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HomeMy WebLinkAboutMiscellaneous - 720 FOSTER STREET 4/30/2018N J ffl o o T yo cn o � o m w � w w o M o m o m 0 L Location No. � Date k�9--ek5— TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ ♦ i # s',^' ftp' Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $— Check #P Fz- 18514 Bu (ding Insp dtof 1.1 Property Address: '70Fps; 07 6 110tU1Il. UiStflCi: i®S No 1.2 Assessors Map and Parcel Map Number Number: ` .003 6. Parcel Number Signature Telephone 1.3 Zoning Information: Zoning District Proposed Use 2.2 Owner of Record: Name Print 1.4 Property Dimensions: Lot Areas . Frontage ft 1.6 BUILDING SETBACKS ft - Front Yard Side Yard Rear Yard Required Provide Required- Provided R red Provided Not Applicable ❑ Company Name 1.7 Water Supply M.G L.C.40. 54) Public 0 Private ❑ 1.5. blood Zone Information: Zone Outside Flood Zone 0 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 am% -111v1'4 110tU1Il. UiStflCi: i®S No 2.1 Owner of Record Name nn Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licen Construction Supervisor: r Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone T M X z n9,41P SECTION 4 - WORKERS COMPENSATION (MLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building it. Signed affidavit Attached Yes .......0 No ....... ❑ SECTION 5 Description of Proposed Work check au a hcable New Construction ❑ Existing Building X Repair(s) . ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ,60 1 C k P"y T/ Z-0 X/'y SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Z ? fi#FF'iCIAti USE (1�.Y Com 1 by permit applicant x *. :... .. ., 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 061 5 Fire Protection 00 ��� ✓ 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR �BU/I�L%tDINGPERMIIT 3�aO er/Authorized Agent of subject' property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building pen -nit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name , Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIIvMERS 1 2 3 SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 40 tO N X 00 X r x N 7 � cn �. O �p O O O 3 t� e� N X N O 0 O (D r v n� d N X �l N ;(l O O h 0 O O f t►oRT►i 1 TOWN OF NORTH ANDOVER OFFICE OF p BUILDING DEPARTMENT 400 Osgood Street M North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please print DATE: Telephone (978) 688-95454 Fax (978)688-9542 JOB LOCATION: S %rt%�— s 7— Number Number Street Address Map/Lot HOMEOWNER, Nam6 Home Phone 9179'— ork Phone Ga3-"vp PRESENT MAILING ADDRESS ��/Jl � ���� Avae 11cf- 0�� e�;715 -x-s— City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the 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 h i/% omply with said procedures andrequirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HE.Ai x1-1688-9540 . ' PLANNING 688-9535 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 7 O vs r S T is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: Fire Department Sign of: Dumpster Permit (Location of Facility) ignature of Permit Applicant Date 0 JE w O d t"r oQ of U O O O O C • Z d O y CD cm Q C C C wy Q � WCD•� om ZLftCD O� �3 'O CD Q 0 Cc O d ML c Q CAc 21 .3Cc .o CL 0 CD ca Z® CL c C C C c CLCO3 Q 0 Y+ LLI U) W W U) a m c a o C N a _O c �w .Q� CLc �v m me a 'oe`v m y Ea wa�' w ao' w :Z w ca O cn ,7 o cn U O O O O C • Z d O y CD cm Q C C C wy Q � WCD•� om ZLftCD O� �3 'O CD Q 0 Cc O d ML c Q CAc 21 .3Cc .o CL 0 CD ca Z® CL c C C C c CLCO3 Q 0 Y+ LLI U) W W U) :co m c o C N _O c �w .Q� CLc �v m me 'oe`v m y Ea c rm. m O :Z w .0 d N! Ec E o co ' m c a� N tC O m h cm' S C • ._ Q m Mo 'L c N O y Em 10 CIL -= o C Q ' LEm 0 :m 0 C3 ma C C e d 1-- a ` ` C Mm H a I.- W c 0 1=0 ui ir o . ;; C +� 00 CaL m u cm 12�mp Na a m� O32 Z w � =.2 CLS Ca U O O O O C • Z d O y CD cm Q C C C wy Q � WCD•� om ZLftCD O� �3 'O CD Q 0 Cc O d ML c Q CAc 21 .3Cc .o CL 0 CD ca Z® CL c C C C c CLCO3 Q 0 Y+ LLI U) W W U) Date. 7�1.. / z .:. '. z-..... �,ao ,eye O TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................ has permission for gas installation in the buildings of ..:: �.rf—�:. ?°or �..� .......... . at . //. �'� .. .4:—Z ........ North Andover, Mass. - .°v ��- Fed.�...r GAS INSPECTOR,�L C, G , Check # / r z 3/34 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Niass. Date f�'���d— 19 Pcrmit A n Building Location %%{� �[�$il"r ST, Owner's Name �l -erri 7 �+► fil.G/ Type of Occupancy I/ New Renovation 0 Replacement 0 / PIansS,Jbmitted: YesO No 0 lnrtalling Company Name TOWNSEND OIL COMPANY, INC. Address 75 WEST MAIN STREET Business Telephone GEORGETOWN, MA 0183 978-352-8711 Name of Ucensed Plumber or Gas Fitter TnTM R14FATTMF Check one: Corporation 0 Partnership 0 Firm/Co. Certificate INSURANCE COVERAGE: I hive a current liability insurance pc;icy or its substant�zi equivalent which meets the requirements of MG!_ Ch. 1-42. Yes 0 No 0 If you have checked yes, pease indic--'e the type coverage by checking the appropriate box. A Habil ty insurance policy 0 Other type of indemnity 0 Eond 0 OWNER'S INSURANCE Y/AIVER: I amn aware t;n-0 the licensee does not have the Insurance coverage require✓' by Chapter 142 of the Mass. General Laws, and that my signature on this permit 2pp4ication waves this requirement. Check one: Owner_ Agent ❑ . Signature of Owner cr Owner's Agent I hereby cern that a,l c,the details and information I have submi;.ed (Cr entered) in ab ve app` c re true and a;:c�ra•:e to the test c` my knowledge and Ltiat a l plumbing work and installations performed under Ltie permit d for ticn v,;il be in mpliance will a'I peCuner.t provisicns of G^e V ssachuset's State Gas Code and C>,aoter 142 of the s. Ei T lDe of License: umber gnat re of Licensed Plumber or Gas titter TRIe slitter PG 1 �� 0 Master. U Number �T=/ City/Town Joumeyman (Qr IC US ONL Ile C h W N O Nf- W V C W r F d } z z O r I Q C u < C C O L C 13 .0 N C C U W U < W _ u' T n > V < C C W C W W F = N C II a 0 LM z � Ll I < WLU > w C< 4 0 o W o s r - _ 0D 3. a J J U C > C7 G F I O ❑:.S`_L!ci'1 i � � I 1 I I ' I I I I I I I ;ST FLOOR I - 2ND FLOOR I I I I( I I I I 3R0 FLOOR I I I I I I I I II f 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR I I STH FLOOR lnrtalling Company Name TOWNSEND OIL COMPANY, INC. Address 75 WEST MAIN STREET Business Telephone GEORGETOWN, MA 0183 978-352-8711 Name of Ucensed Plumber or Gas Fitter TnTM R14FATTMF Check one: Corporation 0 Partnership 0 Firm/Co. Certificate INSURANCE COVERAGE: I hive a current liability insurance pc;icy or its substant�zi equivalent which meets the requirements of MG!_ Ch. 1-42. Yes 0 No 0 If you have checked yes, pease indic--'e the type coverage by checking the appropriate box. A Habil ty insurance policy 0 Other type of indemnity 0 Eond 0 OWNER'S INSURANCE Y/AIVER: I amn aware t;n-0 the licensee does not have the Insurance coverage require✓' by Chapter 142 of the Mass. General Laws, and that my signature on this permit 2pp4ication waves this requirement. Check one: Owner_ Agent ❑ . Signature of Owner cr Owner's Agent I hereby cern that a,l c,the details and information I have submi;.ed (Cr entered) in ab ve app` c re true and a;:c�ra•:e to the test c` my knowledge and Ltiat a l plumbing work and installations performed under Ltie permit d for ticn v,;il be in mpliance will a'I peCuner.t provisicns of G^e V ssachuset's State Gas Code and C>,aoter 142 of the s. Ei T lDe of License: umber gnat re of Licensed Plumber or Gas titter TRIe slitter PG 1 �� 0 Master. U Number �T=/ City/Town Joumeyman (Qr IC US ONL f NORTm O 9 ,SSACMUSE� Date— /-'/-C Z - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that has permission to perform .... . ............. plumbing in the buildings of ...C. ... �. E?. `.'` at ........................... /............ , North Andover, Mass. Fee. . Lic. No... . ........ ...... PLUMBING INSPECTOR Check # 5138 10 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS ' O2 14-02 Date �" Building Locationq - r ag5h60 DriV', Owners Name T"/'4eGl-een e eM LftsiPermit# Amount S71 3 Type of Occupancy New Renovation Replacement I FiXTI IRF..g Plans Submitted Yes 13 No ❑ (Print or type) / Installing Company Name WA I f e P h/ G p rp Address 1 ox - A/ 0 - ox•__A rid © y e r C eck one: Certificate Corp. 160 (7 C Partner. Firm/Co. Name of Licensed Plumber: P—abe r+ B (d 1't C k ei--- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond LI Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner ❑ Agent 0 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this app#ation will be in compliance with all pertinent provisions of the MassachiMetts St#te Plum Coded Cha ger142 of the era} ]laws. City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License 'egg7 icense UMDer Master ® Journeyman Location ;�,� No. 1�6Date Check # �t TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Building Inspector o ou M X Z O TOWN OF NORTH ANDOVER f , tP BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING AW BUILD G ERMTT NUMBED: DA'C'E ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a lam- 19 0 o Map Number Parcel umber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning DisUid Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqIiired Provide Provided Required Provided 4- 1.7 Water Supply NLG.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSFIIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Zvi S7- Dt5L,4-9C%- / S7_OL 1,ra—me(Print) Address for Service: lgnature Telephone 2.2 Owner of Record: Name Print Address for Service: , Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone ou M X Z O SECTION 4 - WORKERS COMPENSATION (M:G.L C 152 & 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Descri tion of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be}g[C, Completed b y permit a licant _..,rx.. (a) Building Permit Fee Multiplier jjB p,y , ... _. 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION t' 1,1 � .helC-L,� �C f f L/%%/ n D ��L— as Owner/Authorized Agent of subject f property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief ZY Signature of Owner/A e Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DEVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE m X m m Y� m M CA Cl) CD n Z y CL C' r � � o C). 5• y n� O o v cD aQ O Q CM CD CD O CD C CD y� �. CD CL 0 C2 CO � CD s 0 I c_ r� d � cn c^^ N rOr D n O c 9d VJ Ix CD C�0 cn n d d D N O w d 0 x � wags co ...� y cn O �I=CD m S >C09CRcoO z C7 G b n` �i 7d i Z=a c_ ���g d � —• V� < Q N rOr D Ix c 9d Ix CD �maq �v n d d D N O w d x � wags co ...� y p O �I=CD m S >C09CRcoO z Z=a nCtG Occ a. -2. m .dig _ N1 .�• O caad N 0 H : C7 C O .w d CL E7m o 'rt :Em : y CAGo � � O coo � N ,..