HomeMy WebLinkAboutMiscellaneous - 51 HOLLY RIDGE ROAD 4/30/2018 751 HOLLY RIDGE ROAD
210/098.6-0019-0000.0
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Nation
March 3, 2015
Town Of North Andover
Building Inspectors Office
1600 Osgood St.
Building 20, Suite 2035
North Andover, MA 01845
Insured: Leonardus & Jeanne Vink
Property Address: 51 Holly Ridge Rd. North Andover, MA
Underwriting Company:anY p
Massachusetts Homeland Insurance Company
Y
Policy Number: PHDO03466ON1301
Date of Loss: 02/19/2015
Claim Number: 1449348
Claim has been made involving loss, damage or destruction of the above-captioned
property, which may either exceed $1000 or cause Massachusetts General Laws,
Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General
Laws, Chapter 139, Section 313 is appropriate, please direct it to the attention of this
writer and include a reference to the above-captioned insured, location, policy number,
date of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at
the address indicated above by first class mail.
Signature:
Property Claims Adjuster
,
National General Insurance Company
PO Box 1623,Winston-Salem,NC 27102-1623
--• ../f,:.r.fy,,,:.. ....,-c,�� '---„.tea-.��
Location
No. Date �n3/Y/,/BIZ
i
NaRT� TOWN OF NORTH ANDOVER
'A Certificate of Occupancy $ ta
4r” 314f;,
Building/Frame Permit Fee $ /d 01)
oundation Permit Fee $ o qY
Other Permit Fee $
sewer Connection Fee $ l 1 Z3�b
r Connection Fee $
�d ��C®\\
®'U' TOTAL $
P �j� o)Ll
LBuilding Inspector
`� Div. Public Works j/
1
Location-5/ /-41C
No. V G r Date e%jl,05A Z
aORTM TOWN OF NORTH ANDOVER
A Certificate of Occupancy $ 0(�
t •
Building/Frame Permit Fee $
,SSACMUSEt Foundation Permit Fee $
n Other Permit Fee $
A(
C�g�_ p� g'� �Syewer Connection Fee $
�' 'W.� Water Connection Fee
TOTAL / $
Building Inspector---
5021 Div. Public Works
Location
V "
No. Date
r
a LORTh TOWN OF NORTH ANDOVER
,•''h•O0.
p Certificate of Occupancy $
+ Building/Frame Permit Fee $
cHuEco' Foundation-Permit Fee $
s� s
Other Permit Fee $
r -""'7,7�Sewer Connection Fee
++
. �3t Water Connection Fee $
a �
TOTAL $
(� Building Inspector
✓� �� Div. PubH6 Works
PER31IT NO. �7� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ��f /PAGE 1
MAP KJ O. \�1"� LOT NO.� A 2 RECORD OF OWNERSHIP iDATE BOOK ;PAGE
-ZONE 1 I SUB DIV: LOT NO.
LOCATIONS l4 \ O PURPOSE OF BUILDING S t
-- h - y `F P r-\ Q.P S i
OWNER'S NAME S vQ-vt\ c.-V$S I z Mt �-i n NO. OF STORIES 1 SIZE
OWNER'S ADDRESS $O p OSGpOfl Qti'fk1u E.Y�, BASEMENT OR SLAB d, �pL, 4"t-
ARCHITECT'S NAME MASS` tvt �)eAf SIZE OF FLOOR TIMBERS IST M�t•Q� V SPAN ��/ I() 2ND z v P/U 3RD �1
BUILDER'S NAME '�' I�
�`r� . � —
DISTANCE TO NEAREST BUILDING g�-1- J- DIMENSIONS OF SILLS a�( 6
DISTANCE FROM STREET POSTS Lq y S
DISTANCE FROM LOT LINES-SIDES SC) t- REAR 30-t- •• •' GIRDERS 7
AREA OF LOT L L1 q ri U FRONTAGE 1�r-�'i' HEIGHT OF FOUNDATION G ) THICKNESS
IS BUILDING NEW v�.S SIZE OF FOOTING g I C fI x "i X
IS BUILDING ADDITION l TI0 \ I MATERIAL OF CHIMNEY {V\-G�,s r,4.(- V
IS BUILDING ALTERATION N (] IS BUILDING ON SOLID OR FILLED LAND Su C-`
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER -
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER It.VVer-
IS BUILDING CONNECTED TO NATURAL GAS LINE '..l(:5-3 J
INSTRUCTIONS 3 PROPERTY INFORMATION
Y LAND COST t p d t O d fj
SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY -EST. BLDG. COST rt-,.,.. 20,32000
REGULATED BY PARA: 112.7 S.B.C. EST. BLDG. COST PER SQ. FT.l=zo�L1 C)
PAGE 1 FILL OUT SECTIONS 1 - 3
DATE:-,)k�� `aO'
EE PAID: EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO. N
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRA ED
PEINUT FOR FRAME/BUILVIING PLANNING BOARD
S
19 !�Z
ATE: FEE PAID.
BOARD OF SELECTMEN
F, mf TF"p
F"
r s AR BLDG.PERMIT'FEE$..!°2 0'or0.....
GM A � LESS FDA EEE /00. 00 BUILD; G NSPECTOR
DUE FRAME PERMIT$ 2 40
;� ,� ' • - " ' BUILDING RECORD
1
OCCUPANCY 12
SINGLE. FAMILY Sr IES' 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 e ct, C
CbNCRETE _ B I 2 13
CONCRETE BL K. TI PINE
BRICK OR STONE HARDW D _
PIERS PLASTER g
_ DRY WALL _
UNFIN.
3 BASEMEN
ARE�'LL I FIN. B'M'TAREA _
'/ '/ 1/ FIN. ATTIC AREA _
NO B MT. FIRE PLACES
HEAD ROO;A _ MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE 777—TTT{'I
STUCCO Ol'd MASONRY �—
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIORPOOR -
ADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLE IF
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
1 5-
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPE LESS 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'T2nd ELECTRIC
1st 13rd I6> 11 NO HEATING
• 4
:S A
FOIA U
TOWN OF NORTH ANDOVER
LOT RELEASE FOIA
SUBDIVISION e�'r �� 2L \� L t,V,- -Q,,
ASSESSORS MAP 6-7
SUBDIVISION LOT(S) t® � '� I-A PCre e-\,)
PERMANENT, ADDRESS (ASSIGNED BY D.P.W. )
STREET .
APPLICANT �: 5�.� ►� �awSc� c v c�-C uhf PHONE C,
DATE OF APPLICATION Mme,,, `C�C
TOWN USE BELOW THIS LINE
PLANNI G BOARD
4
DATE APPROVED ?
TOWN PL ER DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEAIITH
i DATE APPROVED
HEA H SAN TARIAN DATE REJECTEll
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERr1IT / i
go
SEWER/WATER CONNECTIONS e 4 Z
> / p
FIRE DEPT. ,c-t, �i/�� ilovi)fe dere-Uoa�r Ogj,ge�
Ele-c r,t,ic fG--/-F 11c 0*0- - ,Vola%fi e /ZWIC 4 V2 fie-0
RECEIVED BY BUILDING INSPECTION
DAT Z2—
This form shallbe signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
N° 130
1 APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mass.
.1 .. et
hereby made to connect with the town water main in
w6
he undersigned is Y ,li: .i....:.
t g .
Application b r .; i!i..,,....
App Y
subject to the rules and regulations of the Division of,Public,Wo ks t
1 ,� Street
The premises are known as No.
z 3 S 1 n/ � 3 ►f.p 1
or subdivision lot no. / 4dLL:�L�� {
Address '
Owner
Adds
Contractor i
• ,li �a. i ,1 ! `:111 h'i 'J(: 1.'.i�[ �.
A 'I ant's Signat
Z
3
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
Stre
to make a connection with the Xter main at
subject to the rules and regulations of the Division of Pu
Works.
Boar of Public Wor
By
Inspected by
Date
See back for rules and regulations
�7,1—" .77
NY 130
APPLICATION FOR WATER SERVICE CONNECTION
ell M►
North Andover, Mass. ! 19
Application by the undersigned is hereby made to connect with the town water main in I i C' `� et,
subject to the rules and regulations of the Division of Public Works.
The premises are known as o. Street
or subdivision lot no. z g 1�� / PJ Z Z �q
Owner / . Address
Contractor AAs .Ana
27 .
r�
Ts
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to /fie �
to make a connection with the mater main at Street
subject to the rules and regulations of the Division of PubW Works. .
Board of Public Works
By
Inspected by
Date
See back for rules and regulations
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�. .0 �, rr�..'' ��^� +.;:•:'..'•:' 1 � . ..'��'�� Or In _ /
Location�S//�i�OLGy' /,p
No. Date&UOS Z
TOWN OF NORTH ANDOVER
�A,
p Certificate of Occupancy $ d.pC7
.. �
tee
.... ,. Building/Frame Permit Fee $
,s3AGMUSEt Foundation Permit Fee $ /,00. 00
Other Permit Fee $
Sewer Connection Fee $ _
Water Connection Fee
TOTAL $ ` 0 O
Building Inspect
5021
Div. Public Works
t
L..oGATEt� lU Il1oQ.T'u A�ct�ovE2iMq,
SGAC E.:l�t= Qo� QEa'r'E.: alfa /4Z
89
o
e
Ce
L°
I's 1.1t
I
G -r AM o F'FSE.TS �He��.ca►.J ;A2� X02: T"Q_7 � .OF
THEr oF'FSE-t"S USE. a1= T1-Fc. Bc�tt.�tt.tC-�: uSPECCL7 ' �.��•
O
v>to�►.i C.vMP��' o1.�c rY co�v SucH USE.
W rr-H 'TH E Zo1..11U G C7�c.T E.2 Ml 11.t AT 1 C>1-j `v F' ?—' c=,til ',-i
G .13972
F=-<>2M Tom/ 02, . 11ot'.i CCH F'o.2�P'S fTY '�fC�$1ER�Q
122 A. klNr✓tr! Cat.+S'T's_.uG—r�fl. �'r/DiYallA�9�
&4 C--- " �U1V'T
311 {9Z
S V
E V.
A'
6 0
-1
F
FINAL
Town of n over
to .: to
No. 0 4 8 '
DRIVEWAY EMTRY PERMIT KhAll over MassIMAWAV 11f;z
lei
SR
PERMIT T S,3,0, -1 LD BOARD OF HEALTH
THIS CERTIFIESTHAT.6*11"VeMAOS....ACr ................................... BUILDING INSPECTOR
has permission to e ldingsonl�laro*..Idlo.uy...IillllI�. ......... Rough
to be occupied as 5fW4.4 ......z�W-.4Fsce*4 .......... Chimney
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final
REGULATED BY PARA: 112.7 S.B.C.
VIOLATION of the Zoning or Building Regulations Voids this Permit. D ATE: F E E PA I D: /A0- �f
ELECTRICAL INSPECTOR
PERMIT EXPIRES VINFNTHS
(UCT Rough
4, 'T
'T
UNLESS CONST WC� T -STARTS Service
Final
PERMIT FOR FRAME/BUILDING
. .. .......... ..... ... L�.I�G- P... Oi
BUILDING •S �i GAS INSPECTOR
4 _I M" SJO Z
FEE PAID: "_ I 1 /020, 0-0
DATE:_� /B10a PERMS $ Rough
0�,C[I'Pancy Permit Required to Occupy BuiIN
�=FDA FEE 0-0
DUE FRAME PERMIT$ 51,LO ,9 0 Final
Display in a Conspicuous Place on the Premises FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
0
V
PLAWN
SEVI U9
�'W'', MAI
FINAL
Town Of n over
No. 0 4 8 '
DRIVEWAY EMTRY PERMITK er, h1ass-nued &: I fez
C HE WICK W W
T
BOARD OF HEALTH
PE .RM T
4
�,�oft 4700 ....... 4THIS CERTIFIES THAT& ...... .......
BUILDING INSPECTOR
has permission to e Wings on W
'ear
Way...R.Wmr....... Rough
to be occupied as 5 a Chimney
.10
WA
r....jaw.WAX..... ..........
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final
REGULATED BY PARA: 112.7 S.B.C.
VIOLATION of the Zoning or Building Regulations Voids this Permit. DATE:4L6�, _FEE PAID: -Lop._�"
PERMIT EXPIRE I I NTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONST K CTI STARTS Service
Final
PERMIT FOR FRAME/BUILDINGdL . .. .......... ... . ... . BUILDINGSPTOR
***
9 )V, GAS INSPECTOR
DATE: -2- FEE PAID: ��LRP PERMS S 11',2 0, 02 Rough
0'cc!-ip5-a7n-7y7ertni1 Required to Occupy BuilA 0-0
IESFDA FEE
DUE FRAME PERMIT$ 91,2_0 00 Final
Display in a Conspicuous Place on the Premises FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
`1 A
Tv MIA
K
RtA
T
A d
own o orn over
No.
U W
-'And'
D R TO over, Mass-AW121
OF W
B' U BOARD/OF HEALTH
PERMIT TO I Lo
12
MfA;�
THIS CERTIFIES THAT. 1014ffy-olosA....41,1010 ...................................
P B P 3111 CLQ cL�
has permission to e~. ..rM$Kdings on %r.Ot.M40. RIP W. ........
imney
to be occupied as
a .......... Final 74 3 0 b J.-
provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in
PIU MBI G I SPEUTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of
r
Buhdings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY
REGULATED BY PARA: 112.7 S.B.C.
VIOLATION of the Zoning or Building Regulations Voids this Permit. DATE: !/;`, /.,- ;
FEE PAID: /I f, ELECTRICAL INSPECTOR
Rough
Service
AME/BUILDING Final 0
PERMIT FOR FR .4.......... ..... ... . . ......... ....
BUILDING S;PV6i GAS INSPECTOR
DATE I -2- FEE PAID:_� Es,1020, 0-0 Rough
BLDG. PE
LESS FDA HE -0
DUE FRAME PERMIT $ 92-0 -'00 /n I CC
Display in a Conspicuous Place on the Premises v FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke DetXvA-
Building Inspector
CERTIFICATE OF USE & OCCUPANCY
Building Permit Number 048 Date DECEMBER 30, 1992
THIS CERTIFIES THAT
THE BUILDING LOCATED ON LOT 4 HOLLY RIDGE ROAD (#51)
MAYBE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GAR-IN ACCORDANCE
UNDER
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
RTH
Of pO 'y
G CERTIFICATE ISSUED TO S o u th c r o s s Limited
p 800 OSGOOD ST.
ADDRESS NnRTH ANDOVER .- MA
sNCHIW�i V
But-lding Inspector
i
i
•
Location /►�-/�� l/ � i�f
No) �����:� V � [)ate
�aRTM TOWN OF NORTH ANDOVER
O? •� •e OOH ��
h p Certificate of Occupancy $
Building/Frame Permit Fee $
,"°''�ch Foundation Permit Fee $ ��
s�cNusE
Other Permit Fee $ ,26' � y
Sewer Connection Fee $
Water Connection Fee' $
TOTAL $ U
Building Inspector
• - 01131/94 09:29 25.00 PAID
` '"
6878 [div. Public Works
'EgaIT•Na-IS2 `ZI)S APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP NO. I LOT NO. 12 RECORD OF OWNERSHIP IDATE (BOOK (PAGE
ZONE SUB DIV. LOT NO. L
LOCATION - - _ -1� - I --•- - AlPURPOSE OF BUILDING
G'l-/j //(y� �'+"/Y`J�,p JSP L
NEFVS NAME MCA
r ,N NO. OF STORIES � SIZE) �,L�� �• /T
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME ,[ SPAN
DISTANCE TO NEAREST g1jiLDING 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 ST. Bi}DC� COST
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
I SEPTIC PERMIT NO.
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
fTTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS .
/PLLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
��SIGNATURE
DATE FILEDBOARD OF HEALTH
OF OWNER OR AUTHORIZED AGENT
FEE �S�� q U
PLANNING BOARD
PERMIT GRANTED
3/ ,9 x
BOARD OF SELECTMEN
��� BUILDING INSPECTOR
r 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 I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION —I 8 INTERIOR FINISH
CONCRETE B 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D -
PIERS PLASTER _
DRY WALL _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'T' AREA _
'/ 1/1 '/ FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPSOAkDS B 1 2 3
DROP SLING CONCRETE
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDVJ'D _
ASBESTOS SIDING COMMC:N
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER ELK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I-1 POOR
ADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.)
GAMBRELMANSARD TOILET RM. 12 FIX.1. _
FLAT A 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
- y
WOOD STOVE-INSTALLS HON 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 stave construction.
l . . Stove UL !P I V(„ 70 7 /�� X, %C5 L
-s` A. New Used
B. Type/radiant Circulating
C. Manufacturer Lab. No.
Name/Model No. _�Z 9( Collar size
Dimensions/Height 2Af Width
�2�rh
Chimney
A. New Existing
B. Size(flue area)
C. Other appliances attached to flue(Number and flue size)
D. 'Prefab(Manufacturer—name and type)
E. Masonry/Lined Flue liner .3&
Unlined -type a manufacturer)
F. Height(refer to diagrams) cap
O-"ER IQ I 12't htirl.
`I
�� OVER IC' �— T T
2u1D1 Z 1It1.
101
Mlta.
Isu
n HEARTH
CHIMNEY HEIGHT
Hearth(non-combustible)
A. Materials S4/,6W S te,/I
B. Sub-floor construction
C. Minimum dimensions(refer to diagram)
Clearances and Wall Protectlon(,see s,eve installation clearances chart)
A. Type of wall protection provided
S. Clearances(refer to diagrams)
i
FIREPLACE CORNIER WALL/CENTER
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Fireplace Insert Specif ications & Clearances
Nodd 1196* Clearances To Combustibles Sizing Your Fireplace Insert v,
/
Height 22 1 4"
g
Width 29 1/4" Masonry Masonry
/ Please refer to fireplace insert Insert Insert With
Depth 20 1/2" clearance drawing on right Installation
Mantle Shield
Depth into Fireplace 14 1/8"
K=Insert T
Extension on op to Mantle 32" 19" Q
to Hearth 6 3/8" ,
Top p g
Flue Diameter L=Insert To to To Facing 30" 17"
6"
Unit Weight 470 lbs. M=insert Side to Sidewall 15" 15"
Stove Construction N=Insert Side to Side Facing 13 1/2" 13 1/2"
Stove Top 5/16" 0=Hearth Extension Front 18" 18" T
Unibody 3/16" P=Hearth Extension Side 8" 8"
If you haven't already 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,vour
�r AVALON dealer can help you decide on the
Model 996 Top Flue (Flush) Clearances To Combustibles AVALON model[hat's a perfect match for your
Height Top Flue(Flush) 213/4" fireplace,and your home.
Masonry Masonry Zero NOTE:For zero clearance fireplace insert
45°Flue(Ext.) 21 1/4" Please refer to fireplace insert Insert Insert With Clearance installations,there must be a V 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
Depth To Flue K=Insert Top to Mantle 31 1/2" 16 1/2" 24" the insert.
p p (Flush) 19 3/8"_ L=Insert Top to Top Facing 29 1/2" 14 1/2" 12"
45'Flue(Ext.) 19 3/8" M=Insert Side to Sidewall 14" 14" 30" 1=Depth of fireplace
Depth into Fireplace N=Insert Side to Side Facing 13" 13" 12" 2=Width of fireplace in front
Top Flue(Flush) 14 1/2"
45°Flue(Ext.) 9 1/2" 0=Hearth Extension Front 18" 18" 18" 3=Width of fireplace at back
Extension onto Hearth P=Hearth Extension Side 8" 8" 8" 4=Height of fireplace opening
Top Flue(Flush) 4 7/8" 5-Extension onto hearth
45'Flue(Ext.) 9 7/8" 45° Flue (Extended) Clearances To Combustibles
Flue Diameter 6" Fireplace ln-sert Clearances
Unit Weight 300 lbs.
Stove Construction Please refer to fireplace insert Masonry Masonry Zero
Insert Insert With Clearance
li 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" :0
L=Insert Top to Top Facing 29 1/2" 14 1/2" 12" t _ '
I� M=Insert Side to Sidewall 14" 14" 30"
N=Insert Side to Side Facing 13" 13" 12"
0=Hearth Extension Front 18" 18" 18"
45'FLUE(Ext.) TOP FLUE(Flush) P=Hearth Extension Side 8" 8" 8" 4-67 �O
MP 7 r, Please refer to clearance chart for the
I lodl l / 96 K appropriate Insert Top[o\{anile
luc Clearances To Colin t ble5
L=Insert Top to Top Facing
Height Top Flue 21 1/8" M=Insert Side to Sidewall
Masonry MasonryAieldailad..
45°Flue 20 1/8" Please refer to fireplace insert Insert Insert WitN=Insert Side to Side Facing
Width Top Flue 23 5/8" clearance drawing on right Installation Mantle ShO=Hearth Extension Front
45°Flue 23 5/8" P=Hearth Extension Side
K=Insert Top to Mantle 22" 16 1/2"Depth Top Flue 16 3/8" L=Insert Top to Top Facing 20" 14 1/2" Panel Sizes45°Flue 15 3/4" Insert Side to Sidewall 10" 10"
Depth into Fireplace Noce:Before purchasing an AVALON fireplace
Insert Side to Side Facing 9" 9" 12" insert,you must first measure your fireplace
Top Flue 11 5/8" 0= arth Extension Front 18" j$" 18• opening and inside dimensions.This will
45°Flue 11 1/8" determine which AVALON unit and panel size
P=Hear Extension Side 8" 8" will meet vour needs.
Extension onto Hearth
"lop Flue 4 3/4"
8' Panels 10" Panels IT Panels
45°Flue 4 5/8" Model 796 ZS x40" 30"x44" 32"x48"
45° Flue Clcaramces To C01AXI5tibIC5
Flue Diameter 6^ \lodel996 29x42 31'a4G 33150"
Unit Weight 280 lbs. \lode11196 29x453/8 31"x493/8" 33"x533/8"
Please refer to fireplace insert Masonry Masonry Zero
Stove Construction P Insert Insert With Clearance
Stove"l0 1/4" clearance drawing on right Installation Mantle Shield Installation
p ApprOv'eC1
Unibody 3/16" K=Insert Top to Mantle 22" 16 1/2" 24" Zero Clearance Flrepla(_cs
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!
N=Insert Side to Side Facing A 24"starter section must be directh'connected
g 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" HEATILATOR 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,chimney draft and outside temperatures will affect stove performance.
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