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HomeMy WebLinkAboutMiscellaneous - 130 LISA LANE 4/30/2018 (2) 130 LISA LANE 210/098.A-0064-0000.0 i t. Date Location No. d4- ` �-- ,f NORTH TOWN OF NORTH ANDOVER t: 0 9 Certificate of Occupancy $ L: ���SEt Building/Frame Permit Fee $ lk �z Foundation Permit Fee $ �F + Other Permit Fee $ TOTAL $ Check # ! G 3,,l 1 53562 %/ Building lnsb ctor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT ULAM RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING on > µ m BUILDING PERMIT NUMBER: n�� DATE ISSUED: �i SIGNATURE: -r'I Building Commissio er Buildings Date "Zd = ©CS Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: i �3o LN �9� . A Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Recmired Provided v 1.7 Water SupplyM.G.L.C.40.§54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record -C A Name(Print) Address for Service r Gu Col.xMAC i Signature Telephone 2.2 Owner of Record: - r Name Print Address for Service: Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3j 1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Im rovement Contractor Not Applicable ❑ Company Name M Registration Number r Address Expiration Date Si na Telephone 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 rmit. Signed affidavit Attached Yes......X No.......0 SECTION 5 Description of Proposed Workcheck afl. cabk New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify rr 1 1 Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed b permit a ant lic1. Building Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinR Building Permit fee(a)X(b) 4 Mechanical HVAC �j 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 BUELDING PERMIT 1, as Owner/Authorized Agent of subjec{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 1, "�utv `v 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 SIZE OF FLOOR MIBERS 1' 2' 3 SPAN DIMENSIONS OF SILLS DINENSIONS OF POSTS DMNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlANEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDJ.NG CONNECTED TO NATURAL GAS LINE � W NORTH Town of over No. �l �O - C A E dover, Mass., coC MIC NE w ICK ��• �S RATED BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............I C. ......... ..... - ................................................ ..�.................... ............................ Foundation has permission to erect........................................ buildings on ../3-0..... .. ....................... ............ Rough to be occupied as. chimney provided that th person cepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the pro sions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIONJFTWS ELECTRICAL INSPECTOR � Rom ................... Service ................................................................ ....... BUILDING INSPECTOR 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner y Street No. SEE REVERSE SIDE Smoke Det. 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: V365z,-£s —7a (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 AT-HOME Installed `BA'RVICIS hiding and Windows Board of Saftag Regottdoas aad Stmdao* HOSE tf+t ROWMENT CONTRACTOR License or registration valid for iadividul use only ►strdtEon; 18803 before the expiration date. if found return to: ". ]. Board of Building Regulations and Standards =` One Ashburton Place Rm 1301 ent Cab Boston,Ms.02108 THE Home Dep4E BUNROEUN CHHt ,; 3200 COSS GALLEFtWW`t?KW�t lIP20 ALTANTA,GA 30339 Acludalstrator ------ Not - Not valid witijout signatur - j • FROM KIIABLY FAX NO. : 6033629679 Jun. 22 2005 10:04PM P6 TTOMM:IMPROVEMENTCONTRACT () y� / Sold,burnished and Installed by: Rraneh Name: )l�n!_ Date: b THD At-1•iome Services,Inc, d/b/a The Home Depot At-Home Services b 345A Greenwood Street,Worcester,MA 01607 Branch Number: Job#: 1�Q.y.�.3 Toll Free(800)657-5182; Fax:509.756-2859 Federal IDA 7S.7.609460 ME Lie#C 02439 RI Cont,Lie#16427 J C:T f,i�0 565522: MA]Ionic Improveinent Contractor Rc8.#126899 Installation Address: City State ZIP Pu boxy, s i Driver's Lie.,N.�E s etc: WurkPhonat Home Phone!El c ) c ) Hume Address: (If different from Installation Address) City State Zip P 'e In n mxtion: I/We/You("Purchaser"),the owners of the property located at the above Installation address,offer to contract wit Home Depot U.S.A.,Inc.