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Home My WebLink AboutMiscellaneous - 271 BARKER STREET 4/30/2018lw ib- 8 9311 Location te �', e ��> (- No. Date ('�11,3 14ORTil TOWN OF NORTH ANDOVER 41 Certificate of Occupancy $ 4 Building/Frame Permit Fee $ MU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector Div. Public Works tTl C) 1 4 -.4 Z n n 66 rz -1 -M --4 c C17 c m > W cn r -I cn cn > n c cn cn ,14 ra 10 in Cl :z CA 2 cn CA cn z -i n n n Ch r - 15� vi H -2cn cl, CA 0 Ll 2 --i 00 m ;u �K Rj Or N a cn > C, > :z co 00 > to lu %14 4 Piz > tTl C) 1 4 -.4 U) m m M m m m Cf) m C/) 0 m CO) C"3 10 0 CD 0 Z co) CD 0 "0 CL I— a. ch) SU =r CL :;. CO) C2 CD dc 0 CD CL t= =r CD =r CD 0 CD CD CD co) CD Cc CD S7 CO) CD z cl) CD CD I .lip 7103 C) co z ov 0 cn cn n 0 z cn cn CD N co CD C=3 CA =r ON K 0 C/) W 0 S. 9`5 "0 = to --I x CL -C ccr 0 E—L CA o r- acD 0 co C) CSDI CD C=2 =,o Im co) rA :$ CL CL IS :T" r- CL =r C/) (D CA ca cc, CD CD C=3 - C) CCD, CD . C.* CL 0 co CD CT -0 0 CD ,C=D CA 0 co, It CL aL: cr ca CL CD cc CD M CA co) RL4 CD co =r CD 0 CO) '00 CD I&CD CD CD CD .0m rL MC, 0 CO) C/) 0 rD ('D cn w RL o r- 0 C: 0 C: :$ �T� IS :T" r- CL C/) (D CA ITI 0 0 rD o > 0=3 0 9 0 40i CD 01 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of IVIGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by IVIGL c 11, S 150 A. The debris will be disposed of in: gub�),!(U (Location of Facifity) Signature of Permit Applicant TDate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial AcCidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Nam Please Print Name� .Loc2tion: G A. P)� r LAWO&U-0- MA, r, S I am a homeowner performing all work rnyse!f. F7I am a sole proprietor and have no one working iiI any c2p@c;ty (V TS I I Ve 10 '� F7I am an employer providing workers' compensation for my employees working an this job. Cornc2nv n2me: Address 10 Phone Insurance Co. PolicV Comoanv name: I I I U876 C Insur2nce Co. Pclicv Failure to secure coverage as required under Secktion 25A or MGL 152 can lead to the impc:sition of criminal penalties of a fine up to $1,5CO.00 and/or one years' im ' prisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of (S1 00.00) a day against me. I understand that a ccpy or this statement may be forwarded to the Office of Investigations of the CIA for ccverage verification. / do hereby certYy under the pains and penalties of petJury that the information provided above is true and ccrTect Sign2ture Date _&A L 6957 Print nam e �Vi o., —Phone -,,I- Off icial use only do not write in this area to be ccrripleted by city cr town cfficial' City or Town 0 , Permit/Licensinc f_1 Check d immediate response is required Contac,'person: L -J Building Dept E] Licensing Board 7 Selectman's Office f -I Health Department F -I Other 1)6 - . 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 Ly Al W%,A,,A S-- - 3�*%;fk PHONE LOCATION: Assess&s Map Number 41 PARCEL SUBDIVISION LOT (S) STREET ST. NUMBER ""'OFFICIAL USE ONLY************************* /Ow/0 RECOMMENDATIONS OF TOWN AGENTS: Jr a, jl�- 61-12 oc I& r - CONSERVATION ADMINISTOCATOR DATE APPROVED DATE REJECTED COMMENTS k i TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9\97 jm TE rl c =OL - I 14q,r"31 2(�� SF C- N 5Z -44P 271 -ILI 7 CeC71,-)- 7-0 7WL- o r r1le.e-Or,4S -fW,4-,V,4,VO 7W,4r17-,,,;4WS ZIV rll_c' TO WAI' /yO. 4P11-OVz5-X eOVIVa el-ve-.T- I lOe4r--O /4/ roYe AeACeAe� IyKe,449 A--- 'OZ5COC18 . . . . . . . . ....... . . . . . . . . ,47-10,V 7WeeV rt - r PERMIT NO. ®r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE I MA� +40. LOT NO. 3o 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. F ATION 6 A e cz- 5 -r . PURPOSE OF BUILDING bWNFR-S NAME I Ll NO. OF STORIES SIZE OW�2*S ADDRESS VA BASEMENT OR SLAB ,AO'CHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME A vvt Cr 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 wo SIZE OF FOOTING x IS BUILDING ADDITION vo MATER:AL OF CHIMNEY 59-rck, -t FtCKE 0144 IS BUILDING ALTERATION (Vo IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 11 IS BUI DING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES (L -- PAGE I FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ,,�LANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR �ATE FILED Il/ z 1 cls SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E PERMIT GRANTED to 3 PROPERTY INFORMATION .=� By - EST. BLDG. COST c, t, EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY SUILDING INOPUCTOR OWNER TEL. # (50 85 - (10 3 w-, CONTR. TEL. # ONTR. LIC. # I.C. # BUILDING RECORD I OCCYPANCY 12 SINGLE FAMILY V SiORIES MULTI. FAMILY APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE -- PINE a 1 2 13 CONCRETE 81. K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL I UNFIN. 3 BASEMENT AREA FULL FIN. B M T AREA 1/1 1/7 1/1 FIN. ATTIC AREA t!O 8 M -T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING_ VERT. SIDING HARDV,'*D COMMGN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDER EILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR ADEQUATE NONE 1 5 ROOF 10 PLUMBING GABLE dip BATH 13 FIX.1 G A M B:R�JEL MANSARD TOILET RM. (2 FIX.) F LAT 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 HEATING WOOD JOIST PIPELESS FURNACE I]RN 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 �wT 2�d I.# -id ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE) FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit arid 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 0 V P�C_ I ab. No. A(- 19213 Name/ModelNo. lAG-;L&lQQW'- —Coflarsize 6 to Dimensions/ Height —Length #2 7,ke Width "3 Chimney A. New 611 _—Existing V, B. Size (flue area) C. Other appliances attached to flue (Number arid flue size) D. Prefab (Manufacturer—name and type) E. Masonry/Lined Flue liner V, Unlined -7 FC .1yooAmanufactuter) F. Height (refer to diagrams) cap IOVE.F� IC' maw CHIMNEY HEIGHT Hearth (ncn-combustible) A. Materials B. Sub -floor construction C. Minimum dimensions (refer to Ciacram) Clearances and Wall Protection (see stcve inStallaticn c!earances chart) A. Type of wall protection provided R B. Clearances (refer to diagrams) FREFLACE CCRt-IER (FUEL, A&� HEARTH WALLCE11TEIR 13 3 - THE FOLLOWING TABLE AND DIAGRAMS SHOW THE MINIMUM CLEARANCE REOUIREMENTS BETWEEN YOUR DOYRE HEIRLOOM, STOVE PIPE AND UNPROTECTED COMBUSTIBLE WALLSAND MATERIALS. WARNING STATEMENT: COMPLIANCE WITH ALL MINIMUM CLEARANCES SHOWN IN THE MANUAL IS NECESSARY FOR YOUR SAFETY. CLEARANCES WITH SIN61LE-WALL CHIMNEY CONNECTOR: FLUE CONNE ION TOP REAR BACKWALL SI DEWALL CEILING X 20" 22" 181, x 24" 22" CLEARANCES WITH DOUBLE-WALL CHIMNEY CONNECTOR AND DOYRE REAR HEAT SHIELD (PART -v3OOHSB) FLUE CONNECTION TOP ONLY BACKWALL SIDEWALL CEILING X 101, 22" 181, CLEARANCE WITH DOUBLE-WALL CHIMNEY CONNECTOR WITH BOTH DOVRE REAR HEAT SHIELD (PART =300HSB) AND DOYRE SIDE HEAT SHIELD (PART -v3OOHSS) FLUE CONNECTION TOP ONLY BACKWALL 51 DEWALL CEILING X 1 0" 12" 181, (DENOTES CAN TAN R;:r)"TD9%fi=Kmc% 1 1 (36") 1 3411 4L -C 15 1001 (50") - 13"� -4 4811 _�Lj (1411) 1211 11 SIDEWALL CLEARANCES AND BACKWALL aXAP-ANCES WITH BACKWALL CLEARANCES WITIH FLOOR PROTECTOR SIZE TOP FLUE CONNECTION REAR FLUE CONWCTION IT IS IMPORTANT TO NOTE THAT SIMP ,j,Y:-COVERING A COMBUSTIBLE MATERIAL WITH A NON- COMBUSTIBLE MATERIAL DOES NOT -,OFF * ER. -SUFFICIENT HEAT PROTECTION. FOR EXAMPLE, NON - COMBUSTIBLES LIKE TILE AND MARBLE PLACED OVER DRYWALL AND WOODEN STUDS WILL CONDUCT THE RADIANT HEAT THROUGH TO THE-COilt(OBLE WALL, AND THE EFFECT IS THE SAME AS HAVI NO NO WALL PROTECTION. -7— A. BRICK CHIMNEY THIMBLE A-SSEMBLY CONSTRUCTION OF THE BRICK THIMBLE ASSEMBLY REQUIRES 12 INCHES OF BRICK AROUND A FiRE CLAY LINER, BE SURE THE POINT OF PENETRATION ALLOWS AN 18 INCH CLEARANCE FROM THE CONNECTOR TO THE CEILING, AN OPENING OF 32 -INCHES (FOR A 6 INCH CHIMNEY CONNECTOR) MUST BE CUT IN THE WALL TO MAINTAIN THE REQUIRED 12 INCHES OF BRICK SEPARATION FROM COMBUSTIBLES. IT WILL BE NECESSARY TO CUT WALL STUDS AND INSTALL A HEADER AND SILL FRAME TO MAINTAIN PROPER DIMENSIONSAND TO HOLD THE WEIGHT OF THE BRICK. ( SEE FIG, 9). Wood Stud 2 Inches Clearance From Chin Thimble Assembly: 12 Inches of Brick Separation From Clay Liner To Combustibles Fireclay Liner 5/811 Mh or Equivalent Sill/Supr FIG. er nney Wall MINIMUM 3 1/2 INCH (4 INCH NOMINAL) THICK BRICKS ARE TO BE USED. THE FIRE CLAY LINER (A3'11 C35 OR EQUIVALENT), MINIMUM 5/8 INCH WALL THICKNESS, MUST NOT PENETRATE INTO THE CHIMNEY BEYOND THE INNER SURFACE OF THE CHIMNEY FLUE LINER AND MUST BE FIRMLY CEMENTED IN PLACE. IF IT IS NECESSARY TO CUT A HOLE IN THE CHIMNEY LINER, USE EXTREME CARE TO KEEP IT FROM SHATTERING. REFRACTORY MORTAR MUST BE USED AT THE JUNCTION TO THE CHIMNEY LINER. AFTER THE ASSEMBLY 15 COMPLETE, INSERT THE CHIMNEY CONNECTOR IN THE FIRE CLAY LINER. DO NOT PUSH IT BEYOND THE INSIDE EDGE OF THE CHIMNEY LINER BECAUSE THIS WILL AFFECT THE DRAW OF THE CHIMNEY. 77 Heirloom I I - �11 .-.. 11 . T .. . . . . . . . . . . . . . . .... 10 7 MODE L 300E )- 0j �— a AQ'bA%-; U%'�t I I b U IrU M AFFLICATIO FOR PERMI TO DO PLUMBI G (Print or Type) —L' A 'A ~ , Mass. Date4r 19 Permit 3 Building Location a -71 er's Nam9ff .A/ Z12 A ijeZa _Type of Occupanc"i��' I Z) & f-1 C - it New 0 Renovation Replacement 2"**' Plans Submitted: Yes 0 No El FIXTURES Installing Company Name "'AO(�Ee-r 0� - -c;,4(r M T A e, -0 Check one: Certificate Address � t� C04ci4Mj4Kj 4, Pi 0 Corporation ir E TW o i5 -1\J , Al t4 0 El Partnership Business Telephone (I :If 2 -r1q7 1 2-�irm/Co. Name of Licensed Plumber '& t-,3 F?- 7- MM t4 I-eqe p, INSURANCE COVERAGE: I have a curre4jjability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 .1 If you have checked ves, please indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of Indemnity 0 Bond El 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: owner 0 Agent 0 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 knovAedge and that all plumbing work and installations performed under the permit issu for this application will be in compliance vAth all pertinent provisions of the Massachusetts State Plum , g 9 and Tpter,�l of the erall Laws. BY 4, 7 ( I. TIILI&U� ��re of Licensed Plurfiber�- Type of License: Master Journeymah 0 ==T—T0TF1C—ETJ�N-LW-- License Number �3 3-; I I 1- 2 3664 Date. . C-7 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING cm M This certifies that ... ............. has permission to perform 11 -4 -el .......................... plumbing in the buildings of J. ...................... at 1_11A.1.41 e- A ........... North Andover, Mass Fee.; Lic. No..'1.3-3) .. ................ ......... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date---, "I ..................... � r-� TOWN OF NORTH ANDOVER 'ro PERMIT FOR GAS INSTALLATION This certifies that ... ........ As has permission for gas installation ......... z /Z ..... ............... in the buildings of . . at 2 North Andover, Mass. Fee Lic. No.'��-! ... ......... Check # GAS INSPECj'0R 5027 MASSACHUSETTS UNIFORM APPUCATION I -"'W ki It Building New C] Renovation [:] PERMIT TO DO GASFITTING a6 -,- Owners Na Type of Occupancy_R Est I -)CN Ti 11 L - Mr"' Plans Submitted: Yeso No C) Installing Company Name '�' a �,� �.- M M A T it) t� Address 3 0 oo,4 C H /Y% A tj i- KI, fl1e7Hu.erJ AlA. 0 Business T ILMOR '�, Name of Ucensed Plumber or Gas Fifter .cr,. Check one: Certificate 0 Corporation (3 Partnership 2-'Arm/Co. I ko(-) — INSURANCE COVERAGE: I have a curre equirements of MGL Ch. 142. Yes Pbllfty Insurance policy or Its substantial equivalent which meets the r No 13 If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy Other type of Indemnity 0 Bond C1 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 OwnerO Agent El 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 knowledg's and that all plumbing work and installations perlomrwd under the per ed for this application will be in compliance with all 0", pertinent provisions of the Massachusetts State Gas Code and Chapter '142 k P*W41 kws lwwx ;4- , U of U T5�oense: VA umb4 !F Plumber KhAture of Ucensed Ku o; dw- 'rit—ter Title tt, tter er License Number Journeyman