Loading...
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 x 11-- 4: vl N 1 0 �i 1_p_ tiU / Z ,r 1' AH Of AF Ir 1�p q�� 9r 2-S7- R081:RT 8 S .� , r ° o, �ECISTEQ'�` {��` � / Z�• f at i0uSVQ`� 9 7,39 z7,9g I�.d. 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. q r -� �y1R1� Y a► 400, lar�l� 1 1p 04-5-07 AG. 0 do. 'o O„ 1 t b v CP i 0 Aul �LpT �CAiC/ IAI t� JEF EY c �ICF1rANN H �✓d+E�'S��Et�t/ /7fo.��o6Fi�Jdrt/T'� 01 If?7 �/E•P�t/.�6IGt'e�.t�sos�Ed�.wv� tE•drA''�'.!' c` r.�er.rre�Er or`�c� sa+.rxic.�vse~rrs vis.�v x. • � ✓nP�oanontnrrrrr�(� ��.-�'owar�iri,lr//v 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 /�r' ( r•urrin nrnnrr�/� r� . an,.:;rr%,.,,,•1/; OEPRRiMENI OF RURLI(. i4FE!'1 NiiP,UCi i r "n11 '11 i! SSR .�r.�::; Ri'thdate'• i;$ r5?30° O?'"14/1999 Ol/le/1965 - R?st�ict.Qd io: r 1ii0MR`, M BURLE'i N RF�OINf. MR O194d I i 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 1''!I+.j��e+, CyV�i+.1C�'�.8�:r I,,I��§v:it'.'�b9+_�aa''d�wi7� .4FC <<i....:.._ + uJ r •: 4 {F 3 rh'.4. bli9�°+•;�.�i— ,+ . ',,.3a_1�1+re*•!r�_SI s2 xe'u�,�� M Tin -W,sit �� ar IT 0 0a4¢at'' i i +' a ' i I _ i . st e " 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- R t r t' 4 1 , i i s a : a 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. �' L,366 . yY • tr �. a4 r. JM1: a �F r E ' ti .t f 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 ILL(�.a ►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�� &olicl Cl rc�c� � Slale- gear, egear,; ~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.