► � O c� CD �C =26 CD oCD: dm: oma: n'o -�z CO) Cl) O m ti x n� CA C/) c o � fo 7d Ix c 9d C o`� C/) Cn � 7d Ix c 9d Ix PCI b �v n 7d A IT' -rl rL0 c cn �n x � z rA N It D U) on 0 0 c WOOD STOVE INSTALLAHON CHECKLIST 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. Used B. Type/radiant Circulating j C. Manufacturer —Lab. No. Name/Model No '` G Collar size Dimensions/ Height :2 D _Length Width Chimney A. NewExisting 8. Size (flue area)l,. C. Other appliances attached to flue (Nwnber and flue sizej� d D. Prefab (Manufacturer—name and type) S 1 17 WA E. Masonry/tined Flue liner. Unlined Oype 3 manulacturar) F. Height (refer to diagrams) cap OVER 10 2 Mitt' / 3, MlK I O�'EP Ir 2 CHIMNEY HEIGHT 12'1 httr{. 'Mm IN. 1$° MIN. (F11EL,;� aGGcrj ylGt Hearth (non-combustible) A. Materials �. o /'V B. Sub -floor construction C. Minimum dimensions (refer to diagram) Clearances and Wait Protection {see stove installation clearanc-s ch ) A. Type of wall protection provided r�7"a PAO, 0 B. Clearances (refer to diagrams) FIREPLACE HEARTH WALL/CENTER ©pr 780 CMR: STATE BUILDING CODE COMMISSION Figure 2109-4 CLEARANCES FOR SOLID FUEL BURNING APPLIANCES t CAP FACTORY -BUILT CHIMNEY COP .Noor sarroer - - .a SU►POAT aAACNeT NON-COMBUSTIBLE B WALL PROTECTION — GONNecroN .rwe A -—CONN CTON OVCe IAP I' WOOe1N0 tTOY a A 1 AIR 'SPACE , � II•• 1 1r. 1, IB„ 12" NON-COMBUSTIBLE. FLOOR PROTECTION STOVE INSTALLATION CLEARANCES sfeil�' g.,IeR.O 1. Fronti Fuel or ash access side. 2. Thimble required for passage through combustible construction. 3. Non-combustible spacers required. M. Clearances on each side of a radiant stove with a heat shield shall be measured as If a circuiating type. Combustible i". Asbestos Niliboord Concrete/Hosonry 4°Brick Veneer Stove Components Naterlal Spaced Out 1" ) Foundation Vail n .Radiant Stove 1. j6•, Circulating Store i• 24'• '— —Front — A. Radiant Stove Al. j6a. t8" 6'• —side lack Id.. A. Circulating Stove 12 „ 619 6'0 —S lde/l&a 6" s. Singls Veit Z. Connector Pipe la'• t2•' 6'• a" Insulated 211 211 _ / �/ 211 211 Connector Pipe . Chimney Height Three O) felt above adJeeent roof and (metal or masonry) ? . W feel above an roof ridge within 10 feet Damper 1 .a damper Is not Included In 'the stove construction. It est be installed In the connector pipe. 1. Fronti Fuel or ash access side. 2. Thimble required for passage through combustible construction. 3. Non-combustible spacers required. M. Clearances on each side of a radiant stove with a heat shield shall be measured as If a circuiating type. Gerald A. Brown Inspector of Buildings TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: Street Address Telephone (978) 688-9545 Fax (978) 688-9542 Map/Lot HOMEOWNER�f�e-j}'Lp Name Home Phone Work Phone PRESENT MAILING ADDRESS /41n Al, &zpavge- 111W , 5 �' L, ?-// - �;, City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the 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�heyv*ll comply with said pros fires and requirements. �-, ^ . _ "17 / / HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption , . ;7 i),'q "f' ,, .� "'N: i.;.�i 1, \ ?13\. ,;\., 'iiY 'I l[ i•. �. .. 