HomeMy WebLinkAboutBuilding Permit #313-2017 - 16 WOODBERRY LANE 9/22/2016 lRr/ -�k CRL)uEq ;f
rLl 1j SCI ( � BUILDING PERMIT ,.� g�::• 76
TOWN OF NORTH ANDOVER °
APPLICATION FOR PLAN EXAMINATION
Permit NO: l3 - 9-0l 7 Date Received
�9SSACHItS���
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION / ( W&)d6!
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PROPERTY OWNER S e4&h a S�YD"10
rint
_1ill<
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ;K.One family
j ❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑Other
❑ Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
I
Identification Please Type or Print Clearly)
OWNER: Name: (;a�;c ,card 5 f ro m 'rl e r Phone:
Address:
CONTRACTOR Name: � Phone:
Address: c�
Supervisor's Construction License: ', Exp.\ Date:
( � � 4 � & ( do1 .2o1a
Home Improvement License: �j Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ (_t b 0 - CID FEE: $
Check No.: Receipt No.:
NOTE: Persons con ac g with unre ist red contractors do not have access to the guaranty fund
Signature of Age wner ignature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMENTS
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Si nature&Date Driveway Permit
g v
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Location 40 W 04 D Sr rrt-- L iv
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No. S13- 2Gt D7w"' :�' �-} • tf! �o
. - TOWN OF NORTH ANDOVER
♦ Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
3 L ` 2 9
j/ Building Inspector
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No.
313—
oh ver, Mass, - O/
[oCM1CMl WICK y1.
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BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .......... �I M * .«: � M `r V ..int BUILDING INSPECTOR
.................................. ...................... ........ . .............
Foundation
has permission to erect .......................... buildings on ...tA.................. ............. �
......4 .. .......... Rough
tobe occupied as .................................................�1�l .V a..........�. .: .... .. ..!........................... 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
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
........................... .. .. ... BUILDING. .. ........... INSPECTOR
..................... Final
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz 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.
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E-RO MODEL I MODELE ENWRO.EMPRESS FS DO NOT REMOVE THIS LABEL INPUT Raung:18,000101,000 ITU/Hr NSTALLEDAS A FREESTANDING STOVE MODEL(FS)/A NET—E CO—UN sesel
LISTED ROOM HEATeR,PELLETUED FUEL ONLY WH-EMPRESS-
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_� (Jay N05)I—EDTO RE5rEESELON):ASTM tSpaM LIGHTNG INSTRUCTIONS:
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Children,ebthing, 1! enfants,des vatements,des W
furniture,gasoline or •� meubka,de I'essenee ou d'autresO C���US
other fkmmable fluldes produisard dee vapeurs
DATE OF MANUFACTURE/DATE DE FABRICATION: as e.^e a
vapors away. Inflammables. MArvurncTU......
Eoevr rnsRloL�Pon:
J F M A M J J A S O N D 2005 2006 2007 See l,,tIW,nanb operen^g inewr,xsarnpanying avPlianae./ SHERwOODINDu51RIE5 LTD.vILTORN00
Con5u0ez b manual avec lealnslvmlons O'Instapaaon e<C'op9reOU.,
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INSTALLATION
VENT TERMINATION REQUIREMENTS:
IT IS RECOMMENDED THAT YOUR PELLET STOVE BE INSTALLED BY AN AUTHORIZED DEALER/INSTALLER.
Table 1: Use in conjunction with Figure 9 for allowable exterior vent termination locations.
Letter Minimum Clearance Description
A 24 in(61 cm) Above grass,top of plants,wood,or any other combustible materials.
B 48 in (122 cm) Beside/below any door or window that may be opened. (18�'(46,cm)if outside
fresh:air Jnstalled:)
C 12 in(30 cm) Above any door or window that may be opened. (9"(23 cm)if outside fresh air
installed.)
D 24 in(61 cm) To any adjacent building,fences and protruding parts of the structure.
E 24 in(61 cm) Below any eave or roof overhang
F 12 in(30 cm) To outside corner.
