HomeMy WebLinkAboutBuilding Permit #028 - 32 PALOMINO DRIVE 7/14/2008 NORT/t
BUILDING PERMIT oF<tt�o quo
Or•46.p • p 01^
TOWN OF NORTH ANDOVER -
APPLICATION FOR PLAN EXAMINATION
^o " ey
Permit NO: `� Date ReceivedE�1qs gArno�.«��s
p� s ACHU
Date Issued: �i o4
IMPORTANT:Applicant must complete all items on this page
LOCATION c1 ti10/Y1� il. N • l�
Print ,
PROPERTY OWNER Ala I' a,M ,
Print
MAP NO:�PARCEI �Z.ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
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
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACTOR Name: IJ�UL''a �(� Sopone:
Address: f �- .ti r!
Supervisor's Construction License: 3 Z 7 S C, Exp. Date: /0
Home Improvement License: 1 -3 Ll .� cl cT Exp. Date: f 1IL3Zy 9 -
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: $ '2, cle)0,f FEE: $
Check No.: Z.23 y Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
$kgnature ofAgent/Owner Signature of contractor
f
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 !
i
I
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
c
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location mast or service drop 4 PP 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
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
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)
I
❑ 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
A
❑ 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 2.2008
+y.W4•'u3+:•�.t:;Tw.r�,.:'.F� .......�,.r. .A.�/.-.f-..��T .T�:.r:s• st r.r...::" ..,r�i - - -- - - .t
Location
No. •2 Date
� V
�ORTM TOWN OF NORTH ANDOVER
Certificate of Occupancy $
�'s'•^�•t<� Building/Frame Permit Fee $
S cMus
Foundation Permit Fee $
Other Permit Fee $ '
TOTAL $
Check # 1 �i
2 ' 3 9 f Building Inspector
NORTH
c
Town of
o
No. .� - 4,. TO
oC B
. - LAKE O` dover, Mass., ? °
COCMICMEWICK ^
00TED
`s BOARD OF HEALTH
PERMIT T D
Food/Kitchen
Septic System
' BUILDING INSPECTOR
THIS CERTIFIES THAT........V. G71. ..... i �r�........ „�....................... ..................................... Foundation
has permission to erect........................................ buildings on.. 3 ... i- ®"r' ' `✓'_............................... Rough
.. ..........................
to be occupied as . �f �� •S��f4 �E Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
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. I PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES .IN 6 MONTHS
ELECTRICAL INSPECTOR.
UNLESS CONSTRUCTI ARTS Rough
...................... ........................ ................................ Service
BUILDIN PECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
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.
'Warm fradAi"
STOVE SHOPPE
Authorized Dealer For
. q= Ian
I� �]UNDI?
itfie �...e.,. ..m
Wh ....
144 Pine Street
Ferguson
P.O. Box 2081 Ed
Danvers, MA 01923 Tel:(978)777-5562
144 Pine Street, P.O. Box 2081 Danvers;MA 01923 978-777-5562
WARM TRADITIONS
STOVE SHOPPE
A Division of
AQUA TERRA PROPERTY MANAGEMENT, INC.
Contractors License# 032756
Edward A. Ferguson, Jr. iinffg'ars
Construction Supervisor License
fl License: CS 32756
tl Birthdate: 10/15/1954
Expiration: 10/15/2009 Tr# 5454
Restriction: 00
EDWARD A FERGUSON
15 PICKERING ST
DANVERS,MA 01923 Commissioner
i
Home fnmrovement Contractors License # 134399
Aqua Tena Property Management, Inc.
Edward Ferguson
71. �.
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 134399
lug Expiration; .1.1/13/2009 Tr# 260392
;Type: Private Corporation
AQUA TERRA PROPERTY;MANAGEMENT,INC.
EDWARD FERGUSON.
