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18C . . Floor Protector The stove may beinstalled onacombustible Canada Only Uon,provided noncombustible ember pmtep U.S'A. Onlw Minimum Width -40"(1,02m) tion is used. Minimum Width 'ao^(o1om) Minimum Overall Depth-43 1/4"(1.1 m) This protection must extend aofollows: � Minimum Overall Depth-uo1wr(84sm) In Canada 18^ (457 mm)nnthe firing side and [r (203 mm) to the other sides. See 1 | Figure#5onleft. � In USA: 18^ (4U8mm) Vnthe front and 8^ � - - ---- (203 mm) mthe sides of the fuel loading door opening. Sae Figure #6 on right. co This � a�omqo\�U underthey uhimnemmn��,�d2^ (51mm)h�o d i each side. co � | / E LO 3i s CD | ^ ` � Non-combustible floor protector i Non-combustible nuo ! � | '--�—'---'------- —~ Combustion Air Intake orcombustion air can besupplied\othe stove inone oftwo ways.Consult your local building code or CAN/CSA-B365, |nota||odun Code for Solid-Fuel-Burning Appliances and Equipment before proceeding. 1 Outside air supply' (Necessary for mobile home installation, optional for residential installation.)To draw outside air through the floor,cut or drill a 4"(100mm)diameter hole directly below the bottom hole uf the ash box endosum(annpage 6. Fig.#1a).Connect enclosure oothe floor with ashort 4^(1OOmm)diameter pipe. This hole must get its air from oventilated crawl space o,beextended with duct to the outdoors (see Figure #4. Page 10).The use of outside combustion air for residential installation requires the unit to be secured to the structure to prevent dislodging of the air duct. Note:When installed in amobile home, this unit isnot designed\obeoperated with the firing door open.In addition to the obvious hazard of sparks landing on combustibles, an open fire door will cause the heater to draw air from the living space and possibly cause suffocation. 2. Room air supply-There is a 4"(100mm)opening in the ash box enclosure.The stove will draw its air from the room through this opening and into the firebox intake. Note:The living space around the heater must be well ventilated with good air circulation. Anything that may cause a negative pressure can cause gases or fumes to be pulled into the living area.During extremely cold weather,and especially when burning at very o|nw rates,the upper parts of the exposed chimney may ice up, partially blocking the flue gases.Ublockage occurs,flue gases may enter living space. PAC|H� ENERGYF|REPLAC� ----- 08-1524A—T4 �� 10 PRODUCTS LTD. Installation • , Warning: Under no circumstances is this heater to be installed in a makeshift or"temporary"manner. It may be fired only after the stove is installed properly. • DO NOT ATTEMPT TO CONNECT THIS HEATER TO ANY AIR DISTRIBUTION DUCT. • We recommend that our woodburning hearth products be installed and serviced by professionals who are certified in the U.S.by the National Fireplace Institute"(NFI) as Do not connect this Unit NFI woodburning Specialists or who are certified in Canada by Wood Energy to e chimney flue serving Technical Training(WETT). another appliance. • Outside combustion air or fresh air into the room may be required in your area,consult local building codes(see Combustion Air section). BOTH CHIMNEY SYSTEMAND CONNECTOR MUST BE LISTEDTO:IN CANADA - ULC S-641 LISTED CONNECTOR AND ULC-S-629 LISTED CHIMNEY,IN USA - UL-103 HT LISTED CONNECTOR AND CHIMNEY Clearances — Residential 1. This heater may be installed using a single-wall connector(smoke pipe)or listed double- wall connector(see Mobile Home installation). 2. Clearances to combustible surfaces and materials using single-wall connectorare shown in Figure#2. Clearances may be reduced with various heat insulating materials. Consult local fire codes and authorities for approval. 3. Alternately,for close clearances, use a listed double-wall connector. See Figure#2a. Minimum Clearances to Combustibles — Residential 15 .10 20.75" 381 mm 527mm __22.625" L254mm 14" 575mm SINGLE WALL Q 356mm CONNECTOR 26" to� /1 " 660mm 4mm 178mm 11 15.6 5 3" 12.75' 12.75' 16.75" 279mm 397mm 1 76mm 324mm -324mm 426mm 12" C?l Q 305mm" DOUBLE WALL CONNECTOR 24" %305mm 3"� 610mm24' 76mm --610mm"' ALCOVE: Min.Height 7 1/2 feet(2.29m) Max.Depth 4 feet(1.22m) 080515-24 ALTO 7PACIFI ENERGY FIREPLACE TSldetlea► The Coinnionive-alth ofHassachuserts Deparinfuen-, ofindunf.12alAccidenis Congi -ess Street.Suh-e 100 -7 Boston,MA 02917114-20177 1p"VIV.111ass.gov1dia }Vorkers=Compensation insurance Affidavit General Businesses_ TOBE FILED WIT H THE PE W11-TTING AUTHORITY. Please Prin-, Leeiblv Nfaine-THE FIRE PLACE STAT RD-P-0-BO'606 ELY, [VIA 01093 Phone#-.