HomeMy WebLinkAboutMiscellaneous - 31 SUGARCANE LANE 4/30/2018 (2) 31 SUGARCANE LANE i
210/106.A-0242-0000.0
.Cunningham Lindsey U.S.,Inc.
P.O.Box 703689 Cunnn loam
Dallas,TX 75370-3689 Lindsey
Telephone(888)738-8714 Facsimile(214)488-6766
CLCAT@CL-NA.COM
********************AUTO**3-DIGIT 018
796 T3 P1 95000058986
Building Commissioner or
Inspector of Buildings
120 MAIN STREET
{ NORTH ANDOVER,MA 01845
_Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS Ch. 139, Sec 3B
Claim Number: 2518304
Policy Number: 2518304 08
Company Name: MERRIMACK MUTUAL FIRE INS
a) Cause of Loss: ICE DAM
LO
CD Date of Loss: 2/18/2015
Insured: GARY& CHRISTINA COLELLO
CD
Property Location: 31 SUGARCANE LN
Claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it
to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss
and claim number.
Section 313:.No insurer shall pay any claims(1) covering the loss, damage, or destructions.to a building or
other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or
destruction of any amount, which causes the condition of a building or other structure to render section
six of chapter one hundred and forty-three applicable, without having at least ten days previously given
written notice to the building commissioner or inspector of buildings appointed pursuant to the state
building code, to the fire department or arson squad of the city or town and to the board of health or
board of selectmen of the city or town in which the same is located. If at any time prior to the payment
the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to
perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or
section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not
be made while the said proceedings are pending; provided, however, that said proceedings are initiated
within thirty days of receipt of such notification.
Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and
forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall
extend to and may be enforced by the city or town against any casualty insurance policy or policies
covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were
initiated.
No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or.other interested
party for amounts disbursed to a city or town under the provisions of this section, or for amounts not
disbursed to a.city or town under the provisions of this section.
On this date, I caused copies of this Notice to be sent to the persons named above at the addresses
indicated above by First Class Mail.
Cunningham Lindsey
Catastrophe Department
cicat(@cl-na.com
800-867-3885
Location ^� -�✓�� -��--� �'^- --
No. - Date
NaRTM TOWN OF NORTH ANDOVER
Certificate of Occupancy $
# Building/Frame Permit Fee $ -�
Foundation Permit Fee $
s�cMust
®p ®, Other Permit Fee $
� � � v� QQ1�;QZ0 Sewer Connection Fee $
NQS Water Connection Fee $
TOTAL $ /� 0 C}„
I4- t' 96
11'b", //.t"L
Gg Building Inspector
Div. Public Works
`i Location_.
,.. 'No. .`'�1 b
6-7 Date
NORTH TOWN OF NORTH ANDOVER
p Certificate of Occupancy41
'Bid
;
'Bfi�ir j/Frame Permit Fee $
�i�s', ,�,\j� �attiion Permit Fee $ �--
�QR�� Other Permit Fee $
Sewer Cnection Fee $
WieJeruonnection Fee $
TOTAL n $ O
` ../r4rX.AI
J ^ Building Inspector
_ Div. Public Works
Locationf
'No. � .) �V Date
r°"'" TOWN OF NORTH ANDOVER
I Certificate of Occupancy $
Building/Frame Permit Fee $
SJA Foundation Permit Fee $
rHq ,O�YPermit Fee $
FA�4, nnection Fee $
QQ
Water CbTinection Fee $
QFC NOTAL
Building Inspector
Div. Public Works
X354 ` __�
Location
J
No. t Date /-Z
i
s `
NORTH TOWN OF NORTH ANDOVER -
` O��*` O '•,D'S'O
•O? w... _ • O.
Certificate.of Occupancy $
* ; ; Building/Frame Permit Fee $
dation Permit Fee $
Permit-Fee $
s -
Sewer Connection Fee $
Lip� 8� ,►ater Connection Fee $ .
, TOTAL f $ Ola, Uy
✓� 1 f r 1 Buifding =�i
2 d f 1 l Jai
Div. Public Works
PEA311f 11Yfl U �._ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �` PAGE 1
MAP d40. /G� � I LOT NO. a Z 2 RECORD OF OWNERSHIP DATE BOOK PAGE —
ZONE SUB DIV. LOT NO..n
LOCATION PURPOSE OF BUILDING �� s .T' n A Q
OWNER'S NAME %Ic/JI$,/•/7� i1 / NO. OF STORIES SIZE 5pFf Y b
OWNER'S ADDRESS/ (�f dtlJ., / f�.�/ c.rJ �r� OR SLAB
ARCHITECT'S NAME 7 ✓7J !'� (,,,� C OF FLOOR TIMBERS 1STof.^^f lK/o 2N //
0_> 3RdKA'Klo
BUILDER'S NAME ///I/ /fes ��vL_ _ SPAN /J "
DISTANCE TO NEAREST BUILDING 7� ! DIMENSIONS OF SILLS ,y>,6
DISTANCE FROM STREET tSy,�y POSTS
DISTANCE FROM LOT LINES-SIDES ?2 REAR L� " GIRDERS
AREA OF LOT ,5/� J / /J FRONTAGE 15o '' HEIGHT OF FOUNDATION ! THICKNESS
IS BUILDING NEW J (�1 G SIZE OF FOOTING !'J� �(' !I/ �!
IS BUILDING ADDITION p MATERIAL OF CHIMNEY �.L.k-
IS BUILDING ALTERATION N b IS BUILDING ON SOLID OR FILLED LAND 50L,
WILL BUILDING CONFORM TO REQUIREMENTS OF.CODE `/PL IS BUILDING CONNECTED TO TOWN WATER y p/
C
BOARD OF APPEALS ACTION. IF ANY ,1`U 7 / IS BUILDING CONNECTED TO TOWN SEWER !V0
IS BUILDING CONNECTED TO NATURAL GAS LINE .,05.
e
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST `�4J�Irr-ffll
L SEE BOTH SIDES a � 1� o EST. BLDG. COST Vow
PAGE 1 FILL OUT SECTIONS 1 - 3r'c gyp+- ^� /� EST. BLDG. COST PER GQ: FT.
PAGE 2 FILL OUT SECTIONS 1 - 12
DUE li EST. BLDG. COST PER ROOM
t o r Q D SEPTIC PERMIT NO. �-7-
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING c, 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPRO ED BY BUILDING INSPECTOR
DATE FILED
99
BOARD OF HEALTH
i SIGNATURE OF OW b THORIZED AGENT
S
FEE D
PLANNING BOARD
PERMIT GRANTED OWNER TEL.#_ fv7 �7
CONTR.TEL.# 6�7 ' �Z
19 CONTR.LIC.#-42_T
is
BOARD OF SELECTMEN
nFT - Q 1992 BUILDING 1 iPECTOR
1
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES 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 _ 3 1 2
CONCRETE BL K. PINE
BRICK OR STONE P
PIERS PLASTER )C
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
1/. FIN. ATTIC AREA _
NO B M FIRE PLACES
HEAD ROOM _ MODERN KITCHEN/
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING — HARD+'J'D _ F.
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR
BRICK ON FRAME I �L '� L�+ F.a -14,0
CONC. OR CINDER BLK. _`• r �
STONE ON MASONRY WIRING
STONE ON FRAME `
SUPERIOR POOR
ADEQUATE I NONE \
5 ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBREL MANSARD -TOILET RM. (2 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR 8 GRAVEL STALL SHOWER L
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPE LES$ FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. S COLS. STEAM
STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS )r— AIR CONDITIONING
RADIANT HJ'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T2nd ELECTRIC
13
rd ' \ NO HEATING
., c
r
FORM U - IAT RELEASE FORM
f,
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 local or state law,
regulations or requirements.
