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HomeMy WebLinkAboutBuilding Permit #709 - 32 PALOMINO DRIVE 5/3/2007Permit NO: -74-) � Date Issued: - BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building El One family El Addition 0 Two or more family 0 Industrial 0 Alteration No. of units: 0 Commercial 0 Repair, replacement 0 Assessory Bldg 11 Others: 0 Demolition 5 Other Irl Septi:; Well (I W �'.7 0:Wd6ni b-ter§h6d"- 0; Af6tp# ewer, DESCRIPTION OF WORK TO BE PREFORMED: alF peile-Ir 5-h6 ve, - . Identification Please Type or Print Clearly) OWNER: Name: -Phone: Address: 10 en 126 J CONTRACTOR Ph --one. Y Address -'E D UperSo S,,� m6tfti ctio.ALicense. Ar. Home, rnnmvAm on inen-c�p-- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT., $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ c� FEE: $ 3� Check No.: ZL14 Receipt No.:_ NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund §�iggLatO L -9 fto .. I c� 17) 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 PLANNING & DEVELOPMENT ❑ COMMENTS DATE APPROVED 11 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS HEALTH COMMENTS A DATE REJECTED DATE APPROVED ❑ ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer Connec Located at 384 Osgood Street Comments Comments -FIRE DEPARTME_ NT Temp, bumpster onsite yes Y r , no `1-c c� at 124 Mair, Strbet - , FiFre Depalrtment=signature/date Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use O Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 d Location No. Date 14ORT" TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CMU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 20'i 69 Building Inspeclor PRINTED IN U.S.A. I ' T _Ti?LET C., c., 1. het�, r-1 SALES DKEpsi NA �HOPPE (CPCY� 181 -ftj, --- 11923 ORDER 51-410 7 oo!��'-t. MERCUANT I 32"..'v: 8, C144TOMER ORDER NO. DATE Ix -7 it _7-606 TEE-Rttl VIAL K -48 Q 12-15387 TAX EXEMPT NO. SALESPERSON 90a CIATE i 34.1'1 , 7 T 1 i'lE !11:47 2SHIP TO: BATr -H, 04 2'1 0 REF il 11007, i "f'FE D 1'-:" 1: -tL- R c.l.-P iv 97 !R Ao, 4/— -/0 HCC OLIR-IT ,* :4 , A U T,, 4. A 021779 0 PjS CODE :7 Po" ir, lz( ADDRESS ; X? $00,n,& 07 OAfl-'/ IID OUT SHIP VIA F.O.B. POINT 1P CODE"ClIcu,45-5 I I I CW2 CODE: M DE;SCRIPTION, UNIT PRICE AMOUNT R4,9clt 319,vm /7C/9, 00 0. 00 4 37 P L E 200 00 00 SlIol? 7— c s., 00 PIPPp�0t.)ED 00 L11- Al 7— --- — — — — — --- — — — — — — — — 00 33, 00 PLEA-SE 00 T A13-RE-E TO FRtft `' { VC 7-T AL001,11-i-I co 0S /0 -+-T€P- C-0,-- o a .......... C, T —4011 U S T 0 Ill E F, i I.,qdo iT To /�j S 7',q c- 0 cy • 6 L (T P/A, 2.t.09 c it 1; ilxc a Cie K HOMEOWNER IS RESPONSIBLE FOR OBTAINING BUILDING PERMIT PRICING SUBJECT TO CHANGE AFTER 30 DAYS t1 Ems* C 0 O C C �7 •; O ` O y C O w CL C Cum CD C ;= O m Sl E gym. C O \: o: $ ti v '3 Cl ai ma 7CL ym E LD ca cm O y C y W O y m :o CO y m � A cm m occ all = m COL. - Ca r 3 IV O H r m Z W O MID .� o.t A c Z "• ci .m �m�C O CL g CO2 y =!y1 O z SaISA F M z O U) h y 0 ct G3 C O m v rr� 6L y O C3 .CL Cos c 0 v cc C cc y r—1 i �O w co C. Cos C C tm C O C c m m t+ 3� Z' CD 16 L C. vmQ c cc,=p C J 'C CD Z 5 CD C. CO3 C 0 vI LU U) W W 19 W cc o x a w J� w ci4 T U x rn o cn cn C 0 O C C �7 •; O ` O y C O w CL C Cum CD C ;= O m Sl E gym. C O \: o: $ ti v '3 Cl ai ma 7CL ym E LD ca cm O y C y W O y m :o CO y m � A cm m occ all = m COL. - Ca r 3 IV O H r m Z W O MID .� o.t A c Z "• ci .m �m�C O CL g CO2 y =!y1 O z SaISA F M z O U) h y 0 ct G3 C O m v rr� 6L y O C3 .CL Cos c 0 v cc C cc y r—1 i �O w co C. Cos C C tm C O C c m m t+ 3� Z' CD 16 L C. vmQ c cc,=p C J 'C CD Z 5 CD C. CO3 C 0 vI LU U) W W 19 W cc 05/03/2007 07:44 19787775887 WARM TRADITIONS STOV PAGE 01 A,.C=N CERTIFICATE OF LIABILI 9A)667-4900 FAX (975)897-2404 Edward F. Sennott Insurance AgWy. Inc - 16 South Main Street P. 0. Box 4S7 Topsfield. MA 01963 %sun- Aqua errs Prqmrty manalgownt. Inc. DBA warm Traditions Stove Shoppe P 0 Box 2061 Danvers. MA 01923 TY INSURANCE 0212 07 THIS CERTIFICATE SUED A AMA INFORMATION ONLY AND CONFERS NO RIGHTS UPON Til£ CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC N INSURERA One Beacon Insurance Co. 21970 INSURERS: American Nome Assurance Co INSURER C: INSURER O; INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUIGA I LU'. NV I VIII I no. mvw ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH ...« .nnocrs.Tc r KAITC C&WM M UAV HAVE BEEN REDUCED BY PAID CLAIMS, R ` O R TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Q OCCUR POLICY NUMBER 1011663 04/14/2006 O 04/14/2007 LOUTS FAcH OCCURRENCE PREDAMMISES GE E Mw EXP (Any are P—) A.000 PERSONAL A ADv INJURY A GENERAL AGGREGATE PRODUCTS • COMP/OP AGO S 2 000.0 GENL AGGREGATE LWWT APPLIES PER: POLICYEl Topi LOC AUTOMOBILE LIABILITY IE64294 04/14/2006 04/14/2007 coMBINEo BUNGLE LIMIT = (Es acadenr) ANY AUTO BODILY INJURY t (Perpyr—p Soo A ALL OWNED AUTOS X SCHEDULED AUTOS X "RED AVTOS X NONAWNEDAVTOS SOMY INJURY (Pp W6cldenl) 500' PROPERTY DAMAGE (Pm AcCld9nq 500 GARAGE LMNLITY ANY AUTO AUTO MY - eA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY: AGO S ExcE66AMIBRELLAUABIUTY EACH OCCURRENCE 4 AGGREGATE $ OCCUR CLAIMS MADE S DEDUCTUILG S >ti X RY INIT R• RETENTION s WCORERe COMPP,NSATRIN AND IMPLOYOW UABIUTY wC69S-42-65 04/14/2006 1 04/14/2007 E.L. EACH ACCIDENT S Soo, B O�ICEROR MUR r RCLIT UD D? ECUTIYE E.L. DISEASE • EA ENIPLOYE S S08 El. DISEASE • POLICY LIMIT f 500 U n, dNOADi S"10 S�CIAL PROVISIONS pelow T R DESCRIPTION OP OPER TIONB I LOCATRINS / VEHICLES J EXCLUSIONS AD D BY EMIGRUMENT I SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION GATE THEREOF, THE ISWMO INSURER WILL ENDEAVOR TO MAIL ,I{_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL *"SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WSURER. ITS AGENTS OR REPRESENTATIVES. CACORD CORPORATION 12AS Warm Traditions Stove Shoppe Thank you for your recent stove order. Please be advised that you, as the homeowner, are responsible for obtaining a building.permit for the installation of the stove. We are enclosing information that is necessary to obtain a building permit and our insurance agent will also be sending you a certificate of insurance. Once you have received the certificate you should apply for a building permit. If you have any questions, please call us at 978-777-5562. 144 Pine Street, P.O. Box 2081 Danvers, MA 01923 978-777-5562 WARM TRA DI TIONS STO VE SHOPPE i /1/r/.,/rul of IU(..'I Il:l�lz.l 1110I1l;IZT ;1LTV.-I(il AlEAT, /.\( Contra wrs.license # 032756 I::dward A. Ferguson, Jr. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 032756 Birthdate: 10/15/1954 Expires: 10/15/2007 Tr. no: 6083 0 Restricted: 00 EDWARD A FERGUSON 15 PICKERING ST / DANVERS. MA 01923 ,•4.. Commissioner Eic�nie Improvement Contractors License # 134399 Agwi Terra Property Management, Inc. I a\\ ord Ferguson ISnary a Ilei r 10: r_u r n� inr i.in� . HOME IMPROVEMENT CONTRACTOR Registration: 134395 Expiration: 11, 13 20C - Type: Pr vale C -r -ora• ,. AOUA TERRA PROPERTY MANA €bMb" ERGUSON 144 PINE ST DANVERS. MA 01923 W1111ni.ir: ''( 144 fine Street. 11. O. Box 2081 Danvers, MA 111923 979-777-5%2 I-;{UU-�;SEl-�t1h� Santa Fe Pellet Stove LISTINGS AND SPECIFICATIONS The QUADRA-FIRE SANTA FE pellet stove is safety listed with OMNI -Test Laboratories, Inc., Beaverton, OR, to ASTM E1509 and ULC -C1482 -M1990 -Room Heater Pellet Fuel Burning type (UM) 84 -HUD. Also suitable for use in mobile homes. See pages 6, 7 and 10 for mobile home installation details. HEAT OUTPUT: 8,000 to 30,000 BTUs per hour. (BTU output will vary, depending on the brand of fuel you use in your stove. Consult your Quadra-Fire dealer for best results.) SERIAL I SAFETY LABEL LOCATION: Behind left side curtain on outside of hopper wall CLEARANCES TO COMBUSTIBLES A Back Wall to Appliance: 2"/51 mm B Side Wall to Appliance: 6"/152mm Corner Installation: C Walls to Appliance: 2"/51mm Vertical 3% 3" Adapter Kit (Part 811-0860) Installation: D Back Wall to Flue Pipe: 3776mm E Side Wall to Cast Top: 6"/152mm F Back Wall to Appliance: 7/178mm Corner Installation with Vertical Adapter Kit: G Walls to Appliance: 2"/51mm H Side Wall to Flue Pipe: 3"/7mm Alcove Installation: Min. Alcove Height: 43"/1092mm Min, Alcove Side Wall: 6"/152mm Min. Alcove Width: 38"/965mm Max. Alcove Depth: 36"/914mm 27-3/4" 28-5/8" with base A FLOOR PROTECTION O'GG G = 2"/51 mm H" = 2"/51 mm •See Exceptions Below 1 = 6"/152mm If Cast Base is installed (Accessory Part 811-0840) use a non-combustible floor protector extending under unit and to the sides, front and back of unit as shown in Floor Protection Diagram. Measure front distance (1) from the surface of the glass door. If Cast Base is not Installed, the non-combustible floor protector must be 1/4" (6.4mm) minimum thickness ("k" value = 0.84). 'Exce tl US INSTALLATIONS: A non-combustible floor protection is recommended extending beneath the flue pipe when installed with horizontal venting or under the Top Vent Adapter with vertical installation. CANADA INSTALLATIONS: A non-combustible floor protection is required. DIMENSIONS 16-7/16" 17-5/16" with base 21.3116" Front and side views shown with Cast Iron Base, Accessory Part 811-0840 4 7001-142 May 21, 2003 Santa Fe ... /( ntpred&ive LV ed1gd2 The contemporary styling of. the Santa Fe blends easily into the. decor of any rop>n .while the powerful award winning automatic engine gives quiet, steady, comfortable heat throughout 'yoiir home. Controlling your temperature is as simpleas•turning-your thermostat up or down. Several decorative options are,available ,,.. to add a touch of class. Optzan& • Door Trim in Gold or Satin Nickel • Grille in Gold