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Home My WebLink AboutMiscellaneous - 52 HEMLOCK STREET 4/30/2018 (2) 52 HEMLOCK STREET J 210/045.G-0053-0000.0 1� P C7 Location `� � 16-7,` Neu. Date MaRT� TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ �1�°'•^°''t�' Building/Frame Permit Fee $ SIACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 15 ,A32, ,(,/�Buildi I ng Inspecto I i a � TOWN OF NORTH ANDOVER ' i BUILDING DEPARTMENT i APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Fri s srg ".fe �k' BUILDING PERMIT NUMBER: j ! DATE ISSUED: A/C. -' d SIGNATURE: Buildinj CommissionerflEg=tor of Buildings Date • i SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: MapumN bei Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided R red Provided A 1.7 Water Supply M.G LC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: � Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ e SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT f 2.1 Owner of Record `_Yvtey4v i ie t ki Na (Print) Address for Service: Q. Q Signature Telephone C 2.2 Owner of Record: �. Name Print Address for Service: f r Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ • Licensed Construction Supervisor: License Number 0 •Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name r Registration Number r Address Expiration Date Signature Tele hone f i SECTION 4-WORKERS COMPENSATION(MG.L. C 152 § 25c(6) =— A 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.......❑ 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: r SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be _ �#}� _ ISE a�r � Completed by permit applicant 1. Building (a) Building Permit Fee I Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)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 BUILDING PERMIT 1. ir '�. as Owner/Authorized Agent of subject property Hereby authorize to act on My e alt; i al afters re to wo k au ed this buil*g permit application. G Signature o owner Date v 9r•�7• SECTION 7b OWNER/AUTHORIZED GE T 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 Si ature of Owner/Aent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS I s•r , 2ND 707 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORT►y ® of QD Andover No. ho h 0 "oc.'X' dower, Mass., 9'OWIW®/ ADRATED P?a`,`�5 S u G 4 BOARD OF HEALTH PERMIT T D � Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT........................................ ...................... ............................ .............. .................. Foundation has permission to erect........................................ buildings on ...0.0........... ............ Rough to be occupied as. Chimney . .. ...................................................................................... provided that the pe n accepting this permit shall in every respect-conform to the terms of the application on file in Final this office, and tot 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARS ELECTRICAL INSPECTOR .�,._ Rough ................................................................................................................. Service BUILDING INSPECTOR 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. ~ � � SEE REVERSE SIDE Smoke Det. WOOD STOVE INSTALL1 HON CHECKLIST re. 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. NewUsed S. Type/radiant Circulating VCS C. Manufacturer Y 1—ab.No. Name/Model No. P r $ Collar size Dimensions/Height 3Z Length Z g �Z � Width ZZ " Chimney A. New d t ec'f'U/ey'li- Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) E. Masonry/Lined f=lue liner type 6 manulacturdrr Unlined F. Height(refer to diagrams) cap I aVEZ IC �.`� r 12'� Mitt. I -T- 2VSIK Z `.11'1• ' �• � `.11[1. 3 Mley ,o I,• ) t — MIN. Ig"rAlN.. 1 HE,4RTH n w p AWI-D n oc t cMLLCk- CHIMNEY HEIGHT A5�7n1 . E 1 Hearth(non-combustible) rr �� r _ _[1. A. Materials � �� q-»DV'dVed�l 1f'�DY1�C�.OYY'�1Jt•�-St► If��'Tb'1 B. Sub-floor construction C. Minimum dimensions(refer to aiacram) Clearances and Wall Protection(see stcve inscallat:cn c!earances chart) • A. Type of wall protection provided B. Clearances(refer to diagrams) I� I ' heocrkl-� FIREPLACE '"`� CRr•IER WALL/CENTER: Y 13 Date,,.-). . . . . ." . z ,4ORT" :o�,`�•°„•.',"oo� TOWN OF NORTH ANDOVER O PERMIT FOR PLUMBING ,SSAC HUSE� This certifies that . .f/�``�.�.�'�!` r . . . P. . .. . . . . . . . . . . . . . . . . . . has permission to perform . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . ... at. . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. Lie. No.. A .'.�.� . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # ( '/ 5150 MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING (Print or Type) --�� Mass. Date c�) Permit # v Building Location �aiYr1ncksf Owner's Name _ Type of Occupancy Resickntial New l._J Renovation l.] Replacement kN Plans Submitted: Yes ❑ No ❑ FIXTURES Pi - IST Z Y ? O WUj o z> U Lu Z 0 a fNr. 't ~ Z o i N a N N 11¢ r m w u. z -w a 0 Z N NU w x a ,n CL 0 _ o. �U W `LVI Cc W W 2 J — p = O U2 3o z = � a p h- a y q W u Y 1,.1 f-I H U OO O Vf = W F' O U N W Q)az � `� a a o a J • a M X n; a 0 a +► - +1 P 3 x m a o r r- 0 U. o D n Z 3 is a] ?SUR-BS MT.BASEMENT FLOOR _ 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate Address 35 pleasant [X Corporation 714 Stoneham, Ma 02180 [-1 Partnership Business Telephone__ 781 —A33---J776 Fl Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGLCh. 142. Yes N No IJ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 134 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: _ Owner ❑ Agent❑ Signature of Owner or Owner's Agent 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 vrork and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Co de and Chapter 142.of the General Laws. By --- — llY1 . Signatur Title _ —--- Type of Liconse: Master tX Journeyman❑ City/Town 8 3 2 2 APPROVED—(OFFICE tTSE ONIY) License Number______,_._ BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PPOGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYP'i= OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR