HomeMy WebLinkAboutMiscellaneous - 67 HUCKLEBERRY LANE 4/30/2018 I 67 HUCKLEBERRY LANE
210/065.0-0217-0000.0
N° �r U L Date...:............. .. �......
HORTM
"o0 TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
,SSACNUSE�
Thiscertifies that .............................................................................................
has permission toperform-...::.:3,.....:..{.
r ....................................
wiring in the building of>...... .....
.................................................
r
at.. .......:�.�...........':'.`„��... ...�.�'.�........... ,North Andover,Mass.
Fee..................... Lic.No.
............. ...............................................................
�- ELECTRICAL INSPECTOR
03/02/98 10:01 35.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
The C0mmvnwe�-
dill! r�I NlaSSachusetts ofnrn Une
Only--"-
_ Dep8rtrrlf?.r7f Of flubiic Sa/ph/ P9rmit NO. (..�
BOARD OF FIRE PREVENTION REGULATIONS 5 -
� �� 2i CMR 17_:00 Ocrupancy t Fon Chncked
(leave blank)
APPLICATION FOR PI :F311J11T TO f�Ef�F�JFi -
ll"ffx t„p.rrnrm,d acc�rcr,nr.-91 the M,�t,cnu�,rt�E(.ctncal ELECTRICAL N I CA�.. VU C�R K
(PLEASE. F(LINT IN INK OR T(PEA �'•`2r cmn 12=I_L INFORMATION
Date_/
City or To. of �(1 ' f ��, A 0 li _
The underrirmed applies ter a permit to perform the electhcal work describr� -
d below. To the Inspector of Wires:
Location (:'.ha?t h Number)
��--��'..K-4- �..le. y_
Owner or;-gr,ant �_�u-_.-� -�
Owner's Addre. �U a
01 I-E IV
is this Permit in conjunction with a handing permit „
y.s r.o
Purpose of Building �.' 1 �C ��• (Ch^'.k Aporopriatq Box)
Utility Authorizat(or pfo.-
Exi,ting Service _
_ -- -- - ----------
___Volts Overhead i.� Undgrd ❑
New Service Ile. of Meters
Number of Feeders and Ampac(tUndgrd ❑ No. of Meters---_
Lor:atlon and
Nat"'e
of Proposed Eloc;rical Work._
No. of lighting Outlets - —-------------____-- -------
NO
-_ _"-_------- ---
No. of Hct Tubs -
No. of Lighting Fixtures - ----`— _.T_. _-_Iflo. of Transformers FQIAL
_ Swimrninq Pool Above In r l --KVA
FJo. of Aeeeotac)e outlets '- --o C� rnd�1— Generators KVA
No. of CII Burners tlo• of Eme g I fighting
No. of Switch Outlets Battery Units
No. of Gas Burners "'--- ---
No. of Ranges -��----� -- ------- FIRE ALARMS No. of Zcnn9
No. of Air Conditioners I O rAL No. of Detection and
-- _ TONS Initialing a
No. of Dlsoosals HEAT 'Y1pTAL - TOTAL g D-vic?q
No. of Putnps- TONS KW IIo. of Sounding Devices
IJo. of Dishwashers - -- ---- No• of S?If Contains f
_ Soace/Area Heat(n Detection/Sobnding De.,;ceS
No. of Dryers - -- _--q---__
-, Heatin Device, Key Lccal Municipal
-- �---_-- ❑ r 1 -
No. of Water Heaters KWNo of No. cf '- --- Conner.:ion UOther
_ Si na _ 8atiasts Law 1iOIlage ------
Ito. of H dro Massage Tubs
OTHER: -- -- No. MOIO(3 - Total )IP --- 11
--- — ---
INSURANCF COVERAGE: Pursuant to the requirementsf
ncludioMassir..husetrs Gnnnr,l
I have a current Liability Insurance Policy Ing Completed Ctperatlons Coverage or its sub;tantlal equivalent. YES [) it(-) O I haavq .uhntilM
valid proof of same to this office. YES ❑ NO U
II you have chocked YES, please Indicate the type of coverage by checking the appropriate hex. d
INSURANCE L.J� BOND ❑ 071-(ER
Estimated Value of Electrical Work S_ - (Expiration Dnte)
Work to Start__.__
under the — Inspectlon Uatn +quested:
penalties of perjury; Rough_
�/�
NAME �,Li�i�L -...._—_-
�, LIC. ����'�,•
NO—
O�
Address441
*� -,.=► �aLKS-r�'./_--
/YX =J1 '
�/ �< H` Bus. tel. NO. -
G'1NER'S INSURANCE WAIVER: --
l•t-'^-chusetts General Laws, ndithat my a4 gnaturethat t ontthisSa;' I�,'�s not hay? All. Tel, flo. -_- -_--
Ihn. fill.^,r�r�nCe CovnraQe Or its substantlgl -quivalnnt as rc,1-jirnd by
O ltlrn wait'^9 IN., rp rquirernent. Owner Agnn
t (l'Inanq rhnrlt Cnrl
I `-- Office Use Only
"�, r' , �1jE �QIItInIII11UPFIlf�j AfttBlttllju6EttB Permit No. Y
0epurtuteut cif Public $ufet0 Occupancy A Fee Checked
of
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:000 Q
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date &- /?- / 7
City or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) Loo"-1V , '0 X72_ /'laG����Je/'/'G
Owner or Tenant PIA_I e t' ItX)e4 L &,/.