144 PINE ST.
DANVERS,MA 01923 Administrator
144 Pine Street, P. O. Box 2081 Danvers,MA 01923 978-777-5562 1-800-286-5662
The Commcnweaith i0assachusetts •• -
peparuaent of Ixdundal Ace 4mrs
office of INYAW9attelrs
600 Washington Street
Boston,MA 01111
wntw mass,gav/dia
Worktrsi' t;ompeasollon Iasuranee.Affidsv4t: Builder:/Cos3true-tors/EIectr,cixtiv?luznbers
gP,lice,A1.Ipflease Priuf
flQ%DCL -Tessa grog�tc� Etna t?n1t?f1 1r1C..9. '
Natvc f9usirrsa+�R�uuaonilnat.�oua1>t � u�Jlt�r1 �ad� `t s
Adcb-cm,r l `14 1E S-F�ee•f- 60A 67M.
city/state/zip; Phone#: Q7�S• >Art you y.ou ea etnpioper' Check the appropriate bole Type of project (required).
1.4T1.am a ergi Wyer with TT 4. [] !am a gam)C(mincoor ltd t
6. 0 New coaststicdon
employtot(to aodlat pan•timc)• havebired the sub•coutractosa 7. Rernodelin
2.3 1 am s colt)iroprietor c:parmer• damd on the attacDed sheet 1 g
abip And bove do employras These sub-contractors have 8. Detmwoa
working forme in lay capacity. workers'comp.insurance 9. Q Huildiag 14dwoa
(No WQAcn' canp. uastuteaca 5. Q Weare il.00rpotsidon aid its G:Q Electrical
requirod,� ofReors have exercised oteit } or addit
ions.
i. ) 6At.e b4taeowoer dCsittg all work *tof exe4d6zl pa MGL 11,0 Plu pbtag Tcpaiars or additions
tttyscll:!Na workettcomp• c..152,41(4),and we have to 12.Q Roof mepam
iastlrauee te�tiired:j f employea.(No wolTers' 13-N otter
comp.iasoraace r quired.)
'Aly epplieinl slut OM U!bat s't vwi i'.#o At)oM Iry«Choi,Wow th*woeam,oampm,!aoon poliFr m omNliwn..
t 8umawan who..eubmt(Mi- Tid,vit indiatine they on doing all AM 64,a Mn omods Coat mon mus[Wftlt t n/w iPFidurt indicating"16..
1*:anpxcioa 0 0[cfioak iDi;k►s a,µt[mrcltld
on addldona4�hott eLatriit�tt[e dune Oftbe:eutro0nneclo»Mdtbatt aorkan►'wrtp6 polite:n(intiot►
1 art an ea[pkyor,that it prvvlrting warkarr'eor►pensotlar,krsnranee for n►yeinployess Maw is the policy and job stye
�
1aewana Company Nims`. _. 't Me- It)sgra t ` K2, 1� '�E 'IL
Polity M or Ulf-ins.I.ic.d• t t C Cvq`j 1cid j Expintoz.Date: / 07 of
rJab Sitc A.4& ;-,-a . -lecityisate/zip a' AMO .�Ig
Attac.b a copy otthe worliirs'comptnistion policy declarst.106 psee(ShOwing the pe>ticy number son e:Nlratiaa Oate Le}- pF ills
Fa:lurC W sC=c pc>c age as teq*cd under Section 25A of MCL.c. A2 oil,,lead to the intposidou ofcrbtniaa)penalties of a
Paas up to S 1.569-oil.VWX oao-ycar imprisoimcnt,as well as civil poo-Ades ill the tom of a STOP WORK ORDER sad a rine
of up to 5350-M a day a pian the violptor. Be advised that a copy of this state mmi may be 7orwatded to the Office.o t
lnves4odow of the IA..fOr twun mee coverage varificsdm
!do.hereby ect#fy�tltJder lire ass r ai[rd treat las the the InjorMation prol'Mdedebe it rrtre and correct
i, A /
aFs
���8. 7'��•• SSI�L� .
Official use oily. Ao ear wrtrs ie rht:arca,ro br aatnpkrolibY old orr ol7cts1
'City or Two:„ ParmWUcense 0-
1$Wps
1$Wps Authority(ort);got);
1.8oard of Hea)tb 2,BttildlaQ Depantnept 3.ChylTonti Clerk 4.Electrics Inspector 3.Plumbing Inspecwr
Contact rsrwm• Phone M
miormazion anal ,msxruc t.10-Ua
dassaebuscas General Laws chapter 1.52 requires 4=*]aym to.p mvideworkers'comp=j;%don for tb*=PIOYCM
3,Ursuaat to*b swtnce,as anployss is dc&cd as"...avcrypasea is ft gcMce of anotbca under any ooavaet ofbire.
mess or implied,oral or wtittea." • ' .
Ain ensployer is dc!mcd as"P fi, W vida4 ptrtaccabaip,assota"ation,�ca other legal aoronY���two or masa
of the foregoing eogagod is a joiutcatccprise,and :1e alrepres tivea.ttf's docwsod emp]Ryer,os the
• eea. �3oweriv the
receiver or trustee of an ioaivtdaA putacrs>uP,uwcb*m of other legalendwy, g CWPIOY
owner of a dwel]img house haviztig notove mthea tlQoa apmrt
ad.wbo resides ttia' *or the oeeppant of the
dw c] mg bouse of another wbo=ploys pmm to do maiatc owe,o=auucd=or repair work oa neb dwcllmg bow
• ' the dameb Q'».
or aA.xbe,9w ads:cstlri sofsuahcamlQnraten t4be as c ion •;__.._.._._
MGL cbaptar 132,12SC(6)also states that"every state or focal Been&&ag4Dey_thall witblipld the issuance or
reaowal of a license or permit to operate a business or to construct baildiagt Lathe commoawealtb for say
applicant wbo bas not produced acceptable evideaee•of coaaplCaace with the wwance coverage required."
abl
Additionally,MGL cbapter 152,025CM stasis"Neitbcc the ccaaomomveatiltb nos.say of its political subdivisions SW
enter Tato any contract for tU pafotaatacg of public woadcWO==Wig etrideaee of oo®pli�aca with the iasuraace
requirezaemts of this chapter bat to tba cogotcactmg u tY
Applicants ,
Plc=M out the wo*CUS campeasa cbeela'mg the bozo that aPPIY b your situatioar if
two ailldmt cAmPletcll►,by , with their certiiicate(s)of
ncccs wyl supply sub-c'°°'trae (S)-z�(s).address(CS)and yboase==be*)�8 CM other thou the
ice. Limdtod U%bW Coa�paaacs( or Limato�Iaab3,3ityr P>#"ME an with ao cmplc'Y
m=*as orpa�c a%arcaotrequaodm my' ��opcnaal ins�aranoe' usaLirCoarLLPdoesb:ve
l a )*,icyis Ba adxisad fat tbcis afi3davitma�ybo snbmodixod trt'tba Dopa tui Industrial
�P aYus, sad. tl�e, TLe aiiSdsvit sbaro]d .
A ccid=ts for mnglinati m of msu apaa oonrerMge. X1so be,#pre to stgg; ..
be rcaunod to the c ty.or tern that app tion far tha pacmit o f]ieeasa is bcing roquestod.sot ma Departu�mt.of
a
ludustrial Acc dcM S>wttldYOU bsva any gacsdm rag 'ft ft bw'00tale?a�rod to obtd r said sbanld at3d enter
-thea
'
comprasatio I policy,pleasa cathe DaparO=t at ft==ba�hated below. WbSW comp
self-iasuraa0 licc�c==bac I=the2ma. •, ` '
City or Town Officials.'
Please be arae that the a>i'idtrvit is eoaap]cte tad printed lagrblY. The Depsrtmmt bat pravidcd a space at the bottom
• Bca�at .
of the.affidavit for you m 19 Out In the event The 09ke,of lwmti8a&w baa to outset you re WftLthe.app
Please be sore to fm is tbo pcg=htuc=w mmber wbfeb arw be used as a rdrr®ca==ba. Ip&M= aa.app*mt
chat muse subsoil mulup ��xnlica*w in any*v=yC?i neod.o*snbmo me,top*i��s curtest
policy information(if nocasaazy)=A=ft"Job Site Address"tha applicant d*Wd wsito"aIl Iocattoas in_,,.�atY.or
town). A copy of the.affidavit*at been officaaw gw..poo
or:mt#albyIbC W.o><W=WIybepravided.tothe
applicaAt as proof that a valid affidavit u on Sia for fa�ua papP orJaccoaeg,.know A!$davit mnstbe Bed out each
Year.Wherc-t home mer or citizen is obtammg a license at pamitnotrelated to-my bus or oom®acial vcataae
(i.e. a dog license or pe=h m burs kavcs ctc.)said pasoa iS NOT regnir4d m ?!P = rot
The Office of Invcsdgadm world bice to•tbank YOU b advance for Your coopa•attoa s=ad should You bsrr►a any�N }0n'='
please do not.b0tatc lo.giveas a call► .
The DcParUaeat'g.adm'css,tdcPb=e,and fax=Mba:
• The C=ommonwealth of Ivlassmebusem
bepm mmt of Industrial Aceideants
office of Juvestigatioas
600 Wasbkgtaai Street
Boston,MA 02111
' Tel.#617-727-4900 tact 406 or 1-877 MASSAFE
Fai:##617.727-7749
Revised 5-26-05 wwwmass.gov/dia
Department of Code Enforcement
Debris Disposal Affidavit
In accordance with the provisions of GL,c.40, sec.5641 a condition of permit# is that the debris
resulting from this work shall be disposed of in a properly licensed solid waste disposal facility a;defingd by
GL,c. 111,sec. 150A.
I
I
The debr;s will,or has been disposed ofat..
Location of Facility
Location of action/jobsite (Street Address)
Vi4
SignsTure ofcontractor Date
Mt. Vernon Pellet Insert (AE) UADRA•FINT E
Congratulations
and Welcome to the Quadra-Fire Family!
Hearth & Home Technologies welcomes you to our tradi- meticulously fabricated and gold and nickel surfaces are
tion of excellence! In choosing a Quadra-Fire appliance, hand-finished for lasting beauty and enjoyment. Our pledge
you have our assurance of commitment to quality, durabil- to quality is completed as each model undergoes a quality
ity, and performance. control inspection. From design, to fabrication, to shipping:
Our guarantee of quality is more than a word, it's Quadra-
This commitment begins with our research of the market, Fire tradition, and we proudly back this tradition with a Lim-
including 'Voice of the Customer' contacts, ensuring we
ited Lifetime Warranty.
make products that will satisfy your needs. Our Research
and Development facility then employs the world's most We wish you and your family many years of enjoyment in the
advanced technology to achieve the optimum operation of warmth and comfort of your hearth appliance. Thank you for
our stoves, inserts and fireplaces. And yet we are old- choosing Quadra-Fire.
fashioned when it comes to craftsmanship. Each unit is
With warm regards,
!Alan Trusler Dan Henry Jason Olmstead Steve Tate
Vice President Vice President Vice President& Quadra-Fire
Dealer Channel Advanced Technolgies General Manager Brand Manaoer
LABEL LOCATION: On Beaded Chain on a behind Right Side Panel
HOT MILE IN OPERATION DO NOT TOUCH,KEEP CHILDREN,CLOTHING AND FJRNfTJRE AWAY,CONTACT MAY CAUSE SKIN
CAUTION: URNS.SEE NA RATEPND INSTRUCTIONS.Operate this unit vnth fuel hopper lid dosed.Failure to do so may
result in emissions products'combustion from the hopper under certain conditions.Maintain hopper seal in
good condition.Do not overfill hopper.
RTTENTION:�"�UD LOBS 11 LOPERATION.NE PAS TOUCHER GARDEZ LES ENFANTS ET LES VETEMENTS LOIN OE MPACI
DESIGN DE LTNSTALLATION.LE CONTACT PEUT CAUSER DES BRULURES ALA PEAU.VOIR 1.901JETTE ET LE
INSTRUCTIONS.Opiret tai apparel avec k couvercle Oe la luem a leme.le cafau de res suture Itis Irucuc2ons ern resuKe
sous cerlaines Albs,en uric u6shoo des imissons des oroduifs versant de le tierce.Ne pas re ptr a:ride Vop pl�Ue.
