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BUILDING PERMIT -
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATOf
Date Received
Permit NO: ��SSACHUS���9
Date Issued: NT om fete all items on this a e
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TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
Li New Building ❑ One family ❑ Industrial
❑ Addition ❑Two or more familY ❑ Commercial
❑Alteration No. of units:
Bldg ❑ Others
❑ [I Assessory Repair, replacement ❑ Other
❑ Demolition �an ✓ W � rs(, `Waterert3tstrt
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IT
Identification Please Type or Print Clearly)
OWNER: Name:
���
Address
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ARCHITECTIENGINEER Phone:Reg. No.
Address:
00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED N$125.00 PER S.F.
FEE SCHEDULE:BULDING PERMIT:$12.
FEE: $
Total Project Cost: $ IS Receipt No.:
Check No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fun
rt �r Aber `i t .. .
Andover
0
No.
LA�l7 ver, Mass, _.
LOCNIC NQ we[p 4�'
®i' �RRTEp ►'p�,���
BOARD OF HEALTH
ff it
PEM 1111ILMI LD
Food/Kitchen
Septic System
THIS CERTIFIES THAT ......... .... M .,.,. BUILDING INSPECTOR
has permission to erect ........... ........:... buildings on .......,. ............. �., ......... . ..®. ............. Foundation
Rough
to be occupied as ...... .�.. .... ....... i....... ......... ........ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Finai
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
PERMIT EXPIRES IN 6 MONTHELECTRICAL INSPECTOR
CONSTRUCT]UNLESS I / 0.TA S Rough
Service
......... .Y BUILDING INSPECTOR Final
GAS INSPECTOR
OccMancv .Permit Rgquired to QccuaE Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Fina!
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the wilding Inspector. Burner
Street No.
Smoke Det.
tkoRTH TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
vy 120 Main Street
North Andover,Massachusetts 0 1845
f
ACHU
Donald Belanger Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Building Permit Application
Beasepf int
-
DATE:
JOB LOCATION: 1 "`7 '3'
Number Street Address Map/Lot
Cn ,
HOMEOWNER— 78- `7 -` '3 z
'3' -9-18,qE c 9
Name Home Phone Worl(Pbone
PRESENT MAILING ADDRESS 12,8 bc,a Q- '-'A"(fit:>'X,-
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family
dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, provide
that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be, a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A
person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR
Section I 10.R5.1.2)
The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable
codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that he/she Understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING
Revised 9/16
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVA'riON 688-9530 F[EAL`FH 688-9540 PLANNING 688-9535
Garage Conversion €_
128 Dale Street 21'-0"
Propane 8 recessed lights
3 Awning Windows Fireplace • 2 skylights
on rear wall Direct Vent zero . Exterior Security Light
(36" x 24") clearance • Exterior Outlet
• 4 double hung
Existing garage with Ceiling Fan windows 32" x 48"
2x4 walls TVF • Walls R15
1 ! i= Lavation 0 Cathedral ceiling: R30
Rear ...
Ln 16 inch on center
2x10 floor joists
16 inch on center
Smoke detector Front
�so
48'" opening
0.25" = 1'
Existing Finished
Breezeway
10 x 10
Existing Main House
'IME
® =Ma'
Minimum Framing Dimensions
Min.Enclosure
48"1220mm
44.75"
1137mm
42.75" �\
1086mm 22"(559mm)Standard Facing(drywall contacts side of fireplace)
/22.5"(572mm)Submerged Facing(drywall butts non-comb.facing)
Travis Industries 4161122 100-01376
14
3.4 MINIMUM AIR TERMINAL LOCATION CLEARANCES
COVERED BALCONY APPLICATIONS tt-
N
QS
—R— G P
B
L
QMIN=3 feet R MAX=2 x QACTUAL RmAx s 16 feet
(4.6m)
INSTALLATIONS
CANADA U.S.A.
A 12"(30,5cm) 12"(30.5cm) Clearance above grade,veranda porch,deck or balcony.
B 12"(30.5cm)', 9"(22.9cm) Clearance to windows or doors that open.
C 12"(30.5cm)" 12"(30,5cm) Clearance to permanently closed windows.
D
181, 18"(45.7cm)" Vertical clearance to ventilated soffits located above the terminal within a horizontal distance of 2'
(45.7cm)** (0.6m)from the center line of the terminal.
E 12"(30.5ci 12"(30.5cm)" Clearance to unventilated soffit.
F 0"(Oram) 0"(Omm) Clearance to an outside corner wall.
0"(Omm)*** 0"(Gmm)... Clearance to an inside non-combustible comer wall or protruding non-combustible obstructions(chimney,etc.).