****************Applicant fi is out this section*****************
APPLICANT: Phone 66
LOCATION: Assessor's Map Number 14(i4 Parcel ��y
Subdivision Lot(s) 3 j
Street St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
D_.. Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Totrfi Plan er Date Rejected
Comments
�,Z�C/&Alej Date Approved
Health Agent Date Rejected
Comments
i_
Public Works - sawee-r/water connect ionsiur I` ,ljP �� l'2' 11✓r
— driveway permit ?erM: t�yu d bit f10tyP h Acao Cy u <� `�l'��q2/gl[C
n
Fire Department
i Received by Building Inspector Date
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r
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.� G_�..�c.-r-'i F=y'T"C �-11�'i' _ c� F=��.+c. i"'��•-. =��•�i c,�,..a�� A�' F .... � 1
� .=.'..r"`5-1 e._�.+�1 R.r ��.c�t.rS�r{•r`wi C7�._bt..r"z'. C+w:..;L? �a c.3�..4•.t' 1..7�.�. l S ' �"c✓ '
Vj rr -( "Ttf Zot�tte.`G �ET t rldw.t fiiC� lc�►�J p �c�+ 1 t+ ac,`y
Cc+�,Fb�,rrt rry' �+�� ! ic,►�� Gor t�n� TY o y
c--r tit S r
A�_ 3
- _• NORTH
C of over
No. j�
o ortul) dover, Mass., 19
RATE1)
'9S H. BOARD OF HEALTH
Food/Kitchen
PE RMIT T LD Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT. ..................................... 4 ...... .....0....... Foundation
has permission to erect.l�Jo.Olr' .. uildings on . .. �i�.M.. Rough
to be occupied as•.IAfd....... ....�.. ...... .....�• Gold �/� Ch
imney
provided that the person accepting this permit shall in eve respect conform to the terms of the ap carrion on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration an C st uc i of
Buildings in the Town of North Andover. PM1 FOR PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGII1=BYMK IMS& &C% Rough
PERMIT EXPIRES IN 6 M — FEE PJUo• o� Final
D
UNLESS CONSTRUCTION STARTS � ���' U v ELECTRICAL INSPECTOR
Rough
PERMIT FOR FRANIUBUILDING
Service
BUILDING INSPECTOR Final
DATE: 4 FEE PAI �Z:: d o c�
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
PLANNING FINAL0//?6_ CONSERVATION FINAL street No.
1 3 f ls� Smoke Det.
SEWER/WATER FINAL D.� � ,� DRIVEWAY ENTRY PERMIT
F7 r"'rr`1 c
(WFICHS O1.: Town tIl
lillll.l)IN(o 111( R'I'll �1►I11DONTLlt r.(�►II► :�►��I��� �..,.
:.. :�� t,l,��;�.�� F►►► ;c 11 ;►.,irt•I!;
(:ONti)-I(VjVJ'ION \""" � IJIVIMIIN(IF (lir il.lifi!i•iTi!i t
l�i.i\NNINtI 111,ANNING Ltc (;t)111f+11!Nl'1'1' t)1's�'lsi,t)l'I111 N'1'
KAI f", 11.1'. NJ:l,ti( )N• I )Iltla:l OIt
CHIAINEY APPLICAIIOIJ ANO I'03111'
'ATE. --J'---Ji
1�LIirII'r. #
OCATION ,e_ ��
LINER'S NAME. ����
JILDER'S NAME:
kSON'S NAME: ,
4SON'S ADDRESS: %� ��.�ULTj i� LrJO �✓>��. .✓��i�;
SON'S TELEPHONE:
krERIAL OF CHIMNEY: e,,f alZ21
ITERIOR CHIMNEY: — LXI LIZIOR CIIIMNLY:
IMBER AND SIZE OF FLUES:
IICKNESS OF HEARTH: �'•
iU cllutlney alt. OiupCnce con( un •tv 4ILe u( -VII curie Mid Il(IVe AtI1123 (111(1
igutatiom been aeeeZved: --
ITE:
GNATURE OF bfASON: —,
=RMIT GRANTED: -- 1"EL
)BERT NICETTA
1ILDING INSPECTOR
,Z4
ISPECTEO:
:MARKS:
SOLID BLOCK I1LQU11tE1)
THIS PERMIT 1.IUSF 13E OISPLAYLO 014 1HE I'RLAIISLS
CERTIFICATE OF USE & OCCUPANCY
Town Of North Andover
Building Permit Number 556 (1992) Date JUNE 11, 1993
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 31 SUGARCANE LANE (Lot #35B)
MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/GARAGE UNDER IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TOHillside Develo pment Corp.
�? •``� °� 4 Roach Circle
ADDRESSReadin MA
�s$'`""" Building Inspector
i
; R � fi
Town . of , Andover
O a f:aV w
No. 5
0 4 Tor ,h Andover, Mass., 114A�
ADRATED
H BOARD OF HEALTH
Food/Kitchen
PERMIT T I... LD Septic System
BUILDING
I ING INSPECTOR
...
THIS CERTIFIES THAT. �� . .....#.0..vf.......?1.4...it...As.......k.u.n....... Foundation
has permission to erect.. .. moldings on .. 5.. �/�i�.M..I 1r Rough IJ(- 3WSU
to be occupied as.s.� ......... (fL� �.
provided that the person accepting this permit shall in everl respect conform to the terms of the app lca ion on file in Fina _ )C
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration an C st uc i of l�"
Buildings in the Town of North Andover. FINFUU11=1PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. R 1MS& M. RDllghn
PERMIT EXPIRES IN 6 IvMCbkjfFUND/ d, �►
�T�-�-•� �„ �j D• U C� ELECTRICAL INSPEC
UNLESS CONSTRUCTION �--
Rough
P�M1 R FRAMUBUILDING BUIL `
TFO
.... ,..:.. ... ... .... ..... .. ... .: ..... ....INSP......ECTOR................ Service
ll DING
DATE: /_IL23 FEE PA Q--- �2-' V Final
UcatpC ncy Permit RC'qt1red to Occ-ttpy PLtilIdirlg GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove IF ga Z.
h
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
&—/ _93 Burner
'Q3 Street No. (� .JL
PLANNING EFINA 2 CONSERVATI01�• FINAL
�
r
�� 1 / I� SSmoke Det. Z�j
SFWFR/WATEF eI lI INAL , ' l, DRIVEWAY ENTRY PERMIT O C
r
l
Location
rNo. f S9/.// Date
NORTH TOWN OF NORTH ANDOVER
c ...., o0
� p Certificate of Occupancy $
` Building/Frame Permit Fee $
Foundation Per $
s�cHuse
Other
Sewer Connection Fee
Water Connection Fee $
TOTAL $
Building Ins ecto r
7 <oo PAID
' Div. Public Works
PERMIT NO• v +� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP a10. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK iPAGE
NE SUB DIV. LOT NO.
LOCATI.ON. s3 iPURPOSE
v''01 ER'S NAME !i✓l �f�n O�l,ry NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME JJ J SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET "" POSTS
DISTANCE FROM LOT LINES-SIDES REAR "' "" GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST
pU
PAGE 1 FILL OUT SECTIONS 1 3 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
t
PLAN -MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
FILED
r,«►""` BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED
F E E
PLANNING BOARD
PERMIT GRANTED
BOARD OF SELECTMEN
j
BUILDING INSPECTOR
•-.. WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer
i
x
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY 4o—,F"c—ES ----
TOIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY 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 3 1 2 13
CONCRETE BIL K. PINE
H
BRICK OR STONE ARDWD
PIERS PLASTER _
DRY VJALL _
UNFIIN
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
'/, '/i FIN. ATTIC AREA _
NO BMT- FIRE PLACES _
HEAD ROOM MODERN KITCHEN
►4 WALLS I 9 FLOORS
CLAPBOARDS - B 1 2 3 -
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
AG HARDW'D _
ASBESTOS SIDING COMMCN —
VERT. SIDING ASPH. TILE -
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR (� POOR _
ADEQUATE NONE
5 ROOF 10 PLUMBING -
GABLE I HIP 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 II 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
w �r
3 _ ,
MOOD 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 stave installation and-not to the stove construction.
Stove
`...i` A. New Used
B. Type/radiant Circulating
C. ManufacturerLab. No.
Name/Model No. 7`IG Collar size
Dimensionsi Height ���" Length " lC3l� Width�3 s/4
Chimney arf
A. NewExisting
B. Size(flue area) 6�0� « c ---
C. Other appliances attached to flue(Number and flue size)
D. Prefab(Manufactur r—name and type)
E. Masonry/Lined F� Flue liner
a iy0s b manuiacmrer)
Unlined
F. Height(refer to diagrams) cap
� I Ire I 12�t hurl.
I aVEiZ IC
2I WKZ Ili lt�.
3'MIK ,o
�- MIN.
i8 ►.{IN.
��i cy j yIG�
X
HEARTH
CHIMNEY HEIGHT
Hearth(non-co bustible)
A. Materials ���
B. Sub-floor construction
C. Minimum dimensions(refer to diagram)
Clearances and Wall Protectlon(.see stove installation clearances chart)
A. Type of wall protection provided
B. Clearances(refer to diagrams)
r
i
° FIREPLACE CORNER WALL/CENTER
13
��"y�r✓l�t,� �Dodo� � li
rc E.G. .
WASHBURNE
g
Fireplace Measurin Form & COMPANY
Customer: ,—,
O D 'To
TO BOTTOM OF
Phone: rTO JMA� NTEL �/ O t—KNOB FROM
O� /Orr
HEX
H�
Room: o 0
Salesperson: (�y
MASONRY. TOP WIDTH MASONRY
Please put exact measureme is in spaces provided. LEFT= —RIGHT
We make allowances for overlap and clearance.
Fireplace Facing: O LEFT HEIGHT RIGHT HEIGHT O
o a
A. Material Brick
0 3 Yz o
❑ Marble 0 BOTTOM WIDTH CO
❑ Stone CO D
❑ (Other)
B. Protrusion-Does any portion of your fireplace
extend out into the room that will prevent your glass O CTO MANTEL O11
door from fitting snugly against the fireplace face? OLEO O D
If yes,please explain in"comments"section below 0 0
or on reverse side. 0
_TO BOTTOM
D OF KNOB
FROM
DAMPER f (_� TOP WIDTH HEARTH
71
T the distance CENTER HEIGHT
from the bottom T MASONRY MASONRY
of your lintel to LINTEL II En LEFT HEIGHT RIGHT HEIGHT RIGHT
the under-side of R D ANGLE
IRON
the brick (� 0
BOTTOM
R=the distance0 WIDTH
your lintel is
recessed from
front --f-- BACK WIDTH
D= (y r/RAISED
(FIREPLACE-
D=the depth of g TOP VIEW) ,Z
your lintel FIREBOX
FLOOR
HEARTH --*-------- -- 0 �O
1______0WERED
DEPTH
L
FLOOR I FIREBOX
-- --� FLOOR
Additional Comments:
// / MASONRY QS HEARTH
l ti 0/nt 144-e ($ va1er t4 e alei, Del, 1`0101*
of Zed 4 fer.
IMPORTANT: Hydrochloric(muriatic)acid is often used by
builders to clean excess mortar from new fireplaces. The
fumes from this acid are highly corrosive and will damage the
finish of your fireplace equipment unless neutralized. To
neutralize,wash masonry with ammonia water and rinse
thorough with clean water. E.G.Washburne assumes no
_. responsibility for these acid damages.
NOTE: ADDITIONAL FIREPLACE DIAGRAMS ON REVERSE SIDE.
85 Andover Street(Rte. 114), Danvers, MA 01923 Phone: (508)774-3645 Fax: (508)774-0606
Fireplace Insert Spcdf ications & Clearances
Nodd 1196* Clearances To Combustibles sizing Your Fireplace Insert
, x
Height 221/4"
Width 29 1/4" Please refer to fireplace insert art Masonry
Depth 20 1/2" clearance drawing on right Installation Mantle Shield
Depth into Fireplace 14 1/8"
Extension onto Hearth 6 3/8" K=Insert Top to Mantle 32" 19"
0
Flue Diameter 6" L=Insert Top to Top Facing 30" 17"
Unit Weight 470 lbs. M=Insert Side to Sidewall 15" 15"
Stove Construction N=Insert Side to Side Facing 13 1/2" 131/2" 0
Stove Top 5/16" 0=Hearth Extension Front 18" 18" T
Unibody 3/16" P=Hearth Extension Side 8" 8" I�
If you haven't alreadv done so,measure and
record your fireplace dimensions-(width,
height and depth)in the area provided below.
With these figures,as well as an idea on the size
of your home,its insulation and Floor plan,your
AVALON dealer can help you decide on the
Nodd 996* Top FIuC (Flush) Clearances To Combustibles AVALON model chat's a perfect match for your
fireplace,and your home.
Height Top Flue(Flush) 213/4" NOTE:For zero clearance fireplace insert
45'Flue 21 4" Please refer to fireplace insert Masonry Masonry Zero p
�t.) 1/ p Insert Insert With Clearance installations,there mus[he a I"air space
Width Top Flue(Flush) 25 5/8" clearance drawing on right Installation Mantle Shield Installation between the AVALON insert and the zero
45'Flue(Ext.) 25 5/8" clearance fireplace on both sides and back of
K=Insert Top to Mantle 31 1/2" 16 1/2" 24" the insert.
Depth Top Flue(Flush) 19 3/8" L=Insert Top to Top Facing 29 1/2" 14 1/2" 12" 7 I1
45'Flue(Ext.) 19 3/8" M=Insert Side to Sidewall 14" 14" 30" 1=Depth of fireplace K t •o
Depth into Fireplace N=Insert Side to Side Facing 13" 13" 12" 2=Width of fireplace in iron[
3 tZz
Top Flue(Flush) 14 1/2" 3=Width of fireplace at back �P
45'Flue(Ext.) 91/2" 0=Hearth Extension Front 18" 18" 18" p
P=Hearth Extension Side 8" 8" 8" 4=Height of fireplace opening 22
ExtensionOnto Hearth
Top Flue(Flush) 4 7/8" 5-Extension onto hearth Z sl6
45'Flue(Ext.) 9 7/8" 45° Fluff (Extended) Clearances To Combustibles
Flue Diameter 6" Fireplace Insert Ciearancc5
Unit Weight 300 lbs.
Stove Construction Please refer to fireplace insert Masonry Masonry Zero
insertInsert With Clearance
Stove Top 1/4" clearance drawing on right Installation Mantle Shield Installation
Unibody 3/16"
K=Insert Top to Mantle 31 1/2" 16 1/2" 24"
L=Insert Top to Top Facing 29 1/2" 141/2" 12"
I M=Insert Side to Sidewall 14" 14" "
12
is N=Insert Side to Side Facing 13" 13" 12" �
0=Hearth Extension Front 18" 18" 18"
45'FLUE(Ext.) TOP FLUE.(Fhsh) P=Hearth Extension Side 8" 8" 8" _0 '
eaT'se refer to clearance chart for the
appropriate unit.
Model 796* Top Flue Clearances To Combustibles K=Insert Top to Mantle
L=Insert Top to Top Facing
Height Top Flue 21 1/8" M=Insert Side to Sidewall
45°Flue 20 1/8" Please refer to fireplace insert Insert Masonry Insert MasoWith Clrearance N=Insert Side to Side Facing
Width Top Flue 23 5/8" clearance drawing on right Installation Mantle Shield Installation O=Hearth Extension Front
P=Hearth Extension Side
45°Flue 23 5/8" K=Insert Top to Mantle 22" 16 1/2" 24"
Depth Top Flue 16 3/8" L=Insert Top to Top Facing 20" 14 1/2" 12" Panel -Sims
45°Flue 15 3/4" M=Insert Side to Sidewall 10" 10" 30" Note:Before purchasing an AVALON fireplace
Depth into Fireplace N=Insert Side to Side Facing 9" 9" 12" insert,you must first measure your fireplace
Top Flue 11 5/8" opening and inside dimensions.This will
0=Hearth Extension Front 18" 18" 18" determine which AVALON unit and panel size
45°Flue 11 1/8" P=Hearth Extension Side 8" 8" 8" will meet your needs.
Extension onto Hearth
8" Panels 10" Panels 12" Panels
Top Flue 43/4" \lodel796 28"x40" 30"x44" 32"x48"
45 Flue 5/8"
Flue Diameter 6" 45° Flue Clearances To Combustibles
..\lodel996 29"x42" 31'a4E 33x50"
Unit Weight 280 lbs. Masonry Masonry Zero \lodel1196 29"x453/8 31"x493/8" 33"x533/8"
Stove Construction Please refer to fireplace insert Insert Insert With Clearance
clearance drawing on right Installation Mantle Shield Installation
Stove Top 1/4" Approved
Unibody 3/16" K=Insert Top to Mantle 22" 16 1/2" 24" Zero aearance Fireplaces
L=Insert Top to Top Facing 20" 14 1/2" 12" Note:Zero clearance installation approved for
M=Insert Side to Sidewall 10" 10" 30' AVALON models 796&996 ONLY!
A 24"starter section must be direcdv connected
N=Insert Side to Side Facing 9" 9" 12" to the existing fireplace chimney.
0=Hearth Extension Front 18" 18" 18" MARCO SUPERIOR TEMPCO
45°FLUE TOP FLUE P=Hearth Extension Side 8" 8" 8" HEATIIATOR MAJESTIC PREWAY
The dimensions on this page can vary+or-1/8". The clearances on this page are for reference only,refer to Owner's Manual for exact specifications prior to installation.
Installation floor plan,types and dryness of fuel,insulation of home,chimnev draft and outside temperatures will affect stove performance.
11
' c
Additional Comments:
`r OCDD7 7„},;_
�
oN, �.
G �ow1 s�rt�� D •fir 414
1•/ 1 �� K TO BOTTOM OF
h 6o f r0.�'1 O r I /Q �0 —KNOB FROM
OC J—HEART
,
(2 !u L om O P CO
/
:MASONRY—'C CENTER HEIGHT —M
SONRY
rear t0 4q if r'l D * 2!' kn (e� LEFTS -RIGHT=
/ -/z ffall%_ I't-t"77 of PIeyGt,
n 1 to IOP O q alr,gC/'- (4..9(r.) BOTTOM WIDTH
SINGLE CORNER FIREPLACE a
MASONRY CLEFT WI��Q G T.WIDT� RIGHT
t LEFT MASONRY
o
Q LEFT RIGHT /
Q HEIGHT HEIGHT
�0 CENTER HEIGHT
r "
2
�fiic� Ovfi 1n �i•(iC �P �� f�1P ct'Gcwoi�
i
For DOUBLE i 3RD SIDE WIDTH
CORNER
FIREPLACE D
(3-face),fill out the
"Single Corner
Fireplace" FLOOR TO
measurementsFIREBOX
above,"F" HEIGHT
measurements
below and the two
dimensions shown
here. 0 RAISED FIREBOX
��00000 000-
HEARTH LEVEL
FOR ALL CORNER LINTEL
FIREPLACES: ANGLE
a
EGO �
WASH BI J R N E
For recess mounting, F
the ost must be CORNER
& COMPANY p POST
recessed at least I%< i
Takeof measurement F
at top of post showing
85 Andover Street, Danvers, MAO 1923 distance post is setback
et F
Phone: (508)774-3645 Fax: (508)774-0606 face.from fireplace