'i` 40 f INSTALLATION & OPERATION MANUAL MODEL NUMBERS: 25-PDVC, 55-SHP10, and 55-TRP10 Thank you for purchasing this product from a fine line of heating equipment. We wish you many years of safe heating pleasure with your new heating appliance. Save These Instructions. IMPORTANT: IF YOU HAVE A PROBLEM WITH THIS UNIT DO NOT RETURN IT TO THE DEALER. CONTACT CUSTOMER SERVICE L 1-$00-245-6459. Mobile Home Use: These freestanding pellet units are approved for mobile home or doublewide installation with outside combustion air hook-up. See "Flue System" section of manual. Mobile home installation should be in'accordance with the Manufactured Home and Safety Standard (HUD), CFR 3280, Part 24. WARNING: Do Not Install in Sleeping�Room CAUTION: The structural integrity of the mobile home floor, wall and ceiling/roof must be maintained. Please Note the Following Precautionary Statements: NOTE: WE DO NOT RECOMMEND PELLET STOVES AS YOUR ONLY SOURCE OF HEAT.. England's Stove Works highly, recommends the use of smoke detectors and Carbon Monoxide detectors with any hearth product, including this unit. Follow all manufacturer's instructions when using smoke or Carbon Monoxide detectors. CAUTION: Please read this entire manual before installation and use of this pellet fuel burning room heater. Keep children, furniture, fixtures and all combustibles away from any heating appliance. WARNING: USE OF OUTSIDE AIR IS MANDATORY WITH THIS UNIT. DO NOT OPERATE UNIT WITH HOPPER OPEN. LID MUST BE SHUT AND TIGHTLY SECURED. DO NOT OPERATE WITH°DOOR OPEN SAFETY NOTICE FAILURE TO FOLLOW THESE INSTRUCTIONS COULD RESULT IN PROPERTY DAMAGE, BODILY INJURY OR EVEN DEATH. FOR YOUR SAFETY AND PROTECTION, FOLLOW ALL THE INSTALLATION INSTRUCTIONS. CONTACT YOUR LOCAL BUILDING OR FIRE OFFICIALS FOR RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS (INCLUDING PERMITS) IN YOUR AREA. Questions? Need Parts or Options? www.englandsstoveworks.com 'p4 ERTefi V/ C y, e, U8 +�oek N°'b Rev. 10/05 8 lou s! uolloaload IIaN► leuo!l!ppe �Ilew�o 'l!un ed�(l sM Rm pai!nbei («E) Bayou! aaj N '�amloelnuew ayl �tq paPuawwooaa se ao `aouejealo 43 p�epuels ayl ad!d loan;allad a aa!nbaa pinonn: o; Paimbei s, a3uejea o 0 4 41 'lle�(ap Jo jadedlleM `6ugaued I l („9) sa PULMS.AIUO ano;s s!y;10 sa,p!s 94; Pua aeaj ay; woad uoi;oa;oJd IIeM 6u!puels99a} s!yl '(„9) sayoui x!s;sea,oe eq cool; „ZE X ”, C wnwlulw a paau II!nn;!un lolled a4l;o saps yloq uo I l q pinoys ano;s eq;;O;uoa; u! aoueaea o a a6ae a (,�) sa4ou! mol PUB Puiyaq (J) youl quo 10 wnwlu!w a ap!noad o l6n Uls I g pinoys pue lenbe jo panoidde y e pun ay; uaannlaq uo!;oa;oad aool� asn of paa!nba a q pnn no t uaoqS l;oa}oid eq j 'elq!lsngwoo a se yons Ie!�a;>;w a i sn woo e;o pa;ona;suoo s! aoo a 43 pue 4 Iq.l q 4l ladaeo ao `wnalouy `pooMpjey S1 aiay; `a;aaouoo ao �Iolaq s8 yons Ie!Ja;ew a i sn woo-uou� e;o pa;on;osuo d jooll ao; paau ou Iq.l q s! cool; moi( �I u01439}oad J0011 N011331ONd T1VM CNd 210013 •uounrado afns aado.�d.�of djojnpunw si .a aP.rn s e3� ro `pasn ate smogta Z uegl atotptt3. nalsul (.ta[dnoa pue) adrd telaw «£ as , I' 1 p y Iiulsul umoseq ,9 spaaaXa uotloauuoa jig optsino3o utu telol atp31 S .Z£ X azis :pattnba.t .1600lold.too13 b paaaXa of lou uiu Ieluozuog £ •suotlaauuoa anu9up.euzat 103 adrd an S£ Poona lou pinogs Viiai anjj telo l 'Z tI «b of aseataut glguai ui ,SI spaaoxa adrd a „£3I I 1611ad p0b� 3 PURI ao u pelsui' Id eq <ti tJ .LLELY r U I I 'afy4cfaaae st quote aal `(mopq uotlaauuoD 1Cmoseyg se tans) uttt rauogs .to3 •utu iafuopo3 0 0 ,1 arodaglaldmpt,«, / tuntutttttu aneq lsnn I 11 Location -2 e 9- ,03 � No. Date 7 NORTH TOWN OF NORTH ANDOVER � w 9 Y � Certificate of Occupancy $ s,+cMust Building/Frame /Frame Permit Fee $ 9 �© Foundation Permit Fee $ Other Permit Fee $ TOTAL $ JT' Check # r-+ S r 16564 AMA Building Inspector The Commonwealth of Massachusetts State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 780 CMR APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OF OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number: 76 Date Issued: C y Z ! `O 3 Building Commissioner/ nspector of Buildings Date 1.l A ss: 0 s (� 1.2 Assessors Map and Parcel Number: J Map Number qo Parcel Number IA Zoning Information: 1.4 Property Dimensions: Lot Area (sq) Frontage(.ff) 1.6 Building Setback (ft. Front Yard�D I Side Yard Rear Yard S� Required Provided IRequired Provides I Required Provided 107 Water Supply 9M.G.L.C.40.4 $4) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Q Private fad Zone Q Outside Flood Zone Q Municipal Q On Site Disposal System It 2.1 Owner of Record N �a14 �asrF�Sr /l/'00 h Address: 0 a,( Signature Telephone 2.2 Authorized Agent: License Number Name (Print Address Signature Telephone SECTION 3 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35 000 CUBIC FEET OF ENCLOSED SPACE v 3.1 Licensed Construction Superv isor: Not Applicable Q Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor: Not Applicable Q Compan me .41r 0 Registration Number F Address ? Expiration Date � � 1w, •� �®� Signature Telephone 0.3 — Revtsea lYY/ JMC ZOL. SECTION l Ob - OWNER/AUTHORIZED AGENT DECLARATION 1,-1r;;'0AAL"p //'(` Ci,&/ M'Of D 45k! -b K , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 11 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be completed b permit y applicant 1. Building R y %®© 1 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Fire Protection 6. Total =0 +2+3+4+5' Official Use Only (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction from (6) Building Permit Fee (a)x(b) Check Number SECTION 6 - DESCRIPTION OF PROPOSED WORK check all applicable) F-1 F-2 New Construction [3 Existing Building Repairs [3 Alterations [3 Addition Accessory Bldg. [3 Demolition Q Other [3 Specify Brief Des 'ption of Proposed : Kaor- 2B R Residential A R-1 R-2 R-3 S Storage Q S-1 S-2 U Utility Q Specify: SECTION 7 - USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) A Assembly A-1 A-2 A-3 A-4 A-5 B Business Q E Educational Q F Factory Q F-1 F-2 H High Hazard C] 113 I Institutional (3 I-1 I-2 I-3 M Mercantile 13 2B R Residential A R-1 R-2 R-3 S Storage Q S-1 S-2 U Utility Q Specify: M Mixed Use Q Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index (780 CMR 34) SECTION 8 - Building Height and Area BUILDING AREA Number of Floors or stories include basement levels Floor Area per Floor (so Total Area (so Total Height (ft) CONSTRUCTION TYPE IA 0 113 Q 2A Q 2B Q 2C Q 3A Q 3B 13 4 Q 5A 13 5B Q Proposed Hazard Index (780 CMR 34) Existing (if applicable) Proposed SECTION 9 - STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No Q SECTION IOa - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1 , As Owner of subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Date revised bldg form/state JMC North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: 3 F,�r (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Tel: 978-688-9545 Town of North Andover Building Department ' 27 Charles Street ��Ssac►+usEs North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. ,/ ,(►) DATE % JOB LOCATION Street Aotlress Section of Town "HOMEOWNER 5411-221, Number Home Phone Work Phone 71 ` PRESENT MAILING ADDRESS /0( ® FOS own �` 0 Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Building Department minimum inspection procedures ments and that comply with said procedures and re�ja�A//�uj% HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFIC Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. C/) m m CD 0 m CO) 10 CD az CD ar � d CL n� .p o p CL Q CCD 0 ran a: a) co CD CA CD 0 L709i CO) d d O CO2 .p O CO) Mv� CD 0 CD CCD a CD C W ? O = -1 o C• f/J 0 C H = O. o m CA —1 = . m C2 m n �c�n0 m CD c O� �=r CLF � .d.