("Home Depot")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet#: ,incorporated herein by reference and made a part hereof, Hume Depot reserves the right to cancel this contract if,upon re-inspection of the job,I tome Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job Was not included in the contract, DEPOSIT PAYMENT OYrIONS (Subjoct to fund vealkation end/or Credit approval.) J1. Chock,(:ashierx Chuck or US Postal Service Money Order CONTRACT AMOUNT $ 4J (Made payable to The Home Depot). *LESS DEPOSIT $_ 2. Credit Card*and/or other pay wnt options-tirde Ono Nlow. Vin MasterCard Discover American Fx rerx BALANCE DUE ON COMPILE TTON The IIome Dolxit Home bnprovcment Loan 11tc Homn Depot Credit Card Available Credit:SJJ/900 (ML&HDCC ONLY) iv(inimum 25%of Contract Amount due upon execution �.,h,�, rte-; , of this conirrct, Acct#: Ecp.Date � Name as it appears on card:dmaqr, Indicate Payment Method For *By my/our signature below,Uwe agree to allow Home Depot to charge the above BAi,ANCE DUE ON COMPi.ETION: mrerencod credit can)Z c deposit indicated. / t rlhotdcr'a signature Mud cc, HIL or HDCC Auth rixation Codes Delpaxil k1nal Payment # ,r # C$a Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate and pay any balancedue. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement,This agreement and its attachments,including any financing agreement,contain the complete agreement etween[ e partes and can not a amended o mortified unless to wrib�nin a separate a�eeme b d bx hoarttes. JY pc t�'a�F(ViRF17�1M7(Re ttItGc, (macJ� o�e.c{ Pc� CC3sNUTICE'!'UPURCSER Do nut shpt this contract bcfnre you road it You are entitled to a complaAcly tWed•in copy of the contract at the time you sign. Keep it to prefect your rights. Do not sign any Completion Certiricale or agrtxment stating that you are satlsried with the entire project before this projoet is complete. Law proidhtfr home repair contraefors from re or accepting a C:ampletion Cerffeate signed by the Owner prior to the acautl contplction of the work to be performed under tLo contract You may cancel this tranxaction at anytime prior to midnigght of the third bustuess day after the date at this contract. Sce Notice of Cancellation for an explanation of this right, There wiUlto a service charge equal to 25%tit the contract amount if the job is cancelled by Purchaser AVITR the third business day, BY MY/OUR SiGNAI.IIRF.BELOW,I/WE AGREE TO 131:BOUND BY THE TURMS OF THIS CONTRAC.•I•. WVE ACKNOWLITIGE REciilvr OF A COPY OH T1 ilti„C,QNT1tAC T P,1.11)TW4,CU,MPLET.ED,COPIES OF.THE NOTi.CE OF C:ANCULL.ATION., BY MY/OUR SIGNATUR. 13AT.OW, 1/WR UNDRRS'l'AND THAI' THE AO1tliRMEN'I' iS SUBJECT TO REVIEW OF MY/OTJR CREDIT HISTORY AND IIWE AU•1.1IORIZI:HOME DFI'O'1•AUTHORIZED CONTRACTOR,TO VERIFY AND REVIVW MY/OUR CREDIT RECORD WiTH AN 1NDEPENDRNI• 'RRnrf RRPOR•1'lNG AGENCY AND RMEASH THEM rROM Aid, LIABILITY iNCURRrm FROM TNAffo ENT 1SSI N Olt ERRORS. DO NOT SIGN THIS CON'rRACr IF THERE ARE ANY BLANK SPACLS. SURMITTET)BY: Date: O oruul � ACCF TED BY: - _ - Date:.,�2 7-0 eowner Date: flomeowner NOTICE:ADDrrIONALTERMS,CONDITIONS ANDWARRANn SARESTATEDON•I1tEREVSKSESIDE:ANI)ARRPARTor*rWCAMrRACT While-BmnchFile Yulinw-Cmnnmer Pink.SaleCanxultsut 3-2805 C-SC WINDOW SPECIFICATION SHEET : - specc.sfmd6: J� 5947 Sheet' j of � ►' 0 - oats: W6 � Custamer. ry k n J — Cnsull": - � r lWedngWindow NewwIndaw i4ingeLocat(onss MsawimmenSa Grids paffem' Pastern'4 Pattern Window Mier-8rf11aes C-m,CPC,eay,8ovr, Fiougfr Opening = Options I Imams Aatto 6 Goden Doors p h n'Code- fie„((from outside,t_t m z ton Im smAs Mlle Series $ Wldtlr Hefghl UI {troernrlioarl "Cadr" YM "Cods cow t}. WOO $ � a 2 a 01AA 1AA- 4 •-'!7 �- s IA � x 7 m� Z 8 t a� O 9r� 10. IDLW 11 $ I ` rQn F-1Ec ko 12 `S v Color of I m Grid Pattern and LOCarion MUST be indicated_ tYYlndowl Door Wraps jl to ff,asingle window or mulled windows require multiple grid patterns,indxmte location ants pattern in the addhional spaces provided. a For Cernta,CPC,Bay or Bow.use 47,1 i",or'V(Stalkmary).ForPstio&Garden Doors,use"S"(Stationary)or-X"(Operating). BAY I BOW WINDOW (iAI;DE4IWINDOW$ Projection An --------------------f glec(Say-30 or 45'} Top of Window to Soffit{inches) lArALt THICKNESS (inches) tMdlh of overhang(inches) SI=ATBOARD trSATERIAI Bay Window Flankers,DH/Csmt. ti Specify Birch or Oak Veneer or White Plonite C Seetboard Material-Birch or Oak If tied W Soffit colorol Soffit material p 3 Construct Roofs(Yes!No) `Additional charge for%W1 thic+tnasa Of a'or more. Rl New InteriorCaeino(BavlBowlaardardPatio Doors) N Clamahelf{CL)or Colonial(CO) . a 4hem