-413-3977-3463 a-.. =--olover?Check the appropriate box-- Business Type(required): writh 10 employees(full and/ 5- Ej Retail 6. E]RestauranVIlar/Eating Establishment __zzo�te proprietor or and have no __mr-o- 7. F-1 Office and/or Sales(incl.real estate,auto,etc) m c�ye zz v...'a rid,ric,for me in any capacity- ars- comp.insurance required) s- Q Non profit arc-a Co-poration and its officers Save exercised 9- Q Entertainment o-exemptiouperc. 152,§1(4),and L 10-Fl Manufacturing =M-:);oVees.[N-10 workers comp-insurance required] 11_Q Health Care n- C q noa-p rotit organization,staffed by volunteers- 1no employees.em I?_0 Other . ENo workers'camp-insurance req-1 I MUSL also fill out the section below A 's box*'� QXV111.0 th6rWDrIzetscompensation policy information. exempted themselves,but.the corporation has oilieremployees-a, k mor comam"..-officcrShaver- Ce-P-2-tIon polity is Tequimd and such an 0-m-wi:mdon shcufld chccl:box 7 ain LT11 -winployer that Isprovidingworkers'compensaflan insurance fior my employees. Below is thepolicjr 717#ol-lizat(017. insurance Company Name-MA RETAIL MERCHANTS WC GROUP INC asur surer s e _�,ddrcss:P-0-BOX 859222-9999 - BRAINTREE[VIA 02185 140050336011116 ic. 3 Self s-L Expiration Date. _cit-a con, oFthe workers'compensation policy declaration page(showing the policy number and expiration date). -.3-secure coverage as required under Section 25A of MGL c-152 can lead to the imposition of criminal penalties of a ne S 1.500-00 an(Vor one-year imprisonment.as-,vell as Civil penalties in the form of STOP WORK ORDER and a fine 0i-u:)to S250.00 a day against vi th statement nx e Office 0-!� gainst the violator- Be advised that a copy of is ateme t maY be fo arded to th IavesLIgaaors of the DIA for insurance coverage verification- i'dolzereb3ice-1 ,zindertlzepains a7id I-lediftes ofpeiYwy that the haforwaffon provided above true and correctr S-Z7, an i.e_ x- -4 Daie- -13 =: -397-3463 OjYiciL7i use only. -'Do not write in this area,to be completed hj)cit],or town officIaL li cirl:or'rown: PernfitClAcepse 11 __suing authority(circle one): Board ol"H!ealth 2.Buildingrl)eparxtiment 3.City/?own Clerk 4_Licensing Boarcl)5-S elect-Rees Office 6. Other-- Conuact Person:. Phone#_- City of Northampton Massachusetts 1J a j DEPARTMENT OF BUILDING INSPECTIONS + 212 Main Street • Municipal Building —�-"M Northampton, MA 01060 :ntY r„ �� C 6 201$ DF"P-r OF r'sl.iILDING ItVSPFCTIONS �° NGIITHAMPjoN.MAOio60 � IgG - 17 -) SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION FOR WOOD, COAL, PELLET,CORN, STRAW OR SIMILAR STOVES,OR FIREPLACES Check# t! t J� Please fill in all appropriate information i 1. Name of Applicant : /`jt Address: _ /O�����e / j j/t//�/c/\. MA 0/0?-"S Telephone: 2. Owner of Property : __ Address: 61' Telephone: Telephone: 3. Status of Applicant : Owner Y Contractor 4. Type or Brand of Stove Qc/ rC r 5. UL Listing 6. Estimated Cost : �7L1019. Gn 7. Email If applicant is not the homeowner:: nn Contractor narne �av ��S L Ahs Email : c�ocxi��Oer/tQr C407L4r�rsS0pPk/• CDM - —ter- -- Construction Supervisor's License Number 9175 0/ -- Expiration Date p �1 /� /G j Home improvement Contractor Registration Number ! �6y77 Expiration Dat //- f0"p�l� 1 I All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit ' 8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my knowledge. DATE APPLICANT'S SIGNATURE DATE- l _ _ HOMEOWNER'S SIGNATURE APPROVE 7 ;T DATE �� / ��O BUILDING OFFICIA 693 BRIDGE RD BP-2019-0687 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C- 177 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-2019-0687 Proiect# JS-2019-001119 Est.Cost: $3000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE FIRE PLACE 99401 Lot Size(sp. ft.): 15812.28 Owner: COUCH KATHY C&CANDICE SALYERS Zoning:URB(100)/ Applicant: THE FIRE PLACE AT. 693 BRIDGE RD Applicant Address: Phone: Insurance: P_O BOX 606 (413) 397-3463 O WC WHATELYMA01093 ISSUED ON:12/7/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-PACIFIC ENERGY-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: Feehpe: Date Paid: Amount: Building 12/7/2018 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner