The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 976 FOREST STREET 4/30/2018 (2)N k MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) C!� AloRT# Anboyer2 , Mass. Date AM y 3 19 QD City, Town Permit # �d _ C Building _ Owner's le AT: Location9%6 Namel,�4t*Aeoce-,. Type of Occupancy: One rA New Renovation Replacement El Plans Submitted Yes[] No F1 CZ, P . GAS � kr -Liiz Ur Type) Check One: Certificate Installing Company Name Mp1�f�r1�0.�/ Cn �1-�C, L�fOrP • / (? 3 Address GLre%ek!JAo lI LgZQLj n flt,)-/ partnership owI's I ❑ Firm/Company Business Telephon(417)z04-3033 Name of Licensed Plumber or Gasfitter 1 hereby certify that all of the details and information 1 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 application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws. By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plumber Gasfitter Signature of Licensed Master Plumber Gasfitter Z Journeyman J5' License Number I : ■■■■■■■■■■■■■■■ CM .. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .. ■■■■■■■■■■■■■■■■e■■■■■■■■■■■ kr -Liiz Ur Type) Check One: Certificate Installing Company Name Mp1�f�r1�0.�/ Cn �1-�C, L�fOrP • / (? 3 Address GLre%ek!JAo lI LgZQLj n flt,)-/ partnership owI's I ❑ Firm/Company Business Telephon(417)z04-3033 Name of Licensed Plumber or Gasfitter 1 hereby certify that all of the details and information 1 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 application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws. By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plumber Gasfitter Signature of Licensed Master Plumber Gasfitter Z Journeyman J5' License Number z a m IDS v c In m m i It ', Date... .................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........................................... has permission for gas installation ............................ in the buildings of .......................................... at .................................... North Andover, Mass. Fee......... Lic. No........... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Location Q{ to Sr 1 No. (��: LU`� Date (z ZZ 4 '7�rn TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ " Foundation Permit Fee $ Other Permit FeeLO L sh-.$ 7- Sewer Connection Fee $ Water Connection Fee $ ` TOTAL S $ t Building Inspector Div. Public Works PERMIT NO. FWA APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 M KJO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK iPAGE PNE SUB DIV. LOT NO. �- LOC ION 7 i�� O\ PURPOSE 1�t/'CD C W`�7L��SIZE O ER'S NAME L /1 E RV. 6c I`]l� NO. OF STORIES WNER'S ADDRESS 9 - � At . A/O� r �I�1/V /V ai(& ASEMENT OR SLAB ARCHITECT'S NAME -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME / 491E Y. DAY -Q Ot f 1•/ ` O- w 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 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P6ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR L FEE PERMIT GRANTED /j � ��' 19 TIC c� �12ctb� —'502, PA� 3 PROPERTY INFORMATION 'iAQD COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer 'NV1d 101d S30V1d3U SIHl 'a3S0dWllJ3dns '013 'S39VM 'V9 'S3H:)UOd H11M 'SONIO-fins d0 SNOISN3WIa 10VX3 aNV S3N11 101 WOUA 30NV1SIa CNV 101 d0SNOISN3Wla 10VX3 MOHS.LsnW N01103S SIHl Zt abOD3b ONIa71ns JNIIV3H ON _I P'E I Isl D161:)313 P"Z ;.W.9 1100 SWOOa 40 'ON L Sa31V3H 11NI1 I ONINO1110NOD SIV _ 52131dVa DOOM aOdVA a0 6.1.M IOH _ S10D 8 'SW9 13315 WV31S 'Slo:)y SW9 a39W11 'Nana WV IOH 030603 3DVNan3 S5313dld Isfor OOOM ONIMH it I ONIWVai 9 3WVa3 NO 3 ONWIM kdNOSVW NO 3 X19 a30ND a0 ': 3WVad NO 60014 8 'sals 7111V kdNOSVW NO 3WV6d NO O»n1S ONKIIS SO1S39SV 0 MOaVH ONIOIS 11VHdSV LHAV3 S310NIHS 000M 313y E I Z g DN0D I09d060 S06V sl 11 6 s11VM b N3HJ11X N6300W wood OV3H S3JVld 3613 1.W 9 ON V3aV DIIIV NH % 1/1 1/1 V36V 1.W.9 'NN llnd V36V II 1N3W3SV9 E 60014 3111 _ S3an1X13 MKOW ON1300a 1106 _ 63MOHS 