U no gwmWeelhat new ahingleativill mmtob exiling color. Itlm I have reviewed and agme with a41 of the Ln i rr OkiQ job apeclflcauonfa described above. SPECIAL CON9ADSiiATIONS: C111Mt} tt3 r Dare loistomar Orr D 5.4439FG1V I WINDOW SPECIFICATION SHEET. - spun shet:t io-M 15 9 4 7 8 Sheat: /!. Date: Custamar: AV//rl Job#-.122EW Consultant: fi�EST RC1 3 ExlMhtgWindow N&wWlndow a Meaeuremants Grlds rn' Inatteinta Pletterers Window Hinge Locatlons' Rough Opening &Glass Items C9M%CPC,aPY,sow, Location � sia Stjtip series Options wro a oarderr Doors ptoornlnw" "Codd+ YM "Codec" 'Coder' wfaal Heigm W "Coda" "Godo" @Iron outelds.Lt to Rt} 1 a a �Y 7 3 ,s a - 3 r `7 nal! 5- 1.1 -s 1 9 $- r 3 X 0 m -?33 W 1.1 r12 3 i 1 Grid Pattern and Location MUST be Indicated. Color of n a single window or mullet!windows require multiple grid patlem%Indicate location and pattern in the addillonal spaces provided- IRMO /Door Wraps 3 ForCsmts,CPC,Bay or Bow,use`L'"R",oar""S'(Stadorrary).For Fano&Garden Doore,use's"(Stationary}or'IC'(Operet',ng}. BAY/6OWYFINDOW �v f 'I ! r GARDEN WINDI M S Projection Angle:(Bay:30'or 45') Top of Window to Soffit{inches) WALLTHICKNESS` (inches) Bay Window Rankers-DH/CsmL Width of Overhang(inches) SEATBORRD MATERIAL � Seatboard Material-Birch Or Oak If tied to Soffit,color of Soffit material Specify Birch or Oak Veneer or%Vhits Pionite 7 New IntedorCaslna t'Bav 8ow/Garden►Patlo Doors} Construct Aoofs(Yesl No) 'Addinoner charge for wall Wclmess or a7 or mors. N Clamshelf(CL)orCofanial(CO) a There Is no gtarantee that new shingles will match exislire color. m M 1 have reviewed and agree wlilt all of the SPECIAL CONSIDERATIONS: job speciticatfons described above. m m Customs.•Sgreture Dale N 5.643 8FC-W Location �-- No. ! Date NORM TOWN OF NORTH ANDOVER n Certificate of Occupancy $ CNUs<� Building/Frame Permit Fee $ 3 a.. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # �!� 158730 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ;.. BUILDING PERMIT NUMBER. Al DATE ISSUED. D® ic SIGNATURE: a a� Building Commissioner/I or of Buildings Date Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map andtarcel ,e 130 L i S1-,\ LAN�- p y _y 098 [PERM ��PY1ZTH AN DOy� M ©{o`�`j Map Number P El RMfT PENDING 1.3 Zoning Information: 1.4 Property Dimensions: Zoning DiMrk-t Proposed Use Lot Areas Fromm e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Regaired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Primate 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 O er of Record (3C) LOA .L QN e 'frame(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number mn Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name rn Registration Number r Address Expiration Date /1 Signature Telephone !a� i I 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 Description of Proposed Work check all applicable) i New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 11 Accessory Bldg. Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: tU )C (r'o ,jFl�� I I SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE;(?NI,Y Completed by permit applicant 4 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8)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 CqNTRACTOR APPLIES FOR BUILDING PERMIT r ,��' , ,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 I, 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 Own er/A ent Date �► NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2 ND 3 RD SPAN DINIENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS 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 Y-((� ' FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT C f^I al l C-r1'A K I</ PHONE q 78 " 5-9 oS'C� LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET L- I SA LAII*J C $,:f77ST. NUMBER 130 ************************************OFFICIAL USE ONLY*********************************** RECO MENDATIONS OF TOWN AGENTS: CO ERVATION ADMINIST TOR DATE APPROVED 66Z DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm ` MORTGAGE INSPECTION SKETCH OF PROPERTY ' w In NORTH AVM t/�R ESSEY County,MA • Applicant: Book AM4 Pape fa.!_ L.C.Cert.No. . Scale: Date: PARCEL ,42 Lor 414 ' N R '1Qk _PARCEL A z- % r 'rutznl AReuIJD lv�l DRtVyV-4Y GCSE=M��IT L./SA LANE .VZF'rt;M MR: X0PELMAN PA/GE !C. i my professional opinion the buildings are approximately located on the ground as shown iereon and unformed to the applicable horizontal dimensional yard setback requirements of he Zoning By-Laws of the 7-ojyzv of Negnl l AWD J V5R at the time of win *nstruction or is exempt from violation enforcement action under Mass at Laws ;h per 40A-Section 7,the lot as strown does not fall within a 100 year Special Flood �► _ iazard Zone as delineated on the FEMA/FIA National Flood Insurance Program Map: :on nunity No. Panel* ooad,C- Dated 6-Z-93 Zone x , r T 11 Technical Park Drive his shstch W n dt W^"kW nwnpapa napacsan ouooeas orry and s rot to oe rar"' ,or construed=an r�rrrtl army.,t shard e hav+ar uroft sood MI r rrsrurnsre survq u a000nierrrd ar a—dW we wd ro b•re•ponl0a W any C1 arKrs rust occur. Holb , MA 02343 h•mortpapa napseson•OasW upon 4dr1cm sturirft as W=W W or%asst%jwft Assocown of Und Surv"m and Civil nanwn rrc.too oarweaoon roar nos oesn mads ply ors*M. 1) 767-1400 KYM:titm ew aooasaory swumow are roe nmma n or sorwg cWtkaoon..,.a r say, ,owe groves swvn*trq 00M G��'/ -Tax (781) 767-5873 tAORTy o o Edover O A17 - 0A cocH,� dower, Mass., ORATED p`V Cl S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... �ti �11?. ............. � Foundation has permission to erect x •....... . buil ings on .....I... ...... 1.. .1........ ��.1 .'�•L;ov..'�.................. Rough ��er� >< I �N �t i ^ >� Chimney to be occupied as.......................... ......... ......................................................... . ....... ...................................... y provided that the person accepting this permit shall in every respect conform to th terms of the application on file in Final this office, and to the provisions of the Codes and By-La s relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. dya C?D now PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. . Rough YWAIN*J Ia 30EXPIRES IN 6 MONTHS Final Fr`OM M h3 i1�JERMIT ELECTRICAL INSPECTOR P y UNLESS CONSTRUCTION STAR S C A Rough ..... ....... ............................................................... Service BUILDING INSPECTOR 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location /9' -- ' No., a Dates Ct ° T ,yo TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ Building/Frame Permit Fee $ ,SSACMUSES Foundation Permit Fee $ u Other Permit Fee $ `b s Sewer Connection Fee $ _n 'r K. Water Connection Fee $ TOTAL $ Building Inspector `'a 9 810 Div. Public Works 1 PER3f rr NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE MAP +40. e' I LOT NO. 2 RECORD OF OWNERSHIP (DATEBOOK 'PAGE ZONE F` SUB DIV. LOT NO. 49 A 4C.f— joY 19 ITS�ic� i / 73 LOCATION s Je o /� - PURPOSE OF BUILDING • _. OWNER'S NAME -zvC� �vJVJ _ y�. NO. OF STORIES C_bN�/1 SIZE ' OWNER'S ADDRESS 1_3, /i BASEMENT OR SLAB ARCHITECT'S NAME �/ )` SIZE OF FLOOR TIMBERS 1 1xv 2N 9 L/ 40 3RD BUILDER'S NAME L� VG/fG SPAN- .4x ./�J, DISTANCE TO NEAREST BUILDING � � DIMENSIONS OF SILLS !-- DISTANCE FROM STREET /--5-o 7 POSTS " DISTANCE FROM LOT LINES —SIDES REAR GIRDERS AREA OF LOT c //; '7 FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION n ,C' MATERIAL OF CHIMNEY IS BUILDING ALTERATIONIS 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 3 PROPERTY INFORMATION LAND COST = -- - SEE BOTH SIDES } .. ..... EST. BLDG. COST Ji 0 _6 EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 � ' EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING - 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED — 0111119 DING INBPtCT01 ster.trATURE OF OW OR AUTHORIZED AGENT q FEE �`� OWNER TEL.# 9 990 1 PERMIT GRANTED C CONTR.TEL.IF S_013 0 / 19 CONTR.LIC.# o - a13yp 'J / H.I.C.# r BUILDING RECORD 1 OCCUPANCY 12 .. - ., .. .. SINGLE FAMILY S.ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- _.:. APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BI K. --11 PINE _ BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE WOOD SHIN GLE$ EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COMMON ! VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME _.._.... BRICK 6N MASONRY ATTIC STRS. S FLOOR .. -- BRICK ON FRAME CONC, OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE $ ROOF 10 PLUMBING GABLEHIP BATH 17 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) 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 11 HEATING + WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. S COLS. STEAM STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OI L B'M'T 12nd I_ ELECTRIC 1st 3rd NO HEATING F NORTH 'Townof 0 dover No. 208 �- f ('0 K >dover Mass., 19199, COC HIC HE WICK � • AORATED pP�,`�� 5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................................. ..