2"(51 mm)"* 2"(51 mm)*** Clearance to an inside combustible corner wall or protruding combustible obstructions(vent chase,etc).
H 3'(0.9m) 3'(0.9m)***'
Clearance to each side of the center line extended above the meter J regulator assembly to a maxi-
mum vertical distance of 15'(4.6m).
1 3'(0.9m) 3.(0.9m)-- Clearance to a service regulator vent outlet.
J 12"(30.5cm) 9"(22.9cm) Clearance to a non-mechanical dr supply inlet to the building or a combustion air inlet to any other appliance.
K 6'(1.8m) 3'(0,9m)t Clearance to a mechanical air supply inlet.
L 7'(2.1 m)f 7'(2.1 m)* Clearance above a paved sidewalk or paved driveway located on public property.
M 12"(30.5crn)tt 12"(30.5cm)**** Clearance under a veranda,porch or deck.
N 16"(40.6cm) 16"(40.6cm) Clearance above the roof.
0 2'(0.6rn)t* 2'(0.6m)t* Clearance from an adjacent wall including neighbouring buildings.
P 8'(2.4m) 8'(2.4m) Roof must be non-combustible without openings.
0 3'(0.9m) 3'(0.9,) See chart for wider wall dimensions.
R 6'(1.8m) 6'(1.8m) See chart for deeper wall dimensions.The terminal shall not be installed an any wall that has an
opening between the terminal and the open side of the structure.
S 12"(30.5cm) , 12"(30.5cm) I Clearance under a covered balcony
A The terminal shall not be located less than 6 feet under a window that opens on a horizontal plane in a structure with three walls and a root
Recommended to prevent condensation on windows and thermal breakage
It is recommended to use a heat shield and to maximize the distance to vinyl clad soffits.
The por1scope requires a mInLmurn 18 inches clearance from an Inside corner.
This Is a recommended distance.For additional requirements check local codes.
t 3 feet above if within 10 feet horizontaIIV.
t A vent shall not terminate where it may cause hazardous frost or ice accumulations on adjacent property surfaces.
it Permitted only if the veranda,porch,or deck Is fully open on a minimum of two skies beneath the floor.
I' Recommended to prevent redrcu[atlon of exhaust products.For additional requirements check local codes.
tt' Permitted only if the balcony is fully open on a minimum of one side.
NOJE. Clearances are in accordance with local installation codes and the requirements of the gas supplier.
12.11E
W415-1678/A 09.23.16
47
GX36-1 MAXIMUM REAR VENT CLEARANCES {EXAMPLE_1}
NON-COMBUSTIBLE
COMBUSTIBLE
BRICK
0"OMM IF
f 1
14112„ 3" NON-COMBUSTIBLE
FINISHING IS USED
[36.8cm] [76.2mml SUCH AS BRICK
9 318" AND STONE.
4411 [238mm)
(1.11m1
11,
[25mml 241
[61 cm]
MINIMUM
PLUS RISE*
--_ 1011-201
1
[254mm-502cm]
VENT RUN
NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible
wall penetration.
REAR EXIT ENCLOSURE
The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements, the
enclosure space around and above the appliance must be left unobstructed.
W415-1678/A/09.23.16
i
48
GX36-1 MAXIMUM REAR VENT CLEARANCES (EXAMPLE 2)
I
I
e
d
i
0"(OMM)IF
NON-COMBUSTIBLE
1411211 3` FINISHING ISUSED
[36,8Cm] F6.2mm] SUCH AS BRICK
93/811 AND STONE,
44" [238mm]
[1,11m]
1"
COMBUSTIBLE [25mm] 24"
[61cm]
NON-COMBUSTIBLE MINIMUM
BRICK PLUS RISE*
lbdR
—I 10"-2011 I�
[254mm-50,8cm]
VENT RUN
NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible
wall penetration.
REAR EXIT ENCLOSURE
The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements, the
enclosure space around and above the appliance must be left unobstructed.
I
W415-108/A/09.23.16
p6
3
46
GX36-1 MINIMUM REAR VENT CLEARANCES
For rear vent termination not exceeding 10" (254mm)of horizontal vent run.
NON-COMBUSTIBLE
� I
COMBUSTIBLE BRICK
0"(GMM)IF
NON-COMBUSTIBLE
3FINISHING IS USED
[76,2mm SUCH ASBRICK
93/811 AND STONE,
44" [238mm]
[1.11m]
345/811
[87.9cm] 1"
[25mm] 24
11
[61 cm]
MINIMUM
PLUS RISE*
[25mm-254mm]
VENT RUN
NOTE:The vent shield is telescopic and must be adjusted to shield the full depth of the combustible
wall penetration.
