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HomeMy WebLinkAboutMiscellaneous - 116 BRADFORD STREET 4/30/2018 (2) i I 1 r I �. i I NORTH own of EAndover 0 . . ... - 94 oh , ver, Mass, / ' 0 � 7 COCNK 6"40 y1. U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THATf - BUILDING INSPECTOR ....... ... ....... ............... ................ ......... .... . '� ...J '� has permission to erect .......................... buildings on ... .. .... ..� .......alFoundation Rough to be occupied as ......3..1...... ..� .��.................... .!... ...�. ......... ............ Chimney provided that the person accepting this permit shall in every respect conform o the terms of the application Fina on file in 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 CONSTRUCTIOPj S Rough Service ................. .. ... ........ Final BUILDING INSPECTOR GAS&SPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. Location17 No. Date 0 U �' MORTh TOWN OF NORTH ANDOVER F _ o # • L �o ; . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �O Check # 9& 15773 Gu(ding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,;..i✓ <i'X ro;'J'',,?AA" ,, yV »».a-`"4.Zi 3. �� - Rts .d�$^2' "�sw` }k 1 5f3. BUILDING PERMIT NUMBER. DATE ISSUED: C� SIGNATURE: Buildin Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: AlAdov' r Map Number� Parcelb 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40.1 54) I.S. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record / Qti Cil Name(Print) Address for Service: g—ignaturij Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicabl Licensed Construction Supervisor: O t" License Number Mn Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name Registration Number r Address _r Expiration Date /z Signature Telephone /'1 SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work checkapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s). -,❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: (7" S SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCJALUSE'On Y Completed by permit applicant _.'P.A. h 1. Building (a)\ Building^Permit Fee Multiplier Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 W oo, oo Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1>� as Owner/Authorized Agent of subject property Hereby authorize to act on My behaI all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name w Si atu re of Owner/Agent Date Boom IRWIN!1111111010 11,11 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • of K c7 sR:l-�y . Town of North Andover Building Department 27 Charles Street x North Andover, MA. 01845 D. Robert Nicetta 6uifding Commissioner . (978) 688-9545 5978 6_-9542 Fax HOMEOWNER U -ENSE EXEMPTION Please print DATE -7ID Q2— JOB LOCATION 0 Number Street Address Map/lot "HOMEOWNER -jt) � /O_ Name Home Phone Work Phone PRESENT MAILING ADDRESS 5g wt P City Town State Z"tp Code The current exemption for"homeowners"was extended to include owner-cccupied dwellings of 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 HOMEWOWNER: 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 dwelling,attached or detached structures ac- . cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 4 fro�osP� G i�- a az ��1 Ivo r4k 44over 4 Li 2s 0 s . F, t o a o �n.r�o vG1L LIZ 0 , r Ex 1s r=iNG- ,2 . Sro�z� LaJocrs 150.00 — J i Pro rosek 5�ed ilk Q lE10 r "ver cD 14 p U O a � C) o• O TL.7� R'n.tr o vGTL { y2.0 }\ ZZ, 7 AIC cSTOrdp #//G J7 7� SYu MD 6881323 P. 01 � �- ,oo•oS 1 -t TF 7 __L_ cz) Nfv . j �orr.7 rS2�o_ts • � SII r _•��__....