Owner's Address k
Is this permit in conjunction with 4 building permit: Yes No ❑ (Check Appropriate Box)
Purpose of Building —_�1r/UQ�& at Ai* Utility Authorization No. 20206
Existing Service Amps —J Volts Overhead ❑ Undgrnd ElNo. of Meters i
New Service 2L)d Volts Overhead ❑ UndgrndPtI.-_ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 44Ut &o t „)
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In
grnd. ❑ grnd. ❑ Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners - Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalMunicipal ❑Other
❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Com ted Operations Coverage or its substantial equivalent. YES NO ❑ 1
have submitted valid proof of same to the Office. YES NO ❑ If you have checked YES, please indicate the typ of coverage by
checking the ap ro riate box.
INSURANCE BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start &--19' 9 L Inspection Date Requested: Rough/_a f'0)Q 4Z Final
Signed under the Penalties of perjury:
FIRM NAM5, Pe A 11C A 04204 dAt le2g 00 LIC. NO.
Licensee Signature LIC. NO.
iv K
Bus. Tel. No. �7�� AM^ 9516
Address o Let 4jG�Q� Alt. Tel. No.
OWNER'S INSURANCE AIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owne Agent
(Please check one) I /, T
Telephone No. PERMIT FEE $ v V
(Signature of Owner or Agent)
:\ x-6565 -
Date.... ...
.qh
1295 .. 7
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACMUSEt
Thiscertifies that .....................................................ci.......................................
has permission to perform ...... ......... ............................
wiring in the building of.... Q.��y. .......&.yl?...........................
... ... tj.UOtRAJS.0.1.'/............ .North Andover,Mass.
Fee..I�J..*A).. Lic.No.l..QAA...............................................................
ELECTRICAL INSPECTOR
c— Ch
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Olfice Use Only I �J
&IIM111011wealtil of 'M md1t etts Permit No. J/ /
i0epartment of IIublic IfittfdU Occupancy,& Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
City or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Num
Owner or Tenant Numb 474 // ^^� d�
=4%ev'clt hL(i - %) _
Owner's Address �� ]e?f t.. iC n
Is this permit in conjunction with a: building Permit: Yes No ❑ (Check Appropriate)Box)
Purpose of Building 5� CAI %^>R_t(y NQ Utility Authorization No. ,_ 1/)l4
Existing Service Amps -I _Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service IZ06_Amps ZY4 Volts Overhead ❑ Undgrnd X
No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners - Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalMunicipal [:]Other
❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Com leted Operations Coverage or its substantial equivalent. YES p� NO ❑ 1
have submitted valid proof of same to the Office. YES NO ❑ If you have checked YES, please indicate the type f coverage by
checking the appropriate box.
INSURANCE J BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Value of Electri aI Work $
Work to Start &-/- - 9:7 Inspection Date Requested: Rough r,A,t r'odf Final
Signed under th Penalties of perjury:
Ao r
FIRM NA
LIC. NO
.
Licensee Signature LIC. NO
�/J�� Bus. Tel. No.
Addres_ Q/ttt.G�t /w� i�Kl_ ��4fiLL� Alt. Tel. No.
OWNER'S INSURANCE WA ER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OAgent
w r "
(Please check one) I � ,l
Telephone No. PERMIT FEE $ -C)V
(Signature of Owner or Agent)
-, /7 '�7 x-6565 w
�.�.. ..
r Date..... ...�.. .:.
9.296
t pOR7M�
TOWN OF NORTH ANDOVER ¢¢�
p G
} PERMIT FOR WIRING
,SSCMUSEt
L
1 This certifies that ....... ..: ...........,; �.�..� . ��.(..C.`�.................
o
has permission to perform ........tVxn,.,,............
�4�►1.�:'1..�-.....ft...................'.�Q,(�
wiring in the building of...� 0 .0. �'' 7 f1 L �l
.............. ........................... ...........
`` C
� C �..dl1.
1 :� ( L-0,North Andover,Mass.
Fee..r . .Sl.:!�J.. Lic.No... . .(.aJ -............................................................
~
ELECTRICAL INSPECTOR
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
A
' LocationU
No. G Date
MORTM TOWN OF NORTH ANDOVER
4' 9
+ Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
e s�cHust 9
Foundation Permit Fee $
1 Other Permit Fee $
TOTAL $
Check #
167 A
/ "Building Inspect
The Commonwealth of Massachusetts
State Board of Building Regulations and TOWN OF NORTH ANDOVER
Standards BUILDING DEPARTMENT
Massachusetts State Building code
780 CMR
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OF OCCUPANCY OF,OR DEMOLISH ANY
BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING
Building Permit Number: /_ 2 Date Issued: 9 - 8 - & u3
Signature: 1V1
Building Commissioner/Inspector of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property/`1/Address: 1.2 Assessors Map and Parcel Number
vez M o/ ys Map Number / Parcel Number 2
C
1..3 Zoning Information: 1.4 Property Dimensions: VC
Lot Area(sq) Frontage(ft)
ZoningDistrict �" Proposed Use
1.6 Building Setback ft.
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
107 Water Supply 9M.G.L.C.40.4 54 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public a Private b Zone n Outside Flood Zone o Municipal Q On Site Disposal System
2.1 Owner of Record
AFahey
Name(Print) Address:
Signature Telephone�;-n
9 79 6(5>9-970-?
2.2 Authorized Agent:
Name(Print Address
Signature Telephone
SECTION 3 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE
3.1 Licensed Construction Supervisor: Not Applicable [�
a
Licensed Construction Supervisor: License Number
Address Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor: Not Applicable
Company Name Registration Number
Address Expiration Date
Signature Telephone
Revised 1997 JMC
SECTION 6-DESCRIPTION OF PROPOSED WORK check all applicable)
New Construction Q Existing Building Repairs Q Alteration(s) Addition 0
Accessory Bldg. Q Demolition Q Other Q Specify
Brief Description of Pro osed
SECTION 7-USE GROUP AND CONSTRUCTION TYPE
USE GROUP Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 A-2 A-3 IA Q
A-4 A-5 113 Q
B Business Cl 2A Q
E Educational Q 2B Q
F Factory Q F-1 F-2 2C Q
H High Hazard Q 3A Q
I Institutional Q I-1 I-2 I-3 3B Q
M Mercantile Q 4 Q
R Residential Q R-1 R-2 R-3 5A Q
S Storage Q S-1 S-2 5B 13
U Utility Q Specify:
M Mixed Use Q Specify:
S Special Q Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS.
ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index(780 CMR 34) Proposed Hazard Index(780 CMR 34)
SECTION 8-Building Height and Area
BUILDING AREA Existing(if applicable) Proposed
Number of Floors or stories include
basement levels
Floor Area per Floor(sf)
Total Area(sf)
Total Height(ft)
SECTION 9- STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q No Q
SECTION 10a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, As Owner 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
revised bldg form/state JMC
SECTION IOb-OWNER/AUTHORIZED AGENT DECLARATION
I, / a , as Owner/Authorized Agent hereby declare
that the statements and informati on the foregoing application are true and accurate,to the best of my knowledge and belief.
Signed under the pains and penalties of perjury.
81-/dO
Print Name
&ZW-''
F ZZ'0
Signature of Owner/Agent Date
SECTION 11 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to Official Use Only
be completed b permit
applicant
1. Building (a) Building Permit Fee
Multiplier
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee(a)x(b) /D
4. Mechanical(HVAC)
5. Fire Protection
6. Total= 1+2+3+4+5 Check Number
FORM U - LOT RELEASE. SE 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
APPLICANTe V PHONE
LOCATION: Assessor's Map Number-L-0— PARCEL a
SUBDIVISION LOT(S)
STREET /71/G� e-Il, V L �_ T. NUMBER_
OFFICIAL USE ON
RECO ENDATIONS F TOWN AGENTS:
CONSERVATION ADMINIS ATOR DATE APPROVED Q
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-SEWERAVATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
Town of North Andover
Building Department
The following is a list of the required forms to be filled out for the appropriate
permit to be obtained.
FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS
1) BUILDING PERMIT APPLICATION
2) DEBRI REMOVAL FORM
3) WORKERS COMP AFFIDAVIT
4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES
5) COPY OF CONTRACT
6) FLOOR PLAN OF PROPOSED INTERIOR WORK
FOR ADDITIONS /DECKS
1) BUILDING PERMIT APPLICATION
2) FORM U
3)MORTGAGE PLOT PLAN (MINIMUM)
4) DEBRI REMOVAL FORM
5) WORKERS COMP AFFIDAVIT
6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES
7) COPY OF CONTRACT
8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED
WORK WITH SPRINKLER PLAN AND HYDRAULIC
CALCULATIONS (if applicable)
9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable)
FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY)
1)BUILDING PERMIT APPLICATION
2) FORM U
3) GROWTH MANAGEMENT BYLAW
4) CERTIFIED PROPOSED PLOT PLAN
5) PHOTO COPY OF H.I.C. AND C.S.L.LICENSES
6)WORKERS COMP AFFIDAVIT
7) TWO SETS OF BUILDING PLANS (one to be returned) TO
INCLUDE SPRINKLER PLAN AND HYDRAULIC
CALCULATIONS (if applicable)
8) COPY OF CONTRACT (if applicable)
9) MASCHECK ENERGY COMPLIANCE REPORT
In all cases if a variance or special permit was required the Town Clerks
office must stamp the decision from the board of appeals that the appeal period is over. The
applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with application.
• A
. NORTif w-
0`St4eD 16 q-r0
O
to
Town of North Andover y
Building Department n� •��'"
27 Charles Street "SsaCHUSEt`y
North Andover MA 01845
Tel: 978-688-9545
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE Z2-623
JOB LOCATION K'7 ffc/C.0/�
Number Street Address Section of Town
"HOMEOWNER
Number Home Phone Work Phone
PRESENT MAILING ADDRESS
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings
of six units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1)
DEFINITION OF HOMEWOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which
there is, or is intended to be, a one to six family dwelling,attached or detached structures ac-
cessory to such use and and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,
a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the
building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned"homeowner"certifies that he/she understands the Town of No.Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note:Three family dwelling 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0 Construction Control.
MORTGAGE INSPECTION
BAY STATE SURVEYING ASSOCIATES
200 CUMMINGS CENTER, SUITE#316J, BEVERLY,MA., 01915
LOCATION ...N.,a/2T1�„ANOQV�;!�fi���, NOTES:
SCALE : 1” = ti/p DATE :......17-1 .l.,,••,.., 1)This is a mortgage inspection survey and not an
"" Instrument survey,therefore this plot plan is for
REFERENCE • n � # j2�7 LO? /i/ mortgage Inspection purposes only.
' ••• •••••••• ••• • ••• •••••••••••••••••• •••• 2)This survey Is based on survey marks of others.
3) Bushes,shrubs,fences and tree lines do not
..................................................... necessarily Indicate property lines.
4)Whenever an offset is 1'+-or less, an Instrument
TO: ..SwN€......LL„Mom>G�]C ••Co.4,�•••••••,. survey is recommended to determine property
The location of the building(s)as shown,either lines,and any possible encroachments.
complied with the local zoning setbacks at time of S)Offsets shown are a0proximate, and are to be
construction or is exempt from violation used only for the determination of zoning, Not to
enforcement action under Mass.G.L.Title VII be used to establish property lines.
Chapter 40A Section 7 6)In my professional opinion the building(s) are not
located In-the special flood hazard zone, as
defined by N.U.D. MA P## 2soag8 6/2/93
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9
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NORTH
Town of E over
No. / !0 3 * _ - ,t
O _+- L A� dover, Mass-,-9
O
CCH C
%p ADRATE D i? C5
7 S H BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
�/a � BUILDING INSPECTOR
THISCERTIFIES THAT......... ....................................................................................... Foundation
has permission to erect... r,0.4�. ........ buildings on.........C�..:.1.......1?�ucK�'�.. ?. .� Rough
to be occupied as......0 OD7-A-2 CC /C m Ne-9/` O 10 r.S/41-c N C w 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. � �! �/Q PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
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 net'
' v •
4�
I
PERMIT NO. APPLICATION FOR PERMIT TO BUILD--NORTH ANDOVER, MASS PAGE 1
MAP NO. I LOT NO. It 1 2 ECORD OF OWNERSHIP DATE BOOK PA
SUB DIV.LOT NO Jho,
PL)RPORFX OF BUILDING ,
OWNER'S NAME NO.OF STORIES SIZE
OWNER'S ADDRESS u BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1 2-
BUILDERS
BUILDERS NAME SPAN /
DISTANCE TO NEAREST BUff DING DIMENSIONS OF SILLS X
DISTANCE FROM STREET POST
DISTANCE FROM LOT LINE-SIDES REAR GIRDERS �r)
AREA OF LOT > FRONTAGE
IS BUILDING NEW HEIGHT OF FOUNDATION THICKNESS D
IS BUILDING ADDITION SIZE OF FOOTING /D')
IS BUILDING ALTERATION IV-0 MATERIAL OF CHI
ZONE IS BUILDING ONS LID R FILLED LAND V 140
LOCATION L,C-P 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
SEE BOTH SIDES LAND COST /
EST.BLDG.COT �L 73 a)
PAGE 1 FILL OUT SECTION 1 -3
z6CS, AV-
EST BLDG.COST PER SQ.FT. oor
PAGE 2 FILL OUT SECTIONS 1 -12
EST BLDG COST PER ROOM
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS SEPTIC PERMIT NO.
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 7
4 APPROVED BY:
DATE FILED /(jLtl//q
BUILDING INVECTOR
SIGNATURE OF OWNER yy,,UTHORIZE GENT
PERMIT GRANTED �319 ;7 OWNER TEL.#
ff CONTR.TEL.
C• CONTRA.LIC.# 6503,6 9
H.I.C.#
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit(belo ) Address of Property for Permit(below)
67
Map and Parcel : Purpo a of AWicati n (check below)
Pho Nmer Applicant: Single Family _Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
` Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in
;Jweistn of the effective date of this by-law,provided that no additional residential unit is created.
The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
a .
This application is for dwelling units for low and/or moderate income families or individuals,where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section"senior'shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the
• environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply,whether done to my
knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit.
Signature df Owner or Authoriz nt who sig the Attached Building Permit Date
• This form must be attached h Building POW upon application for such permit.
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HOME IMPROVEMENT CONTRACTOR
Registration 105931
° Type - INDIVIDUAL,
Expiration 07/21/98
HURLEY CONSTRUCTION
Th�o�ma�s M. Hurley
(� Ialem St
ADMINISTRATOR N Reading MA 01864
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FORM U - VERIFICATION 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 local or state law,
regulations or requirements. '
A !.. cant fills out' this sec
U
APPLICANT: Phone
i
LOCATION: Assessor's Map Number Parcel t
Subdivision .tom, Lot(s) 1�____
Street - 67
St. Number _
K Nv�.Ic1e! �►�: ^,
***CA**** ********** * *Official Use Only************************
RECO NDAT S OF AGENTS:
Date Approved
Conservation Administrator Date
(`/Ill 11 Rejected
Comments �IUUr
' Date Approved
-
Town Planner
Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
I -
Septic Inspector-Health Date- Approved
Rejected
Comments
i
Public Works - sewer/water connections 7/'3177
- driveway permit 1. C.J 7 )-3127
Fire Department,Q
l
Received by Building Inspector Date
Town Of North Andovera"`:TM+~ Project:
Building Department ,
146 Main St.Town Hall Annex
508-688-954500�6 b wApm-ewr &Met--,
APPLICANT: 2.� �.sxd�4�T, ,un ,,p-c;�,,�,� DATE: S a-�'C. '�, 195 7-
RE: 1�o-�t10 r►a fie• �.tti y+-
Title of Plans a;4 Documents: � �(� Au
Please be advised that after review of your Building Permit Application and Plans that your
Application is DENIED for the following reasons:
Zoning
Use not allowed in District Not in conformance with Phased Development
Violation of Height Limitations Sign exceeds requirements
Violation of Setback Front Side Rear Insufficient Lot Area
Insufficient Parkin solation of Building Coverage
Insufficient Open Space Use requires permits prior to Building Permit v
Sign requires permits prior to Building Permit I V I Form U not complete by other departments 1�
Not in conformance with Growth By-Law Other
Remedy for the above is checked below.
imensional Variance Special Permit for Watershed Review
S ecial Permit for Site Plan Review Special Permit for sign
Complete Form U sign-offs Copy of Recorded Variance
Information indicating Non-conforming status Copy of Recorded Special Permit
Other Other
Plan Review The plans and documentation submitted have the following inadequacies :
1.Information Is not provided,2.Requires additional information,
3.Information requires more clarification,4. Information is incorrect. 5.All of the above
Foundation Plan Plumbing Plans
Subsurface investigation Certified Plot Plan with proposed structure
Construction Plans 127 Affidavit
Mechanical Plans and or details Plans Stamped by proper discipline
Electrical Plans and or details Framing Plan
Fife Sprinkler and Alarm Plan Roofing
Footing Plan Plans-to scale
Utitities Site Plan
Water Supply Sewage Disposal
Waste Disposal Other
ADA and or ABBA requirements
Administration
The documentation submitted has the following inadequacies :
1Information Is not provided.2.Requires additional information.
.Information requires more clarification.4. Information is incorrect.5.All of the above
# #
Water Fee I State Builders License
Sewer Fee V Workman's Compensation
Building Permit Fee Homeowners Improvement Registration
Building Permit A Iication)J(.> Kbio Homeowners Exemption Form
v S Other FRwtnK. i Other rb u,L 01a nepli 7ft ,
�+ Rwti O,V�Oro afw+�d¢ t=R.tawr OroC L7N CaA-U>;L► (—
The above review and attached explanation of such is based on the plans and information submitted. No definitive review and
or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to
provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent
changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the '
Building Department.The attached document filled"Plan Review Narrative'shall be attached hereto and incorporated herein
by reference. The building department will retain all plans and documentation for the above file.You must file a new building
permit application form and begin the permitting process.
Building Department Official Signature Application Received Application Denied
-X02.4-51-7 If Faxed
Denial Sent
Referral recommended
Fire Health
Police Zoning Board
Conservation Department of Public Works
Planning Historical Commission I
Other
cc: William Scott
i
Plan Review Narrative
The following narrative is provided to further explain the reasons for denial for the building
permit for the property indicated on the reverse side:
:
151
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Town Of North Andover Proj�Ft: 11 Matth9w_ iiLane
Building;Department
146 Main St. Town Hall Annex
508-688-9545 ;
APPLICANT: Pinewood Development Corp DATE: September '22,1997
200 Park St No. Reading MA
RE: 11 Matthews Lane
Title of Plans and Documents: Building Permit Application & Drawings
Please be advised that after review of your Building Permit Application and Plans that your
Application is DENIED for the following reasons:
Zoning
Use not allowed In District Not in conformance with Phased Development
Violation of Height Limitations Sign exceeds requirements
Violation of Setback Front Side Rear Insufficient Lot Area
Insufficient Parking Violation of Building Coverage
Insufficient O en Space Use requires permits prior to Building Permit
Sign requires permits prior to Building Permit Ix I Form U not complete by other departments
Not in conformance with Growth By-Law Other
Remedy for the above is checked below.
Dimensional Variance Special Permit for Watershed Review
Special Permit for Site Plan Review S ecial Permit for sign
x Complete Form U sign-offs Copy of Recorded Variance
Information indicating Non-conforming status Copy of Recorded Special Permit
Other Other
Plan Review The plans and documentation submitted have the following inadequacies :
1.Information Is not provided,2.Requires additional information,
3.Information requires more clarification,4. Information is incorrect.5.All of the above
# #
Foundation Plan Plumbing Plans
Subsurface investigation x 1 Certified Plot Plan with proposed structure
Construction Plans 1.16 Affidavit
Mechanical Plans and or details Plans Stamped by proper discipline
Electrical Plans and or details Framing Plan
Fire S rin4ler and Alarm Plan Roofin
Footing Plan Plans to scale
Utilities Site Plan
Water Supply Sewage Disposal
Waste Disposal Other
ADA and or ABBA re uirements
Administration
The documentation submitted has the following inadequacies :
1.Information Is not provided.2.Requires additional information.
3.Information requires more clarification.4. Information is incorrect.5.All of the above
# #
Water Fee x I State Builders License ^€'
Sewer Fee x 1 Workman's Compensation
Building Permit Fee Homeowners Improvement Registration
x 1 Building Permit Application No fil:Lng d to Homeowners Exemption Form
x 5 Other Arch on applicaton dif. from I x 5 Other Builder on app. dif. from one "
one on drawing on drawing
The above review and attached explanation of such is based on the plans and information submitted. No definitive review and
or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to
provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent
changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the '
Building Department.The attached document titled"Plan Review Narrative shall be attached hereto and incorporated herein
by reference. The building department will retain all plans and documentation for the above file.You must file a new building.
permit application form and begin the permitting process.
9/20/97
Building Department Official Signature Application Received Application Denied
9/22/97 If Faxed
Denial Sent
Referral recommended
Fire Health
Police Zoning Board
Conservation Department of Public Works
Planning Historical Commission
Other
cc: William Scott
i
Plan Review Narrative
The following narrative is provided to further explain the reasons for denial for the building
permit for the property indicated on the reverse side: �I y
rl�ep
,���.��INp r..4:�t .�yyQ 1'..R}.t�:t,!, j . . iJ .+:{. Jy,�.�ry,14y�iQi��hyl�A I� d+i�.(�.r�µ�-�` rzY 'Is G'C� ji1° y QiAl�� 4 Ci���� a rvq�#G� �a F� yuhtH�� yhi � ' 'Cf�di]. F y p� E iO� �}hapore 1-
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M `.FORT
Town of
No.414.. -
_ � - * 3d 19
o 7
* i _ i dover, Mass.,
0 LAKE
I '9 COCHICMEWICK aY'�•
AOA�TED�PP��' �GJ
S E BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
e '/� BUILDING INSPECTOR
THIS CERTIFIES THAT........P.. .'t.W..U.�J.tib............a.u.e............. 0. .p.'.........................................................
`� .
Foundation
has permission to erect...�� 4
.....D 61. buildings on ......67.
. .......�!�.1.q"-rA 5......L..- ..........�4t--(. Rough
tobe occupied as.............. ✓l. . .� .............1� VY..4..,.. .............................................................................................. Chimney
provided that the person accept! this permit shall in ever aspect 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough
PERMIT EXPIRES IN 6 MOi A•r i r1C FEE PAID Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TARTS Rough
........ .... . .. Service
... .. . .. . ....... . .........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
VO,L a (O Street No.
_ t i� 1 a � Smoke Det.
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L CHECK NO. : 4300 DA'C'E: `
-OP,NORTH ANDOVER .MEMO: LOT 11 PW. F1YD +" E'EM °E
t u fr" 2"91k# {• Y•/y ... a f �Ll 'ti
h
t�`dahS
AM; ,; CHECK TAL4. 1 v
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number Date g
i
THIS CERTIFIES THAT
THE BUILDING LOCATED ONa0-cK4,F,*B94,e&V
MAY BE OCCUPIED AS ` IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO I v c)
ADDRESS N• —
++,cMu,�` r g nsp for
�.1ORT/y
Town of _ ` - over
No. * - _ -
dover, Mass., 2 /10 19 9/
CMICMEWICK ~~' �
'9s �qq E
�G BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
c,�0 QP.................... .v,.
THIS CERTIFIES THAT..............................................�.�'................. // . .......................................... Foundation
has permission to erect..................I..................... buildings on ...�... .....F� C-1C4lir8!��!e.........................
to be occupied as................................................................. ........FAL.�...;gl
...........................provided that the person accepting this permit shall in every respect conform to the terms of theication on file in
this office, and to theP rovisions 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
ELECAICAL INSPECTOR .-
UNLESS CONSTRUCTION STAR
Rough r/ _
........................... .............
BUILD
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rn
No Lathingor D Wall To Be Done
Until Inspected and roved b the Building Inspector. FIRE DEPARTMENT
P PP Y 9 P Burner
RH
No. ���
Location �, -� /-/"—
No.
-/"No. a Date
1
NaRTM TOWN OF NORTH ANDOVER
0
dL
i •
Certificate of Occupancy $
;,SSAC MUS t� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ t yv
Check #
IJJJI
/� Building Inspec
i'1?lzml ' NO APPLICATION FOlt "1'll /DV , MA
u►I.NO. 2. IM*0111)ol o islllsnD:\
10 \IMN 1-1,1(IN 61:.(4 1111111)IN(i
IM-NER•SNAnIL E/7L,�bR No .lM SI(X(ILS SILI: --- --------
UWf4l:R'S ADDI(I:SS 67 !l U / , A _ nAsu'lL."r(xt SI AB
ST
AR("I III1-.(*I'S NAME v / //l��I L!• �V Sin:Of I u(xxt I IMnERS I 2 3 r
lit ill DER'S NAn1E ERR # / {I?C,044CFi C�E•tfT IQ 51-AN
DIS I AIAT 10 M-AltES 1131JILDING DI I,IfNSIONS(X SII I S
IMS I ANC E I ROM Sl Hlili r DIMIiNSI(XJS(J(IUS I S
DISIANCE FROM 1.01-LINES-SIDES REAR DIMENSIONS 01-GIRDERS
AHLAI(xEur IN(NJIAGE IIEIGI11lX P(xINDATI(xJ THICKNESS —
IS BUILDING NEW i SIlL UI I1X711N(i X ---
15 BUILDING ALTERATION IS BUIL1)IN(i ON SOLID OR FII t ED LAND
Wil 1,(31,11.I)1M;CONFOMA10RliQX11REMENISCA:CODL ISlit Ill DIM;C(xJIJLCILD-I(IIOWN WAlFit -
IPPS 111( I IONS 3. 1•I(OI'LR i V INFO RMA I ION I-AND COSI
ES I. B1.Ixi.CM DQ _
i,m ii, 1 FII 1.(x I I SE(:[I(xJs 1-3 ESI. BI Ix;.COS I'LRSQ. I I.
LS 1. BIIxi.COS lPLR H(x)tl —
EI wrRIC t,u:I LRS t,I11ST BE(xJ O II SIDE(x'IAIILDING SEPI IC I'LRMI l tJO.
1 -- —
AfI,ACIIEDGARAGESKIUSIC(VIAMtMTOSFAIEIIRI:RE(i11l.ArlONS a. AI'1•Itov1:UB\': 57
_ -
PLANS MUST HE 111 LD AND APPROVED BY II1111.DING INSI'ECIOR 1111ILDINC INSPEC1 011
DAII:1111:1 /V—�s-�� I)WNLItSII:l
. ,('ON I R.I I I
Ut x4 I RA II'' IS
SI(;NAItl I:(x OWIJIdtIRAllllItXtlll:l)Ali i
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►C I'1 IMI11 (iIt AIJ 11 If '
I
BUILdING DEl'"•RTtVIENT
!tar L.Qt7e�%t
"r.17OCk e�se�r WH 30675-
Tntrcp/d 1Z /99U
616/�Ie2, UL 737
HIC-4 (fode- 4328
. 1/e�rnonf Casfin��
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gear,
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~WOOD STOVE INSTALLAI ON 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 stave construction.
.:I Stove IVA IZV S OP.3 Oc�u U ad ►-
.-.j• A. New •
B. Type/radiant Circulating
C. Manufacturer rib.No. LAt J V wo IL /73!7
NamelModei No. -T_-17"- 7N 1T Mn •r-#/990 Collar size
Dimensions/HeightLength n ,i0eq
Chimney
A. New Existing 2 Yes
B. Size(flue area) 2f she-5
C. Other appliances attached to flue(Number and flue size) A-114
0. Prefab(Manufacturer—name and type) 69
E. Masonry/Lined ����X/3Flue liner
tYo•6 manwaciur*rr
Unlined
F. Height(refer to diagrams) cap
12" Nuri.
aVEZ Icr —r
3'M19
t1 ,MIN.
I$`r',klN.
HEARTH
% CHIMNEY HEIGHT
Hearth(non-combustible)
A. Materials
B. Sub-floor construction
C. Minimum dimensions(refer to aiacram)
Clearances and Wall Protection tree stcve installat:cn C!earances chart)
A. Type of wall protection provided
B. Clearances(refer to diagrams)
FIREPLACE ...::'", RNER WALL'CENTER.
Table of Contents
This manual describes the installation, operation, and
maintenance of the Vermont Castings Intrepid II
Installation .......................................... 2 catalytic-equipped wood burning heater, Model
i,
#1990. This heater meets the U.S. Environmental
Protection Agency's emission limits for wood heaters
Alcove Installations .......................... 10 sold on or after July 1, 1990. Under specific EPA test
conditions, this heater has been shown to deliver heat
Clearance Chart................................. 11 at rates ranging from 8,300 to 26,700 Btu/hr.
and is
Clearance Diagram............................ 12 The Intrepid 11 Model #1990 has been tes
listed by Warnock Hersey International oftMiddleton,
Wall Shields Wisconsin. The test standards are ANSI/UL-1482 and
„„„...... '.13 ANSI/UL-737 for the United States, and ULC S627
and CAN/CSA-8366.2 for Canada.
Flue Collar Location..........................14
The Intrepid II Model #1990 is listed for burning wood
Assembly ...........................................15 only. Do not burn other fuels.
,,,,,,,,,,,,,,,,,,,,,,,,,,,,16 The Intrepid II is listed for installation in mobile homes
Operation .............,. y .
only the United States and only with use of Vermont
;
Castings Mobile Home Kit#3248.
Maintenance ......................................24
We recommend that you hire a professional installer
Appendix/ Catalytic Combustor......30 certified by the Wood Heat Education and Research
Foundation(WHERE)or Wood Energy Technical
Specifications....................................31
Training (WETT)to install your stove, or to advise you
on the installation if you attempt to install it yourself.
Parts Diagram ...............................32-33 Please read this entire manual before you install and
use your new room heater. Failure to follow
Warranty..................Inside Back Cover instructions may result in property damage, bodily
injury, or even death.
Save these instructions.
31
.Specifications
Intrepid II, Model #1990
r �I
Range of heat output......................8,260-26,740 Btu's/hr." 21-1/4"(540 mm)
Maximum heat output...............................24,000 Btu's/hr.'
Area heated ......................... U to 1000 s ft. 92 s m. ' —
P q• ( q• )
Fuel size/type......................................... 16" (410 mm) logs
Efficiency rating ...... . ..................y...).................... 81.1%314 i (6 40 1mm)
EPA emissions rating (GPH, catalytic)..........................2
LoadingFront or topTop exit
COl flue collar
Chimney connector...........................6" (150 mm) diameter li j height
Chimney flue size ............................ 6" (150 mm) minimum Ln + �'
Flue exit position..............................Reversible,top or rear
7-1/8"
Primary air ........Manually set, thermostatically maintained 180 mm
Secondary air............................................... Self-regulating (_ _)
Ash handling system .......................... Removable ash pan I
Glass panels..............................High-temperature ceramic 21-1/2" (545 mm)
Weight......................................................223 lbs. (101 kg.)
Width (leg-to-leg) 21-1/2" 545 mm Front View
Depth (leg-to-leg)....................................13-3/4" (350 mm)
Height to top of flue collar:
With regular legs ..................25" (635 mm)top exit21-1/4"
..............................................24" (610 mm) rear exit �— (540 mm)
'1-1/4"
With optional short legs ........21" (535 mm)top exit I., 18" (31 mm)
....................................... 19-3/4" (500 mm) rear exit (460 mm)
II TR�PI�11 '• _ L
'This value can vary depending on how the stove is operated,the "A FI���
type and moisture content of the fuel used,as well as the design,
construction,and climatic location ofour home. Figures shown
Y 9 � f
are based on maximum fuel consumption obtained under EE
laboratory conditions and on average efficiencies.
LO
'These values are based on operation in building code-conform-
ing homes under typical winter climate conditions in New
England. If your home is of non-standard construction(e.g., I I
unusually well-insulated, not insulated, built underground,etc.)or L- ,
if you live in a more severe or more temperate climate,these --�
figures may not apply. Since so many variables affect perfor- _ 13-3/4"
mance,consult your Vermont Castings Authorized Dealer to 050 mm)
determine realistic expectations for your home. Side View
'Based on CSA B415 methods.
"Under specific conditions used during EPA emissions testing.
20" (510 mm)
21-1/2"
(545 mm)
"
Top View
NORTH
Town of - ` L over
0
No.sZb _ - _ - _ - 1*1
o " fs
LOCH, `iE L dower, Mass.,
oj'ATED PPC
S 5`
OARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
xvimo
BUILDING INSPECTOR
THIS CERTIFIES THAT.. ,. .�� .....r/4" or.... db........�i� s
Foundation
has permission to erect.....W.�V04 h P
. .. .. . ...... ... ...
buildings on .....�.. ........ .....V.�. Rough
to be occupied as.................6 1.,04. 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. P ING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Tn (O b PERMIT EXPIRES IN 6 MONTHS Final
.rl UNLESS CONSTRUCJPN STS ELECTRICAL INSPECTOR
Rough
Service
B LDING INSPECTOR
a� _ 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 FI E DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.