REAR EXIT ENCLOSURE
The appliance requires a minimum enclosure height of 44" (1.11 m). For temperature requirements,the
enclosure space around and above the appliance must be left unobstructed.
i
°o
W415-1678/A/09.23.16
P
I
45
5.4 MINIMUM ENCLOSURE CLEARANCES GX36-1
GX3 -1 TOP VENT
COMBUSTIBLE NON-COMBUSTIBLE
3"[76.2mm) BRICK
MINIMUM 0 (0
3`1
3`� NON-COMBUSTIBLE
[76.2mm] FINISHING IS USED
SUCH AS BRICK
31t AND STONE,
15 518" [76.2mm]
[39,7em]
54" 1"
[1.37m] [25mm]
CEILING
(MIN) 2"
[50.8mm]
501/2"
[1.28m] 42 518"
[1.08m]
MINIMUM
PLUS RISE*
i
I
' [25mm]
NOTE;The vent shield is telescopic and must be adjusted to shield the full depth of the combustible
wall penetration.
*See "MINIMUM FRAMING DIMENSION" section for details on reducing vent pipe top clearances.
These parameters also apply to the illustrations found in the "MINIMUM ENCLOSURE
CLEARANCES" section.
TOP EXIT ENCLOSURE
The appliance requires a minimum enclosure height of 50 1/2" (1.28m). For temperature requirements,the
enclosure space around and above the appliance must be left unobstructed.
W415-1678/A/09.23.16
44
Minimum clearance to combustible construction from appliance and vent surfaces:
Combustible Framing:
0" to stand-offs
1" (25mm) to bottom and sides of the vent pipe*
3" (76.2mm)to top of the vent pipe* J
Combustible Finishing:
0" to rear standoffs
- 0" to front face top and sides
Top Exit t
50 1/2" (1.28m)to combustible enclosure top from base of the appliance
54" (1.37m)to ceiling from base of the appliance
Rear Exit
44" (1.12m)to combustile enclosure top from base of the appliance
54" (1.37m)to ceiling from base of the appliance
*GX36-1 HORIZONTAL VE T E_Qj A minimum of 1" (25mm)at the bottom and sides and 3"
(76.2mm) at the top of the vent pipe on all horizontal runs to combustibles is required. Use firestop spacer
W010-3440(supplied).
r
NOTE,The minimum clearances from the top of the horizontal vent pipe to combustible materials may j
be reduced frorn 3" (76.2mm)to 21' (50.8mm) in those installations with a minimum 38" (0.97m)vertical
vent rise made immediately off the fireplace collar.
*GX36-1 VERTICAL.VENT ECT Q—N$:A minimum of 1" (25mm)all around the vent pipe on all vertical runs
to combustibles is required except for clearances in appliance enclosures. Vertical runs within the enclosure
must maintain a 3" (76.2mm) clearance from combustibles. See "MINIMUM ENCLOSURE CLEARANCES"
section. Use firestop spacer W500-0096(not supplied).
OUTSIDE 1
CHASE (CgC [40.6cm]
351/2'[902cm] —,
33718!
"'�
_ 16' INSIDE
[40.6dm] CHASE
-- - 351/2'[902cm] SIDE
2'[51mm] 1�WALL
i
W415-1678/A/09.23.16
43
5.3.1 GX36-1 MINIMUM FRAMING DIMENSIONS
r
e
i
ENCLOSURE
TOP
t `
ti
FINISHING
MATERIAL
r
' ' r
I
GAS
i 35" INLET
88.9cm LOCATION
ELECTRICAL
CONNECTION
1718" [47mm
8" [203.2mm]�
8 1611
o �
[40.6cm]
W415-1678/A/09.23.16
3.2 TYPICAL VENT INSTALLATION
1611 (40.6cm)
MINIMUM
40 FT(12,2M)
MAXIMUM
2411 (61 cm) 3 FT(1M)
MAXIMUM I MINIMUM
811 (20.3cm)
MINIMUM
42 5/8"
(11.08m)
MINIMUM
34.8" PLUS RISE* 34.811
(88.4cm) (88.4cm)
TOP VENT
W415-1678 A 09.23.16
12
e
1611 (40.6cm)
MINIMUM
40 FT(12.2M)
MAXIMUM
3 FT(1 M)
MINIMUM
20"
(50.8cm)
MAXI
I` 'I
B
u
24" (61cm) 2411
MINIMUM
PLUS RISE* (61cm)
REAR VENT
*SEE "VENTING" SECTION
W415-1678/A/09.2 116
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