�;iY-`-• til:?'• " ':;r.� �,a�. :1T?►F.��.:.�� �:':'s:.: ��=:'1 i�.'�eb•`Zi,SS �ti ::... ., r i.',y�!•:..^� y�,( x'U•, •' ';trr,,. gli ,'4:F"'_: �_:�:} `.f - . . �t _ i��e�sd��.W-:irk;:��'���:1�C �!U�f.�.�i>+w•-,., •. . Mai Will . s . r 1 1 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION***********************� APPLICANT t'1�1��Notr r�Gam+ A��Li HONE q-78-& 00-0�&,--f- q78- 693- 7910 LOCATION: Assessor's Map Number-�0 0&1.0-DO-5-3 PARCEL SUBDIVISION r- LOT(S)' STREET r . ST. NUMBER //6 ************************************OFFICIAL USE ONLY*********************************** REC 114MENDATIONS OF OWN AGENTS: L/ CONSERVATION ADMINISPITOR DATE APPROVED v1 DATE REJECTED IDut c>COMMENTS WiJs 00 ( U jl TOWN PLANNER DATE APPROVED , DATE REJECTED COMMENTS I FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED d' DATE REJECTED COMMENTS ��5 ���'�� Ou Q t PUBLIC WORKS- SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm NORT►y Tovm - of Andover No. CON zLA dover1 Mass., 19 am loam a d _why n COCMICHEWICOK r ATED A'P�G\��5 4 BOARD OF HEALTH Food/Kitchen Septic System �■� • THIS CERTIFIES THAT....1. ....0. BUILDING INSPECTOR ....................... .................. "_f"""" Foundation has permission to erect..1Q....f/...... b Wings on .......� .. q��p/� T ............................. ..... .............. Rough to be occupied as... ..' �.1"a► y � + provided that the person acce tin ~.. r. , ~ y p g s permit shall in every respect conform to the terms the application on file in this office, and to the provisions of the Codes and By-Laws relating to th Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. S3 3�• i PLUMBING INSPECTOR PERMIT T D VIOLATION of the Zoning or Building Regulations olds this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough .....................tfa..'..... .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT p Burner Street No. SEE REVERSE SIDE Smoke Det. bEaJtt"'NO. =t APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. J' PAGE 1 MAP 4.10. 1 LOT NO. 6 2 RECORD OF OWNERSHIP (DATE BOOK *PAGE !!(c _ CJ S3 ' CSD a: _ ZONE I SUB DIV. LOT NO. ) -T. 6-1 N `1 zZ 3 IO39b'G 1 E3.77/ LOCATION //r e, /y PURPOSE OF BUILDING �U�g�0 6a� OWNER'S NAME 10 lam- NO. OF STORIES SIZE OWNER'S ADDRESS " ' n /�_ Q� BASEMENT OR SLAB A/I ARCHITECT'S NAME /� ,[I� � /1 ' 1_ SIZE OF FLOOR TIMBERS IST / {} 2ND N/11 3RD N �1 BUILDER'S NAME Ylu4�Q`S^ � T3- r� G� SPAN DISTANCE TO NEAREST BUILDING W�.,�/L -t-./`/ DIMENSIONS OF SILLS 'V� l(+ -- DISTANCE FROM STREET ., `/ POSTS Ly,jl - DISTANCE FROM LOT LINES-SIDES y�rte, REAR ;7!*cv/-1- GIRDERS T ''T2 AREA OF LOTi/s���Q S^9 1 FRONTAGE !�/ HEIGHT OF FOUNDATION A p J& THICKNESS I 'V IS BUILDING NEW 7 �1,.pq '�T SIZE OF FOOTING 'ZV d/ % `�,> o'lr-e, IS BUILDING ADDITION `/l�J L' MATERIAL OF CHIMNEY '0,vb1 IS BUILDING ALTERATION fr � IS BUILDING ON SOLID OR FILLED LANDI WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yf IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N �`e l IS BUILDING CONNECTED TO TOWN SEWER 1��7 ' IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY iNFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST BLDG. COST PER• . FT. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. B ` EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED DUILDING INSPKCTOR ATURE OWN OR A HORIZED AGENT r� � FEE OWNER TEL.a PERMIT GRANTED CONTR.TEL.# 19 � 7 CONTR.LIC.# H.I.C.