Rear w/opt.short legs n/a n/a 231/4" 25 3/4' Log Length up to 16" up to 16" up to 18" up to 20" Maximum Heat Output' 28,000 BTU/hr 35,000 BTU/hr 42,0oo BTU/hr 55,000 BTU/hr Heating Capacity' up to 800 sq.ft. up to 1,000 sq.ft. up to 1,300 sq.ft. up to 1,600 sq.ft. Overall Efficiency; 68% 71% 72% 73% Emissions 5.2 grams/hr 3.0 grams/hr 3.78 grams/hr 3.77 grams/hr Burn Time up to 5 hours up to 6 hours up to 7 hours up to 8 hours Clearance-Top Vent Us CAN Us CAN Us CAN US CAN Rear 13.5" 46omm 11" 457mm 25" 635mm 25" 635mm Side 21" 535mm 15" 38omm 24" 61omm 19" 485mm Corner 13" 330mm 10" 255mm 18" 46omm 18" 46omm Clearances with Jotul Rear Heatshield and Double Wall Insulated Chimney Connector Rear 9" 230mm 8" 205mm 10" 255mm* 7" 18omm Side 24 61omm 17" 430mm 18" 46omm* 15 38omm Corner 9" 230mm 10" 255mm 14' 355mm* 11" 28omm ' Maximum Heat Output based on kg of dry wood burned per hour. 7 Heating Capacity and Maximum Burn Time will vary depending ' Based on top exit only. on design of home,climate,elevation,wood type and operation. "Depth is overall depth with ashlip 3 Overall Efficiency is based on a medium burn rate of wood per hour and smoke outlet included. 20 i 1�16T S uIZE cF- SPOOLS. R�aF' pFvtc i Tt+Ro V C.�t t_t rIG•. t�oU g� ln��.t� 13LACW- f7OR MI k-) MA CLEm. t�S CE a FRr>n� 'To P o F n FRo-'n �O-K SToYE74° C�1t-1IJCc- IA&T. aFP ��.•�MA-ITS 0 2$ F3 cg cs�t T gLK �> FOR. FL4ZP-Q^r,>\. 7 s �. �T �- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 quo www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly C�Name (Business/Organization/Individual): T N1 -(b . ,CEMgqj Address: ) ` U3�(� dI City/State/Zip: b . , X1/1 Phone cl-7 � y —T Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance S. ❑ We are a corporation and its required.] officers have exercised their 10.F-1 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' t- comp. insurance required.] 13.0 Other,, p *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an penalties of perjury that the information provided above is true and correct. Sian ure: Date: IV /,24 &7 Phone#: -eel Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: NpRTFI c Town of : Andover 0% too No. --- �. - LA E o dover, Mass., 1 yCOCHICME WICK %pADRATED i?�\ 7 S BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...... ....................1 ............. ..a...............................................41.................. �� """"' Foundation has permission to erect........................................ buildings on ..Z ...... �..................... .!.............. Rough to be occupied as.0 .04...1 T&4.. r ................................"" Chimney . .... .......................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-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 31 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRU TS Rough ...................... I............................................... 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. t 0ORTIi TOWN OF NORTH ANDOVER :°•�"'° ;'"° OFFICE OF BUILDING DEPARTMENT + ; + 1600 Osgood Street Building 20, Suite 2-36 *:;:,:'� # North Andover,Massachusetts 01845 1sstcNus�t Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings a, Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pmt DATE: I o L? 0 JOB LOCATION:_4 -A V3 Number Street Map/Lot HOMEOWNER •c= M-A-�D $ Name Home Phone Work Phone PRESENT MAILING ADDRESS--7SGjc� eF, F-0 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 (Code Section 108.3.5.1) 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 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 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. CA) HOMEOWNERS SIGNATURE r APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homemms Exemption 130\RD OF \PPEA1-S 6x&95=11 CONSER\'. HON, 638-95.10 ITE.UAll 08-95.10 PLLNVING 688-9535