�/� . . ...E.. . ..................\1.U.{'7.JV...S..a. (.................................. // "' Foundation has permission to erect...........�17. ..�. .... buildings on ......../.73.0......h-(_S-.A......... ............ Rough ic.> . � .�.. ................................... Chimney to be occupied as.................................................................. 1.....�.�........�� . provided that the person accepting this permit shall in every respect conform to the terms of th�pplication 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Fina` UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR -. Rough ...................................... ......... .......... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove Fnal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. FORM U - VERIFICATION FORM � INSTRUCTIONS: This form is used to verify that all necessary ;i approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this) section***************** APPLICANT: ,� k M�c�3IVA 16{ n1 -3W Phone 75"/ 99e 9 LOCATION: Assessor's Map Number Q s A Parcel Subdivision Lot(s) I Street CL kaxLp— _ St. Number 3 G ************************Official Use Only************************ I RE NDATIONS TOWN GENTS: 7/Date Approved 2 Cori` . o Administrator Date Rejected C ents z wmluma Date Approved To nPlan r Date Rejected Comments wNi Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments I Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date I I • ' I A M1� KA�ousriA/v Al .43 0 4 �ri5'30 aoN�999 � �Z' o p� 9 E r;;Ad�Ip cop 'Ay x/77- !02 D� (P�IRCEL �J 1 I G 7/77 J. �1 C LOT#4A C Y Q =0.8767 C. I 1 � Es: /4 /3' R-3 Purr/CT 5fry ZIN--j S//OWv -fvm EI/ST%.i/lr f 6 �PECO,eD.S. rOltiN MAPA 9BA,LOTS 060 FO.P S/TE. 1 'EEO �C X349, Xm;E d,/73 -3 C Y1 Y) 5 SEED REFEPE/UCE 7z9 j/TE. s �ohnso--Y) iia Lisa Ln v-L�. �`�\ ��\ �\\ �\� �\\ ��\ ��\ i �\� ��\ ��\` 1 � I I � � I � - - I I I I I I 1 - - - - - - - - --- - - - - - - - - - - - - - - - - - - - c� W pv� �r �J 7 C, r- ii II I � I I II I I I II I I \ II I I I I — - - - I I I _ o I I I I I I I I • I IVA 1 P-11 I - - - - - - - - - - - - - - -ILI 1 ] "07"- 01 D O II I 36' elys w u j I — 1 — I I II I I I II I VA 3 0l, - - r•r 4••ov: ni I O O . I LLL I . I I I 13••�V: I 12••7 I I . I 0 17••.,.: z a t,••r r•,v,• 3'•ttv: z r� J l •svr 3..dl t1'•9- ta'-r.: s 14*-7' 7'-4Vi 3'-.V. 2•-7• ev: J l r o• J 11'-9• 12•-3-/i 1. \ Restricted To: 00 . .DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 - None Number�y Expires: Birthdate: 1A - Masonry only CS 1 013042 08/27/1997 08/27/1949 1G - 1 8 2 Family Homes Restricted To: 00 -,JOHN N LAVOIE 'STEVENS CIRCLE ANDOVER, MA 01810 F, .F Location 30 LtS/S No. Date 2 c NORTH TOWN OF NORTH ANDOVER wiaLp Certificate of Occupancy $ � • s � Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHust Other Permit Fee $ �S Sewer Connection Fee $ 19 Water Connection Fee $ TOTAL $ V� Building Inspector n ° 7919 Div. Public Works PERMIT NO. ��� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION � U PURPOSE OF BUILDING O 1 Yi�l OWNER'S NAME - NO. OF STORIES SIZE OWNER'S ADDRESS .A 1� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME `'� ---_- --`�- SSc�. v. �`fl SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS i DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING % IS BUILDING ADDITION MATERIAL OF CHIMNEY t IS BUILDING ALTERATION �1�C IS BUILDING ON SOLID OR FILLED LAND e- ` ^ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1% IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER `tel IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES �— EST. BLDG. COST C�© PAGE 1 FILL OUT SECTIONS 1 - 3 'I ' EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILLED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR IiAI GNATU E OF qWNf R OR AL"Ol D AG N FaE E OWNER TEL.# �— PERMIT GRANTED CONTR.TEL.# Z 19 CONTR.LIC.#. yi H.I.C.# 16 IJ o BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SioRIEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- >~ APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d ? I3V� t� y � T �S • CONCRETE BL'K. I PINE BRICK OR STONE HARDW'D III PIERS PLASTER DRY WALL UNFIN. \ 3 BASEMENT pp QQQ � AREA /1 A NFIN. M'T' AREA _ \� t\\rte s, '/. '/: '/. FIN. ATTIC AREA _ ✓ ) L„1 \, l` �K. NO B M FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS f CLAPBOARDS DROP SIDING CONCRETE tr• WOOD SHINGLES EARTH ASPHALT SIDING _H—ARD—WD ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY �_ �=,,,— ��\���--���^^^ \ \� �•'�\+ �` \ STUCCO ON FRAME {{{ BRICK ON MASONRY ATTIC STRS. BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR - ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) 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. & 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 _ ELECTRIC 1st 13rd NO HEATING NOFFTt- ownv, of N, ' <-^ Y over A- Js iT ort V' ' dover, Mass., *PP-b 14C 19°ls' ' 0 `- LAKE C COC HiC rtE_' n R ATE1) �P \t��CJ..,. BUILD BOARD OF HEALTH Food/Kitchen PERMIT TO Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..�z?.C......Zcmf ►r.04z�..................................................................................................... Foundation 1. buildin son ...1 ......L1s .. I.A�JA........................................... Rough has permission to erect... ....."7� ................. 9 { to be occupied as. -•• e terms�f tr h S kation on file in Chimney provided that the person accepting this permit shall in every respect conform to t appy Final i 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final _ PERMIT EXPIRES- I 6_MONTHS _ ELECTRICAL INSPECTOR i - UNLESS CON, I1 I0. 1 V S. Rough { Service BUILD SPECTOR 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 Dr Wall To Be Done � g y FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner CONSERVATION FINAL street No. PLANNING FINAL Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Propmat Page No. - of Pages e 47 Prescott Street NORTH ANDOVER, MASSACHUSETTS 01845 Phone 687-2934 L-c. #028538 PROPOSAL SUBMITTED TO PHONE DATE :+rs. 'pruce J,)hnsr)n R 199 STREET JOB NAME 130 TJ_!irl Lang CITY,STATE and ZIP CODE JOB LOCATION N , Andoi»r. ti-i , 01 845 ARCHITECT DATE OF PLANS JOB PHONE IVP proPLI6P hereby to furnish material and labor— complete in accordance with specifications below, for the sum of: ). Payment to be made as follows: dollars ($ All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from specifications be- Authorized low involving extra costs will be executed only upon written orders,and will become an Signature s<_. extra charge over and above the estimate.All agreements contingent upon strikes,acci- dents or delays beyond our control.Owner to carry fire,tornado and other necessary Note:This proposal may be insurance.Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: pG?t 3r,t 1.tnrior alt°'_rations ir`clydint, a nTy, :it:)?in rpm:)X81, 3C-'`Iina -1 na'i new master 3n '' Ct 1 -) -at in-1 V:irl7..i. All word ,,ill b-� firtte on a titin i.nd mat^Li.al Gabor rates ar', as follows: ,30.01 „pr h,,,lr r2'y. � .rc Paul: X36.00 per inour All bills are payable upon rpceitt . A $2, 000.00 deposit is required that will be deducted from the initial billing. O I I Arr>eptanu at 11xnpnsttl—The above prices,specifications iand conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: �/� /y-� Signature FORM 218-3 Available fromn e Inc.,Groton,Mass.01471 �/' '+F i� .. _�No.�i'►�ii� '-s-c®mss, .��, %•6'3•-v .ia�'Yw'Sai-'�..' '"� r : HOME IMPROVEMENT CONTRACTOR - ,., = Registration 105903 - • >�, Type - INDIVIDUAL f, `! Expiration 01/21/96 Michael V. Rodden 41 Prescott Street 4�'o. Andover MA 01845 ADMINISTRATOR �` Fal/rrstoposm J . COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY . OF ONE ASHBORTON PLACE MapsCAislfq Code/scsrseh MASSACHUSETTS I BOSTON,MA 02108 otlA/sf/Qeltis. CAL 7 r EXPIRATION DATE { )i F,T R. U ' F V i c(1 R FOR PROTEC 09/051/199.5 �'r� i EFFECTIVE DATE LIC-N0. THEFT, PUT' RESTRICTION , PRINT IN A' NONE o BOX ON r v, LL- J ' '1UOFK c 47" PRE!,C 0 T T £ BLASTING, ` # 033-33-7014 N AI-IDO\1[: R mA 171245 S$ MUST INCL m .I PHOTO(BLASTING OPR ONLY) -001 ,J' 1 NOT VALID UNTIL SIGNED BY LICENSEE ANO OFFICIALLY T •' _ HEIC7 F'IT: STAMPED-OR-SIGNATURE OF THE COMMISSIONERfi �•i DOB: ll. 09/05/1949 ' THIS DOCUMENT MUST BE a SIGN NAME IN FULL ABOVE S !•r".- ".' THE HOLDER PERSON OF (GNAT EO ICENSEE .` -; THE HOLDER WHEN EN- " _ ;.jf ? COMMISSIONER i !�'i OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. I � Y0®® STOVE INSTALLA 1 ION HECKLIST 17c�N G F'a K 1 q17� -_2_S i Q /Permit�l5/ A building permit is required for the installation of nv - 'lid fuel burning appliance. The building permit and installation inspection are limited to the stave installat on nd not to the stove construction. Stove ..i` A. New VGS Used_ f r?e✓ �PZfGk ►� S. Type/radiant F1PEt1LACG IN56Z1 Lf r Circulating C. Manufacturer V1:-,VA RT b,No. Name/Model No. DG'S= ��CG ftlluiEt2 t+l/��rr1 � h9a:r size Dimensions/Height 2 ( V4 Length I —Width— Chimney idth Chimney A. New Existing PO ck B. Size(flue area) C. Other appliances attached to flue(Number arid flue size) 0. Prefab(Manufacturer—name and type) E. Masonry/Lined Flue liner_Y E S Unlined Ivp.A manuiactufarl F. Height(refer to diagrams) -\PFjV,. 3�c K R i ec_rl cap ye=S Cog S. Opo _T_ OVER, Ic' 12°t hull. I � T 3 .I - i — MIN. — _ C Fti=_�srH 0x HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials B. Sub-floor construction C. Minimum dimensions(refer to diagram) Clearances and Wall Protectlon I.see s;cve in-tallat:cn c!earances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) i I � I i FIREPLACE ' ORt-IER ", WALLCENTER: r SVILLE INSERT Dimensions: �— w�hem'm)__� Width: 29" t Specifications:Seville Model Depth: 28" xev.• 's'ti TOP VIEW Log Length: 18"logs (front of ash tip-rear shroud) (48Bmm) 14• Burn Time: Up to 10 hours Height: 24" Heating Capacity: 750-1,320 sq.ft. Surround Size: 40"W x 30"H Maximum Heat Output: 30,000 Minimum Fireplace Dimensions: (25;x) Efficiency Rating: 63% EPA Emissions Rating: 4. grams/hr. Width at face: 29" 5 i Width at 18 1/2"depth: 20" Weight: 420 lbs g Depth: 19" � 39W Loading: Front— Chimney connector: 6"diameter Height at face: 24"Height at 18"depth: 21" T Chimney flue size: 6"minimum 2Af Flue exit position: top - Fireplace Clearances(masonry fireplace) �82&M �B�mm) Primary air: Manually set, Mantel: 39" (s72m.) :P thermostatically Top Trim: 39" t0 maintained Side Trim: 21" � ) Conveniently Located Floor Protection (with completely non- Controls: Air inlet shutter combustible surface)extend from front SIDE VIEW FRONT VIEW settings-High/Low door opening: 16"in US/18"in Canada. WINTERWARM SMALL INSERT Specifications:Small Model Log Length: 18" �•1ae�1 _- Burn Time: 6-8 hours "---="-' - ----- - -- Heating Capacity: 5000-1,000 sq.ft. Maximum Heat Output: 30,000 BTU/hr. Efficiency Rating: 79% - (- EPA Emissions Rating:g 2.0 grams/hr. sxi'�1 mm Weight: 275 lbs Dimensions: -� Visible Front: 26 1/2"W x 21"H Minimum Fireplace Dimensions: Height: 21 1/2" Width: i 261/2" FRONT VIEW SIDE VIEW TOP VIEW Depth: 15" Flue Collar Size: 6"oval WINTERWARM LARGE INSERT Specifications:Large Model Log Length: 24" er(104o mm) - _ Burn Time: Up to 9 hours --- Heating Capacity: 750-1,500 sq.ft. 133/4•—+{ Maximum Heat Output: 50,000 BTU/hr. (iso mm) I Efficiency Rating: 78.3% 77re• EPA Emissions Rating: 2.1 grams/hr. (za°mm) Weight: 475 lbs 29 v4 (7 � (740 mm) 23 ye• Dimensions: ( (830mm) Visible Front:. - 41'W x 30"H s7re Minimum Fireplace Dimensions: Height: 24" Width: 34" 2s-1rY(s5o mm)---- 1e 1rz Depth: 19" FRONT VIEW SIDE VIEW Flue Collor Size: 8"oval WINTERWARM FIREPLACE SYSTEM - Specifications:Fireplace System Model. (Specifications some as WinterWarm Large) Log Length: 24" Efficiency Rating:9 78.3% Cabinet Dimensions: Burn Time: Up to 9 hours EPA Emissions Rating: 2.1 grams/hr. Height: 59 1/2" Heating Capacity: 750- 1,500 sq.ft. ',Weight: 840 lbs Width: 39 1/2" Maximum Heat Output: 50,000 BTU/hr. Chimney 8"High Temperature Depth: 2'8 1/2" Clearances of Cabinet- To Wall Studs: 1/2" Visible Front.-41"W x 34 1/2"H In the Interest of constant product Improvements,we reserve the right to change specifications without notice.Before installations,please read Installation Instructions and check all local Building Codes.CDN Patents:1 284 765,1'284 766,1 284 767,1 295 899.U.S.Patents:4 838 240,4 838 241,4 909 227.*Patent pending. YOUR VERMONT CAST/NGS DEALER Vermont Castings, Majestic Products The Fireplace Ce' 410 Admiral Blvd. 23 nterr, Inc. Mississauga,Ont.LST 2N6 { �n Route i25 Tel: (905)670-7777 www.molesticproducts.com gStO1T,NH Fan:(905)565-4690 www.vormoonkastings.co.w.. ft)642-Begg 2000-1056 05/02 Location '`— No.``w Date NORTN TOWN OF NORTH ANDOVER + ; : Certificate of Occupancy $ ;�s'•^°'Eta Building/Frame Permit Fee $ ACNus Foundation Permit Fee $ Other Permit Fee $ a TOTAL Check # q► Lt ? 17858 `� Building Inspector V40RTH ,,.- Town of Andover 0 ?�, :..N.� �. No. c3 ,CJ -_ dover, Mass..,- to 0 LA COCHICHEWICK ORArED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.............................. . ..................... .................................0W� ... ....................................... Foundation has permission to erect........................................ buildings on...11.3......0..... .............................. Rough to be occupied as 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS S...... ... .............................4d. od.-.0kreas.4.16.10.................. . ervice BfffLDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. SEE REVERSE SIDE Smoke Det. 79 WOOD STOVE INSTALLA 1 ION CHECKLIST Ft= .JJI� (JU: 3 • cH©N�F'�K KI�f �l�� -�58-io �� 13® 1-15A 4,4ivc Al ANCIVVE- 2, MA- ' ©f S45 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 stave construction. ' ;.l Stove ..i' A. New V ES Used t%I►2� �iZIGI� '' B. Type/radiant'F(feFLACC- IN j4Xf 5U p Circulating C. Manufacturer V(-'IMORT r-AST ING S Lab.No. Name/Model No. 0002OBp WINTSE tntA0N( g `n�tTa size Dimensions/Height 2 t �4 Length 2 Width Chimney A. New E:cisting B. Size(flue area) C. Other appliances attached to flue(Number and flue size) No 0. Prefab(Manufacturer--name and type) E. Masonry/Lined Flue liner y `✓ Unlined IYp•A manutactursrl F. Height(refer to diagrams) 1-\076�. 3 ri dN _ ?I t7lT>� cap i IZ'r MIA. OVER, Ic �- 2 MIK 3'MtK o Ic' �',•11r1. 1 — ,MIK n HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials B. Sub-floor construction C. Minimum dimensions(refer to ciacram) Clearances and Wall Protection),see stcve installat.cn c!e_rances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) FIREPLACE "" '"bCRI'IER WALL/CENTER. i SPVILLE INSERT IMM Dimensions: OF _ �ti• Width: 29" (749M.) Specifications:Seville Model Depth: 28" �'. 'B� Log Length: 18"logs (front of ash tip-rear shroud) p291W _. 10( TOP VIEW 489Mm' Burn Time: Up to 10 hours Height: 24" e (356mm) Heating Capacity: 750-1,320 sq.ft. Surround Size: 40"W x 30"H { � Maximum Heat Output: 30,000 P Minimum Fireplace Dimensions: +0' Efficiency Rating: 63% Width at face: 29" (25+ EPA Emissions Rating' 4.5 grams/hr. Width at 18 1/2"depth: 20" Weight: 420 lbs Depth: 19" Loading: Front Height at face: 24" {'003..) Chimney connector: 6"diameter Hei9 ht at 18"depth: 21" Chimney flue size: 6"minimum Flue exit position: top Fireplace Clearances(masonry fireplace) (62'&—) Primary(,e,'mm) Primary air: Manually set, Mantel: 39" (s22h. thermostatically Top Trim: 39" ,eIL3 7maintained Side Trim: 21" Conveniently Located Floor Protection (with completely non- Controls: Air inlet shutter combustible surface)extend from front SIDE VIEW FRONT VIEW settings-High/Low door opening: 16"in US/18",in Canada. WINTERWARM SMALL INSERT Specifications:Small Model Log Length: 18" Burn Time: 6-8 hours Heating Capacity: 5000-1,000 sq.ft. ;•,� j Maximum Heat Output: 30,000 BTU/hr. Efficiency Rating: 79% FL EPA Emissions Rating: 2.0 grams/hr. Weight: 275 lbs 00, I' mm Dimensions: Visible Front: 26 1/2"W x 21"H Minimum Fireplace Dimensions: Height: 21 1/2" Width: i : y261/2" FRONT VIEW SIDE VIEW TOP VIEW Depth: 15" Flue Collar Size: 6"oval WINTERWARM LARGE INSERT F Specifications:YLarge Model Log Length.. , 24" ------ ----4r(1040mm)-----_-._._..= Burn Time:p,;. Up to 9 hours Heating Capacity: 750-1,500 sq.ft. 133/4• Maximum Heat.Output: 50,000 BTU/hr. (350 mm)� Efficiency Raying: 78.3% yre' EPA Emissions Rating: 2.1 grams/hr. (200 mm) Weight: ( 475 lbs 29 1/4 , (740mmj 233/4• Dimensions ( (630mm) Visible Front.,, 41"W x 30"H is�re Minimum Fireplace Dimensions: 1 ( (400mm) Height: 24" •;; Width: 34 i — II • '_II Depth: 19„ 25.12'(650 mm) f". (470 m) Flue Collar Size:. 8"oval FRONT VIEW ':SIDE VIEW WINTERWARM FIREPLACE SYSTEM- Specifications: Fireplace System Model. (Specifications'some as WinterWarm Large) Log Length: 24" Efficiency Rating: 78.3% Cabinet Dimensions: Burn Time: Up'to 9 hours ;EPA Emissions Rating: 2.1 grams/hr. Height: 59;1/2' Heating Capacity: 750- 1,500 sq ft: `Weighti`:. 840 lbs Width: Maximum Heat Output: 50,000 BTU/hr. `","Chimney 8"High Temperature Depth: 28 1/2" Clearances of Cabinet: To Wall Studs:"1/2" Visible Front 41",W x 34 1/2"H In the interest of constant product improvements,we reserve the right to change specifications without notice.Before installations,please read Installation Instructions and check all local Building Codes.CDN Patents:1 284 765,',1'284 766,1 284 767,1 295 899.U.S.Patents:4 838 240,4 838 241,4,969 227.*Patent pending. YOUR VERMONT CASTINGS DEALER Vermont Castings, Majestic Plroducts The Fireplace Center 410 Admiral Blvd. ! P ' ;... 1 Inc. �) 23 Route;; oute;i 25 y Mississauga,Ont.LST 2N6 r ., Kingston,Tel: (905)670.7777 www.malesticproduds.com ,1 " StOR NH;6380 1 Fax:(905)565-4690 wwwvermontcostings.com � 2 l L a� 2000.1056 05/02 ,, �•� a ati �d