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Home My WebLink AboutBuilding Permit #175 - 40 GRANVILLE LANE 9/5/2006 l TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION o`.41 1 o p x � Permit NO: Z Date Received qq cocwK 4A ri Date Issued: { IMPORTANT: Applicant must complete all items on this page LOCATION Pr t PROPERTY OWNER / Print _ MAP M. -PARCEL:1)0-10bZONING DISTRICT:L /oc C— &-;51— TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑Industrial Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition ❑Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) : / U - - it' Phone: OWNER: Name Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCH ITECUENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ Q O o x12.00=FEES Check No.: 7 / Receipt No.. C JT r �— Page I of 4 Location No. Date 0 �oRTM TOWN OF NORTH ANDOVER Of�t`%D F p ♦ i � Certificate of Occupancy $ MuS Building/Frame Permit Fee $ �3 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 19551 U Building In �tcSY` J TYPE OF SEWERAGE DISPOSAL Public Sewer El Tanning/Massage/Body Art ❑ Swimming Pools 11 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractil with unregister ontractors do not/save access to the guarantyfund Signature of Agent/Own ignature of contractor I Plans Submitted ❑ laps Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ F1 []Water Shed Special Permit i ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ L COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Continents Water& Sewer connection/Signature&Date Driveway Permit Temp Dumpster on site yes—no— Fire Department signature/date - _ 1 Building Setback (ft.) Front Yard Side Yard Rear Yard Require Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) I I Page 3 oF4 I Doc:INSPECTIONAL SERVICES DEPAR'1'MENT:BIIFORM05 Created.IMC.Jan'006 I 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 o 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 Addition Or Decks ❑ Building Permit Application o Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) New Construction (Single and Two Family) o 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 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 DEPAR'1MENT:BPPORN105 P;i++ 4 of 4 KORTN TOWN OF NORTH ANDOVER OFFICE OF ° p BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North Andover Massachusetts 01845 9SS�1CHU5Et Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: C1 JOB LOCATION: �Q �� U� �L�/SIC /l,9 LOCATION:— Street Address Map/Lot HOMEOWNER Name gorqCPhone WorkPhone PRESENT MAILING ADDRESS Is4l�� 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. HOMEOWNERS SIGNATU APPROVAL OF BUILDING OFFICIA Revised 10.2005 Fonn Homcowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEAUTH 688-9540 PLANNING 688- 9535 ....WOOD STOVE INSTALLATION CHECKLIST Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. Stove ..i A. New Used a. Type/radiant LJoo 0 S f O J Circulating C. Manufacturer &529,+"dw e 4#m 4n _1-ab.No. �d 7A-4-- NameJModel No.6A*1 f N1j1Jh a- !mss ACe» Collar size Olmensionsl Height V-u 1/N Length r f Width -'AL, Chimney A. New Existing B. Size(flue area) 4 - 13 C. Other appliances attached to flue(Number and flue size) 0. Prefab(Manufacturer—name and type) E. Masonry/Lined L-1 j'V Flue liner Unlined olyp*s manuiacluf.1) F. Height(refer to diagrams) � cap ovEZ Icy ! �.�� ' Iz`I Mir(. i T T I' ,�,,,� .'MIK :0' J' ij� - Am. 18`�btlN. HEARTH CHIMNEY HEIGHT Hearth(non-combustible A. Materials, a - G. Sub-floor construction C. Minimum dimensions(refer to aiagram) Clearances and Wall Protec:lon Isee s;c-je in:;allat:cn c!e_rances chart) A. Type of wall protection provided S --d-0, B. Clearances(refer to diagrams) I� I FIREPLACE "` "°' ;'ORr-IER WALLCENTER• k NORTH Town of 4 4Andover No. )7C o - E dover, Mass.,T LA COCMICNEWICK SRATED pP�\ SCC' BOARD OF HEALTH PER IT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ ... /... . .r.. ...'.......... "�. .......... "" """� ""' Foundation has permission to erect........................ ............... buildings on .... ...00.......WAAA96#11 .................... Rough to be occupied as........ NA 0 57-0.4.. 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 0 Own— PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TARTS Rough .................................. Service _BUIEMqMNW%gTOR 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 j Until Inspected and Approved by the Building Inspector. Burner ` Street No. SEE REVERSE SIDE Smoke Det. WINTERWARM SMALL INSERT Specifications:Small Model Log Length: 18" Burn Time: 6- 8 hours 2"r.5=(650mm) 1fi'h"(420mm) �21s':(535mm)—.i Heating Capacity: 500-1,000 sq.ft. --►{ Imo- Maximum Heat Output: 30,000 BTU/hr. I Efficiency Rating: 79% 1 (1602 4mm) EPA Emissions Rating: 2.1 grams/hr. 21' (535mm) Weight: 285 lbs ^ (535mm) -y 13'(330mm) Minimum Fireplace Dimensions: i ` € Height: 21 1/2" (16s ) Width: 26 1/2" Depth: 15" Flue Collar Size: 6"round FRONT VIEW SIDE VIEW TOP VIEW Optional Surround Packages: 6"Steel coverst 36 1/2"W x 27" H 10"Steel covers:' 44 1/2"W x 31"H 7"Cast covers: 40"W x 28 1/2" H 10"Cast coven:. 45"W x 31" H WINTERWARM LARGE INSERT Specifications: Large Model Log Length: 24" 41'(1041 _ Burn Time: Up to 9 hours Heating Capacity: 750-1,500 sq. ft. 133/4' Maximum Heat Output: 50,000 BTU/hr. E-, � i �� (349 mm) p rai I r Efficiency Rating: 78.3% »/e' EPA Emissions Rating: 2.1 grams/hr. (fi< (200 mm) Weighty 475 lbs ss/mm > i 23 y4. Minimum Fireplace Dimensions: (603 mm) Height: 24" Width: 34„ �,t ( Depth: 19„ I'I i. �•. Flue Collar Size: 10"oval 1• 25-1/2'(648 mm) 1 — I —4701/' •� Optional Surround covers up to 51"W x 36" H FRONT VIEW SIDE VIEW WINTERWARM FIREPLACE SYSTEM - Specifications: Fireplace System Model. (Specifications some as WinterWarm Large) Log Length: 24" Efficiency Rating: 78.3% Cabinet Dimensions: Burn Time: Up to 9 hours EPA Emissions Rating: 2.1 grams/hr. Height: 59 1/2" Heating Capacity: 750- 1,500 sq.ft. Weight: 840 lbs Width: 39 1/2" Maximum Heat Output: 50,000 BTU/hr. Chimney 8"High Temperature Depth: 28 1/2" Clearances of Cabinet: To Wall Studs: 1/2" Visible Front:41"W x 34 1/2"H In the interest of constant product improvements,we reserve the right to change specifications without notice. Before installation,please read INSTALLATION INSTRUCTIONS and check all local Building Codes and Gas Regulations.For best results,do not construct framing until the unit is in place. Vermont Castings is a registered trademark of CFM Corporation. YOUR DEALER Hearth Works Fireplace Ctr awl 250 Main St., Rt. 28 NATIONAL FIREPLACE N, Reading, MA 01864 CFM INSTITUTE (978) 6640100 CFM Corporation ph:905.858.8010 2695 Meadowvale Blvd. fx: 905.858.3966 Es Mississauga,Ontario www.vermontcaslings.com ADVOCATE Canada,L5N 8A3 www.maiesticproducts.com Version: 6 2000-1056 10/05