SAFETY LABEL I ETIQUETTE DE SECURITE 007
�� =�-, �apdel Reppdn
Mt,Vernon Pellet Insert AE
Listed Sola Fuel R HeatenPeilet Type Insert.Also suitable M Mobde HomeLAppa,.ill de chau8age it s,e de carnoustiole soBdelde type do kites.Accepti dans
Insuat,ow. TMs nra nes been tested and hied fa use h Manufactured on dans Ms maisons Moles.Cel apparel a iii tastea egisui pour rusage
HMks h atxmeance dt OAR 811.2}90W mrougn 624-2}9119, Maisons Nobles en accord avec OAR 814.2}9000 rysqu' 81L23.909.
Tested lo:ASTM E ,ULC 5628,ULCIORDLi482-MI990 Room .ASTM 111509-04,ULC 5628,ULCIORD-C1482-M1990 oom Heading. Pellet
Healing Pellet Bu ing Type, (UM)84-HUD FOR USE ONLY WITHType.UMI 84-H SOUR USAGE AVEC LES BOVLETTOEBOTS.VOIRLE SeriaI Number
PELLETI2ED WC00. EE OWNER'S MANUAL FOR OTHER FUEL OPTIONS. L UPROPRj RE POUR D'AUTRES OPTIONS DE C
I til Rau :600 BTUIHR. . ce it Rerae nl',6 BTUMR
nP n9 e Ekctrpue:l OHz, �butSAmps.Cow 1.25 Amp,Electrical Rating:1 VAC,60 Hz.Stan 5 Amps.Run 1.25 AMPS. akecaes ModeI Name
Route power cord ay from unit.Do not route cord under dr m front ofs .
appliance. DAN G :9 y a n e de de a Neclmlue.DecannecteZ la N ekc*w de M pine 00=taa
DANGER: Risk electrical shock. Disowned power supply before avant .Remplacez k titre seulement avec une Wve ceramgue de 5 nen disponible
serwung' our alu tempiranxe du Ihemmal au dnsus de k tempiralure de k prtce.k Test Lab &
Replace glass onry with Smm ceramic avaBable from your dealer. lei alu omau0uemerR Pow ermoare,oescNare to temperatwe du inermoNal en
To start,set thermostat above room temperature.the stove will suns de k temperature de k Dieu.Pour des instructions suppkmentaues,relimz vas au Report N o.
automatically. To shutdown,set Chemostat to below room tem nuel du proprima,re. Gardez Is pone d'ouvenwe at k pane des cendres krmees
For further instruction refer to owners manual. herm6tquemem dwam ropiraw.
Keep viewing and ash removal doors bghdy d^osed during ration.
MINIMUM CLEARANCES BUSTIBLE MATERIALS ESPACES LIBRES MINUAUY DES MATERIAUX COMBUSTIBLES:
ASA SUILTaN UN R —� COMME APPAREIL INSt`Rt "
a Tco m Hopper a vim lm.i sl A Des Conduits Du Haut/Ameres: 3in.(76mm)
7 ' e Des Conduits Du HaubAnieres: 2 a.(51mm)
3 Sheol Oz*Slw 2h.iSlmmi st
Bad.of Hopper dint iSh.(t9tmm) ` �, C DesCOMU1lsDUHauC 2.15 n.pOmm
Re 2.75h.00son) a Antares L5 in.(191man
YHIRYYCmtm*T*Iheirvem 3h.u6mml OhCNsmuTo E.y sad secean end Faw TmnlEaDxe Hone 0 Des Conduds Ar*es/Du Haut 3in.(76mm)
Cast Sae o Side Wal TopRearvem 6 h(152mm) de 0 mm de to secum esposes at de Y gamiwre du desenl E Cbti de Fonle au Mur Lateral. 6 in.(152mm)
Masonry or Zero Clearance DBgagement de la marvonnerie ou DAgagement zAro'
my„® r A Insert side to Combustible/Inserez Is cote au mur cambusbbM lateral 6 in. 152mm
SaoB Insert top to face uim I In96ree la dessus de Ia garniture de focede 0 in. 0
i =8 C Insert side to IS frim/Inserez M c6t6 de M garniture de rapde 0 in. Omm
D Heats extension from door opening/PNYa t dArne dawn r--die u pone dean 6 in, 152mm
( A c E Hearth extension hm
on side of door opening/Prolongeem d'Atre depuis M cafe 6 in. 152mm
i do I'morture de M Pone
Do NOT REMOVE THIS LABEL NE PAS ENLEVER L'ETIMUETTE
AanNamnM ae �;� 2006 7007 2001 JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOY DEC
"""'p' Hr:nHru;.fi�M ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ —Mfg Dates
tYe IrwN NAT.Ca1.'ia.wA 991
duedrarna.cam Ystle In u.fA Fan Aus EuY-unto 7076.737 ,
Page 2 7036-135 September 12, 20061
i
Mt. Vernon Pellet Insert (AE) --
�UADRi4• /RE
Listing and Code Approvals
A. Appliance Certification pp tion E. BTU & Efficiency Specifications
MODEL: Mt. Vernon Pellet Insert
Emissions Rating: EPA Compliant
LABORATORY: OMNI Test Laboratories, Inc
*BTU Input: 14,620 -60,200
REPORT NO. 061-S-69-6
Efficiency: 81.4% - 83.6&
TYPE: Solid Fuel Room Heater/Pellet Type
Insert Heating Capacity: 2,400 - 3,800 square feet
STANDARD: ASTM E1509, ULC S628 and ULC/ Hopper Capacity: 56 lbs
ORD-C1482 Room Heater Pellet Fuel Fuel: Pellets, Shelled Field Corn,
Burning Type and (UM) 84-HUD, Mobile Wheat & Black Oil Sunflower
Home Approved Seeds
FCC Complies with Part 15 of FCC Rules. Shipping Weight: 425 lbs.
Operation is subject to the following
two conditions: (1) this device may not *BTU output will vary, depending on the brand of fuel you
cause harmful interference, and (2) this use in your appliance. Consult your Quadra-Fire dealer
device must accept any interference for best results.
received, including interference that may
cause undesired operation.
NOTE: Hearth & Home Technologies, manufacturer of
this appliance, reserves the right to alter its products,
B. Mobile Home Approved their specifications and/or price without notice.
This appliance is approved for mobile home installations
when not installed in a sleeping room and when an outside
combustion air inlet is provided. The structural integrity of
the mobile home floor, ceiling,and walls must be maintained.
The appliance must be properly grounded to the frame of
the mobile home and use only listed pellet vent, Class"L"or
"PL" connector pipe. A Quadra-Fire Outside Air Kit must
be
installed in a mobile home installation.
C. Glass Specifications
This appliance is equipped with 5mm ceramic glass. Replace
lass
g only with 5mm ceramic glass. Please contact your
dealer for replacement glass.
NOTE: This installation must conform with local codes.
In the absence of local codes you must comply with the
ASTM E1509, (UM) 84-HUD, ULC/ORD-C-1482
D. Electrical Rating
115 VAC, 60 Hz, Start 5 Am psi Run 1.25 Amps
Page 4 7036-135 September 12, 2006
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�`yol�'v 1. � � ��� � -'ECy' �'�� � _ j � .,! '• `f -Xr ��,- sx t
n
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"R`. ry, y } o Y t'e r �;, ;f + +.e •' r e !_ e akls .Capa�it� '�In fi�«'��k�4lb lrlb't' �a `c�t ilfis3ions".
t? h,. A:t•ta :)a;h 1b: 5_K�)hour)....x"
µ A 14,620o
37" 32" 29-3/4" 23-7/8" 15" 425 up to 3,300 1.7 7f 56 EPA
60,200 Compliant
l 32-5/16" 28-1/16" 24-3/4" 24-3/16" 13-1/16" 260 up to 1,475 12,900 to. 1.5-4 45 .7
34,400
sslc I
29-1/4" 25-1/2" 22'.r: 13" 243 up to 2,350 17,200 to
47,300 2.0-5.5 60 to 75 .9
28-7/8" 25-3/8" 23" 12-3/4" 214 up to 1,475 12,900 to 1.5-4 45 7
34,400
PANEL SIZES
PELLET INSERTS CLEARANCE
Mt.Vernon AE -�
Insert F9 n t1 u c D
with Cast Iron Trim c 1t B B B
Standard m A c
t o
34-1/2"h x 45"w.
