HomeMy WebLinkAboutMiscellaneous - 1590 GREAT POND ROAD 4/30/2018 1590 GREAT POND ROAD
210/062.0-0036-0000.0
PO Box 55098
Boston,MA 022055098
617-951-0600
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
RE: Insured: ROGER A. FASNACHT and ANNETTE Z. FASNACHT
Property Address: 1590 GREAT POND ROAD,NORTH ANDOVER, MA
Policy Number: HMA 0309349
Claim Number: BOS00065857
Date of Loss: 11/1/2015
Company: Safety Indemnity Insurance Company
Claim has been made involving loss, damage or destruction of the above-captioned property,
which may either exceed$1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be
applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please
direct it to the attention of the writer and include a reference to the captioned insured, location,
policy number, date of loss and claim number.
Lisa Monette Claim Examiner 11/11/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (857) 233-8618
Fax: (617) 535-5833
Email: lisamonette@safetyinsurance.com
Location
No. Date '
N°RTS , TOWN OF NORTH ANDOVER
pf t�♦° ,♦ '40
Certificate of Occupancy $ t
} ;#= Building/Frame Permit Fee $
E Foundation Permit Fe $
s�cMus t
Other Permit Fee W S $ 5 ��
Sewer Connection Fee $
Water Connection Fee $ _
TOTAL
Building Inspector
pp ��0jj9/15/95 10:33 25.04 PAID
Div. Public Works
PERMIT NO. '�� � APPLICATION FOR PERMIT TO BURR — NORTH ANDOVER, MASS. I'Ac.F
f' MAP 440. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE
ZONE I SUB DIV. LOT NO. I t
}.'. ,/ LOCATION -- URPOSE
1 . /. C3 �R A7 �o�a off. ¢t CL ,S&V I
•? OWNER'S NAME AJ �G ,6, ,/— NO. OF STORIES SIZE t
R1A� BASEMENT OR SLAB
• „ �WNER'S ADDRESS (s- ra&+ orale Rd '
v a .�, •i+
SIZE OF
ARCHITECT'S NAME
FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET " POSTS f I
l)ISTANQE FROM LOT LINES—SIDES REAR GIRDERS
t A lay ii jd
{ L, ri... ••;
;,AEA OF LOT
FRONTAGE HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
18 BUILOINb NEW i
bi
18 BUILDING ADDITION MATERIAL OF CHIMNEY + J11y}r, '}
` r - IS BUILDING ON SOLID OR FILLED LAND
` IS BUILDING ALTERATION � F '
do WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
})• �1,,,,� BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER ! rj ,
IB BUILDING CONNECTED TO NATURAL 6A8 LINE + }l -+
3 PROPERTY INFORMATION
INSTRUCTIONS
JllLAND COOT
BOTH SIDES BEE BOBLDG. COST {{ I
EBT. BLDG. COST PER SQ. FT. 9
PAGE 1 FILL OUT SECTIONS 1 3 r j � `IIS 11 �IIQI � �
PAGE 2 FILL OUT SECTIONS 1 12 [ST. BLDG. COST ODER ROOM
SEPTIC PERMIT NO. � �I
Z' ELECTRIC MET[PS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
o t
*y 'k
„ ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
4-a'r PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
X r y
DAT iIED
BUILDING INSP[CT011 II cL +
s 'ir$Yy1ntiS gP
SI ATURE OF OWNER O AUTHORIZED AGENT
fi v c. 710
I�
'zs" a0 OWNERTEL.X I
FEE STDvE Sf�OPPE ii
PERMIT GRANTED CONTR.TEL.+4
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t —1 S 19 J�� CONTR.UC.A .
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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.
Stove
..: A. New �P
B. Type/radiant Circulating
C. Manufacturer i Lab.No.
Name/Model No. Collar size
Dimensions/Height �� " Length o2 Width .23
Chimney
A. New Existing Ao/rl6"
8. Size(flue area) " ELL _�,10'F
C. Other appliances attached to flue(Number and flue size► i(loNE
D. Prefab(Manufacturer—name and type) S/IW Sorel
E. Masonry/Lined Flue liner
iyp•6 manwaccurer)
Unlined
F. Height(refer diagrams) 10 ` cap
I �,�� I� I lZ`r
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OVER, IC' 4- �s,��
ML
2 WK
3`Miry a .11N.
2
\` 1 UlF>"-""
la.
:7,C Ff lav "4��8
HEARTH
CHIMNEY HEIGHT
arth(non-combustible) �1
A. Materials �_o-Do 2 ,S?D l/E t3vAA–0 Z/L
G. Sub-floor construction
C. Minimum dimensions(refer to ciaaram) q0 " X, 4 q
Clearances and Wail Protection(see stcve installaticn clearances chart)
A. Type of wall protection provided /Vp N f
B. Clearances(refer to diagrams) /�C r K . 3 ragIV14,4 G
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FIREPLACE CORNER WALL CENTER
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%%YjKTERFORD
Pel Stove
Installation and Operating Instructions
Manufactured Jointly by:
Waterford Foundry Ltd. Pyro Industries, Inc.
Waterford, Republic of Ireland. Everett, Washington.
I
Hersey Professional Serices,Ltd.,ICBO#TL,116,and
ER-QA-219. CLINKERING
STOVE SAFETY LABEL
Silica (or sand) in the fuel,along with other impurities, can
WARMING-DO NOT REMOVE OR COVER T116 LIBEL
cause clinkering. Clinkering,a hard mass of silica, is a function
v. S�eYp F AOmNM+ $eti Ne. of the fuel,not the stove. It adversely affects the performance of
�� Mpe«wwI Rene6Lnu I Em Pe N S,— the stove by blocking off the air holes in the grate. Even an
Nce. 0,6
� A�No:�66D,6 '""°M.°""S V MoM:a�3"Alen
.—its 1.6 Npm1 E"anol RAtrq 1 is v.6AP.F.L approved pellet fuel may tend to clinker. A clinker can
Murw•e InaA Rebtp:•
4.M4F M0.Y enN n frrareYc..+A N.:a>,.•mn w NK"1Mnl^•— U- be removed from the burn grate and placed in the ash pan with
IPOI l.le/ne w Ir•e11F•e6 eO-le•ry..'elle nWYten nffMelRn n mbn fres S..
entY 161W•n1f00 mm eameur 7Y'PL'VeM tDmeNle..A mmafneen S•
en•N.e ^^•-.�^ed°••••�• °M°•�• the use of the grate scraper/ash pan tool. (See routine
Fanw"a...e a r..n4 0e na Fyn.0 Ne.lorer+M...m YnnD.nmw Yw.nl•. .
MM_..CMFnnce b C_—,,M MFNMeb IMeewne fe sfe..Telt maintenance for more information on cleaning).
Zi
gbu WY .. 1 MS mm
Conn D 3.n R$mm j� .'i / ASH
F4w VMI 3 MS mm
MYNeum FAtl.e CYN N n 1610 mm,nwMnatl Wn0 Mgfll••NI f 30 meL a.,WHOM
m.""e«•_•• •^•^••••••A•m.M1M•^•^° m^""'� ""° The frequency of ash removal and maintenance required on the
eb M N.faY.ne..,IFl 0 n/0 mm
Fn.ae Mn 16 1 H n mm M>A n/OS mm}wnMw OellflaY.q0e hwM>'4''RellefR
D_•-„, ,„• g. De N MM/e.n a n..b n..n.T r stove 1S directly proportional to the ash content of the fuel A
DwHeN NIM AYM nI.M na W o4fu.aFe.Dene1 elf WG DomW6DOn Y OYYpl OOnM.
ea.-•"�-•�eea"O•� eee 14 w Mums, W--P-1 stove burning fuel with a 0.25%ash content may only need to be
4:m nWn.
MYn„eCufY q. P,,,MF.eN1ee.ML W W"•N Fe."LY4RY cleaned out once every 1 to 2 weeks.However,a stove burning a
11615•+eat RC 8—"
E----V- w—md,o.R•D.DNC Of IMMNG
CAUTION:MOT"ILE I"OPERATION.00 NOT TOUCK CON- fuel with a 1.0% ash content may need-cleaning every 1 to 2
TACT MAY CAUSE IUUN BURNS.KEEP FURNSMUMS AMC
COMBUSTIBLE MATERIAL A CONSIDERABLE DISTANCE days.
AWAY.SEE"AMEKATE"a INSTNUCTfO NS.DONOT OVER-
ME.IF NEATER OR CHIMNEY CONNECTOR DLOwS,YOU
ARE OVERFiPONO.INSPECT AND CLEAN CNW MET AND
COIF
MECTOR FlIEOUENTLY.UNDER CERTAIN CONDITIONS OF PLEASE NOTE:Waterford Irish Stoves Inc., has no control
USE',OSOTE BUILDUP MAV OCCUR RAPIOLT.F UNIT
ij SMUTS 00 OFTE"VOU ME OVERFNRNO.TYPE OF FUEL'
ETDE
PELLD WOOD FUEL ONLY. over the manufacturing of pellet fuel and will not be held
pET.i FTS _ responsible for poor stove performance or any damage caused
LMPORTANT PLEASE READ: as a result of burning inferior quality fuels.
s
a
GENERAL INFORMATION PRE - INSTALLATION ASSEMBLY t
The Waterford Erin Pellet Stove has been designed to bum
wood pellets only. Dirty fuel will adversely affect the A. After removing the packing from around the stove, open
performance of the stove. the ashpit door, fire door, and the hopper feed don'ts and
remove the contents.
CAUTION: The use of dirty or wet fuel may void the
B.Remove the ashtray from the front of the stove if you have
���!
not already done so. Remove the loose fitting hob and place on
Only wood pellets manufactured to the Association of Pellet a non-abrasive surface.
Fuel Industries(AP.F.I.)standard for residential pellet fuels are
recommended for use with the Waterford Erin Pellet Stove -.
Look for the AP.F.I. registration number on the bag of fuel to
Contact your dealer for
ensure compliance with the standard -
r-
more information on A.P.F.I.approved wood pellet fuels.
The AP.F.L standard for residential pellet fuel is as follows:
HEAT CONTENT: 8200 BTU/Ib minimun. f
BULK DENSITY: 40 lb/cu.ft minimum.
MOISTURE CONTENT: 8%maximum. ,
ASH CONTENT: 1%maximum.
SIZE. 1/4"to 3/8"diam.,
112"long maximum.
FINEST 1%maximum through a 1/8"screen. FIGURE'i
5.
• ` I
L a a
William F. Weld ./�1Ge(Do�maa�c Jla t� u
Governor 0" Sf&Qw&n ✓" - Room Iwo./
Kentaro Tsutsuml q", ✓ffama GoeM 02IF08
Chairman
(ti f7) 727-3200
Charles I Dinezio S011D FIJI L BUIW(Nt7 PELLET STOVE AMnAVt'f
Administrator
FOR PEt1Er STOVES SATiSMNG'NEGATIVE PRESSURE'TESTING
(FALL t9 IMNTER 1492 FIIATTNG SEASON)
To the State Board of Building/�Regutatiom and Standards: Date IS' 19 9 2
r
1. P4 /lrl�r t_ ryoy��HAWas 12tC7.0
on behalf or IJA rrE2 Foo-Z jq IS H Srotlj- &.1c.
a manufacturer of solid fuel burns �Sfmwvp�ire place Inscru(clyde appropriate products).
6erebY eertl[i that the(ottoaring pellet heating applianeta,by espliclt model IdentlneadoN
ttsodel(s� C k/rf i'E C 4 f T• $.,c a n1 ,n!C- S t O✓E iJ!+.' 1 / r.I r.f i >a
have resod, tested fisted(circle appropriate information)per the'negative pressure'test requirements
of titber.ULC S6271MA Standard 8366.2,or draft standard ASTM E•91.rc ised draft SWI.and found to
satisfy the applicable criteria of UI-C S6271MA Standard 113dd.2 or draft standard ASTM E•91,revised
draft 5/?lI19I;additionally,burnhacl•did not occur either during normal or abnormal'negative pressure Ming.
MANUFAMRIZ '`
C O i�J:✓. R i t=3 l,.l P.A.1> y srp�S/•^ �ri=N L� L_�j
SIGNED: 4 '
TYPED OR PRINT NAME A8
7-0
On this_ I� day of 19e then personally appeared before me,the
above named
and made oath That the above sletemenls'by hitttfier,art:trroe. '
BEFORE ME.
NOTARY PUBLIC.
• MY COMMISSION EXPIRES- LAURA W.MCC.WOV h'h"K; 19
Mymtt�on
OcUmL91 Prge 2 of 2
P06 L60'ON OLLS 97-8 LT9 3ddOHS 3f101S 3Hl 'S 'GIINn S30N3d S0:2T 96/VTi60
REGULATIONS
4Y
1'
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After obtaining the permit,there are three major areas in the stove installation process to
i consider. First, the stove;second,the chimney; and third, the actual installation.
First: All new woodburning stoves installed in Massachusetts must be tested and
approved to U.L. 1482and/or U.L. 737 as appropriate. Used stoves may be approved by the
i building department or the fire department. Every solid fuel-burning room heater shall bear a
permanent and legible factory-applied label containing at least the following information: J
1. Manufacturers name and trademark
2. Model and/or identification number of the appliance
3. Type of fuel(s) approved
4. Testing laboratory's name or trademark and location
5. Date tested
6. Clearance to combustibles
a. Side
b. Rear
i
i 7. Teststandard
8. Label serial number
Second: Existing chimneys should be checked for the presence of a flue liner and
general structural condition. A smoke test may be used to determine if the draft is adequate, if
the flue is without obstruction and if there is any smoke leakage. A visual inspection of the
chimney is needed to check for creosote deposits, surface cracks or breaks, and if the damper
Y � Y P P
is in good working order. The following two areas related to the chimney are important to
t inspect. The area where the chimney penetrates through the floor of ceiling joists should be j
checked to be sure that there is at least two inches clearance between combustible materials
and the chimney.
k Third:Chimneys and chimney connectors shall be installed with the required clearances
t (see installation clearance table). The connector should be sloped upwards toward the chim-
ney and the connections overlapped upwards to prevent creosote leakage. A two inch clear-
ance shall be maintained where insulated pipe penetrates a combustible wall,unless it is tested
and approved for lesser clearances.
A non-combustible hearth must be provided. Most stoves have legs and allow air to pass
below; if the legs are not present, an air space below the non-combustible hearth must be
provided. Clearances vary with circulating and radiant stoves. In general, a non-combustible
shield should be installed with ventilation behind it for lesser clearances, no protection for large
clearances, and if the wall is a concrete foundation wall, a minimum distance may be allowed.
The following systems have been approved by the Construction Material Safety Board:
Permaflue,Air Krete, Smi Exterior Insulation and Finish System, Supaflu,Thermo Crete, and
f IsoKaern.The code requirement for two inch air space is exempted from this type of lining
because of its high insulating and refractory qualities.
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