or Satin Nickel • Cast Iron Pedestal Base • 4 Piece Log Set • Top Twig • Outside Air Kit' • Top Vent Adapter Kit • Mechanical Thermostat • Programmable Thermostat 0 Patented Automatic Ignition System 0 Durable & Stylish Cast Iron Top 0 10 Tube Aluminum Heat Exchanger 0 Patented Jam -free Feed System © EZ Clean Firepot 0 52 lb. Hopper Q Black Grille U 151 own with optional Iron Pedestal Base Self -Lighting & Fully Automatic Santa Fe Pellet Stove Quadra-Fire offers a Limited Lifetime Warranty on �uuFe our pellet heating appliances to the original pur- chaser for the lifetime of the appliance, to be free from defects in material and workmanship. See your authorized Quadra-Fire dealer for details. Available Fr ZYGZB 1&ia ,1d- i • i • NOTHING BURNS LIKE A QUAD -- — 25 7116' —12 11/16'- 27 1/(6"- 27 3/4" --' i 28 ith8 Tl6 7/16" base W �_ 175/15" 21J11. _._ With i base _.l Front and side views shown with optional Cast Iron Bast c1m cm,c & Rear Wall ' Optional Vertical Adaptor Kit Installed 9 A C D 35 1/4" 49 3/4" � 32 1/2" --I Standard Hearth Pad MINIMUM CLEARANCES A Back Wall to Appliance ........ 2" B Wall to Flue Pipe ................... 3" C Side Wall to Appliance ......... 6" D Walls to Appliance Corner... 2" E Wall to Flue Pipe (corner) .... 3" 7ecan.tuaxl `DGiu Width .......................... 25 7/16„ Height ........................... 27 3/4" Height w/base............. 28 5/8" '7(JG't fGU"IZZGIaZCE Corner Install Hearth Pad ALCOVE INSTALLATION Min Alcove Height .............. 43" Min Alcove Side Wall ........... 6" Min Alcove Width...............38" Max Alcove Depth .............. 36" Depth ..........................21 3/16„ Weight ............................240 lbs. Flue Size..................................3„ Heating Capacity' ........................... up to 1,500 sq. ft. BTU/hr. Output= ............................. 8,000 - 30,000 Burn Rate..........................................1.5 to 4 lbs./hour Hopper Capacity .............................52 lbs. Convection Blower ..........................160 cfm Particulate Emissions ...................... 0.7 grams/hr. IMPORTANT - READ BEFORE YOU INSTALL! Refer to the Owner/ Installation Manual for complete clearance requirements and speci- fications. The images and descriptions in this brochure are provided to assist %ou in product selection only. 'Heating capacity rating is to be used as a guideline nnlV and may differ slight]% due to clirnatc, building construction and condition, amount and quality of insulation, location of the heater, and air movement in the room. 'BTU output will van, depending on the brand of fuel used. For best results, consult vour authorized Quadra-Fire dealer. Visit our Website at www.quadrafiee.com Quadra-Fire is a registered trademark of Hearth & Home Technologies. Product specifications and pric- ing subiect to change without notice. The Quadra-Fire Santa Fe pellet stove is safety listed with OMNI Test Lzbnrmories. Inc., Beaverton, OR, In ASTM 1=1509 and UI.C.C1482-.\1 1990 - Room Heater Pellet Fuel Burning type (1JM)84-HUD. Also suitable for use in mobile homes. This product is awered be U5 Patent Nos. 500(1100 and 5582117 anti other patents pending BRO-SA,NTAFF 07'04