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HomeMy WebLinkAboutMiscellaneous - 119 SANDRA LANE 4/30/2018 119 SANDRA LANE /I 210/097.0-0071-0000.0 ` Date.S "a.?.'. 5. S i�- 4044 <<"OR7: TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 , • CHus� This certifies that . . . . . . . . . . . . . . . . has permission to perform . . .. . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . at. t' . . . . . . .. North Andover, Mass. Fee. . v :. .Lic. No.. .C: ). . . . . . . . . . . . .�� �._. LUMBING INSPECTOR WHITEDUO 08244:53 CANARYMtNingllMt. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,AA Mass. Date 02 19 Permit # 0,(y Building Location / Owner's Name&/ Az'% ls��&, _' A9 Type of Occupancy ►v t► r-'1 L_ New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES z z y a . y z Y F y y y O z }. > y W Y J y Q V ~ y O � Q O z N < rt ¢ = y z O z _y a z J y W y W y cc V Q z d Z f. (� 6 m y H ¢ } < N z C d C7 Q 3 X Z O O Q W z 3 < W G < y z .eC a z o L6 Ul W D D WO = L S -3 O Z = 3 Y C W tt ]C W I.- V S d z O y z z < O < < < x y y a < O < J JC < ¢ x a a O < 3 Y J m y O p J 3 Y f., 0 O d S ¢ QI O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name (rMAT Ae Check one: Certificate Address CAC H mta n) y-r ❑ Corporation /r E ' Partnership /Nr. _ nl� AlvYl A ��� ❑ p Business Telephone_ �� ?-'-117 7 1 2-Aran/Co, Name of Licensed Plumber _ f'r3,=�?T m 4 Tr4l0r , INSURANCE COVERAGE: I have ayes current jability insoura ce policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. El' If you have checked Yes, please /Indicate the type coverage by checking the appropriate box. A liability insurance policy 1d Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent O I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issue0jor this application will be in compliance with all pertinent provisions of the Massachusetts State Plum • g Ode and qapterof the oral Laws. BY 17 �.L Title re of Ucensed Plumber' Type of License: Master % Joumeymab❑ Oty/Town APPROVED OF ICE US ONL License Number 2;3 5 1 } BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES_ 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 I PLUMBING INSPECTOR Location No. Date 1 ? t ff „ORTITOWN OF NORTH ANDOVER Certificate of Occupancy $ fi # Building/Frame Permit Fee $ sus',^° Foundation Permit Fee $ s►cMusE —�— Other Permit Fee(iaat) $ _ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Z14— Building JBuilding Inspector 9378 Div. Public Works PERMIT NO. V-1 "7W-S APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 440. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE — ,ZONE SUB DIV. LOT NO. ��/� C O ION `m15%W(\A + � �1Ail URPOSE ORG �C�Rq+'OWN R'S NAME � /Y�1. NO. OF STORIES SIZE V WNER'S ADDRE1 `Q), - *16k BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND '3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND --TBUILDING CONFORM TO REQUIREMENTS OF CODE 1 i IS BUILDING CONNECTED TO TOWN WATER V CL BOARD OF APPEALS ACTION. IF ANY lJ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES -Cfff.-OLDG. COST 5V V 0�o .� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 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 �` 1J BUILDING INSPUCTOR SIGNATURE OF OW ER OR AUTHORIZED AGENT pp F E E Z, � OWNERTEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# q,1-7 8 C3 BUILDING RECORD 1 OCCUPANCY 12 • SINGLE FAMILY 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. j CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d l 2 13 CONCRETE BIL K. PINE _ DRY WALL BRICK OR STONE HARDW D PIERS PLASTER _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ y 1/2 1/ FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDI�✓'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I POOR I ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT IA SHED 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 I 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 IL 'M' BT 2nd _ EOLECTRIC 1st 13rd NO HEATING WOOD STOVE INSTALL4HON CHECKLIST 110:' Permit A building permit is required for the installation of anv solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and-not to the stove construction. :•z Stove ./ A. New ✓ Used B. Type/radiant i tL Circulating C. Manufacturer ki GAS Nl: Lab.No. Name/Model No. 1 %ti�'g''� 1 Collar size Dimensions/Height Length Width �- Chimney / R`, �� �m A. New � Existing F/ S. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturerrame and type) E. Masonry/Lined Flue liner gyp•b manwauunr► Unlined F. Height(refer to diagrams) cap OVEZ IC T i I Mit( �.Iq 't.ilN• 3 .2 \` 1 ,u Rd. 1$ 4t1N. Fiji 51—A 144 a� HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials M(-, B. Sub-floor construction C CA,— " k C. Minimum dimensions(refer to diagram) Clearances and Wall Protection I.see stcve installation clearances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) • i FIREPLACE CORNER WALLCENTER. 13 '�1;7 d � 4:. .'•rt, .h �' D: 9 5�:` A. ra Iti � �Y � Y.e 26"(660mm) 211/4" 1 25"(640tnm) .; —a� I� (535mm) r � - i o �53 1 211/4" (535 mm) 0 Front mew Side mew V Ihl J7' Observe these clearances to combustible trim. �J/ + ' ri s, r 1rE D,J 'Y' B = F,G .�- k— A,I _4 t D,J � I' OU,-t'�•u� E X C �Ot/�1✓ Measure side trim FIREPLACE MINIMUMS FIREPLACE CLEARANCES clearance from here I A.Width at face a26"(660 mm.) A. Mantel* 34"(865 mm.) j B' Width ark=1j2 depth ` 26 060 mm.) _B:"Top7rim* 34°(865 mm.) C.Depth' 141/2"(370 mm.) C. Side Trim** 201/8"(510 mm.) D.Height at face 211/2"(540 mm.) E. Height at 15-1/2"depth 211/2"(540 mm.) *For more details:on mantel and top trim,see Note below. � . Where side trim extends more than 2 (50 mm)from the fireplace facing,the side clearance must be no less than FIREPLACE MAXIMUMS .20 5/8"(525 mm). H.Lintel depth 9-1/2"(240 mm.) I. Width' 441/2"(1130 mm.) Measure the side clearance(C)from the exact center of J. Height' 31"(7 70 mm.) your fireplace opening on the hearth(X). Measure the top trim(B)and/or mantel clearances(A)from the finished 'The minimum depth must be maintained from the floor of hearth surface. the fireplace to a height of 21 1/2"(540 mm). 'Though the WinterWarm Small Insert will fit into larger fireplaces,the decorative optional Vermont Castings Surround Panels will not completely cover the fireplace opening s these cions are exceeded. Custom made Approved for installation in "zero-clearance fireplaces"as trim well as masonryfireplaces. Sia C24'y,.•3x_;s;• .(. �p3,FF` : i'3fq�er',Y. r .'.:s-Y+:r7fy 4.ti'Cl:',•4 Ytt'4 `t'.f." „"S 1".t.! S Th@ speciilcations and clearances lnc(udd Irl this Tech Shee 'ar for, rellmtnary pc�rposeso tyc', q "<k r 4e. s iy v#{� p tyC to t1 r :4. Before beginning any Installation,consult yourJoc6l authorized Vetmont`Castings eaterk AJ i 1 � l Q, v� ft1�� y✓/ ��l t�'t`�I T £��+�.P.. � � w t.�*�'��f'r.'�a'+ ���3�V {"�'t�'r,'`•M' v '� t{n�.s ��Y-,�c7�. �+..+:+,..��;y^,s' �•-h �J�: .a' ? -'�a +tq r,��✓ ".r Lei .& - k t ,*`'sJ .°°4 +�: .w 'fi` x ,�,. lk— lip 4by 4- 8 M gq J f � ti a,' a e'" .�-a�-•..... � •S^' � 'r�. F 4 �,y�4.�'.'S'a,�+�~ r. a ,^r" ,1 ,ws,.. J a } '— _^'� r _ i t M �.�'�d.�-"'��{��;..fi� "�`W -:.,s•.. p m WlnterWarm Small Insert WinterWarm Large Insert GoldenWarnl Gas Insert FEATURES SPECIFICATIONS FEATURES ■ High efficiency—79%—more heat FOR SMALL MODEL ■ Unique Matrix r° burner delivers the most ()in less wood Log Length: 18 inches realistic flame of any gas appliance ■ Larg c can glass Burn Time: 6.8 hours ■ Elegant Vermont Castings styling ■ Easy ash handling Heating Capacity: 500-1,000 sq.ft. ■ Fuel versatilirv: natural gas or propane ■ High heat output— Maximum Heat Output: 30,000 BTU/hr. ■ Large 24"x 12"fireviewing area up to 30,000 BTU/hr.with small model and Efficiency Rating: 79% ■ Solid brass trim around glass up to 50,000 BTU/hr.with large model EPA Emissions Rating: 2.0 grams/hr. ■ Natural air convection,plus standard ■ Twin fans with rheostat for heat circulation Weight: 275 pounds twin 55-cfm tans with rheostat ■ Solid,durable cast iron construction Dimensions: ■ Installation versatility:fits both masonry I ■ Leg levellers for uneven hearths Visible Front: or factory-built fireplaces j ■ Thermostatic control for steady,even heat Height: 21" ■ Durable cast-iron front and firebox LARGE MODEL ONLY Width: 26.1/2" ■ Levellers for uneven hearths ■ Very low smoke emissions—2.1 gran)s/hr. Minimum Fireplace Dimensions for Insert. ■ X11'0 from sl_es to fit larger or smaller I ■ Only fireplace insert with standard Height: 21' fireplaces. sparkscreen for open fircviewing Width: 26-10" OPTIONS ■ Brass trim around door Depth: 15" a Remote control Flue Collar Size: 6 round . Choice of two porcelain enamel colors, OPTIONS SPECIFICATIONS Sand and Midnight,plus Classic Black ■ TWO porcelain enamel color choices: Sand and Midnight FOR LARGE MODEL SPECIFICATIONS ■ Caat iron surround panels for a finished Log Length: .24 inches Fuei: Natural gas or LP appearance Burn Time: Up to 9 hours Maxinwm Heat Input: ■ Outside air adaptors Heating Capacity: 750 1,500sq.ft Natural Gas: 30,000 BTU/hr. p Maximum Heat Output: 50 000 BTU/hr. �,BTU/hr. Ma.1 P LP: 30,0.0 BZ U/hl. LARGE MODEL ONLY n ■ Traditional or Versatile front styles Efficiency Rating: 78.3/o Ignition System: Standing pilot ■ Flexible chimne,connector for easy EPA Emissions Rating: 2.1 gran)s/hr• Fireviewing Area: 24"W x 12"H ' installation 1 y Weight: 475 pounds Dimensions: Dimensions: Front: Standard Large Visible Front: Height. 24" 28" tl: Height. 30" Width: 37" 43" Width: 41" Depth: 1" Z" Minimum Fireplace Dimensions for Insert: = Firebox: Height: 24" Height: 19.1/2" rs Width: 34" \\ii 0 28" ' Depth: 19" Depth: 17" 1 Flue Collar Sire: 8"oval 1 I 26•(66a,,,m) IJJH• 1 21 IR' t11R' �217- 1 69v $W W J?+• r ( 1 „ , �.R r,a,�.J�.;�a.•• Sr rio�i �r JJ h—ziip'I(3oa�,—.I �iaia' _� ....rT.. is.w;.,., :.•ieia•,.as:,.nd ueh,m,.f 31 . s - o Location No. �S Date NORTH TOWN OF NORTH ANDOVER Of4•�.a , ,ti ' Certificate of Occupancy $ _ ♦ i # ,SSACMUSBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ Check # 1 )3 14 .1- 41 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE1�,, OR DEyM,OpLISH A ONE OR TWO FAMILY DWELLING y T[' IM1 E1y�s` WELDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number ( Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage 11 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided. ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ �,icensed Construction Supervisor: License Number Address Expiration Date Signature Telephone �.■. 3.2 Registered Home Improvement Contractor Not Applicable ❑gi Company N me Z lj/ & 2 * (>I� wl( Registration Number O Ad ss G \ J VU c)3/3//0 d- C it U C! vExpiration Date Signature Telephone V I 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.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction l 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZEDAGENT DECLARATION I, `�2Cr V1 cma//[y�/ 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 Printne� 1n�l�IOU Si attire of Owner/Aent Date—-.— I — i-— WIMMM f NO. OF STORIES SIZE r BASEMENT OR SLAB S'r ND SIZE OF FLOOR TIMBERS 1 2 3 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 I/IC UUIIIIIIU/IVVUdIIII UI IVldJJdL;IIUJCIIJ Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Atl Please Print Name: VCA Location: ` 5ct r-�I q-- ii City iyPhone am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity ETI-am-an providing workers'compensation for my employees working on this job. Com an name: �- � Address / f C City' /�/U Y lJ� fi4 Phone 66 V-0669 Insurance Co. ,CL /'/ Policy, Company name: Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under t sins and penalties of perjury that the information provided above is true and correct Signature - --Date- Print atePrint name Phone# Official use only do not write in this area to be completed by city or town official' [] Building Dept []Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person:_ Phone#: F1 Health Department [] Other FORM WORKMAN'S COMPENSATION fy Town of North Andovert4ORTH o �t�1Eo , O Building Department o w c 27 Charles Street North Andover Massachusetts 01845 4Z C. y (978) 688-9545 Fax (978) 688-9542 gcHus���� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant ///100 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. INPROVENENT CONTRACTOR s �t Win: 03/31/ 002 �Re: Private Corporatio r- Bay State°ho-f irtg,Irtc s i Sgo Nahoner 44ows T. tv11NISTRATOWD. READING NA 01064 ' 4 NORTH Town of over 0 �'o = CA o dower, Mass., /mom// DID .40 COC MICNEWICK V V %d ADRATED P'P�,`�5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR C)N-b4 -4 /*r THIS CERTIFIES THAT............................. .......... .................................. ............................................................................. Foundation A ...... has permission to erect..,S.:. .. .� ..... buildings on �I � � 4100....... Rough ..... 11 � Chimney tobe occupied as...................................................f........����........./V....�I ..........................ile i.. y provided that the person accepting this permit shall in every respect conform to thems 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 Permd. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST ough W......... .................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t® 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 Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det.