11V1S 13AVSO 8 SVl ON19Wnld ON 31V1S XNIS N3HD11X S30NIHS DOOM A801VAV1 Sa 31d S3IONIHS ilVHdSV 13SOID d31VM _(AHS 1V14 13a9WV9 3NOIS a0 X)Ia9 I'Xld Z1 'W6 131101 OaVSNVW 3NId XI3 E H1VS dIH 319V0 Wswnld O t II i00a 9 3WVa3 NO 3 ONWIM kdNOSVW NO 3 X19 a30ND a0 ': 3WVad NO 60014 8 'sals 7111V kdNOSVW NO 3WV6d NO O»n1S ONKIIS SO1S39SV 0 MOaVH ONIOIS 11VHdSV LHAV3 S310NIHS 000M 313y E I Z g DN0D I09d060 S06V sl 11 6 s11VM b N3HJ11X N6300W wood OV3H S3JVld 3613 1.W 9 ON V3aV DIIIV NH % 1/1 1/1 V36V 1.W.9 'NN llnd V36V II 1N3W3SV9 E N13NH 11VM A6(l a31SVld Sa 31d 0 M06VH 3NOIS a0 X)Ia9 3NId 'X.19 313SDNO:) 313aJN0:) HSINIJ V0183INI 9 NOIIVONnOi Z N0110f1211SN00 SIN3WIdVdV 6301330—_ AIIWVj I11nW _— S-.—kIIWVJ 31`JNIS A0N Vd f1000 t WOOD STOVE INSTALLS HON CHECKLIST F�'f'i� iw: 1c°�' 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 -.c A. New Used B. Type/radiant hdy i`�T1- Circulating C. Manufacturer E;(L'C(1CX%T CA!Vz:b iJAS Lab. No. Name/Model No. Collar size Dimensions/ Height Length Width Chimney A. New Existing B. Size (flue area) C. Other appliances attached to flue (Number and flue size) _ D. Prefab (Manufacturer—name and type) E. Masonry/Lined Flue liner type a manuiacwrarr Unlined F. Height (refer to diagrams) cap CHIMNEY HEIGHT Hearth (non-combustible) A. Materials B. Sub -floor construction C. Minimum dimensions (refer to diagram) Clearances and Wall Protection Isee stove installation clearances chart) A. Type of wall protection provided B. Clearances (refer to diagrams) FIREPLACE i CORNER 12'r hurl, ,2" .G7;7�ce HEARTH WALVCENTER 13 a x --- CHIMNEY HEIGHT Hearth (non-combustible) A. Materials B. Sub -floor construction C. Minimum dimensions (refer to diagram) Clearances and Wall Protection Isee stove installation clearances chart) A. Type of wall protection provided B. Clearances (refer to diagrams) FIREPLACE i CORNER 12'r hurl, ,2" .G7;7�ce HEARTH WALVCENTER 13 DauntlesTM s Model No. 1240 Owner's Manual For use in North America l�iX. S v ��snryryr�P^ka y1 .s 4 r Kt� t DauntlesTM s Model No. 1240 Owner's Manual For use in North America VERMONT CASTINGS, INC. SAFETY NOTICE: IF THIS DAUNTLESS IS NOT PROPERLY INSTALLED, OPERATED AND MAINTAINED, A HOUSE FIRE MAY RESULT. TO REDUCE THE RISK OF FIRE, FOLLOW ALL INSTALLATION, OPERATION AND MAINTENANCE INSTRUCTIONS. CONTACT LOCAL BUILDING OFFICIALS OR FIRE OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS IN YOUR AREA. v ��snryryr�P^ka y1 .s r Kt� VERMONT CASTINGS, INC. SAFETY NOTICE: IF THIS DAUNTLESS IS NOT PROPERLY INSTALLED, OPERATED AND MAINTAINED, A HOUSE FIRE MAY RESULT. TO REDUCE THE RISK OF FIRE, FOLLOW ALL INSTALLATION, OPERATION AND MAINTENANCE INSTRUCTIONS. CONTACT LOCAL BUILDING OFFICIALS OR FIRE OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS IN YOUR AREA. opecirications Dauntless Model 1240 Fuel Wood only Maximum log length 16" (410 mm) Height Back vent 26-3/4" (680 mm) Top vent 32" (810 mm) Width Leg to leg 25" (640 mm) Including ash lip 32" (810 mm) Depth Leg to leg 17" (430 mm) Overall 24-1/4" (620 mm) Weight 290 lbs. (638 kg) Flue Rear 8" round (200 mm) Top 6" round (150 mm) Specifications 21 32" 810 mm f --- 25" --i 640 mm 32" 810 mm X fuf" ctcVUtfurl 25"I 640 mm 211/81 540 mm I L�� L �-- 17" —i 430 mm 24.1/4" 620 mm c:a- 11_._., .-. —V"&&V/t Stun utero 11-1/4" 290 mm 8-1/4" 100 mm 210 m - Clearances 19 Wall Shield Requirements for Some Cnmmnn Dauntless Installations A- — B Al l �o a Li D F A. 20" (5 10 mm) A. 11"(280 mm) D B. 26" (660 mm) E B. 18"(460 mm) E C. 18" (460 mrn) ® C. 5" (130 mm) D. 5" (130 mm) D. 15" (3 80 mm) D E. 17" (430 mm) E. 36" (910 mm) F_L F. 15-22" (380-560 mm) = y 1' (25 mm) fromcciling A I) E 1�� D spa d 1� B —�D�� A � C (25 mm) Ei.ced F B 1' (25 mm)� .4 A. 34" (860 mm) _ H A. 48" (1220 mm) FJH B. 48" (1200 mm) B. 39" (990 mm) C. 39" (990 mm) C. 11" (280 mm) D. 26" (660 mm) D. 9" (230 mm) E. 11" (280 mm) E. 18" (460 mm) F. 18" (460 mm) F. 5" (130 mm) G. 5" (130 mm) G. 4" (100 mm) H. 15-22" (380-560 mm) H. 15" (380 mm) 18 Clearances Clearance Dauntless Clearance Chart 1—Do not use double-wall chimney connectors with the Dauntless, unless they have been tested and listed specifically for use with this appliance. 