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HomeMy WebLinkAboutBuilding Permit # 10/24/2016 00 T J ° BUILDING I IT TOWN CSE NORTH ANDOVER � �. APPLICATION TION FOI PLAN EXAMINATION A,TION Permit a t Grate Received Date lensed: 0 IMPORTANT: A licant must com l to all iters 11 this age "AW, RQR�a fl' ,ri lj"�"�' „ r o, � ✓�i/�/ ,,,. i ,,, � /., r' ,�r //i/r/i/// ��/f r 1/ r% //, ✓ ,r TYPE r, r/ TYPE OE IMPROVEMENT OVENIMENT OI O ED USE Residential Non- residential New Building a One family A�dditie�n LJ Two or more family 1,x7 Industrial Alteration No, of units; [I Commercial Repair, replacement i_i Assessory Bldg I Others: Demolition n Other iWPI Edl� Ci �hds t i �r he'd tr y u,a, �eL��1--, . Identification Please Type or Print Clearly) OWNER: Name: ,address; a / j r /i '±' / ✓ I r r ,;; � � r r /i / rrir///r//i/r�/r r„ r ', `,�-ti '� �y, rl icer �ii r 9'" r,. r i ri 7 ARCH ITET/ENGII EE — Phone: Address. Reg. No. FEF SCHEDULE:: UL FN ERMIT.$12-00 PER$1000.00 OF THE TOTAL TIMAT D COST BASED ON$12 5.00 PER SS. Total Project t . � " leceit a°: Check �... °: �.Lces r�o the r�ar��~✓' ' a OTPersons cont Signature of e t Owner _ Signature af contractor %4ORT0y '� own o _ : ,. 6 ndover ® : - 4v�-w,2A5 h ver, Mass, / 0 ' 04% , A 4Alp Coc alc"t W.c.. 1• S u BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .........5T.9..........81IS Y.�r, . ....., /�.. �IM/i 1� r�t4e/ter BUILDING INSPECTOR �+ Foundation has permission to erect .......................... buildings on .........�..........�.� ,.,....? ��. ...... !t. ... ,. Rough �'�r tO be occupied as ................F . .�r..,...& Jt ��.��. .A�.,...... � � � .. 0....�.. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the 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 Final C® c PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STAWS Rough ff Ah - Service ........... ....... . .. . ,.. .,.,....,........ ..... Final BUILDING INSPECTOR. GAS INSPECTOR OccupancE Permit Required to Occupy Buildin 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. Smoke Det. Invoice Colonial Fireplace Date invoice# 2261 Main Street 10/19/2016 2181 Tewksbury, MA 01876 975-447-5192 customerservice@colonialfp.com Bill To Ship To Don Lane Don Lane 17 Lacy St 17 Lacy St Rep Terms North Andover,MA North Andover,MA 61845 01845 Quantity Item Code Description Price Each Amount 1 Labor Installation Labor-Installation of a Regency GC60 Pellet 1,520.30 1,520.30 Stove, MA State Sales Tax 6.25% 0.00 Total $1,520.30 Payments/Credits 4760.15 Balance Due $760.15 u i 31 3 i 3 i i i 11 .�i I�jVQ® s 7c 0 " J w 3 ! 1 C/ it'h� 10017 � lJ� A-2 12-7L 1 -� oo �N. GC60 Hampton Freestanding Cast Iron Pellet Stove (584mm) i 28.7° (729mrr CLEARANCES TO COMBUSTIBLES 29.4" (748mm) Back Wall q�. 3 �Qr' (76mm) 3"� 0 .•. ••• (76mm) 31.7" (806mm) ' g.. f229mm) 2a.4° (722mm) 28„ These dimensions are minimum clearances but it is recommended (713mm) that you ensure sufficient room for servicing, routine cleaning and maintenance. Side wall to unit 9 inches (22,9 cm) Back wall to unit 3 inches (76 cm) Corner to unit 3 inches (76 cm) Ceiling height 60 inches (152 cm) Alcove Maximum Depth 36 inches(91 cm) Alcove Minimum Width 48 inches(122 cm) Alcove Minimum Height 60 inches(152 cm) The unit must be installed with a minimum of 6"(152 mm)of floor protection in front of and to the sides of the door opening. s 18.5' i (470mm) I 3i i GF60 Wood Pellet Stove MOBILE HOME INSTALLATION EXHAUST AND FRESH AIR INTAKE LOCATION • Secure the heater to the floor using the four(4)holes in the pedestal. • Ensure the unit is electrically grounded to the chassis of your home (permanently). • bo not install in a room people sleep in. ' • Outside fresh air Is mandatory. Secure outside air connections directly to fresh air intake pipe and secure with three (3) screws a . a evenly spaced. • All specified components must be used. ❑o not use any components other than what's specified. r 11.3 Optional Hearth Pad Flooring t I Steel Frame 4.9" _I_ 6,5" 7.7" i 114!'LaQ Bolts Securely Fastened I Ground Wire Directly to Metal Chassis This unit uses a 4" exhaust vent. i I EXHAUST. Base of unit to center of flue 151/2" (392 mm) Center of unit to center of flue 63/811 (162 mm) FRESH AIR INTAKE. i Base of unit to center of intake 12" (305 mm) Center of unit to center of intake 47/8" (126 mm) GF60 Wood Pellet Stove THROUGH WALL WITH VERTICAL RISE AND HORIZONTAL TERMINATION INSTALLATION: ° Elbow with Screen or Termination Cap 4"90' ---�—=I, T Wall framing Wali Strap Clean out Tee 4= Horizontal frame MAX Vertical for thimble section of 4'vent pipe Wail Strap Wali Thimble THROUGH CONCRETE WALL WITH VERTICAL RISE INSTALLATIONS: Horizontal frame for thimble 4"90' Elbow Wall Thimble 4"45* Elbow with screen or Termination . Cap Wall Framing Vertical section of 4" pipe Clean Out Tee Concrete Wall I i The Commonwealth of Massachusetts M F 1JepartrnentofindustrialAccidents 1 Congress Street,Scute 100 F Boston,MA 02114-2017 www mass.go•v/dia Woikere Compensation bfsuraned Affidavit:Buz/ders/Con4acto:rs/I lectazcians/XPlwbers. TO BB FILED W)NH Tim PERMUTING AUTHORITY A Wicant Informattog -Please Print Legib Name(Business/Oigabization&dividual): Q m dace Address: G �J City/State/Zip: ��� d Phone#: ! 414 rl 519 *Are you an crnployex?Clrc*tlie appxoprlatehox: Type of project( eci�liTed}; 1. I am a employer wit& employees(full and/or part-time).* 7. El N6vci'd6mtr&tion 2.Q I sin a sole propriatoror partnership andhave no employees Working for me in 8. �Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.0 I am a homeowner doing all work myself,[No workers'comp.insurance required]t 10 Building addition 4.Q I am a homeowner and will bo hiring contractors to conduct all work on my property. 1-will ensurethat all contractors either have workers'compensation insurance or are sole 1.1.P Eleo4lcal repaixs or additions proprietors with no empl8ye©s. l2. 0'Plmdbing repairs or additions 5.Q I am a general contractor and I have hiredthe sub-contractors listed on the attached sheet. 1 . Roo£rep airs These sub-contraotors have employees andhave workers'comp.insurauoe.t 6.Q We are a corporatioA and its,ofdcers have,exercised their right of hxemption per MCIL c. 14. Other 152,§l(4),and Ivo have na empldyeys.[Ko workers'comp.insurance required.] *Any applicant that checks bbd#I dUA also fall out t$a sectionbelow showy ugtheirworkers'compensatienpolicy information;' I Romcowners who submittbis affldavlt indicating they are doing all work pod then hire outside contractors must submit anow affidavit indicatingscrb. 1Coutractors that check this Boxznust attached tm additional sbeashowing the name of the sub-contractors and state whether of pot those entities have employees. Ifthe sub-eontractois have employees,they must provida their workers'comp.policy number. Carta an employer that is pro viding7vor/cells'compensation insuran cefor my employees -9elov is thepolicy and)ob site information. Iusurance Company Namo: r ty� B iration.Dgte: 1 •� Policy#or Self-ins.Lic.#:. � lob Site Address: City/State/ ip: f111:Tf 1 4k4— Attach a copy of the w4liers' compext tion policy declaration page(showing the policy number and expiration date). Failure to secine coverage as requited uader MGL o.152,§25A is a criminal-violation punishable by a of b up to$1,500.00 3 and/or one-year imprlsonmunt,as well as civil penalties in the form of a STOP WORD ORDER and a Tine of uli to $250.00 a day against the violator.A copy o£this statemoat may be£ewarded to the Office o£fhvestigdttons of the DTA for Insurance coverage verification. Ido hereby cert un' thepains//Pd/penaldes gfpeiyury Haat the information provided alcove is truce and orrect. Si afore: l/ 0 . Date: f Phone#• "' � � / Official use only. Do not ivrite in this area,to be completed by city or town officiar City or TovPn. Permit/License# Issuing.A.uthox ty(circle one): i 1.Board of Health. 2.Building Departfnent 3.City/Town Cle-rR 4.Electricalxnspectur 5.'PlumbingInspector 6.Other Contact Person: Phone#: Massachusetts ©apartment of Public Safety /re` rr��r»ra��tuccr��/r.r�C�/��rrv�rrc�tlfr(lJ Board of Building Regulations and standards rds Office of Consumer Affairs&Business Regulation wil ME IMPROVEMENT CONTRACTOR License: CS-i05920istration: 1$1494 Type: Construction Supervisor iration: , 4/11201.7 Corporation SCOTT M HAYES COLONIAL FIREPLACE 6 CANTERBURY AVI= HAVERHILL MA 011 30 SCOTT HAYES 474 MAIN ST WILMINGTON,MA 01887Undc;ersecrctary � Expiration: Commissioner OSI1912018