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HomeMy WebLinkAboutMiscellaneous - 695 JOHNSON STREET 4/30/2018 (2) 695 JOHNSON STREET / 210/038.0-00740000.0 �L 1 I I I Location �p/INSdN No. fo v Date �ORTM TOWN OF NORTH ANDOVER Of .•o ,•1�.0 4L Certificate of Occupancy $ s''••s� "US'•'t�' Building/Frame Permit Fee $ Foundation Permit Fee $ _ Other Permit Fee r�ilr+ C;) ��o�� $ TOTAL $ a Check # Building Inspector 14 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / S[� DATE ISSUED: j� D� SIGNATURE: Building Corrurtissioner/IRTedor of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 3 C.� " L Map Number Parcel r�Num er AJ A 1.3 Zoning Information: 1.4 Property Dimensions: I Zoning District Proposed Use I Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re 'red Provided 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zane 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record iSS:= C �S" % .S1i6D U A& X�' Name(Print) Address for Service 6 - 9 Sig a Telephone v 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Mn Address 1 Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone `� 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.......❑ 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 O `FICIAL USE ON NY'. Completed by2ermit applicant g 1. Building Q _ (a) Building Permit Fee v �r" Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical(HVAC) t �- 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 I, SO 1'1^� �• �wCi� — as Owner/Authorized Agent of subject property Hereby authorize J�L /�G V (� CU to act on My behalfr all ingVers rely e to wor an o zed by this building permit application. Sim iattu Owner Date SECTION 7b OWNERJAUTHORIZED AGENT DECLARATION I, �T#A� S �C�e o 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 du Print ame SigkaAe of Owner/ it Date 7 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T11VIBERS 1 s 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SfZE OF FOOTING i1'1 A So/V X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH 01*)M . 0 f over 0 No. ~ M7 a x z= A o dover, Mass., �0 40 COCKICKEWICK ADRATED - S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System vww-� 4 00 BUILDING INSPECTOR THIS CERTIFIES THAT 4 .0 C 0...... ...0....... ............................... ................................... Foundation has permission to ...� ► �.'....... buil Ings on .A. ..... g ............C......�........ Rough Chimney to be occupied as...... f�..I ! ..............�5..........V�'r......�........... ILI /V.C. ............... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Lawsrelatin to the Ip1qIteration and Construction of Buildings in the Town of North Andover. M3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Pert©tmance Specifications: The P61 has the widest heating range • oi'any pellet stove. It is able to burn from BTU Range 8,000 to 61,000 8,000 BTUs to over 61,000 BTUs.The combustion system of the stove consists Heating Capacity 2,000+ sq. ft. of the Pellet Pro Feeder and Burn Pot. Hopper Gapacit� 72 lbs. Each is covered by a U.S. Patent making features---- - - them exclusive to Harman.The P61 can • 8,000 to 61,000 BTUs ��'it{�OptronR!Happes_ELtefrsion 132 lbs. burn any brand of wood pellet regardlessa Fuel �A - Bio-Mass Pellets • _ ESP Control of the ash content.This allows you to Blower Size 135 CFM Nl. 'lower cost pellets and achieve die • Room Sensor --- - - --- Flue Size 3 in. same results for less. Our exclusiyc accor- . Patented Feeder -'-— — - --- - - -- --- Bion heat exchanger and air-cooled blow Outside Air Size 2-3/8 in. er housing make it ossible for the P61 ' Patented Burn Pot ---- --� g P Fuse Rating � 3 amp to produce maximum heat without execs Large Ash Pan sive exhaust temperatures. Efficiency Weight 249 lbs. P n can Swing Open Ash Door be further enhanced by using 100%out- Height 34-1/2 in. side air for combustion and keeping the • Accordion Heat Exchanger Width 23-1/2 in. glass clean. • Air-Cooled Depth 29-1/2 in. cOnvenlence Combustion Blower Clearance to Combustibles The P61 can burn up to three days on • Super Easy Cleaning wear,. 2 M. one hopper frill of pellets.Ash removal is . Over 100 Square Sides-i3 quick,easy,and can be done while the Inches of Glass stove is in operation. Normally ashes need only be removed every one to two • 72-Pound Hopper Front 16 in. months. Capacity _ To perform annual cleaning,simplyt,-��` _; �n _ unlatch and remove the blower cover located behind the ash pan. Now the = = _ venting system can be easily cleaned hvith a vacuum cleaner and brush. j Clearances and Dimensions: No pellet stove is easier to operate, clean or maintain than die P61.Simply options set the dial on the ESP Control and the P61 h+ill do the rest. I - • Gold Door I • Gold Sunrise Trim I Value 32x t. 31,7 • Gold Air Grill The P61 costs less to buy than other ` • Tile Pack brands that only produce 40,000 BTUs. = Top view 1 - Since the P61 adjusts automatically to Front view • Ceramic Logs produce the correct amount of heat,it is • Side Heat Shields the best choice even if you never need 61,000 BTUs. b • Hopper Extension This is possible because we use lasers to cut only the finest American-made steel. - Then form it with the most accuratecomer t2,, 9 forming equipment available.The conn- Installation S_. plete stove is then welded by the most Side View of Typical Installation advanced robots currently produced. Safety Testing(by Warnock Hersey). (No Chimney Needed) \N ider heating , ASTM E1509 Mobile Home-approved More compact in size, range,easier to use and maintain,all for MADE IN U.S.A. less money. Tbnt's Rcrrl Valuc. 711at's the Harman Difference! 352 Mountain House Road - Halifax, PA 17032 W WORM "3 Phone: (717) 362-9080 Hampton Falls, NH 03844 Fax: (717) 362-4251 (603) 926-2084 I I http://���,��:HarmanStovc .com e-mail homnhrth@nh.ulttBnet.com - - - web site www.hearth.com/homehearth/ DismT17eDi er�nce tA'R . Y Sealed hopper Advanced ESP holds up to 72 Control allows pounds of pellets precise heat output automatically Optional battery backup Optional hopper _ ` extension adds room for additional 60 pounds of pellets State-of-the-art, whisper-quiet, variable-speed blower Optional heatshields reduce the clearance ; to combustibles - Exclusive air wash ---- system keeps - _ door glass cleaner, longer i - 8,000 to 61,000 BTUs Optional 24-karat gold trim adds classic touch to view of fire Large decorative ,,. glass door ' Elegant Sunrise trim �— _ , ;f� a -_ Convenient ash also available _ AA ' -- --— door shown with optional ceramic the S f and gold frame i I The,Pb`i will pravide the j to heat yourfiomtoe the deet et d to perafureaThe tet ure ftmams constant wit _'r e11 the a � PAen vrth=atherbrands oasand do"S that f r pellet sfoves _ 80° . Designed t ........ .. ,.. tA 700 Your 1 1 _ — 600....... - _ - 500 ........ ............ .......... ..... �i P61 pthem Cover me power= cUfferenceWnta Harmma -WOOD STOVE INST•ALLA HON CHECKLIST 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. ti Stove _ -..�' A. New Used ' B. Type/radiant Circulating Al©N -� C. Manufacturer Arman Stove CO. Lab.No Se pill it 2 4 3.3 C 1=IL 3raL*oO ,o1cG Name/Model No. No 1 PGI I C1' S'1'o v X- Collar size 1 At Dimensions/Height Sq 1/2 rt Length 6 3 It �r Width z3 t/i'i Chimney A. New Existing B. Size(flue area; C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacture—name and type) E. Masonry/Lined it X I2 Flue liner Unlined _ ayp•6 manuwacturorr F. Height(refer to diagrams) cap 0VEZ IC' I •.r I IZ`r htlti. 2 WK I' IIY ,•11N. :o � 1Z� n X HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials Floor- t WWfS B. Sub-floor construction C e f`Ae.ny`r ae at-d O je r 1/ki C. Minimum dimensions(refer to diacram) Clearances and Wail Protection(see s; je installat:cn c!earances chart) A. Type of wall protection provided fil`/C k B. Clearances(refer to diagrams) l FIREPLACE "` ORr1ER WALVCENTER. M 13 a.-�.. .. . .. . . Date HORTM Of TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION h y,SSAO MUSE.fS / This certifies that !:"`. . . :����� . . . . . . has permission for gas ins allation in the buildings of ?�-� ? at ���. ?�'� - �-^'. <s' �'. . . . ., North Andover, Mass. r Fe 3^ . Lic. No �.;> 0 "'—�Z . . . . . . . . . . . . GAS IN`SPE TOR Check# 12 (/ 4978 MASSACHUSETTS UNIFORM APPLICATIO FOR PERMIT TO DO GASFITTING (Print or Type) _iJ02TH A N QbV C12.. , Mass. DateOCC E 2 C) Z( Permit # Building Location_.(A JOH QS6�) <,ft Owner's Name " ._ •• Ku OI C M9 Type of Occupancy_ R SI nE ti7I A L. New ❑ Renovation ❑ 4placement Plans Submitted: Yes[] No ❑ N c Y W N N N V Z Q N N cc N rC O z N = r� W ul OC r— y ,� 0 UJ Z O tJ ~ Q >- Z Z 011—r w Q m Q Cr O O N tl w Q = y t0- of a c > Q 1W 9) O.4 cc . W W W N .WJ z Q X Q a Wa W r W }� f' X . cc z Q WC:Q C ~ r' y. N M Z O Z a 0 frj X Q W > D: W :) 2. Q rr Q O tl �C u. 3 C d A V ¢ > p a 1- O SUB—SSMT. BASEMENT i !ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR H .. ....... \...,.galling Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone .687-11105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery . INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No If you have checked ye, please indicate the type coverage by checking the appropriate box. A liability Insurance policy 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 El hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accu�gte to the best of my knowledge and that all plumbing work and Installations performed under the permit issf r this application willbeinampliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene • s. (/ i By Tme of Ucense: Plumber Signature of Uoensedumber or Gas OKI Title Gasritter 3-145 .( � Master Ucense Number Cit /Town Journeyman O IC S.ONLY BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING < NAME, TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE _19 i GAS INSPECTOR