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18C-067 4 Termination Location and Vent Information A. Venting Termination Design #1 Installing into an existing fireplace chimney The chimney top must be capped This method provides excellent venting with 100%outside air to prevent rain and/or snow from which is the most efficient operation of this unit.This method entering the chimney. also provides natural draft in the event of a power failure. See Page 13 Figure 4.8, for A4"stainless steel flex pipe is needed for the flue pipe,and 3" information on the optional aluminum or Stainless Steel Flex Pipe is used for the intake. Harman® Adjustable Stainless Steel Intake Extension. A WARNING The damper area must be CHIMNEY CONNECTOR PIPE MAY NOT PASS sealed with a steel plate and it THROUGH CONCEALED SPACES INCLUDING AN is recommended that Kaowool, ATTIC, ROOF SPACE, CLOSET, FLOOR OR CEILING. Mineral wool or an equivalent non combustible insulation is used on top of the plate to reduce A WARNING Alm the possibility of condensation. Insulation alone should not be used to seal the damper opening. DO NOT REMOVE BRICKS OR MORTAR FROM THE EXISTING FIREPLACE. J— Height of existing hearth Figure 4.1 The chimney top must be capped #2 Installing into an existing fireplace chimney to prevent rain and/or snow from entering the chimney. This method provides excellent venting for normal operation. This method also provides natural draft in the event of a power failure. A cap should be installed on the chimney to keep out rain. Combustion air is provided from the living area and enters the The damper area must be feed system from around the wing and stove body spaces. sealed with a steel plate and it is recommended that Kaowool, Mineral wool or an equivalent A WARNING non combustible insulation is used on top of the plate to reduce DO NOT REMOVE BRICKS OR MORTAR FROM THE the possibility of condensation. EXISTING FIREPLACE. Insulation alone should not be used to seal the damper opening. I � 't Figure 4.2 10 Harman® • Accentra 52i Installation Manual R20 2013 12/15 3-90-00574i B. Clearances to Combustibles&Floor Protection When selecting a location for the appliance it is important to NOTICE:Illustrations reflect typical installations and are FOR consider the required clearances to walls(see Figure 3.2). DESIGN PURPOSES ONLY Illustrations/diagrams are not WARNING! Risk of Fire or Burns! Provide adequate drawn to scale.Actual installation may vary due to individual clearance around air openings and for service access. Due design preference. to high temperatures, the appliance should be located out of traffic and away from furniture and draperies. * Floor protection must be used from hearth opening to 6"(152mm)in front of door glass and 6"(152mm)to each side of the stove body OR 8" (203mm)to sides and 18" (457mm) in front (CANADA)to protect combustibles from hot ashes. A minimum size will be 16.5" deep by 30" wide and be made of a non-combustible material or meet UL approval. A = to sidewall B = to 12" mantel C = to 3/4" trim 12"(305mm)Mantel D = to 3/4" trim E = floor protection B 11 11 11 117— C D D D D D A � 0 D D D D O E E CLEARANCES: A B *C *D E (From Glass) From Insert Body: 12" (305mm) 12" (305 mm) 0" 0" 6" (152 mm) *314"trim, zero clearance to cast surround 18" 457mm(Canada) Figure 3.2 9 Harman® • Accentra 52i Installation Manual R20 • 2013 12/15 3-90-00574i 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 Leaibh Name (Business/Organization/Individual): THE FIRE PLACE Address:106 STATE RD 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 8 4. [_J 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. F 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 [NTo workers' comp. insurance comp. insurance. required.] 5. FJ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions J.❑ I am a homeowner doing all work g P myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compepsation policy information. Homeoumers 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 showme 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 Pt)iicv=or Self-ins. Lic. #:014005033601114 Expiration Date. ?ob S::e -kddress: 020 %�i os -c� L�l tJ 1Mty/State/Zip: lVar"A L1/p A# Attach a cope of the workers' compensation policy declaration page(showing the policy number and expiration date). Fa`,_- S,�c_-e co k eraae as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penal::: fine : :._ :. and or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER ar_f a ,)i _. a_ainst the violator. Be advised that a copy of this statement may be forwarded to the 0-- c: `__. D---'- --o.insurance coverage verification. I do here cer? t i ndE r the pains an enalties of perjury that the information provided above is true and cc rrt Sisna - Date: e% 16 s Ofjlciai u_e onir. Do nor write in Axis area. to be complered by cin-or town official. CiD o- Toll n: PerrnitLicense = l 1i Issuin?Authorin- ;circit one,: s4 1. Board c; .aitr _.Bu_ld nz D.pa 1;tn n _. Ci . T;.z t C:,-, 11 p �Z. '. 7. i, _ I 6. Other I Contact Pere__in: City of Northampton RECEIVED Massachusetts JAN n I PEPIRTMENT OF BUILDING INSPECTIONS , 4 212 Main Street • Municipal Building t —�v -' Northampton, ?tea 01060 .fro DEPT.OF BUILD G INeDE;7OVS NORTHAMPTON,M!, ;j SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION FOR WOOD, COAL, PELLE T, CORN, S T RAVV OR c!"111LAR S-OVES. OR FIREPLACES Plea/se fill in all app-ocr:ate �. 1. Name of Applicant : ��oG�"/er J' L +�+� c T�_ 6 J� �2 C-�_ Address: 106 c_5Ar-/c f&ID (nlAOI/y fA P - __ / 3 9r7- 3 q1 3 A o � 2. Owner of Property : � u r JvA03 c'/7 Address: X05 /nr5p£°c 11,vc Nor �h1�'�t�1 _ ✓ � �3.. �>��z� 3. Status of Applicant : Owner L-'� Contractor =t. Type or Brand of Stove : 14dr/'^c/1 5. Estimated Cost : ti'l0r.GD If applicant is not the homeowner.: Contractor name -�dU�Jlc'j Z A4r�- Construction Supervisor's License Number 99 01 'Expiration Date Home Improvement Contractor Registration Number /XdY77 Expiration Date All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit 6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: /Z-`1'�S APPLICANT'S SIGNATURE �— DATE.- 10`7Y�^ HOMEOWNER'S SIGNATUR APPROVED DATE: BUILDING OFFICIAL 203 PROSPECT AVE BP-2016-0932 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-067 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-2016-0932 Project# JS-2016-001575 Est. Cost: $5100.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BERNARDSTON FARMERS SUPPLY 99401 Lot Size(sq. ft.): 7230.96 Owner: JOHNSON LUKE Zonin4: URB(100)/ Applicant: BERNARDSTON FARMERS SUPPLY AT. 203 PROSPECT AVE Applicant Address: Phone: Insurance: 43 RIVER ST (413) 648-9311 O WC BERNARDSTONMA01337 ISSUED ON:112112016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL HARMON ACCENTRA 32 INSERT 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 SiEnature: FeeType• Date Paid: Amount: Building 1/21/2016 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner