HomeMy WebLinkAboutMiscellaneous - 66 UNION STREET 4/30/2018Location.
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TOWN OF NORTH ANDOVER
9
a •.
Certificate of Occupancy $
'�s •'^° •''��
Building/Frame /Frame Permit Fee $
s�CHust 9
Foundation Permit Fee $
Check #
i58�4
Other Permit Fee $
TOTAL
• Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/I for of Buildin Date G 2_
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
UU
Map Number P 1 N bei
�% , n�
1.3 Zoning Information:
Zoning Dis it c t Proposed Use
1.4 Property Dimensions:
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. 54) 1.5. Flood Zone Information:
Public ❑ Private ❑ Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
&1eA C 6 �c� �Gs-ol d!✓ /� �d`Q/�"
Name (Print) q / Address for Service
5 --
Signature
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
onstructi S(ufpeervisor:
3.1 Li;7Zit/A) a V 2
Licensed Construction Supervisor:
3 —
Address �j !/
' Cs p T 3
rgnature Telephone
Not Applicable ❑
CZ�-7,5�2—
License Number
Q `�
V
Expiration Da
3.2 Re *stered Home Improvement Contractor
(� / I W
Not Applicable 0
Company Name
Registration Number
v U
Expiration Date
Address
'44 3
natu Telephone
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SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 2506)
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 ....... 0
SECTION 5 Description of Proposed Work check all
applicable)
New Construction,
)ixistYng Btdng
Repairs) ❑
Alterations(s) �❑
Addition ❑
Accessory Bldg. ❑
Delolition ❑
Other ❑ Specify
Brief Description of Pro �ssed Work:
' l' E 'E �S lopA/Ld�
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed b permit applicant
pFTTCIAL U E ONLY
,
1. Building
(a) Building Pernut Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of // ��
Construction Y (�
3 Plumbing
Building Permit fee (a) X (b)
G-rJ
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 FORAMILDING PERMIT
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/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
Signature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1ST 2 ND 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 -674
Board of Building Regulations and Standarits ,
HOME IMPROVEMENT CONTRACTOR 40
Registration 'I14134
ExI ra'tion 08/06/2003
type DBA
Salem Vinyl Siding & VUintlows`r
GLENN COTE
11 KOPER LN ; u"
PELHAM, NH 03076
Administ 6t _
4
71.
BOARD OF BUILDING REGULATION$
Licensd: CONSTRUCTION SUPERVISOR
i
Number: CS' 035152
Bi fh£daW —08/3111948
x �xpire.l08/31/2003 Tr. no: 2254
Restricted. AQ
GLENN -C COTE r
11 KOPER LN e b
PLLHAM,, NH 03076 Admin&t[tOr
10
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordancewith the provision of MGL c 40 S 54, a condition of Building Permit
Numbeis that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in:
(Location of Facility)
Signat re &Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
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Location & L U M 04) S�-
No. -JU Date �A41
0
NOR7q TOWN OF NORTH ANDOVER
F 9 Certificate of Occupancy $
. ,
Building/Frame Permit Fee $
,SSA�MUSEt Foundation Permit Fee $
O Clrar4'vC�
Other Permit Fee r"rrP cc $ 2S �
Sewer Connection Fee $
Water Connection Fee $ _
TOTAL oZ 5
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Building Inspector
12 i 0 Div. Public Works
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WOOD STOVE INSTALLS HON CHECKLIST F'- rIl r IIUc
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.
ve
At
New
Used '
B. Type/radiant -7 Fre) C /-,c P -4 -tic e-
Circulating
C. Manufactured 1C! Ir
Lab. No.
Name/ Model No,
�, a scolfar size
OlmensionslHeifght
Length Width
36 S'%
Chimney
A. New
Existing
S. Size (flue area)
C. Other appliances attached to flue (Number and
flue size)
0. Prefab (Manufacturer—name and type)
E. Masonryltaned
Flue liner
Unlined
tY0.6 manWacturerr
F. Height (refer to diagrams)
cap
CHIMNEY HEIGHT
Hearth (non-combustible)
A. Materials
B. Sub -floor construction
C. Minimum dimensions (refer to aiaaram)
Clearances and Walt Protection (see stcve ins,allat:cn clearances chart)
A. Type of wall protection provided
B. Clearances (refer to diagrams)
FIREPLACE
CORrfER
HEARTH
WALLCENTER•
13
REGULATIONS
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
permanent and legible factory -applied label containing.at least the following information:
1. Manufacturers name and trademark
2. Model and/or identification number of the appliance
3. Type of fuel(s) approved
4. Testing laboratorys name or trademark and location
5. Date tested
6. Clearance to combustibles
a. Side
b. Rear
7. Test standard
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
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 a combustible 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
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.
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THE
FIREPLACE
C �AL<
TH® 36
f7Zra
cwDditional elegance with true
masonry appeal. The SuperHearth 36
combines the beauty and openness
of a custom-built masonry fireplace
with the unique advantages that only
Majestic® can offer.
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YANKEE
Fireplace & Grill City
RICK HOESLY
Fireplaces • Gas Grills • Accessories • Parts & Service
140 South Main Street • Middleton, MA 01949
(800) 445-2760 • (978) 774-2760 Ext. 21
FAX (978) 777-2634
ZV
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MAji TICa
THE BEST THERE I�
Tdf � _1��--
_ t��' -
44L-* %%A
rV41
The Ultimate in Custom -Built Appeal.
For discriminating homeowners who want the look
and the spaciousness of a real masonry fireplace,
the SuperHearth® 36 is the perfect solution. With a
36" wide firebox that is 24" high, 20" deep and
has a rear hearth width of 24", the SuperHearth 36
offers one of the most expansive hearth areas in the
industry—a spacious 600 square inches.
To create a totally authentic, custom-built
appearance, the SuperHearth 36 was designed with
no exposed metal visible anywhere; instead it
features a fully refractory -lined firebox with a
realistic firebrick imprint. The tapered firebox sides
help reflect radiant heat out into the room. With its
clean -face surround face and its extra -large firebox,
the SuperHearth 36 successfully recreates the
expansive appeal of a traditional masonry fireplace.
The SuperHearth 36 factory -built design installs
quickly and easily almost anywhere and can be
finished in any style room decor.
Standard Features with Exceptional Value
a Spacious 36" Radiant Firebox provides generous
amounts of radiant heat.
• Totally Refractory -Lined Firebox (full sides, back
and hearth) with a realistic firebrick imprint for
beauty, authenticity and durability.
• Tapered Firebox Sides assure greater reflection of
radiant heat.
• Clean Surround Face permits flush finishing around
the firebox for traditional fireplace appearance.
o Fully Insulated Construction helps improve home
energy efficiency by reducing outside air infiltration
and room air outflow.
• Built -In Flue Damper reduces home heat loss when
fireplace is not in use.
• Basket Grate allows adequate combustion air to
flow under fuel.
• Log Lighter Access has knockout on both sides for
optional gas applications.
• Black Wire Mesh Firescreens with solid brass pulls
protect against sparks.
• Underwriters' Laboratories Listed and Tested
for safety.
• Limited Warranty and 30 -Year Protection Plan
assure quality and dependability.
Optional Accessories
• SHGD36 Tempered Bi -Fold Glass Doors are simple
to install and operate and offer an expansive view of
the fire while reducing heat loss.
• AK -MST Outside Air Combustion Kit provides a
constant flow of outside air to the firebox for tightly
sealed homes.
• Majestic Fireplace Surround Facings and Mantel-
pieces are available in a variety of materials, colors
and sizes for an added individual touch. Most items
come pre -sized for fast, easy installation.
Simple, Economical Chimney System
The SuperHearth 36 is designed to utilize our 11"
double-wall chimney system to keep installation
simple and economical. No tools or fasteners are
needed for this snap -together pipe section and elbow
system. The 131/2" slim outer wall construction
utilizes the traditional 171/2" x 171/2" ceiling opening.
SuperHearth 36 Fireplace Specifications:
24" —.I T
HEARTH, AREA,25'As'
s�'sSir►1+�HES ` 20"
36" --►
451/a"423h
-' 4DIYx°
13W' DIA
OUTER PIPE
W, -I �.— 29'h" —►� , 11" DIA. FLUE
ROUGH OPENING
WIDTH 46"
ROUGH
24"NING
ul HEIGHT
2a^ asci:'
WA
t� OUTSIDE AIR
141�he" LOCATION Ij�— 45" -
1513/e° GAS LINE
ACCESS HOLE
�Y"
THE W
MAJESTIC, t 11
PRODUCTS COMPANY
1000 East Market Street • Huntington, Indiana 46750-2579 • 219-356-8000
www.majesticproducts.com
Form No. SH36SS/110496 Printed in U.S.A. 74-15-185
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