► O y T a 0 Mnm�CD CA Oyp N CD 0 o a _•o o CD 2 �. 0 �(n 0 ai 0 y CD C! V Ca y R r � lb `y•��CLCD 0 CD ►� ^ c oQm l J o: y O � y bs yy cn.r s o y ? 0 CA .1. Sc O O 0 0 0 z CD0 o cn A .tCD ,�F V) co w 0 � i r: = W hCL lb 0 . C/) 0 rD d C/) ., 0rD rD o g 0 0, C o n PC 0 r 5 n x o ooa o � a ^ al o a x 7d 1/ M 0=3 0 c N2 455',,' Date . .......... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. This certifies that ............... has permission to perform ....... F� - D ......................... plumbing in the buildings of 44 ". P ........... at. . 0 . v.1 K -"l f ............ , North Andover, Mass. Fee. Lic. No.. .3.1. L. ......... ....... P BING INSPECTOR Check # c; WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 11 - MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date g �$ 20oc) Permit # It 3 6—r h v it Building Location 7 zo fcatg , T Owner's New ❑ Renovation ❑ FIXTURES Type v Residential Plans Submitted: Yes ❑ . No ❑ Installing Company Name Heritage Htg. &Plg.. CO. Inc. Check one: Certificate Address 35 Pleasant Street IXCorporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone - . 781 =-4 3 8— 7 7 7 6 — F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that ail of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all . pertinent provisions of the Massachusetts State Plumbing Code Yd Chapter 142 of the General Laws. BY �17mollm ( dd2-,-t-� Signature o Ucensed Plumb., Title e Town Type of License: Master [$ Journeyan ❑ Cit ROVE (OFFICE USE O L License Number 8322 n Z N N N Z O hc Z a ~ i y rl O W W In N Y Z N J J Q N ¢ >- Q U Q F- N Z O o Z N LC 0. O Q F U ir U a m N Q W N .h Z S Z O n f. cc i!J d- W J �� LL. �' N x Y M S 0 LL S W 4 = ►- Q = O= 3 O 4' Z D S w~ Y Z d O O H w Q Z z W W Y W i4 :: a Q z y N 4 Q O Q J J Q ¢¢ cc Q C Q F- f4 3 Y J of N O O J 3 S N N LL M O 33 33�' SUB—BSMT. BASEMENT 1ST FLOOR W 2ND FLOOR N A 3RD FLOOR D T 4TH FLOOR I 5TH FLOOR R S 6TH FLOOR E 7TH FLOOR C 9 8TH FLOOR T D Installing Company Name Heritage Htg. &Plg.. CO. Inc. Check one: Certificate Address 35 Pleasant Street IXCorporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone - . 781 =-4 3 8— 7 7 7 6 — F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that ail of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all . pertinent provisions of the Massachusetts State Plumbing Code Yd Chapter 142 of the General Laws. BY �17mollm ( dd2-,-t-� Signature o Ucensed Plumb., Title e Town Type of License: Master [$ Journeyan ❑ Cit ROVE (OFFICE USE O L License Number 8322 J z 0 w w U LL LL 0 m 0 LL 3 O J w to I I f w W LL O z m J a O a 0 F F C7 w a O O z z a � a m .J O U. j LL O m z W LL O d O F O V .tl w a O0 Z CL Q U O Q z a 7A .. may.,._:.`-.—�� :..-;i-,-•� � �••:,:...r ..c!'• - �`='._'y�' Location No. 4 , Dateu' TOWN OF NORTH ANDOVER Certificate of Occupancy $ 5K Building/Frame Permit Fee $_ Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL 7127194 747 91-7 Building Inspector 19.54 KID Div. Public Works F R311T NO. Z L APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 440. LOT NO. Jff 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZCiNE I SUB DIV. LOT NO. F CATION 20? �. PURPOSE WNER'S NAME 60 p�7 �y>L -,!L NO. OF STORIES SIZE R'S ADDRESS2�M®4���f���l� BASEMENT OR SLAB A ARCHITECT'S NAME _ SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME ./� r � SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET •' POSTS DISTANCE FROM LOT LINES — SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY ' IS BUILDING ALTERATION y�J IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ` IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER P IS BUILDING CONNECTED TO NATURAL GAS LINE SEE BOTH SMES PAGE 4 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 INSTRUCTIONS ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS Py1NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED�I C7&/—Ii 9y V PERMIT GRANTED 19 bF'k T r1vp & ly A dq C Ll 0,W7- /INT - 9 D 1777 IA -1 v icolFde 7-0 excl rmG GST 3 PROPERTY INFORMATION LAND COST ST. BLDG. COST®� EST. BLDG. COST PER SO. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD r. BUILDING RECORD ` i OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILYOFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION CONCRETE 8 INTERIOR 3 PINE HARDW D_— PLASTER — DRY WAIL UNFIN. FINISH I 2 13 — CONCRETE BL'K. BRICK OR STONE PIERS — 3 BASEMENT AREA FULL FIN. B M T AREA 1/ 1/2 1/ FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WAILS I J FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARDW D COMIACN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRCK ION MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR DEQUATE I—i POOR ANONE 5 ROOF 10 PLUMBING GABLE GAMBREL I HIP MANSARD BATH (3BATH (3 FIX) TOILET RM. 12 FIX.I FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 1st 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Town of North Andover BUILDING DEPARTMENT Homeowner License ExemDtion (P_ease print) DATE JOB LOCATION iLLin CEr treet Address Section of town la:e Home Phone Work ".:one .- Z7 NAiLl`IG AD DRE:,S1i�C1 C7ow11 State Zip cote Tr„e current exemctlon for homeowners„ was extended to include owner _cc�uciEr dwellings of six units or less and to allow such homeowners to e�=--se an individual for hire who does not possess a liCEnS-, provided t a-� ne owner acts as supervisor. (State Building Code, Section 109.1.1) DEF _:v 7101 OF Ei0ME0WNER . Person(s) who owns a parcel of land on which he/she resides or intends to rEs*de. on whic:� there is, or is intended to be, a one to six famil dwe= attached or detached structures accessory to suc:, use acrd/or far- A person who constructs more than one home in a two -;year s t. �c �..rEs . _ pe --,-or- shall not be considered a homeowner. Such "homeowner” shall suc,-�:- to t:_ Build4nE Off_cial, on a form acceptable to the Bulling t`:at �e/she shall on be respsible for all such wort per,ormed under the bui_di-:g per.: i... (Section 109.1.1) Ji:Er'� aS�Ume reSpOnsibility fOr COmDLa n c e •.�__.. uO711ec �;da and 0thEr apolicabLe Codes, by -maws, rul_s O.T:EC'vilE=CE_ �ii_es that he%°.%e understandSz the "WILi �` over 3u v`3u;Ci::g Depar me^t min.mum inspeC..-on proc2cures an:. ',-a- nE,/'s%e 'v i' 1 C^.:TD1J 'rii:.i1 a:iL = - _n� or Lamer -;c =_. _.._e_ _�...__. c•.Y^-- y .�_- �5o err / CERT/FY THAT THE OFFSETS SHOWN COMPLY WITH THE -ZONING SY LAWS OF I.lo-c�r-�+ Ati.+ Dour WHEN BUIL T 1 CERTIFIED FOUNDA T/ON PLAN LOCATED /N SCALE: /"= A -a' DATE Scott L. Gi/es R. L. S. 50 Deer Mea�dow Road North Andover''Mass. 1 Qil 2 A OFFSETS SHOWN ARE FOR THE USE OF THE BUIL DING /NSPEC TOR ONL Y AND SUCH USE /S FOR THE DETERMINATION OFZONING CONFORMITY OR NON- CONFORM/TY WHEN CONSTRUCTED. L� <=> I C� 13672 LAS A I 1 1 � I I , iJ } Aftfi I 1 i 7 I I. f y I I } i } i r , r r , , r + + t + ; + t , ; i• + j E � 1 + • + . ; t i • r +� + i + r + { I r j- 1 i- �- t � r -i r r 41 a I I J 1 + t , 4 f } , t + / r + I- !- t + + h f j- � f ' 1 { • r + , • + r r + I I i •+, r i� r r E} I t t�� 1 1I +} j 1 I I i I I- r ' I i + + + 1 +- I I � i ! I I } + + + t t r , I I •V