42-068 Installation
H - D
USA 6" (152mm)
CND 8" (203mm) F
USA 6
(152mm)
CND 8" B J
(203mm)
tDoor Opening
USA 16" (406mm)
CND 118" (4 57mW) E
- G C
A
I
Figure Ti:General Parallel Installation
,(refer to Tables 11&12).
K
tlonai
gage
L USA.6" (152mm)
CND 8" (203mm) P
� B
Optional
Door pening Coverage
USA 1 " (406mm)
CND 18" (457mm) E
Figure 7: General Cbrnehnstallation(refer to Tables 11&13).
19
Installation
HEARTH PROTECTION EXAMPLES:
Table 11: Examples of Hearth Pad Sizing Using Clearances From Tables 9&10(refer to Figures 22&23).
Canada USA
1200 1700 1200 1 1700
(A) Minimum Width (1028mm) 361/2" (926mm)
(B) Minimum Depth 46" 50'/2" 42" 46'/2"
(1168mm) , (1283mm) (1067mm) (1181mm)
OPTIONAL Wner removal
(C) Maximum Front Corners - 83/4" (314mm) 63/4" (171mm)
Adjacent
(D) Maximum Back Corners-
Adjacent 6 � 60mm) 5'/s (130mm)
(E) Maximum Front Corners - 123/s" (314mm) 91/2"(242mm)
Diagonal
(F) Maximum''Back Corners-
Diagonal 27m m) 7'/4„,(185mm)
ax ->-'t
(G) Minimum Width remaining 23 (583mm) 23” (583mm)
without corners - Front
(H) Minimum Width remaining 27 .(707mm) 261/s" (665mrn)
without corners - Back w � ,.
Table 12: Examples of Parallel Installation Using Clearances From Tables 9&10(refer to Figure 22).
Model Country (I) Far Edge of Hearth Pad (J) Front of Hearth Pad to
'fide Wall - Minimum Back Wall - Minimum
1200 Canada = . "(1156mm) 491/4"(1252mm)
Single Wall Pipe USA 431h" (1104mm) 471/4" (1201mm)
1700 Canada_ W 7i"(1333mm) 5434" (1391mm)
USA, 501/2" (1283mm) 523/4" (1340mm)
1200
Canada!41 112"(1156mm) 481/4"(1226mm)
Double Wall Pipe USA 431/2±)(1104mm) 46'/4„(1175mm)
1700 Canada, �2�F 11�� (1156mm) 523/4 (1340mm)
USA 431/2"(1104mm) 503/4" (1290mm)
Top vent out 1200 Canasta `.4i11a"(1181 mm) 501/4"(1277mm)
back wall USA 441/2" (1129mm) 481/4" (1226mm)
with min.
(610mm) vertical ical 1700 Canadd: 43/2"(1104mm) 553/4"(1417mm)
rise; double wall USA 411/2" (1053mm) 533/4" (13466mm)
Non combustible floor protection must be under the chimney connector and 2 inches (50.8 mm) beyond
each side.
18
! f
'fi _
Specifications
CLEARANCES TO COMBUSTIBLES - 1200 FREESTANDING:
MAINTAIN THESE MINIMUM CLEARACES TO UNSHIELDED COMBUSTIBLES*
Back wall Adiacent wall PHearth
Alcove Back wall
B E C N O K
A a L H v tA
a D a , M
0 Fr n
I
Alcove
Table 2: 1200 Freestanding Clearance to Combustibles.
Single Wall Pipe Double Wall Pipe** Top vent out back
wall with min. 24"
(610 mm)vertical
rise; double wall
A From side wall 13" 13" 14"
to side of unit (330 mm) (330 mm) (356 mm)
B From rear wall k 11" 10" 12"
to back of unit (279 mm) (254 mm) (305 mm)
C From adjacent wall 9" 8"
to corner of unit A. (229 mm) (203 mm)
D From side wall 22" 22" 23"
to collar •(559 mm) (559 mm) (584 mm)
E From rear wall 14" 13" 15"
to collar (356 mm) (330 mm) (381 mm)
F From adjacent wall 171{2" 161/2"
to collar (445 Mm) (419 mm)
t From door opening USA 16"(406 mm) USA 16"(406 mm) USA 16"(406 mm)
to edge of hearth pad CND 18"(450 mm) CND 18"(450 mm) CND 18"(450 mm)
H t From side/back of unit USA 6'(152 mm) USA 6"(152 mm) USA 6"(152 mm)
to edge of hearth pad CND 8"(200 mm) CND 8"(200 mm) CND 8"(200 mm)
Alcove (48"[1220 mm] Deep)
I Total Width 55"(1397 mm)
Total Height 78"(1981 mm)
K Top of stove to ceiling 49"(1245 mm)
L Side wall to stove 15"(381 mm)
M Side wall to pipe 24"(610 mm)
N Back wall to unit 12"(305 mm)
0 Back wall to pipe 15"(381 mm)
. 7
13
A M
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
/ Boston,MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/Individual): BERNARDSTON FARMERS SUPPLY
Address:43 RIVER STREET
City/State/Zip: BERNARDSTON, MA 01337 Phone #:413-648-9311
Are you an employer? Check the appropriate box: Type of project(required):
1.X I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8, ❑ Demolition
working or me in an capacity. employees and have workers'
g y p �'• 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 131 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers"compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: PEERLESS INSURANCE
Policy#or Self-ins. Lic. #:WC8165644 Expiration Date:7/1/14
Job Site Address: City/State/Zip: rtoteAec �'l _Qldg
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify u er the pains and p alt' of perjury that the information provided above is true and correct.
Si,,nature: 9 Date: �
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
� r
15,ty of Northampton
�!4 Si
>a''j+♦=^ "� JUN 2 Q 2 Massachusetts =- `-;-
f Vag .
P;U - OT aV4uiNv .�JFCTr�c
tc 62
2 Main Street • MmiciPal Building -.•�:, '� fir-
Northampton, M& 01060
GINOLE OR TWO iamiLV sm-in FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES, OR FIREPLACE INSERTS
Permit Fee: $25.00 Check# dqoq
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant D o vil t S i'O b bzr-- -- 7-A< -'j
n�
Address. /06 Sit-k 1- b ( )41CL' 0 �f�l Ci C
Of07S Telephone: 413
2_ Owner of Property:_ _ 6 J a ln!z
Address: 7 G%c N tact lC 2b Ro re px a Telephone: '�/5 9S 4
3- Status of Applicant Owner "'Contractor
4. Type or Brand of Stove: Z':e?V /'p `8 a Yio l / C"0 0 O
If applicant is not the homeowner.
Construction Supervisor's License Number �� G� Expiration Date
Home Improvement Contractor Registration Number Expiration Date 7 Z�-/y
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
5. Certification:I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 6 `/`>l'I� APPLICANT'S SIGNATURE
DATE: 6 'r 8 r7 HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL
27 GLENDALE RD BP-2014-1369
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 42 -068 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: woodstove BUILDING PERMIT
Permit# BP-2014-1369
Project# JS-2014-002313
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BERNARDSTON FARMERS SUPPLY 99401
Lot Size(sq. ft.): 17598.24 Owner: TANGUAY DOROTHY M& EUGENE J&WAYNE V TANGUAY
Zoning: Applicant: BERNARDSTON FARMERS SUPPLY
AT. 27 GLENDALE RD
Applicant Address: Phone: Insurance:
43 RIVER ST (413) 648-9311 () WC
BERNARDSTONMA01337 ISSUED ON:612312014 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL ENVIRON BOSTON 1200 WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 6/23/2014 0:00:00 $25.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner