06-043 INSTALLATION
MASONRY FIREPLACE INSTALLATION:
Unless you are experienced, we recommend installation by your dealer or a
professional installer.
Install only in a masonry fireplace with a good-condition chimney at least 15 ft (4.6 m) high, both of
which have been constructed in accordance with the building code. Refer to Tables 4 and 7 for minimum
masonry fireplace dimensions. Be sure the fireplace and chimney are clean and sound without any cracks
or loose mortar. Do not remove any bricks or mortar from the fireplace.
If there is a combustible floor in front of the
Rain Cap masonry fireplace, the fireplace insert must
Steel Plate or Flashing be 8" (203 mm) above the combustible
floor, and floor protection must be provided
18"(457 mm) in front of the fireplace insert
and 8" (203 mm) to each side of the unit.
Flexible or Rigid 6" Refer also to SPECIFICATIONS - CLEARANCES TO
Stainless Steel Liner COMBUSTIBLES- 1200-C INSERT and SPECIFICATIONS
- CLEARANCES TO COMBUSTIBLES - 1700-C INSERT.
1. Remove any fireplace damper or fasten
in a permanent open position.
2. (IN CANADA) The stove is vented with
a 6"stainless steel liner that goes directly to
Mantel the top of the chimney and is covered with
a rain cap. The chimney top is sealed with
a flashing or steel plate that supports the
Top Facing weight of the chimney liner. The installation
must conform to the liner's manufacturer's
Damper Removed instructions.
or Fastened Open
Surround Panel This fireplace must be installed with a
continuous liner of 6" diameter (CANADA
Sheet Metal Screws ONLY) extending from the fireplace
Fastening Collar to insert to the top of the chimney. The
= Stainless Steel Liner
chimney liner must conform to the Class 3
requirements of CAN/ULC-S635 Standard
for Lining Systems for Existing Masonry or
Factory-Built Chimneys and Vents, or CAN/
USA 1s"(406 mm)
CND 18"(450 mm) ULC-S640 Standard for Lining y Systems for
m
New Masonry Chimneys.
Prote ti
on (20 3mm) (IN U.Sd The appliance when installed,
Masonry Fireplace Combustible Floor must follow local building codes, in the
absence of local building codes, with the
current NFPA 211 Standard for Chimneys,
Figure 10: Insert Installation into existing fireplace with Fireplaces, Vents, and Solid Fuel-Burning
hearth. Appliances.
16
SPECIFICATIONS
CLEARANCES TO COMBUSTIBLES - 1200-C INSERT:
Table 2: 1200-C Insert Clearance to Combustibles.
A Minimum clearance to an unshielded side wall 10"(254 mm)
B Minimum clearance to an unshielded 8" (203 21"(533 mm)
mm) mantel _
C Minimum top facing (protruding 3/4" [19 mm]) 17/2"(445 mm) 3 g
clearance c
a,
D Minimum side facing (protruding 3/4" [19 mm]) 1" (25 mm) .o D
clearance a A
E t From front of door opening to edge of floor USA 16"(406 mm)
protection CND 18"(450 mm) E
F t From side/back of unit to edge of floor USA 6" (152 mm) F
protection CND 8"(200 mm)
t FLOOR PROTECTION:
If unit is raised 0"- 2"(Omm-51mm); 1"(25mm) non-combustible material with k value = 0.84 or equivalent.
If unit is raised 2"- 8"(51mm-203mm); 1/2"(13mm) non-combustible material with k value = 0.84 or equivalent.
If unit is raised greater than 8"(203 mm) or more; any non-combustible material can be used.
Table 3: Reduction in (B) Minimum Clearance from 1200-C to 8"(203 mm)Mantel.
Type of protection Modified Clearance
A minimum of .013" (0.33mm) sheet metal spaced out 1" (25mm) by non- 101/2"(267 mm)
combustible spacers.
Ceramic tiles, or eqivalent non-combustible material on non-combustible 14"(357 mm)
supports and spaced out 1"(25mm) by non-combustible spacers.
Ceramic tiles, or egivalent non-combustible material on non-combustible
supports with a minimum of .013" (0.33mm) sheet metal spaced out 1" 101/2"(267 mm)
(25mm) by non-combustible spacers.
NOTES:
(1) Mantel protection must have at least 3"(75mm) edge clearance on all sides, except as provided in Note 4.
(2) If an adhesive is used to support non-combustible material, it shall not lose adhesive qualities at temperatures
likely to be encountered and shall not contribute a significant combustible load.
(3) Heat shield mounting hardware attached to combustible materials must be placed at the lateral extremities of
the shield.
(4) Minimum clearance to unprotected walls and ceilings must be maintained.
(5) Clearances may only be reduced with shielding acceptable to the local authority.
Table 4: 1200-C Insert Minimum Fireplace Size.
Masonry Zero Clearance
Minimum Depth 141/2" (368 mm) 15"(381 mm)
Minimum Width at back of fireplace 223/8"(568 mm) 23" (584 mm)
Minimum Width at front of fireplace 32"(813 mm) 321/4" (819 mm)
Minimum Height 191/4'3(489 mm)** 20" (508 mm)
or 193/4"(502 mm)
** If the masonry lintel height is only 191/4" (489 mm) to 193/4" (502 mm) refer to INSTALLATION - MODIFICATIONS FOR
INSTALLATION WITH 191/4"(489 MM) HIGH LINTEL- INSERT
11
The Commonwealth of Massachusetts
f o
Department Industrial Accidents
P
_ w Office of Investigations
- '. I 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.❑■ I am a employer with 10 4. ❑ I am a general contractor and I
employees (full and/or part-time).
* have hired the sub-contractors 6 F-1 New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.❑ 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.❑ Roof repairs
insurance required.] c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information.
I lomcowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
'Contactors 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-contactors 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
in formation.
Insurance Company Name: PEERLESS INSURANCE
Policy #or Self-ins. Lic. 9:WC8165644 Expiration Date:7-1-2014
Job Site Address: 4 ii /)6jd-c-i j V1 He City/State/Zip: 4xfe7 3 J-3
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
tine 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 da} against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ofthe DIA for insurance coverage verification.
I do hereby certify under the pains and enalties of perjury that the information provided above is true and correct.
Si mature: X e� Date: 5 ^�
Phone#
Official use onlr. Do not write in this area,to be completed by city or town official.
Citv 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#:
L << City Northampton
C Massachusetts � _ ►- '�
.. A, I FEB 10 21114 ;
P sI ll!! llll DEPARTP92V OF BUILDING INSPECTIONS x
Min treat • Municipal Building ��..
r;,LirC c aGtlQAta th p ton, MA 01060
Electric, Fv�
Nc ,� E,rnpt: `.060
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES, OR FIREPLACE INSERTS
Permit Fee: $25.00 Check # 93 9
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /C ��^//c �l err — /) v U 9
Address: /D(, ����r D (ulna kl% 0!d'3 Telephone:, `//� 3`i'7- .�y6 3
2. Owner of Property:
Address: -r% /VG.V ct'✓ Vr // �1� Telephone: 5d:9- ya1
3. Status of Applicant: Owner Contractor
4. Type or Brand of Stove: Z i_ �ylf_C % 65 6h /aQG )nSC'RT
d'2')B 5 Or",'� !`rCrrB(°c.. GJ/ o,S
IT-Flt--Y,
If applicant is not the homeowner:
Construction Supervisor's License Number q ?V 6 t Expiration Date
Home Improvement Contractor Registration Number 1600, ,p Expiration Date T z�_
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: V S / APPLICANT'S SIGNATURE c'--
DATE: X l�k HOMEOWNER'S SIGNATUR&
APPROVED
DATE: BUILDING OFFICIAL
271 HAYDENVILLE RD BP-2014-0862
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 06-043 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-2014-0862
Project# JS-2014-001512
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BERNARDSTON FARMERS SUPPLY 99401
Lot Size(sq.ft.): 30622.68 Owner: CHAPIN-BISHOP CATHERINE A&PETER E BISHOP
Zoning: SR(100) Applicant: BERNARDSTON FARMERS SUPPLY
AT: 271 HAYDENVILLE RD
Applicant Address: Phone: Insurance:
43 RIVER ST (413) 648-9311 O WC
BERNARDSTONMA01337 ISSUED ON:211012014 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL ENVIRO BOSTON 1200 FIREPLACE
INSERT
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 2/10/2014 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner