HomeMy WebLinkAboutMiscellaneous - 25 STONINGTON STREET 4/30/2018No�/ L c ..f ... Date.... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING Thiscertifies that ........ ...... ................... .............................................. has permission to perform ...................... . .................... wiring in the building of ..... ............. .......... ..................................... ai, ...... .............. ....................................... .............. North Andover, Mass, I ....... Lic. No ... ... ./ ELECTRICAL INOECTOR Check # fr WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1110 UU1V 1V1VLVi r.4L1J*1 up JVLgkX 9LnVL J 13 uttwo use uwy DEPARTMEVTOFPUBLICS4MY Permit No. G rEl f BOARD OFFIREPREVEW0NRWUMTI0AS527CMR120 - Occupancy &Fees Checked I UVAPPUCATIONFORPERW TO PERFORMELEOWCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 ! (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat4 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)p'Z 5 STOA/ IAI G--,, iAj S:7-- Owner or Tenant 1,,q pip a o, Owner's Address ON Is this permit in conjunction with a building permit: r Purpose of Building IR i ff "JYI iL �J Existing Service 16 0 Amps/,20/g dolts New Service Amps / Volts Yes [7TNo F] (Check Appropriate Box) Overhead �✓ Underground Overhead I�Underground y Authorizatti N aNo. of Meters No. of Meters -'P- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work dP-, A/ f At-rS No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and E3 ground No. of Receptacle Outlets O No. of Oil Burners No. of Emergency Lighting Battery Units No. If Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Connections Other No. of Dryers r� L- Heating Devices KW No. of Water Heaters21-KW No. of No. of Signs Bailasis No..tiydro Massage Tubs No. of Motors Total HP OTHER Ir>StranoeCove� Rasttant9�thetagt»arla�lsafTvF�d�Gena�alLaws Ihaw aamaitLiability hmmxePbbcybldigCar#1cle C vwWoritsstbstff oWivAnt YES NO ffMesthmiltedvatidptoofofS81Wtothe0lfi= YES ff)whavedWWYES, pleaseitdiatethet peofom ebydtakirgthe wsURA1vCEBOND 01T -ER F-1 ) - 2DlU ..r. 1. I':'1 Expiratim Dale E8t1m*dVakxdE1edncalWcik $ Rwgtt W e, Frei CJ , t- C,4 (-C.- FIRMNAME Lix>SeNa Lkarsw , A l—fY—y1/Is I / I VTntg Signa n LioenseNo - 3 ��T�---- BmiressTel.Nag. 6/� AkTeL �r%� gg 1 �% OWNER'SINSURANCEWAIVER;I.ammmthattheLi=w theit>stramewmrVorilswbsontialeWrivaientasm*redbyNImmdn&Cmi3alLaws and dx tmysig s-aift pelmitappficaficnthis tot�t>ad. (Please check one) Owner r7 Agent Telephone No. PERMIT FEE $ � , �✓ 4 Date .. A . l' &7 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that ..." fl .... -::� !:... . his permission to perform-.,:-�.-- ,�--,-'>: plumbing in ,the buildings of .. ''..................... . at•:- F�� :�'--' '' `��I-,' '.. �?..... , North Andover, Mass. Fee. ..... Lic. No..�6 .-telr`�'.......... . P,LUMB�G�JsfYSPECTOR Check # �'� "" 4"( 1 6, 9 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building I New ID 1 Owners Name G2qZURj coo6h M Renovation S__ Replacement ED FIXTURES Permit # Amount Plans Submitted Yes M No 11 (Print or type) Check one: Certificate Installing Company Name—A (`('(� Corp. Address �'©` k Z2� Partner. Business Telephone ��7$ �Sl� ® Firm/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the type 9f insurance coverage by checking the appropriate box: liability insurance policy Other type of indemnity ❑ Bond ❑ 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 ignature Owner F1 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 Permit Issued for this application will be in compliance with all pertinent provisions of the M 5 e PluumbMing Cod�nd Ahapter142 of the General Laws. By: igna o icense un ��' Type of Plumbing Li Title c` c) 7 D_ City/Town License INIumoer APPROVED (OFFICE USE ONLY cense Master 2 Journeyman .....................�--- (Print or type) Check one: Certificate Installing Company Name—A (`('(� Corp. Address �'©` k Z2� Partner. Business Telephone ��7$ �Sl� ® Firm/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the type 9f insurance coverage by checking the appropriate box: liability insurance policy Other type of indemnity ❑ Bond ❑ 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 ignature Owner F1 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 Permit Issued for this application will be in compliance with all pertinent provisions of the M 5 e PluumbMing Cod�nd Ahapter142 of the General Laws. By: igna o icense un ��' Type of Plumbing Li Title c` c) 7 D_ City/Town License INIumoer APPROVED (OFFICE USE ONLY cense Master 2 Journeyman Date...... .... ....... . TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that ..... ................... ...... haf permission for gas installation ............. in the buildings of .............. ....... ........ at North Andover, Mass. Fee .... Lic. No. ......... ..... ........ GAS INSPECTOR Check # MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New ❑ Renovation Replacement Date --.0� Plans Submitted ❑ Permit # Amount $ (Print or Address P© Coit Zn �,ak5h.�-J ma, p►�,� to Name of Licensed Plumber or Gas Fitter R l C),-- COVERAGE L_I one: Certificate Installing Company Corp. ❑ Partner. 0irm/Co. I have a current liability Insurance policy or it's substantial equivalent. Yes ®/ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certity that all ofthe 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 application will be in compliance with all pertinent provisions of the Ma§saslu setts State Gas Code and Cjtapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter [EkPlumber L DO-ID- GFitter License Number ,asaster Journeyman e Location '� JA' v No. t� Date A` J, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14-60 f 9 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH^ > A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: a Al I DATE ISSUED: 8 SIGNATURE: A A G640410• Building Commissionerfl for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Am Parcel T4um6er 1.3 Zoning Information: 1.4 Property D' ensions: Lam- .�- �=��w'1 Zotiin District Pr osed Use Lot Areas Frontage, ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record n; e (Print) Address for Service W'd ),,t1,111yA V Telephone 2.2 Owner of Record: 6,-u -2 C f J /'1/de.2LC:Swiz -3 J NaMe Prin Address for Service: i 4tu`re Tele hone SECTION 3 - CONSTRUCTION SERVICES 31Licen;ed Const ructio Supervisor - I Not Applicable ❑ 1 �s c! c 0 G (7 L Licensed.'.;� nstruction Supervisor: r / �� L L'Sx = License Number Ad/des / l✓ � / i CJB Expiratio D e 'Signalture t' MAphone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Tele hone 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 b ildin rmit. Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Descri tion of Proposed Work check all licable New Construction 0 Existing Building q Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: 00A(S i /� S1/] L og . I SECTION 6 - ESTIMATED CONSTRUCTION COSTS 1 Item Estimated Cost (Dollar) to be Completed by 2ennit applicant �`,�` , tlE IAi. y4 'v USE UNIT>f d ,h aL 's 1. Building �O 0) (a) Building Permit Fee Multiplier 2 Electrical J �U v (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 OWINJER AUTHURUAl'10N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 SECTT 7b OWNEWAUTHORIZED AGEPT DECLARATION I, as Owner/Authorized Agent of subject p erty v Hereby declare that the statements and inf ation on the foregoing application are true and accurate, to the best of my knowledge and belief Printame /I 1.)C-11 / S3gfiati>f OvJtf�r/Agent' / Date / / �4 = The Commonwealth of Massachusetts { _ s Department of Industrial Accidents ` Office of Investigations r 5:' Boston, Mass. 02111 sr: Workers' Compensation Insurance Affidavit Please Print Location: % Ci I V /, o ue(� Phone �7 ysel0Elam a homeowner performing all work myself. -- F-1 I 1 am a sole proprietor and have no one working in any capacity ff]-I m an employer providing workers' ccnl pensation for my employees working on this job. i1 r — Address �T hi /N City: T` -A 0 ZA) Phone 7-5aa —D5,J-7�,� Company name: Address City: Phone #: Insurance.Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify Print provided above is true and correct. Date Phone# Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone FORM WORKMAN'S COMPENSATION E] Building Dept p Licensing Board p Selectman's Office F� Health Department n Other Town of North Andover ¢ ,,aRT),0 rut 16 A. Building Department -r'� y '- " Y° o o 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 0 <- . ACHUSS i DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a. condition of Building permit-# the debris resulting from the work shall .be disposed of in a properly licensed solid waste disposal facility as defined byMGL cl 1, sl 56a. The debris will be disposed of in /at: 11 Facility locati6n 1 .., signaMrb bfA.pplicant 1*0 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Cl) m C/) 0 m N! CDz O O ar d d O r•r C2. acm -00 o p a� cr � d CD O C= O CC CD CA Er d O CO) Cl).70 0 CO) IM 0 co O r•M 0• CD a, y CD CA O CCD 0 CD c ?- 0 m = O _•y O Q' H Oa O am 1 y ::am n m Cl) O r„ c') 06 � m CD Z 0 CD m CL = m CID O m y 0 y O :E c :X) � Coo O co Wo O N• C') C=D -oCll A n = CL 0Cn Q ;my:� r b CD d a m I r, CA n m r: 1� d = ray JC V! 06 �:A)Q L..LJj d C — n Ea ►n�.a �Q m H y Q O C m�:� PL OcaCD z a W 0 C4 3:L. CD :Z .+ JoCD:�'Z to :0 o ? ' 1 CD : f� d d� a - 11 0 f � e �q o 7 w o b y w 0 x r" CA w 0 x 'ti b t� w 0 �- CL ' wr cn !j x O O x my F rA 0 c Location c,9,3 —0 57 S��u � No. 06 l Date b-6- o l NpRTh TOWN OF NORTH ANDOVER Oft.•c .•,y0 ' Certificate of Occupancy $ _ 's''••°' Eta Building/Frame Permit Fee $ sAtMUs Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ Check # J 14637 �w (6, Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATIbN TO CONSTRUCT REPAIR, RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING °� x. • ate, BUILDING PERNRT NUMBER: /`- j DATE ISSUED: SIGNATURE: Building CommissioneEinsector of Buildings Date lLl lIlVl� 1- Jllr, 1NrUKN1Al1U1V 1.1 Property Address: 1.2 Assessors Map and Parcel Number: S 'l oGJiA)(,) Map Num Parcel Number C�) 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (so Frontage, ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqwred Provided 1.7 Water Supply M.G L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Repord(I , ( j AS 57 N m (Print) ddress for Service A tore Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ _�2�JGtCQ We I CL Licensed Construction Supervisor: ---)072 b t � r A V19L SEX S "% /ted ! �J,), License Number Ad^s Expiration at Sig re (Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (XG.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) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify. Brief Description of Proposed Work: !� Q GAL-1� ETC 1 f L t� �A)10 C - o) /SIAL-L� .157— ,ELc ±-o C 0M1 -10A) �1 LZ -- SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to beF Completed b ermit a licant.-.,. II a {�IC 2ND X &d "K" 'fK•! g y 3 "i USkflNLY° az t S Z' h ti�'"°`y �..x �#k�a,=,V. 1. Building (a) Building Permit Fee Multiplier 6 f� 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 AUTHOMZATfON TO BE COMPLETED WHEN -T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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, G (!fl C( 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 (—,-, , t' 'tJ tel/ Print e L�11--1 Si of A e nt Sig Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS IST 2 ND 3 RD SPAN DIN ENSIONS OF SILLS Dl]vIENSIONS OF POSTS DIN ENSIONS 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 r • 1 85.01, ? 1� ®V LT 7-2 wr rr) �ToN�I►.�cTp0 • r now curer no ria �o �NDo�� p� mr ria pl.Ea' M. LO in w ria Lor As =IN AND nUr 1r Dors COX"" wrri 1=7&,4 OP LWANCbyeaoMj; MCu1/rron RBGOWD sa mcm !'Rom Mars & Lor L ns.n 1 xmrHm QaRrI" rms �6.4,., Is Nor LOCAraD IN _ LooD HAZUW ARBA Is SioIN ON: PANEL f25oo9e �3c sraP Ls. Nor FOR BOUNDARY 1�ilrlON. Boumwr mpomhoN e97-1 PLOT PLAN !N DRAIPN POR E C -V E 1.4j 6 L � 1� MMMACK ENCIMCRJUNC SaRVICas IN PARK srRBar ANDOVER, mAssACNflsRrrs oiaio b W cz tP :�. u ci v ) chi A G w° U cz w W `� a m w a W w ' cn is w F ' ro a cn o cn :�. c c c O .:O N + C ' O •ate . :ac A A L 2� 0 �4 :.., c :,. w a� N O u m c� E O � C N N N ; 00 N c O C t N O \: E m R M�CD m c t t O Q cm cc Cs ._ O a y c = m mom„ 3o N ~ ~ N m m ti �O• CO r0.. ev = W M r = L r .... c oui •E C Cj N 4D � eon Q y a mC.3 w-0 a m • m 6 O M U . CC W w w Cl) i Location 2' No. Date J� 61 vi k 4 - TOWN OF NORTH ANDOVER' Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit WFU $ : 0 Sewer Connection Fee $ M Water Connection Fee $ TOTAL $ Building Inspector 8530 Div. Public Works 5 W� PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGT. 1 MAP 00. LOT NO. I 2 RECORD OF OWNERSHIp—IDAI'E BOOK 'PAGE ZONE SUB DIV. LOT NO. LOCATION ^ _ `^'L� 5 �@�ti3��C7�� ` PSE OF BJDU4G L PURPOSE Aller/ z- If Xi 07 ney /or coop 51614E -7S OWNER'S NAME J0� ``� 1 j� CA/IDN / �&-ToN' NO. OF STORIES SIZE cT OWNER'S ADDRESS 5 -r0vN/NG -S7- ( BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME S7-oUL! S' l PPa6 ri�u'r SPAN DIMENSIONS OF SILLS POSTS DISTANCE TO NEAREST BUILDING/ DISTANCE FROM STREET DISTAN�E FROM LOT LINES - SIDES REAR f� GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUIL0IN23 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 18 BUILDING CONNECTED TO NATURAL GAB LINE SEE BOTH SIDES INSTRUCTIONS fl PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 1 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P ,AN$ MUST BEFILEDGA�ND APPROVED BY BUILDING INSPECTOR tl //DATE FILED 6 - / (- �� ,t i ATUR6 OF OWWfk OR AUTHORIZED A ENT i FEE + PERMIT GRANTED 3 PROPERTY INFORMATION LAND COST -EST -BLDG. COST 000o. 00OP EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY � OWNER TEL. # CONTR. TEL. k CONTR. LIC. k H.I.C. # As�;l ('-� 'i� ,, � 0 3 ! ��� z j t � iF s �, }ksx , ' ` � �` I �y}fir b��ddc �D' �� ���N •1 ,� i � .� � ! r 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. Typetradiant °� Circulating C. Manufacturer 1 EN RL)19 K Lab. No. Name/Model No. 1-_A1 02 (:360-A)7 Collar size Dimensions/ Height a 3 Xa3 aLength Width Chimney Z . A. New�.r�� 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 Unlined type 8 manufacturer) F. Height (refer to diagrams) cap w�R IGS 4 11t )'�• n1 X �-- CHIMNEY HEIGHT Hearth (non-combustible) A. Materials B. Sub -floor construction C. Minimum dimensions (refer to diagram) Clearances and Wail Protection (,see stave installation clearances chart) A. Type of wall protection provided B. Clearances (refer to diagrams) FIREPLACE CORNER HEARTH WALL/CENTER 13 a Everybody benefits with E.P.A. approved stoves... If your experience with wood burning in the past has been limited to stove designs such as the "Franklin', you're in for a pleasant surprise. Technology in stove design has advanced more in the past two years than it has in the previous 100 years. The primary reason for this has been the growing popularity of wood heat for home use and the subsequent negative effects on the environment of poorly designed and improperly operated stoves. Workhorse Among Stoves The 380-96 stove was created with a genuine concern for our environment, and the goal of meeting the challenge of building superior products, in mind. The technical break-throughs achieved by LON have generated higher efficiencies than ever thought possible just a few short years ago. Weighing in at over400 pounds, this large stovewas designed towork where heavy-duty heating requirements exist. With cord wood, the high-tech combus- tion system delivers up to 71,000 B.T.U.'s an hour.*; Crlelat Derverg . This stove delivers up to a ten hour bum time, and the generous 1.9 cubic foot fire- box will hold a 23 pound fuel load of 18" logs. The 380-96 can also utilize outside air for combustion and has a reduced clearance to combustible surfaces which requires less floor space. The 380-96 is approved to be installed in alcoves, mobile homes & new construction with outside air. The pedestal option offers a contemporary ap- pearance and serves as the duct for fresh outside combustion air to the firebox. Clear Concern Another benefit of cleaner burning stoves is reduced creosote. Because the strin- gent, new E.P.A. laws require stoves to bum cleaner, our High -Tech models bum the fuel so completely that there is little left to be deposited in the chimney system. Everybody wins with cleaner air and im- proved safety. This heavy-duty stove is one of the safest and most fuel eA"rclent stoves ever built. **BTU output will very depending on wood size. moisture content of the wood. wood type, chimney draft and oxygen supply. Heating Capacity subject to variations due to wood type. relative moisture content. floor plan fi degree of home insulation. 0ORTel tA 4n CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date —0, 0Q THIS CERTIFIES THAT ME BUILDING LOCATED ON c:2 31 O's- (S 440 (U / 4.), 94 a 4) . 's �J)MAY BE OCCUPIED AS L) je e- //I lb IN ACCORDANCE WITH THE PROVISIONS OF THE MXSS) CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO S'IA'FE BUILDING a�efxa^ol &e /e � ---n/ae mIr-IdTsell, S4> Building Inspector Cf) C m C/) 0 H CDZ CD O ar O d a .0 .p O o p CL cr "_ CD O .. _: .3: po toCD CO) co a 0 7 i-� COD CD CCD CO) CD 0 �bl CD 0 CD B s. CK O Qy OHO �.a N2 = mn c7 cm Z ti m a d a. = ?= N _I Co 0 CA -4 O m y O y O"'o : --4 CD y:�I� O'o b 3 ►� �y� rp i� cc o S a : 0 C/) CD T 'b .off r� a r 0ell, z ce O C y lz 0 oD .DO -0C *.%H Srm oA CA C, IDCOD Cl CD O ® � o i7� 1v ZC=Dro cn i J0 z. cn CO) o cnU. r: Pl. 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