2— See page xx for special side wall shieds required. 3—Chimney connector clearances may only be reduced by means of wall shields. Dauntless Clearance ll UNPROTECTED SURFACES PROTECTED SURFACES Parallel Installations Comer Installations Parallel Installations Comer Installatioru M H _L G Dauntless Rear Exit Clearances Dauntless Top Exit Clearances I UNPROTECTED SURFACES PROTECTED SURFACES' Parallel Installations Corners Parallellnstallations Corner Dauntless Clearance' Rear Exit Top exit Side Rear Comer Side Rear Comer [A] 22" (560 mm) [B] 11" (280 mm) [G] 22" (560 mm) [H] 17" (430 mm) [C] 22" (560 mm) [C] 22" (560 mm) [D] 15" (380 mm) [E] 4"(100 mm) [I] 15" (380 mm) [J] 6"(150 mm) [F] 15" (380 mm) [F] 15" (380 mm) Chimney Connector All Installations All Installations Clearancea [M] 18" (460 mm) [N] 6" (150 puny Front Clearance to Combustibles All Installations 48" (1220 mm) 1—Do not use double-wall chimney connectors with the Dauntless, unless they have been tested and listed specifically for use with this appliance. 2— See page xx for special side wall shieds required. 3—Chimney connector clearances may only be reduced by means of wall shields. Dauntless Clearance ll UNPROTECTED SURFACES PROTECTED SURFACES Parallel Installations Comer Installations Parallel Installations Comer Installatioru M H _L G Dauntless Rear Exit Clearances Dauntless Top Exit Clearances I Date. y/.,- - . �r.. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .... r!! ! .{�i� ...f` ?.�.. ... �!..."t. •1 C— hashas permission to perform .....!� k ...`" .1.�.^.... f` ``<<-...... . plumbing in the buildings of ................................... at .........1. `�........ ' ...... f...... , Ngrth Andover,.Mass. Fees. a' t . Lic. No.... ` .... .......... ...a...... . PLUMBING INSPECTOR Check k > 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print dor Type) 1 I.P' ass. Date_45 _ Permit # Building Location /Owner's Name ,b 1'�(v�c7 ✓Y�. j) �� C' 27—S Type of Occupancy Residential e� New ❑ Renovation ❑ Replacement N Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Heritage Htg . &P1g . Co. Inc. Check one: Certificate Address 35 Pleasant Street EX Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 —438-7776 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 N No ❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. A liability insurance policy 3 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 ❑ Signature of Owner or Owner's Agent 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 6y ature Lcense Plu �`�' Title t City/Town Type of License: Master [X Journeyman ❑ APPROVED (OFFICE USE ONLY) License Number 8322 nQ m z o x z > O W ~ Q) C Z a~ ¢ O 0. Nrtf 3a .C+ I y a: ¢ F U w0 x Q `n aZ — 49 54 (v Z ¢ m¢ Ww r Q r- n ? o a N Z ¢ a ¢ `� N N ¢ W h W d N Q J o tr J . C OLU LL. ~ U> a F" Z O Z Z W J J F O= (n C ti F- N Q�� ri 3 J = Y Co . O J 3 f- N LL 0 Q L_ a7 r SU8-8SMT. I BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR { Installing Company Name Heritage Htg . &P1g . Co. Inc. Check one: Certificate Address 35 Pleasant Street EX Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 —438-7776 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 N No ❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. A liability insurance policy 3 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 ❑ Signature of Owner or Owner's Agent 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 6y ature Lcense Plu �`�' Title t City/Town Type of License: Master [X Journeyman ❑ APPROVED (OFFICE USE ONLY) License Number 8322