G 12 in(30 cm) To inside corner,combustible wall (vertical and horizontal terminations).
H 3 ft(91 cm)within a height To each side of center line extended above natural gas or propane meter/
of 15 ft(4.5 m)above the regulator assembly or mechanical vent.
meter/regulator assembly
I 3 ft(91 cm) From any forced air intake of other appliance
J 12 in(30 cm) Clearance to non-mechanical air supply inlet to building,or the combustion air
inlet to any appliance.
K 24 in(61 cm) Clearance above roof line for vertical terminations.
L 7 ft(2.13 m) Clearance above paved sidewalk or paved driveway located on public property.
1. Do not terminate the
vent in any enclosed or K
semi-enclosed areas such
as a carport, garage,
attic, crawlspace, narrow E
walkway, closely fenced p F O --� C G
area, under a sundeck oce 5
or porch, or any location B
that can build up a A lOpe^� L
concentration of fumes ®Termination Cap � one H
such as stairwells, covered 0 Air Supply Inlet 9 Gas Meter ®RestrictionZ0-
breezeway, etc. Figure 9: Use in conjunction with Table 1 for allowable exterior vent termination
2. Vent surfaces can become locations.
hot enough to cause burns if touched by children. Non-combustible shielding or guards may be required.
3. Termination must exhaust above the inlet elevation. It is recommended that at least five feet of vertical pipe be
installed outside when the appliance is vented directly through a wall,to create some natural draft to prevent the
possibility of smoke or odor during appliance shut down or power failure. This will keep exhaust from causing a
nuisance or hazard from exposing people or shrubs to high temperatures. In any case, the safest and preferred
venting method is to extend the vent through the roof vertically.
4. Distance from the bottom of the termination and grade is 12" (30 cm) minimum. This is conditional upon the
plants and nature of grade surface.The exhaust gases are hot enough to ignite grass, plants and shrubs located
in the vicinity of termination. The grade surface must not be lawn.
5. If the unit is incorrectly vented or the air to fuel mixture is out of balance, a slight discoloration of the exterior
of the house might occur. Since these factors are beyond the control of Sherwood Industries Ltd, we grant no
guarantee against such incidents.
NOTE:Venting terminals shall not be recessed into walls or siding.
10
9/19/2016 Mail-Julie Strumpfler-Outlook
Outlook Ma
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RK Robert Kilmartin 9 ^ <j Reply
0 Today,8:47 PM
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Hi Julie,I'm sending this one just because it is similar to your window
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Use only approved ,
direct vent cap
check local codes)
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5 it. Minimum rise �i
Nall band II
it greater,than 10 It required every
use 4"type L"pellet q It, minimum
vent pipe '
Wall thimble '4t
Horizontal clears-out Tee
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Tee support bracket
Pipe adapter
2 Feet
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INVOICE
I Rick +Julie Strumpfler
p' 16 Woodburyl-n.
} ' No. Andover , MA 01845
(978) 821-8545
T.M Contracting (978) 549-6270
94 Van Kleeck Rd Tom Moran - Owner
Millis, MA 02054 Payment Terms Due upon receipt
Invoice # 000004
Phone: (774) 217-3343 Date 09/21/2016
Email: kilma6@msn.com/tmcontracting9@gmail.com
Description Total
Pellet Stove Install $599.00
T.M Contracting will install an Enviro,Empress free standing cast iron pellet stove directly through
the wall. Rear vent horizontal termination. Required hearth already in place.There will also be an
outside air kit installed.This price is for delivery and installation of new pellet stove only. Existing
woodstove and chimney to be removed prior to install. Customer is pulling permit/T.M Contracting
is not responsible for any fees associated with the permit.
Subtotal $599.00
Total $599.00
Summary
Paid $0.00
Amount Due $599.00
Pagel of 2
By signing this document, the customer agrees to the services and conditions outlined in this
document.
Signed on: 09/22/2016
TIM Contracting Rick +Julie Strumpfler
Page 2 of 2
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IROVEME
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