# G i i r -As I< BUILDING RECORD i 1 OCCUPANCY 12 I SINGLE FAMILYli - THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM !i MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION I 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE3 1 2 13 li CONCRETE BL K. P_INE BRICK OR STONE HARDW D __ j PIERS PLASTER DRY WALL I' UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ l/. 1/1 % FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME I j CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR PC10R _ ADEQUATE I-1 NONE 5 ROOF 10 . PLUMBING GAB HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK ' SLATE- NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TIIE FLOOR TILE DADO 8 FRAMING 11 HEATING j WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS: &COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS—..:-- -AIR CONDITIONING RADIANT H'T'G UNIT HEATERS I 7 NO. OF ROOMS GAS OIL B'M•T 2nd _ ELECTRIC 1st 13rd I NO HEATING \, s � r10RTjy Town of g �_ _ _ Andover No. 19 LAKE dover, Mass., � ' 9�-COCMICMEWIC. LY'�• Z77_t1 O�4 E D_ v rG BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System G..1.'rLJA1 THIS CERTIFIES THAT..................................1Q.A.1.�............ ......................................................... BUILDING INSPECTORFoundation has permission to erect.........14bD►1" /.-0,N.. bwdinge on......../..l...Cc. &RA-D.FQ o R,,..0.............. Rough to be occupied as �...l,�l.Al.R.D6.M./_w 1�.E..C.'. ................................................ chimney .............................................. .. . provided that the person accepting this permit shall in every respectorm 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. Trough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR S Rough ............................ .... ... .......................................... ......... Service ... . . ... ........................ ....... B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RougF nal h No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. •--/���.� Smoke Det. i I (�j G c� G o\ _ -730 o r �k. r � N ny,y y2.0 D�a `3 suNt-am --Liz ; (!�"x i s 7-1 VTO%�$� UJpUi 17 I I 150,00 JOB NO. 4sq I -O PLAN OF LAND ATLANTIC ENGINEERING & N SURVEY CONSULTANTS INC. `' °'`"'' I EAST MAIN STREET `ZJ OV �T� � � A� • GEORGETOWN, MA 1, ; SCALE: DATE : z / z /89 THIS IS A PROPERTY LINE ON THE BASIS OF MY KNOWLEDGE, DETERMINATION. THE SETBACK DISTANCES INFORMATION AND BELIEF, • I SHOWN HEREON ARE TO INDICATE THE CERTIFY THAT THE STRUCTURES LOCATIONS OF PROPOSED OR EXISTING ARE LOCATED AS SHOWN, AND o! STRUCTURES ONLY THAT THE SETBACK DISTANCES SHOWN HEREON WERE THOSE .... j / RECORDED AT THE SITE . _ LST �Lg,ASE FORM gORM U that all necessary is used to verify having jurisdiction Departments applicant and/or UCTIONS: This form Boards and the app law, INSTR from relieve state its This does not r licable local or approvals/permany app have been obtained• liance with landowner from compliance ***************** ' regulations or requirement this section cant fills °utW AK- this AK- 3� _5-�-�,y� phone `�� -�c�Dd ***************;0lii� 3 CANT: v Number alb D parcel CjaS � _ A,ppLI LOCp,TION: Assessor' s Map t Los) Subdivision St. Number Q Street *****Official Use Only ****************** � * TOWN AGE NTS, OF Npp,TI NS Date Approved REC Date Rejected Administrator Con ervation Comments Date Approved Date Rejected Town planner Comments Date Approved _...------- Date Rejected or-Health f i ? Insp Date Approved Food a Date Rejected Inspector-Health L Comments Works - sewer/water connections public ermit driveway P artment Date _---- Fire Dep actor Received by Building Insp I . . ® J§p«g 0. SE3 T r z - � JS9x3» w . SIP 5262& To: C . , s } NyEIK g9I (RGRIy 6/yatm 1039 . j / Rg - RI9S (/RQ2R . / 7/ • , ��:w GRSdw RA&g §ate J yA INC. . TtlQ 2 £ %p9 2"'i& &le ad . « m» 6232= # @»I • � . � - -"'• I�rTIII:AtIVT� rVR rcR/RII IV OVILY 19VR1�9 /�t\L/VYCR,!hA». a""G MAP "0. "0. �1 C LOT NO. 2 RECORD OF OWNERSHIP DATEBOOK 'PAGE — DIV. LOT NO. �� Yo—NESUB- 2- � 6-6-kin �l zZ y'3 I 0399'6 10.,7:Pf LOCATION PURPOSE OF BUILDING SiJllr rc70 M l F�(}-env 2 1�..C c.-FL pWH[R'S NAME / r 1 j•� NO. OF STORIES / SIZE -T =q OWNER'S ADDRESS (^ /�_ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST �J G 2ND NI� 3RD N BUILDER'S NAMEI-.YCj/\jSn �`. ! --� SPAN f _ 1 DISTANCE TO NEAREST BUILDING DIMENSIONS OF CSSIIILL�LS'- - • / /1. — DISTANCE FROM STREET .7 ( POSTS _�_l/fL�XT V 7 DISTANCE FROM LOT LINES—SIDES tty r T REAR 2noo/ t GIRDERS AREA OF LOT Z/- �O St, /+ FRONTAGE 415z/ HEIGHT OF FOUNDATION A r� THICKNESS IS BUILDING NEW _7J ?'T/vo SIZE OF FOOTING ,�V/ X IS BUILDING ADDITION 1�S MATERIAL OF CHIMNEY l/'/l T' 1S BUILDING ALTERATION 1 IS BUILDING ON SOLID OR FILLED LAND II AJj&- WILL BUILDING CONFORM TO REQUIREMENTS OF CODE \/�S IS BUILDING CONNECTED TO TOWN WATER -f L5 BOARD OF APPEALS ACTION. IF ANY �' `� I IS BUILDING CONNECTED TO TOWN SEWER N`O IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS a PROPERTY iNFORMATION LAND COST SEE BOTH SIDES EBT. BLDG. COST O?� i PAGE 1 FILL OUT SECTIONS t - 3 EST. BLDG. COST PER 64. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INBPECTOR DATE FILED _ i---— BUILDING INBP<GTOR ��ATURE.9000WNI ORA HORIZED AGENT 00, F E E OWNER TEL �v O PERMIT GRANTED CONTR.TEL.* 16 CONTR.UC./ H.I.C.t /7 to& own of tAndover No. '7 s dover, Mass., Z 3 19 �O'9 COCMLAXE ICMEWICK TED 1►P �� E BOARD OF HEALTH PERMIT T. D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT Q.A.1.�............G.../.�j�.,,IA/......................................................... Foundation .................................... has permission to erect..........40D..l-t!.ON... WIMP,a on ......../..ta.......&.R.R.I;?. �?.IR.�.....R,,..�.............. Rough t0 be Occupied as............................................ ..4/1..�11Q.1��./f�1... .... ?. ..G .1 ..�................................................ Chimney .. provided that the person accepting this permit shall in every respect onform 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 ELECTRICAL INSPECTOR CONSTRUCTION STARS Rough ... Service . . . ... .............. .......... .......... B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Of WOOD GOMPPC55rON GAP C.O✓CK' 51L.WN PPONZC SGPT-W VINYL GA5KEI- 7/8"INSUL. GOPNiff TPIll GLS WOOD GOI"IPPC5510N CAP GOVfP VINYL WfMNG 31/4" X 31/4" WOOD-WPB' GOPN,ffP POST VINYL VINYL WIMPING Gn5KCT GA5KCT GLh55 2, -WOOrJ G0I7PPf5510N GAP GOVrP 7/8"INSUL, 6LA55 511-CON PPONZE 50PEW VINYL GASKET 7/8"INSUL. GLA55 VINYL Wr9PING �55K�r 3Of X31/4" WOOD-WPAP WALL P05T 21 WALL P05T rNSULArCD 5CA1.�1Nr Moerl5e �ut55 t rMON VINYL WFtP VINYL FONT JOINCRY FUetANG &tW 51W, W/WfCP FONT 51a G)r T1p119 GOVCIP NFOPPFNF 5ET71NGi WCDGF 51"N TONZC 5GR'rw FIN15H TRIM I„ lBY OTt cm FXrFKIOJP KNtf WA WALL FIN15tt (6YOrt1Fk5) MYOrttCR53 5HORANO • MY 07'rrr,'5) a 5FCVO� I 5ILL G. IN5U41TCD 61r155 ROOF COMYRE55I0N GM GOVCR CAVC DRJP PC&SHIIJ6 64.A55 SCrT/N[: 19Rr1GKCT W/ OPEN GCLL NCOPIZMC CANDCNSXT 5L'7TING DLOGI WCCPT^PE MORTI5C � 8 TENON - - - JOINFRY i\ COND�NSATP - WCCP PLA5111Nt' FA5GJA RitFTPR 57-OP TRIM pAVP VINYL FOAM VUKUN 5A507- VINYL GL IN6 POEM 5EAI-ANr WI b�GKCK I WALL P0:57- 1N5ULA7TD GLi155 S�c�ioN @ �Av� 57 NNLC55 STPCL 5GRCW W1 NfOPRCNf/STi1NLiff55 Wi15r1,ER ROOF GOMPRP5510N GMCOVGR i1L.UMlNUM P�1GCp 7/8"JNSUL.6Li153 BSL TMC SCCONDARY VlIJyL POM9 Gr15KF7" VINYL-WCCP/NG - G.15KCT WOOD-WKN' RAMGR,DCP7-t1 Vi1K/C5 W17-I1 5PMl. 'f ' I\ool I\/ U � I\ 9 GOUN1",CiP FL�t5l7/NG (DY 07 tICPP5) POOP PEAK rl- 5MNG PCN"ON 51Ye) VINYL FOAM 6ASKtT Poor GOMP1Pf5CAP clovrr 51O 7/8"IN- -, GL�155 I I r �444M N ♦M -- I I MTM♦1A MtyT ��.y - _ I I I LL=D6PlP MOCK AN MI+M M M M - I I �f Mt1H 1�y M MtM - M.►M M I PAI:rTjffK'LOG P0517VF I GONNL�GTIDN�JPi4GKL�T i LL�DC�X' PAD OY OrHeRI5 X'/tPT-�1P fxfp/op rN,-f OF 5ly�`h7"tllNG L 10 R00PCOMPRC55I0N GAPCOVCK AWMINUM P/GCD 9t!(YLTiU'E 5rNNLt555rCCl5GPPW W/NCOPRLNC 5TA/NL[95 wnsnen R�KC fUSH1N6 1`ON7 rN'f 9/8"ROOF 1N5(JL.GL�55 V!M'LWCCI'!N6 GASKL`T RdKC 5[&M!/W/ PACO R R00 WQOp-WRAi' !'AF7CR lN5UL. GLA55 10 �AK� pA�1�p Location �N0. A/S Z yi�) Date ,►OR*� TOWN OF NORTH ANDOVER ' O't� o , ,•yG O� • '` OA p Certificate of Occupancy $ • �' Building/Frame Permit Fee $ �s �t Foundation Permit Fee $ S�cMus &A/ , LMy� Other Permit Fee $ - C) Sewer Connection Fee $ N©� WateFConnection Fee $ ffAL r Building Inspector F Div. Public Works r P]�RJIIT IJO. d7"' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i MAP d-40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE — ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING WOO : L ye Aer•'1{' OWNER'S NAME O NO. OF STORIES SIZE OWNER'S ADDRESS r BASEMENT OR SLAB — ARCHITECT'S NAME �I✓✓ 1 SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET " POSTS i DISTANCE FROM LOT LINES—SIDES REAR " GIRDERS i AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY /�,W (her. IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. SLOG. COST PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 /1 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY t ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED— d ag BOARD OF HEALTH SIGN "I R OR; GENT FEE U PLANNING BOARD PERMIT GRANTED 19 G -3v, BOARD OF SELECTMEN BUILDING INSPECTOR �� WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer R BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE __ _ BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL IN. B'M'TAREA _ '/. 1/2 l/. FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN _4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 6' DRP SIDING CONCRETE �_ WOOD SHINGLES EARTH A 4'ALT SIDING HARDY✓'D _ ASBESTOS SIDING _ COMMON — VERT. SIDING ASPH.TILE STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR (� POOR _ ADEQUATE NONE $ ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I D WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING CHECKLIST Xter WOOD STOVE INSTALLATION 0 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. y Stove A. New 54/yt titin vAdv^+v eo. Used B. Type/radiant Circulating C. Manufacturer Lab.No. Name/Model No. L t is!A',;, W1:7?Q Collar size Dimensions/Height Length Width Chimney A. New Existing f/ B. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) E. Masonry/Lined Flue liner (type&manufacturer) Unlined F. Height(refer to diagrams) cap I�Aa. I OR2 10I� f 12v 1K.OVER,1c), MI 1 " ` H 51 tf I. HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials on c k B. Sub-floor construction C. Minimum dimensions(refer to diagram) Clearances and Wall Protection(see stove installation clearances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) i FIREPLACE CORNER WALL/CENTER x 13 REGULATIONS Ater After obtaining the permit,there are three major areas in the stove installation process to consider. First,the stove;second,the chimney;and third,the actual installation. First: All new woodburning stoves installed in Massachusetts must be tested and approved to U.L. 1482 and/or U.L. 737 as appropriate. Used stoves may be approved by the building department or the fire department. Every solid fuel-burning room heater shall bear a f permanent and legible factory-applied label containing at least the following information: 1. Manufacturer's name and trademark �c{wo I,utcniner Cor - ) Fa/I klivfr,MA 2. Model and/or identification number of the a pliance G 3. Type of fuel(s) approved w0a 4. Testing laboratorys name or trademark and location tqt ha« 6r'eern T'esf ir7 L4t6- �.Ak�ekl MA 5. Date tested 6. Clearance to combustibles ' a. Side JP 4b wall b. Rear — AJ-A. 7. Teststandard AtA)SS UL - l yY)_ 8. Label serial number Second: Existing chimneys should be checked for the presence of a flue liner and ' general structural condition. A smoke test may be used to determine if the draft is adequate, if i the flue is without obstruction and if there is any smoke leakage. A visual inspection of the chimney is needed to check for creosote deposits,surface cracks or breaks, and if the damper is in good working order. The following two areas related to the chimney are important to inspect. The area where the chimney penetrates through the floor of ceiling joists should be checked to be sure that there is at least two inches clearance between combustible materials and the chimney. Third:Chimneys and chimney connectors shall be installed with the required clearances (see installation clearance table). The connector should be sloped upwards toward the chim- ney and the connections overlapped upwards to prevent creosote leakage. A two inch clear- ance shall be maintained where insulated pipe penetrates acombustible wall,unless it is tested and approved for lesser clearances. A non-combustible hearth must be provided. Most stoves have legs and allow air to pass a below; if the legs are not present, an air space below the non-combustible hearth must be provided. Clearances vary with circulating and radiant stoves. In general, a non-combustible shield should be installed with ventilation behind it for lesser clearances, no protection for large clearances, and if the wall is a concrete foundation wall,a minimum distance may be allowed. The following systems have been approved by the Construction Material Safety Board: Permaflue,Air Krete,Smi Exterior Insulation and Finish System,Supaflu,Thermo Crete,and IsoKaern.The code requirement for two inch air space is exempted from this type of lining because of its high insulating and refractory qualities. t 3 :j t 5 THE STOVE SHOPPE q � , 354 North Broadway Jct. Rts. 28 & 111 SALEM, NEW HAMPSHIRE 03079 (603) 893-5344 • FAX (603) 898-1697 All claims and returned goods MUST be accompanied by this bill. i CUSTOMER'S ORDER NO. HONE DATE _�Vr NAME ADDRESS )q,v &&x1ne Inta- SOLD BY CASH C.O.D. �'61-IAGE ON ACCT. MDSE.PET D. PAID OUT QTY. a •DESCRIPTION PRICE AMOUNT I % , lax. F(a /s d f i ,po TAX RECEIVED BY TOTAL (1P •, 1/0 IF PAYMENT IS IN DEFAULT CUSTOMER IS LIABLE FOR ANY REASONABLE ATTORNEY'S FEE PLUS 2% INT. PER MONTH 91129 ON UNPAID BALANCE. . r-I-G 14'..U.61 i'.:X. :ces to combustibles d so listed or gu+sn factory-built fireplaces from bail'& ehirrmeys for closed combus- d approved clearance reduction sys- xteel lined:replaces, dor: wood burrjrg apg!ia:-:ce$. Most terns are used. Although Virtually all factory-bu llt &Lnneys for factors-b lak ireplace, fireulaces have been tested by na. are tested to only* 1"fl0 degrees F. Type C Fireplace ticnally recogized organizations fvr and are not suitable for- solid fuel %•on v ersion/PositCive use AS fireplaces, they h,ve not app lia:-jces. been Mdel1 tested to Wontain or vent Steel-linea fre la^ P s on the SY�CeY . solid fuell appliances, fact, eihand, 1. ,. .- +► - Fpt CSS, In -aL.., th�.r otr�er _an tisuy be used �th . e precedes u-�stallauon ab�e,..- use WITH sold Nuel app Ui aces may freestanding sold fuel appli:ur�s ods inay reduce some o. the prob- void the rnw afacturer'.s w arranoir. fireplace inse::s.They contain all the leets associated iAth instaili ng,a solid 4E appliance, I � Unless a solid fuel a�r.,,�t;ce or hyES essential of a r; firebox, fue: appliance into a .replace sys- .• e Sen ,p�-,'t, of a fire,,ace;*ia`box; tem,but sc..�e obvious probl:.t:ns re- place insert, is listed for Lnsti btiOn dam-per, throat, smoke sheaf, and nuain in a specific brand am!mode!of fac- smoke chamber. Steel-lined pire- d finel appaanc a. including tory�tJt ireplace it should :not be :ac a have 1/4' X01 e^ ?L*1- p,_. e� l':a a 4'1011 t}ucl: firebox i sects, wi11 perform much better used with the factor;bn t fireplace, liner and an&chsrnber in conjunc- wrconnected to a properl Q l y.-sire:.,, Serious dainage c=d result. tion wind S inches of rmsonry to fiu_,I almost ail cases,the chirmney, Fu:uher,NTPA 21I requires high meet c,-,de. flue above the connections spe6fied te^-1perat*ure ("Type HT") ctcrt•- in TYPe A and 6 ireplace conver- sions is -Mill too large. Rue 1:nor WIIThe best way Sl:�;irey o in3tall soId iaai ,A;r gir,papzce z Gances into fireplace system,s is n Star;esSreei to L-Is:a.► a Positive connecaon sys- cn;,,-ey ccnnpc?>rr i, tem. With chis method, a s ^'el s V.U,t Ex�enC to steei or other listed liver a installed inside the cay iiner. :t is connected I ;t to the fire nutlet on tr e solid fue? r , nn1"L-ny I appliance and extends the entire ;nid nem heIght of the lhimnav, terminat[ng t9M Tightly above .op of the /_r�*nnec ^ra,gee (see Figure 19.6). I Damps,Place c F A positive connection proviidas a ARemova:o. ! cor Unuous,properly-sized flue.The Festen�' oxen Gas rcn flue is less o Wnerable ro the freezing and tlawLog of mcisvre, warms a =Dzrn7E; - .sa Fdg r�r faster, has higher operating tem. ;Saa y cr o, � t to �oe +: t.. pe*atures, and act+umula,tes less ��tara ai crecscre under normal.use. inspec- tion and:leaning i3 generally easier. ' If 8 C}1iI11P,eflT? r k ti!In mu n y does occur,the:.ne. C;sa en.a in: acids a taker of protection to the Acs�ar�s - C}'u:-miev system and surrounds. cite:^eer, combustibles; further, the user has Pa`� rI �" 6.9 3tOre tontrbl over the air supply to any chimney fire. F malty, stamless steel and other listed reEnimig syr. -- -�� terns y withstand :}um:ey fire -c a_,rc d l J 7 7 conditions Witter CJ'-3r.c;a}�i:ue tile:, ' ,1;' f Venting fIi$o �C�(, ani vy; in�fi�S:ir^ -Non-i`nasonry Fireplaces y it is important toc'c+5e'.V inspect all 11U t^wr . rF r (� '�'^-� - r P - �, r,� r1masonr� 1 ince, to des-; n- ... 3 Fi:"Ef'i.ACF_ _ ���vPr 8i•_j:Y tip^ 6,: