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17A-284 (2)
Fireplace • n (for qualified installers only) 13 Flue Installation RLH Chim-Flex Starter Sections Flue(flexible or rigid) Included in the owner's pack are RLH manufactures starter three"flue brackets"and six self- sections In straight or drifting screws. Use these angled configurations to components to secure the flue to the - Flue Bracket suit your application. fireplace insert. \ They are secured from r Self-Drilling Screws inside the firebox, making V installation much easier. Contact RLH for additional details: �, N Flue Opening A www.chim-flex.com ' Sealing the Flue to the Insert This insert utilizes a catalytic combustor to increase efficiency and decrease emissions. This increases the air resistance inside the firebox, making the flue connection especially important. To insure proper draft, and to prevent smoke spillage during re-loading, it is crucial for the flue to be sealed with fireplace cement. If an adapter is used, both joints to the liner and to the insert must be sealed. Use a generous amount of fireplace cement at every connection (where the flue connects to the insert and at every joint). In addition,we recommend using non-combustible fiberglass insulation to seal the fireplace enclosure. By sealing the top and bottom of the chimney, and the surround panels, you will be ensuring outside air is not pulled into the chimney. Install a non-combustible cover plate to prevent water Cap(prevents water from c w entering) from entering the chimney — -- Flue Liner The liner must be stainless steel connector or flexible vent. Follow the liner manufacturer's insturctions for installation and support. Combustible Mantle = Airtight Insulated Clean-Out Remove damper or wire it open See the section"Insert oe Placement Requirements"for �uc�`aen We recommend using non-combustible minimum clearances and Gel fiberglass insulation to seal the fireplace hearth required. _ enclosure(chimney top and bottom,and _ surround panels) - Seal the flue connection to the insert ©Travis Industries 100-01273 4141212 Fireplace Installation • qualified installers only) • Insert Placement Requirements • The insert must be placed so that no combustibles are within, or can swing within (e.g. drapes, doors), 36"(915mm)of the front of the insert( Figure 3"q"). • Insert and hearth must be installed on a level, secure floor • The minimum clearances, facing, and hearth requirements in Figure 3 must be met. Minimum Clearances k Sidewall 10.5" 267mm Side Facing non-combustible 5.5" 140mm m Top Facing non-combustible 37" 940mm n Mantel combustible 41" 1042mm o Front Hearth 18"*458mm* NOTE: Base of insert must be a minimum 1" above combustible floor surfaces (carpet,wood,etc.). See "Hearth Requirements"for further details. Side Hearth 8" 204mm Front of Insert 36" 915mm r Mantel Breastplate max. 1"26mm thick 37"940mm s Mantel Column max. 8"204mm deep) 5.5" 140mm x Extension Onto Hearth from front edge of insert 0" Omm * In the US, a 16" (407mm) hearth may be used if base of insert is 2" (51 mm)above combustible floor surfaces (carpet, wood, etc.). See"Hearth Requirements"for full details. a- 479. CO� Side Side W all � ' Max.t" m 26mm o Figure 3 ©Travis Industries 100-01273 4141212 • • . Installation • qualified installers only) Fireplace Requirements Figure 2 shows the minimum size requirements for the type of fireplace used. \ Minimum Fireplace Size a Height front 23.5" 597mm b Height rear 22" 559mm Co�b4s f` c Width front 33"* 839mm* d Width rear 20.75" 528mm e Depth 19" 483mm j f Hearth Depth 18"** 458mm** r NOTE: Base of insert must be a h minimum 1" above combustible floor surfaces (carpet,wood, etc.). See a;. " "Hearth Requirements"for further ' x:13 ,•'. b °� details. a Hearth Width 47" 1093mm i h Facing Width 42" 1194mm i Facing Height Above Base of Insert 37" 940mm C /Vo j Mantel Height Above Base of Insert 41" 1042mm C©11�b f IlSt,fe 9 ye`�7h " �f1 Figure 2 *Includes 2"(51mm)for power cord installation. **In the US,a 16"(407mm)hearth may be used if base of insert is 2" (51 mm)above combustible floor surfaces(carpet,wood,etc.). Fireplace Altered Tag Attach the"This fireplace has been altered..." plate to the fireplace (use two screws or other suitable method). You may wish to place it in a location where it will be covered by the surround panels. ©Travis Industries 100-01273 4141212 W The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): AFS d/b/a THE FIRE PLACE Address:106 STATE ROAD City/State/Zip:WHATELY, MA 01093 Phone#:413-397-3463 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 10 4. F1 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. E] Remodeling ship and have no employees These sub-contractors have g, E] Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] S. El 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.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.0 Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. ¢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:MA RETAIL MERCHANTS WC GROUP INC Policy#or Self-ins. Lie. #:014005033601114 Expiration Date:1-1-16 Job Site Address: ---;I�( (��AG-SJ ru IL 0_f_ t City/State/Zip: !e D^�nr1 �Yl� 0 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 S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 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 under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: Phone#: 413-397-3463 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#: It f Northampton � MAR — 2 MIS assachusetts �« - DEPAR ME r OF BUILDING INSPECTIONS Electric, Plumbing&Gas ns eCtiin treet • Municipal Building P thampton, MA 01060 �l Northampton, MA 01060 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 # /y PLEASE TYPE OR PRINT ALL INFORMATIONS 1. Name of Applicant: D O L'�/ s L�A bgre -7AC r5,z--C Address: %06 .5i4 k 713 4,//iy-/c y 0/073 Telephone: ql 3 3 i 7 3V 1 3 2. Owner of Property: ` ac (;f4 b,7*1) Address: �6 (ZAC3 In(,4 :54 IC%tnC c Telephone: V/S 10- Q 3. Status of Applicant: Owner Contractor 4. Type or Brand of Stove: X-12 6,10 C. J jn 1y If applicant is not the homeowner: p Construction Supervisor's License Number 7 9 �� Expiration Date Home Improvement Contractor Registration Number Expiration Date 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: j'/� APPLICANT'S SIGNATURE e - DATE: o� S�� HOMEOWNER'S SIGNATURE— APPROVED DATE: BUILDING OFFICIAL 246 CHESTNUT ST BP-2015-0834 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-284 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-2015-0834 Project# JS-2015-001616 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BERNARDSTON FARMERS SUPPLY 99401 Lot Size(sq. 1): 31014.72 Owner: GRABON JOSEPH P&SHERYL A zonin :URRA000)/ Applicant: BERNARDSTON FARMERS SUPPLY AT. 246 CHESTNUT ST Applicant Address: Phone: Insurance: 43 RIVER ST (413) 648-9311 O WC BERNARDSTONMA01337 ISSUED ON:31312015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL LOR WOOD INSERT MODEL FLUSH HYBRID 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 3/3/2015 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner