HomeMy WebLinkAboutBuilding Permit #261 - 455 CHESTNUT STREET 10/10/2007 BUILDING PERMITt��E' 640
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TOWN OF NORTH ANDOVER F
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received w �9p°NAT�C
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROV EMENT PROPOSED USE
- Residential Non- Residential
❑ New Building ❑ One family
El Addition [I Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
C�epair, replacement ❑Assessory Bldg ❑` Others:
❑ Demolition ❑ Other
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DESCR PT ON OF WORK�"E PR F RM D:
Id n ification Please Type or Print Clearly)
OWNER: Name:
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Addressaim
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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: $ , FEE: $
Check No.: 7&/!2 Receipt No.: 'go 66
NOTE: Persons con t' g with reregistered contractors do not have access to the guarantyfund
i Signature Of�AgGl��U :�, f..+§ �.L,�„ ..x�3• ;,�.� �.,,�h�...e:.'.tCi�����hi��.-...s»a��� '�,' ..�,a ::t ?
it ,
Location
No. �(p Date
�aRTM TOWN OF NORTH ANDOVER
so
0
9
Certificate of Occupancy $
i a
CMU,E<� Building/Frame Permit Fee $ j�o
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 4_
Check #.
i
Building Inspector
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 0
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
Conservation Decision: Comments
Water $ Sewer Connection/S9nature& Date Driveway Permit
Located at 384 Osgood Street
a s' 8I.ENT Tt✓171�3� C'tP ,tf'd`.C�7,t�slt�" �Ye
.F:;�� . 2a�*�t �£a=,c u"`"s'q. ?z"'�.� ttn�.� ,�wY �,:r•'��.z�� .R«+, a� �r �P` � ,-ag �.�,4.. as,T°rrd .� a;.t � x� "' .�.-2'- t"i
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.$1oo-$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
o Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract -
❑ Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
o Certified Surveyed Plot Plan
Li Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
u 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
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
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' USA/Canada
` Jotul F 400 Woodstove Clearances
Stove Unprotected Surface Pwtected�S.ur:ace.Lnstallation
Clearances Installation PER N PAzi�o ;atV%cSA 6365 93
Side Rear Corner* Side Rear Corner'
Stove-no heatshield 19"A 25"B 18"C i1"D 7"E 8"F
single wall pipe 485mm 635mm 46omm .28omm i8omm 205mm
Stove-with rear heatshield i8"G 8H 13"1 11"J 7"K 8"L
single wall pipe 46omm 46om 330mm 280mm i80mm 205mm
Stove-no heatshields i6" r381W' M_
i3" 8" 7" 6"
double wall pipe 405mm330mm 2O5mm 180mm i50mm
Stove-with rear heatshield i5"M 7"Nn"0 8"P 7"Q 6"R
with connector shield 38omm 18om 280mm 205mm 180mm i50mm
Stove-rear heatshield 15"S 7"T n"U 8"v 7"W 6"X
with double wall pipe 380mm 180mm 280mm 205mm 18omm 150mm
Connector Unprotected Surface Protected Surface
Clearances(Pipe) Vertical Installation Vertical Installation
PFR K1FPA.2,,ng rAN/r';A_Rafi5_Mga
Single wall pipe 25" 12"
6 mm loomm
Single wall pipe i8" 7"
with rear heatshield 46omm 180mm
Single wall pipe 7" 7"
with connector shields i8omm 180mm
Double wall pipe 7" y,
180mm i8omm
Connector Unprotected Surface Protected Surface
Clearances(Pipe) Horizontal Installation Horizontal Installation
PER NFPA211 OR CAN/CSA-8365-M93
Single wall connector 18" 46omm 7" i8omm
Double wall Pipe 6" i50mm 6" i50mm
Mantel and Trim Stove to i"thick or less,side trim 13" 300mm
Clearances Stove to i"thick or less,top trim 23" 585mm
Stove to mantel-maximum mantel depth 12" 25" 635mm
13
.USA`/Canada
Jotul F 400 Woodstove Clearances
Unprotected Surface Protected Surface PER NFPA nr or
Parallel to the Wall Parallel to the Wall CAN/CSA-6365
B H 6VD K
A G 1
N T O W
M 5 P V
Important:
Connector heatshields and double wall pipe must be a listed product.
Always follow the manufacturer's instructions.
-SINGLE WALL PIPE WITH CONNECTOR SHIELDS �.
''44�.
=DOUBLE WALL PIPE
Unprotected Surface Protected Surface
PER NFPAm or
Corner Installation Corner Installation CAN/CSA-8365
C 41 6
IF 4 *]L
O U R *AX xVi'r`: �'gh,
` •lin$ !�,�0U R
12
USAYCanada
Fig.i Fig.2
25 3/4"
Toward Stove Flue Gas Direction
23 i/4"
Fig.3
E
D
At least 3 feet
291/2"
top exit 25 i/2"
rear exit
Fig-4
Flue liner
Wood stud 2"clearance
L L 713r from chimney wall
Header
Thimble assembly:i2"of
brick separation from clay
liner to combustibles 12"
Fireclay liner5/8"
minimum or equivalent 12"
Sill 1 support
0
281/2" Chimney wall
llll 'lull
�---- 261/2" ----I
14
USA/Canada
Fig.5 Fig.8
(Measurements In mm for Canada)
Connector pipe shall Hearth Protection
be flush with the inside
of the flue the —►I 2"(50 mm)
Stove pipe
connector
Min.Depth 44"
(1168 mm)
Thimble
Flue the
I- Min.Width42"(1270mm) _
Fig.6 Fig g
Unprotected alcove installation
(with double-wall pipe)
Connector extends OW(405mm)
to first flue tile
58"min.
t9" (1475mm)
Damper opening is (485 mmsealed with sheet metallate and sealant
m)
Max.depth 44"
(1168 mm)
Fig.7 Fig.io Protected alcove installation
(with double-wall pipe)
Listed cap 8"(zo5mm)
Storm collar
Flashing
42"min.
7" (io65mm)
Listed chimney (t8o mm
Ceiling support
Attic insulation Chimney
shield connector
Specified 8"(2o5mm)
clearance
Combustible Floor protector I Max.depth 48"
ceilingjoists (ilio mm) Protection and
Ceiling airspace must
Chimney support
comply with
connector To stove NFPA 211OR
CAN/CSA-B365.
15
NORTH
Town of
No. ?. - rf
o dover, Mass.,
0 LAKE
/� QA COCHICKEWICK\��
ORATED
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......... ¢�....E......���/... .. .........................................................................................I Foundation
has permission to erect...................... ................. buildings on ....��...... ... Rough
to be occupied as rte...............
...........00q ... l ®� ..��� � .. Chimney
. . . .... . .....
provided that the person accepting this permit shall in eve respect conform to the terms oft 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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI STARTS
Rough
.............................. Service
BUILDIN PECTOR
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.
11 SEE REVERSE SIDE Smoke Det.
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
1600 Osgood Street Building 20,Suite 2-36
North Andover,Massachusetts 01845
Telephone(978)688-9545
Gerald A Brown
Fax (978)688-9542
Inspector of Buildings d,
HOMEOWNER LICENSE EXEMPTION
Please print
DATE:.
JOB LOCATION:
Number Street Address Map/Lot
HOMEOWNER �/� 1
Name Home Phone Work Phone
PRESENT MAILING ADDRESS S 1 ZS
II s
144A Fri-
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 that he/she will comply with said procedures and
requirements. /
HOMEOWI�RS SIGNA
V
APPROVAL OF BUILDING OFFICIAL
Revisod 10.2005
Foam Howcowams Exemption
BOARD OF \PPFA1 S 644-9541 CONSERV.MON 634-9530 1TF.1L'I'H 688-9540 PL.LNNING 638-9535