Basic Panel with Trim o i c ee/E�"setl Se ion e q Fa i mm o
Standard
33"h x 50"w MASONRY 6i ZERO CLEARANCE BUILT-IN INSTALLATION
INSTALLATIONS
Advanced Energy �topvnC-ar arcs;l • Masonr 24 19" 23-7/8' 3 4" 1
0" 0" 6" 6" 3" 1 2 /-1/2"13-3/V 1 3" 1 6" 1 1 ZC 1 24" I 15" 123-7/23-7/T±Lj
Castile Insert
B
with Cast Iron Trim e B c
Standard n
30"h x 42-1/2"w —A 0
Large 3411h x 48"w r
F-1 E
Basic Panel with Trim
Standard MASONRY&ZERO CLEARANCE BUILT-IN INSTALLATION
30"h x 40"w INSTALLATIONS
Original Energy : dropnwnmorn
Masonr 23-716" 14" 19-12" 21-14" 28-14"
0" 1'2" 0" 0" 6" 6" 1 0" 1 0" I 2-1/2"1 0" 1 3" 0" 119.1 2" 21-1/4"
Classic Bay
1200 Insert A
a B OB
i 0 A
Standard
30"h x 40"w . D
i Large
33"h x 50"w
MASONRY!x ZERO CLEARANCE BUILT-IN INSTALLATION(using rearshroud) :t eni���opvv1 �
INSTALLATIONS � on-
Mason 22" 13" 19-12" - 29-14"
�yselir'lry-n -.3pnE T enL' ZC 22". 15-1/2" 125-1/2" 22-1 2" 29-1 4"
Original Energy 6" 12" 3" 6" 8° 1 0 3" 0" 0" 2-1/2" 3" 0" *Size of floor protection must be added to this dimension.'
If using 811-0730,allow 1-1/2'
Santa Fe Insert Max Mantel Depth 12 in. —,
rom° A 1
$ 1t C D
i 1 B B
Standard A C
30"h x 40"w 0 B c
Large E P Clearance To Evosed Section And Face Tft
33"h x 50"w MASONRY&ZERO CLEARANCE BUILT-IN INSTALLATION
INSTALLATIONS
� `
Original Energy �e "' entity
Masonry! 24 -!§L-]23-1/4"129-1/4-1
16" 12" -3/4" 10" 6" 6" 2 2-1/2" T, 2-1/2" 3" ZC 24" 16" 23-1/4"129-1 4"
'•f rri�111 .c sfi ao a1, Xt <, a a#!n t f 5te0eU7Sr
a s �1,��" �. � �;a$• � a nj,5;+ �.r,� '� �; 1�� � f �ccn r.w�
w a } p�y`x'�) ':ky4 �s�t:'="r "' �•*a.. � �j� r-
7ZEU e'.r1i.�L+��f.h�
uadralr t1 1,4f ta1f' c LL
J� } a
(1tf10`X �] d
1�"� st 1,ltlt\N•I7
Warm Traditions Stove Shoppe : 1 QU�IDREI 7/RE
S�Yn
Pine Street Visit our Web site at www.quadl aflre.com
k •
*Maximum square feet of Energy Star efficient home with 8 ft.ceiling and framed insulated floors in heating
4"+ 1923 ,o1 zone 1.**Btu's calculated usingpremium wood pellets at 8,600 btu/Ib. Softwood wood pellets with flame
fpr•,,�. Danvers,MA a P P f
_ p �/�// height adjusted+5
978-7/ -5562 " Refer to the Owner's Manual for complete clearance requirements and specifications.The images and .
descriptions in this brochure are provided to assist you in product selection only Actual product appear-
ance,including flame,may differfrom product images.Quadra-Fire is a regi l-r -1,..Idemark of Hearth k !
