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HomeMy WebLinkAboutBuilding Permit #261 - 455 CHESTNUT STREET 10/10/2007 BUILDING PERMITt��E' 640 ��;.,. o TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION 41 1 Permit NO: Date Received w �9p°NAT�C 4Ssac►+us�� Date Issued: IMPORTANT:Applicant must complete all items on this page a r �� 7 ME AT ON w"'1 77 7731 � Z #� .�n, _ -r. '¢' • a,`'res 6�' .'� `�`r` r tea' s P -.:"` s 111 ,tr 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 Wex s' "1r,"�U�e DESCR PT ON OF WORK�"E PR F RM D: Id n ification Please Type or Print Clearly) OWNER: Name: ® � �'�✓ Phone: OW Addressaim a �r-�T� �r « '� y t � �"�x � � .aea' h���,+��� � '� �^...�. a,r� �• r n °�'�S•+�t. ���a� ti.x. c �n �ya ��y:.,,�� �3 �-s.��"��� � �, y"�, � �, �`�I�} ���m�'C� �i� �w `�*�'�� wada�l...,�: 5^��„'��"�`�„�: ""�°.r��` .:.��Y�. ,Tix,�-�+��. .z•..., m.�,x.:�: a .:s . nwg , 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 y ' 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