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HomeMy WebLinkAboutMiscellaneous - 133 Summer Street (2) 133 SUMMER STREET 210/038.0-0040-0000.0 L a PERJfIT NO. S APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. ILI LOCATION PURPOSE OF BUILDING D �9 OWNER'S NAME NO. OF STORIES SIZE r(�/ OWNER'S ADDRESS / /) BASEMENT OR SLAB ARCHITECT'S NAME i/ 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 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. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 ' EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS 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 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGEbtf F E E PLANNING BOARD PERMIT GRANTED 3 19 _ BOARD OF SELECTMEN BUILDING INBPE OR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYsTot It 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. CONSTRUCTION 2 FOUNDATION 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 FIN. B'M'TAREA '/. 1/1 1/1 FIN. ATTIC AREA _ N_O BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 _-2_f 3 - DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH. ASPHALT SIDING HARDW'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 I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBQEL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I 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 OIL B'M'T 2nd ELECTRIC 1st 13rd I NO HEATING '• - II3MIT N OZ�G�tifi 111�'OOD STOVE INSTALLATION CHECKLIST P 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 A. New Used B. Type/radiant Circulating C. Manufacturer 0,00VA,0,r4 Lab.No. 1 «o — - `rt e Name/Model No. 9V.&S To✓6 80 0 Collar size Dimensions/Height a ©2 Length -,/,v Width A 3 /Z Chimney A. New Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) ' L- O E. Masonry/Lined Flue liner Unlined (type&manufacturer) F. Height(refer to diagrams) ?-� cap 7 OVER lot oNSR 10 I *12" -{2 lvtlty 2 Ml 3 M11y �olo' 3 MIN. 51 HEARTH Lil- CHIMNEY HEIGHT Hearth(non-combustible) IANC /�'I474 �Z 6 A. Materials 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) FIREPLACE CORNER WALUCENTER 13 cap factory-built chimney C — roof support support bracket B connector pipe non-combustible wall protection A - connector overlap n�� A ' ' A I�J woodburning stove non-combustible ' floor protection 12' 1'/s„ 12„ Figure 2109.4 Figure 2109.4 STOVE INSTALLATION CLEARANCES Combustible 1/2"Asbestos Miliboar Concrete,Masonry Spaced Out 1 " Stove Components Material Spaced Out 1 2.� Foundation Wall 4" Brick Veneer Radiant Stove(l. 36" — — - -Front Circulating Stove6i.) 24" — — — —Front A. Radiant Stove 3. —Sidei Back/Top 36" 181, 6" 18" A. Circulating Stove 1 ,. -Side/Back/Too 2 6" 6" 6" B. Single Wall �it, 18" 12" 6„ 8" Connector Pipe B. Insulated 2" 2" 2" 2" Connector Pipe C. Chimney Height Three(3)feet above adjacent roof and (Metal or Masonry) two(2)feet above any roof ridge within 10 feet D. Damper If a damper is not included in the stove construction, it must be installed.in the connector pipe. 1. Front:Fuel or ash access side. 2. Non-combustible spacers required. 3. Clearances on each side of a radiant stove with a heat shield shall be measured as if a circulating type. Note:Clearances shall be measured perpendicular to stove body. Laboratory verified test clearances permitted. 4. Thimble required for passage through combustible construction. 12 Town of North Andover N°RT11 �9ti Building Department ? �� , 1600 Osgood Street o North Andover MA 01845 �. L Tel: 978-688-9545 Fax: 978-688-9542 * - p coc.«c« wu« 4• DEMOLITION OF BUILDING AFFIDAVIT 9SSAC HUS�� DATEa)j Nz�y>eLA b OWNER'S NAME &AD RES Joe- LOCATION LOCATION OF PROPERTY TO DEMOLISHt\ P6611_ DESCRIPTION CONTRACTOR'S NAME &ADDRESS J MA DEPARTMENT SIGN-OFA D6� DEPT. OF PUBLIC WORKS -WATER: S WEVV­ R: L�c El t✓+ it t SL{�`'`rL�r� DEPT OF CONSERVATION HEALTH DEPT. tic Well � GAS I ELECTRIC TELEPHONE CABLE TAXES GZ / POLICE FIRE Ilk? I EXTERMINATOR P UMPSTER-ON/OFF TREEtic) N IG SAFE NUMBER r�C )C� .S I DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit BOARD OF HEALTH 400 OSGOOD STREET NORTH ANDOVER,MA 01845 TELEPHONE# (978) 688-9540 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name C:> M A c Phon ) Address O C6e-o t Contractor hired fo�r/wor : C Name[`^ H `� ( ©� Phone 9�' G) Address - caX �' -I �t�� C S)n, 124P Date for scheduled abandonment o The septic system at the above address has ban ed a ordi to Title V specifications. . 10 Si ature of Contractor U ¢ Method of septic tank abandonment (check one). O removal O sandfill zcrush ( ) other Name of Offal Hauler This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. '44 G Inspecting Agent Date