¢ r � , ?� ,gib r �t Home Technologies Inc.Product specifications and pricing subject to ch+n,,,,i%i, noC e.All Quadra-Fire
pellet inserts shown are tested and listed with OMNI-Test Laboratories,Inc.,u:It s '.c.,i,Oret.on to ASTM
E1509,ULC/ORD-C7482,ULC 5610,and Room Heater Pellet Fuel Burning Type(Ub,,ii-HUD.Suitable
.for use in mobile homes.These products are covered by US Patents Nos.5000100 and 5582117 and other
patents pending.
ODF-1015U-0508
Warnock Hersey
0-f . MAGNAFLEX
Installation Instructions. for Model LWF C U0 us
Stainless Flexible Chimney. Liner
PRODUCT INFORMATION
DESCRIPTION
Model LWF'
Magnaflex LWF is the standard corrugated Stainless Steel Flexible c-hir-%.rv4 li:ner used for Iintrt .
(or relining) masonry
chimneys. The ModellWF Liner is listed to the stringent UL 1777 ar,YJ the ULC 5635 standards in several diameters
ranging from 3" to 8"
APPLICATION
I
The Magnaflex liner is, ,anufactured using strips of high grade austenitic Stainless Steel,.which are rolled and locked
together in a continuoLis process. This unique manufacturing process insures an effective flue gas exhaust liner system,
designed to withstand the rigours associated with site conditions. The Stainless Steel used in the manufacture of
Magnaflex is accepted ana recognised by testing agencies throughout North Americ•"_os being most suitable for use with
natural gas, propane, oil and solid fuel appliances. This grade of Stainless Steel is h�hly resistant to corrosion, able to
withstand severe temperatures and extremely durable. The normal operating temperatures for the liner is 1200degF
(650degC). It operates acceptably at 1700degF (950degC), a temperature higher than that at which the flue gases will be
normally exhausted. The liner maintains its qualities and can withstand the effects of thermal shock in the event of
temporary appliance malfunction hgying maintained its physical and mechanical properties during testing at 2100degF
(1150degC).
INSTALLATION SPECIFICATIONS Model LWF
he Magnaflex liner must be installed in accordance with the Internal External Approx. Max.Bending
en!vrcing authorities having jurisdiction and the Magnaflex Diameter Diameter Weight Radius
installation instructions. Minimum air space clearance to the interior
inches) inches lbs./ft, (inches
of the masonry to be maintained with the liner Is 1 inches. Y 3 7/16" 1/2 6"
Clearance to combustible materials must meet or exceed NFPA 4` 4 7/16" 5/8 8"
211. The chimney liner must not be sized Tess than that specified in
the appliance manufacturer's instructions. Contact the local 5" 5 7/16" 1 3/16 10"
building or fire officials about restrictions and installation inspection
6" 6 7/16" 1 �12"
in your area. 7" 7 7/16" 1 1/8 14"
8" 8 7.16" 1 1/4 16"
INSTALLATION INSTRUCTIONS
GENERAL
Before installation the chimney must be thoroughly cleaned by a competent chimney technician. The internal faca„•,)f'he
chimney should then oe checked to ensure that it is clean and dry. The external face must be inspected fo; 6arnage and•
any damage must be repaired prior to installing the liner, to ensure it is structurally sound and that environmental
elements cannot penetrate the chimney cavity. Chimneys are required to extend at least three feet above "'.e highest
point where they pass through the roof of a building and at least two feet higher than any portion of the building within 10`
feet. (see illustration)
PRE INSTALLATION
Prior to installi;ig the chimney liner the chimney must be thoroughly checked and cleaned. Remove any built up creosote.
The chimney most be checked for cracked,loose or missing bricks, mortar, or other materials that could inhibit correct
-istallation of the chimney lining system. Check the air space clearances between the masonry chimney exterior and
.ombustible materials and verify that the chimney is in accordance with clearance specifications contained in NFPA 211,
other recognised major building codes and the manufacturer's installation instructions. The minimum inside dimension of
the chimney shall not be less than 4 inches square. The minimum height of the chimney shall not be !ess'ihan 8 feet and
not exceed 60 feet. This is done by using a three (3) feet.lest length of liner which is the same diameter as that which is