2 BAY VIEW AVE - BPA-11-428 JOTUL WOOD INSERT The Commonwealth of Massachusetts CITY
Board of Building Regulations and Standards
I Massachusetts State Building Code, 780 CMR, 7"edition OF SALEM
`U Revised January
Building Pentiit Application To Construct, Repair, Renovate Or DemolishI—V a 1• ?008
ne-or Two-Famdv Dwelling
This Section For Official Use Only
Building Permit Number: I I Date Applied:
Signature: N
Building Commissioner 'tar 8T Buildings Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
r/
I.la Is this an accepted street'. yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq It) Frontage(It)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal ❑ On site disposal system El
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
l�cJ n7Ai/OA/EY
Name(Print) Address for Service:
Signature ef"p ne
SECTION 3• DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify:
Brief Description of Proposed Work'': , S-f /i e L PL f
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
I. Building S I. Building Permit Fee: S Indicate how fee is determined:
2. Electrical S ❑ Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S
4. Mechanical (HVAC) S List:
5. Mechanical (Fire S L
Su ressiun v �� Total All Fees: S
Check No. Check Amount: Cash Amount:
6. Total Project Cost: S 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) 10 /Q oo 7— 3- 1 2
License Number Expiration Date
Nance of CSI:I lolder List CSL Type(see below) .
f
Address / Deseri tion
L41 1 U llnrestricRd(up to 35.000 Cu. Ft.)
TT 77 R Restricted 1&2 Famill Dwellin
Signature Iti M Masonry Only
RC Residential Roofing Covering
I clepeone C W. Residential Window and Siding
�D 3 SF Residential Solid Fuel Uumin A liance Installation
6 d� Residential Demolition
5.2—{t .eg!stered Home/Improvement Contractor(HIC) [ L' /0 2
�J[ MPJ N/� If L
Ii IC Company Name or HIC egislranl Name Registration Nwnber
P h a z- 2 n.iN � J_ 7 — / Z
ndn I ��1 �:0 / A/ �o1 >61—r � F
Ex irttion Date
Signature Telephone
ECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... ❑ No...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I /✓/ ��//F4/ /✓[/l�/D.yE}" , as Owner of the subject property hereby
authorize to act on my behalf, in all matters
relative to work authorized by this building permit application.
/ Siarrature of Owner Date
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print Name S / O
Signature of Owner or Authorized Agent Date-
(Signed under the 2ains and penalties of er u
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. I42A.Other important inf'orrnation on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I0.R6 and 110,115, respectively.
2 When substantial work is planned, provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq. Ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
�c CITY OF S:u.E.N1, \LXSSACHUSETTS
Buimmt;DEPARTNLF_NT
• , 120 WASHINGTON STREET, 3-FLOOR
TEL (978) 745-9595
F.kx(978) 740-9846
KINIBERLF-Y DRISCOLL THO6(ASST.PIFRRB
MAYOR DIRECTOR OF PUBLIC PROPERTY/BUILDING CONLMISSIONER
Workers' Compensation Insurance Affldavit: Builders/Contractors/Etectrlcians/Plumbers
4 a linens lnformatlon // Plcase Print Legibly
Name Iousilw•&Org,niratiomindividual): ` J
address: e s �,L-/ i L h� �/�� ✓�n
City/Statc/Zip: 62 B'l Phone q:
Are you an employer?Check the appropriate box: Type of project(required):
I.❑ 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction -
employees(full and/or part-time).* have hired the sub-contractors
2.El I errs s sole proprietor or partner-
listed on the attached sheet : 7. ❑ Remodeling
ship and have no employees These subcontractors have S. ❑ Demolition
workers'comp. insurance. 9. Building addition
working for me in any capacity. ❑ g'
No workers'corn insurance 5. ❑ We are a corporation and its[ P• 10.❑ Electrical repairs or additions
required.) officers have exercised their
3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or udditions
myself. [No workers'comp. C. 152,§1(4),and we have no 12.❑ Roof repairs
insumncerequired.] cmpluyms. LT'oworkers' 13.0Other
comp.insurance required.)
-Any uppllcum tha limits boa el moat also rrtl out iha a ioo below showing their wurken'compenutiun Polley mlurvnatlon.
'I lomeowrro who submit this aeldwit indicating they atodoins all worlr and then him oulaidacontmettxa most submit a new atP.davit indicting such.
:Cumraewn that chak this box mist anachod an addltiutatl,hoer showing the nurse of the sub-contrMtan and their wutken wmp.Puliry information.
l am an employer that Is provfding workers'compensation lusarance for my employees. Below/s the policy and Job site
information.
Insurance Company Name: _.._
Policy 4 or Scif-ins. Lic. N: Expiration Date-
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration data).
Failure to secure coverage as required under Section 23A of MOL c. 152 can lead to the imposition of criminal penalties of a
zinc up to S1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and aline
of up to S230.00 a Jay against the violator. Ile advised that a copy of this statement may bu furwurdcd to the Oflice of
Invesligutions of the DIA fur insurance covcraga verification.
I du hereby • r fy under the palms m+ /tau/ of perjury that the information provided above is true and correrr.
[)are: O_ / s /6
Q/Jinni ase only. Du not,tiK in thin area,to be completed by city ar town gJlriaL
City or Town: --- PcrmitlT.Iccme f/__-_.__.
hsulog Aulhorily(circle one):
1. hoard of health 2. Building Department 3.City/fawn Clerk 4. Electrical luspcctur 5. Plumbing lu.soector
6.Other _..__ i
Contact Person: _ ._.. . . Phone N:
Information and Instructions
N lassachusetts Ucnerul Laws chapter 1 i2 requires it employers to provide workers' compensation for their employees.
Pkirsuant to tills slalutd, an empfuree is defined as"...every Pelson in the service of another under any contract of hire,
vpr"s or Implied.ural or written."
\n einployer is defined as"an individual, partnership,association,corporation or tither legal cnnry,or any two or more
It the t0reuoing engaged in a Joint enterprise. and including the legal representatives of a d;ceased employer,or the
i eceiver or trustee uI .in individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein.or the occupant of the
.Iwelling huuse of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
%IGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the Issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
:applicant who has not produced acceptable evidence of compliance with the Insurance coverage required."
Additionally. %,iGL chapter, 152, 425C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into.any contract for the performance ul'public work until acceptable evidence of cunipliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please till out the workers' compensation affidavit completely, by checking ilia boxes that upply to your situation and, if
necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their cerriftcatc(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,u policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the uffidavit. The affidavit should
he retumed to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Sclf-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Ofrlclab
Please he sure that the affidavit is complete and printed legibly. The Department has provided u space at the bottom
of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant.
Phase be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple penaib'license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by die city or town may be provided to the
applicant as proof that a valid affidavit is on file far future permits or licenses. A new affidavit must be filled nut each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. it dug license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
I he i)flice of Investigations svuuld like to thank you in advance fur your cooperation and should you have:any questions,
please do nut hesitate to give us a call.
The L icpartment's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Oftice of Investigations
600 Washington Street
Batton, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax #617-727-7749
www.mas3.gov/dia
n
0
IT
IT
i
JOtul C 450
Fireplace Insert
Installation and Operating Instructions
for the United States & Canada
JOTUL c )US
Keep these instructions for future reference. Intertek
1
138344_Rev_0- C45o Kennebec 8.2.70
NOTICE:
YOU SHOULD CONSULT THE AUTHORITY
HAVING JURISDICTION IN YOUR LOCALE
(SUCH AS MUNICIPAL BUILDING
DEPARTMENT, FIRE DEPARTMENT,FIRE
PREVENTIOIN BUREAU,ETC.) BEFORE
INSTALLATION TO DETERMINE THE NEED
TO OBTAIN A PERMIT.
NATIONAL We recommend that our woodburning
INSTITU
TE' hearth products be installed and serviced
® by professionals who are certified in the U.S.
by the National Fireplace Institute INFq as
,L NFI Woodburning Specialists or who are
r+ certified in Canada by d
CERTIFIED Wood Energy Technical KwaeEne yr
Training (WETT). red nlmllbrning
wax.ofiurtrwary .
Accepted For Use
City of New York
Department of Buildings
MEA#368-04-E
Jotul North America,Inc.
138344_Rev_D- C45o Kennebec 8.2.10
Table of Contents
Standards and Safety Notices
Standards/Codes........................................................4
SafetyNotices...............................................................5
Preparation ...................................................................5 For Your Records...
Unpacking the Firebox ...............................................5 Record the following information to help your
dealer determine what you will need should
Specifications your fireplace ever require parts or service.
The serial number and manufacturing date are
C 450 Fireplace Insert..................................................6 located on the permanent label on the back of
C 450 Surround Assembly .........................................6 the firebox.You may also wish to attach your
sales receipt to this manual for future reference.
Installation
Masonry Fireplace Requirements ............................7 Model- lytul C 45O Fireplace Insert
Factory-built Fireplace Requirements ....................7
Chimney Height............................................................7 Serial Number-
Clearanceto Combustibles .......................................6
HearthProtection ........................................................9
Chimney Connection ................................................io Purchase Date:
Kennebec Surround Assembly ................................12
Tamarack Surround Assembly.................................13
SlowerAssembl 1 DealerNa�;
Blower Operation .......................................................15
Operation
WoodFuel....................................................................16
AirControl....................................................................16
Starting/Maintaining the Fire................................17 Installed by.
Formation of Creosote...............................................17
Maintenance
Ash Removal................................................................18
GlassCare.....................................................................18
General Maintenance................................................19
Gaskets..........................................................................19
Illustrated Parts Breakdown
PartsList ...............................................................20-21 -
Appendix A
Alternate Floor Protection.......................................zz
Warranty Statement.............................................23
3
138344_Rev_D- C45o Kennebec 8.2.10
Installation and Operation Instructions for USA/Canada
Installation et fonctionnement pour Canada
SAFETY NOTICE: IF THIS SOLID FUEL ROOM HEATER IS NOT PROPERLY INSTALLED,
A HOUSE FIRE MAY RESULT.FOR YOUR SAFETY,FOLLOW THE INSTALLATION DI-
RECTIONS.CONTACT LOCAL BUILDING OR FIRE OFFICIALS ABOUT RESTRICTIONS
AND INSTALLATION INSPECTION REQUIREMENTS IN YOUR AREA.SAVE THESE IN-
STRUCTIONS FOR FUTURE REFERENCE.
Avis de securite:Une installation non appropriee de ce poele de chauffage ris-
que de provoquer un incendie.Assurez votre securite en respectant les directives
d'installation suivantes.Consultez les autorites locales du batiment ou de la pre-
vention des incendies au sujet des restrictions et exigences relatives aux
inspections d'installations clans votre region.
W
Tested and listed by ITS, Intertek Testing Services, Middleton, Wisconsin. C ~'� US
Tested to U.S. Standards:ANSI/UL 1482, Canadian Standards: CAN/ULC-S627-M93
Intertek
Standards & Approvals Check Building Codes
The Jstul C 450 Fireplace Insert has been tested and When installing,operating and maintaining this
listed to:U.S.: ANSI/UL i482 fireplace insert,follow the guidelines presented
Canada:CAN/ULC-5628-93 in these instructions,and make them available to
Tests performed by: anyone using or servicing the stove.
ITS,IntertekTesting Services,Middleton,Wl Your city,town,county or province may require a
Manufactured and distributed by: building permit to install a solid fuel burning appli-
Jptul North America ance.
55 Hutcherson Dr. In the U.S.,the National Fire Protection Associ-
Gorham,ME 04036 ation's Code,NFPA 211,Standards for Chimneys,
Fireplaces,Vents and Solid Fuel Burning Appliances,
or similar regulations,may apply to the installation
of a solid fuel burning appliance in your area.For
This heater meets the U.S.Environment Protection further information on using your heater safely,
Agency's Emissions limits for wood heaters ma nu- obtain a copy of the NFPA publication"Using Coal
factured and sold afterjul 199o.
y i� and Wood Stoves Safely,"NFPA No.HS-8-1974.The
Under specific test conditions,this heater has address of NFPA is 47o Atlantic Ave.,Boston,MA
shown heat output at rates ranging from io,000 to 02210.
35.000 BTU's per hour. In Canada,the guideline is established by the CSA
Standard,CAN/CSA-B365-M93,Installation Code for
TH E JOTUL C 450 FIREPLACE INSERT IS ONLY LISTED Solid-Fuel-Burning Appliances and Equipment.
TO BURN WOOD. DO NOT BURN ANY OTHER FUELS. Always consult your local building inspector or
READTHIS ENTIRE MANUAL BEFORE YOU INSTALL authority havingjurisdiction to determine what
AND USE YOUR NEW FIREPLACE INSERT. regulations apply in your area.
SAVE THESE INSTRUCTIONS AND MAKE THEM
AVAILABLE TO ANYONE USING OR SERVICING THE
FIREPLACE.
4
138344_Rev_D- C4So Kennebec 8.2.10
Safety Notices Installation
• BURN SOLID WOOD FUEL ONLY Preparation
• DO NOT USE CHEMICALS OR FLUIDSTO We strongly urge you to have your authorized JOtul
STARTTHE FIRE.DO NOT BURN GARBAGE OR dealer install your new JOtul C 450 Fireplace Insert.
FLAMMABLE FLUIDS. • Check with local building officials to determine what
• IFTHIS ROOM HEATER IS NOT PROPERLY permits may be required before installation.
INSTALLED,A HOUSE FIRE MAY RESULT. TO • Notify your insurance company before installing this
REDUCE THE RISK OF FIRE,FOLLOW THE fireplace.
INSTALLATION INSTRUCTIONS.FAILURE TO
FOLLOW THESE INSTRUCTIONS MAY RESULT IN Unpacking the Fireplace
PROPERTY DAMAGE,BODILY INJURY,OR LOSS
OF LIFE. All firebox components ofthe Jotul C 450 Fireplace
• CONTACTTHE LOCAL BUILDING OR FIRE Insert are contained within the crate on a single pallet.
OFFICIALS ABOUT RESTRICTIONS AND The Surround Kit is contained in the same crate.As you
INSTALLATION INSPECTION REQUIREMENTS IN unpack the contents,inspect each item for damage.
YOUR AREA. WHEN NOT ADDRESSED IN THIS glass, rbrokyour enbrickaler of anydamagesuchasdents,cracked
MANUAL,OR BY LOCAL CODE AUTHORITIES, glass,or broken bricks.
INSTALLATION SPECIFICATIONS AND Contents:
REOUIREMENTS DEFER TONFPA2n. • Firebox Assembly-including Firebricks,18 installed
• DO NOT CONNECT THIS FIREPLACE TO ANY AIR . Ashlip
DISTRIBUTION DUCT OR SYSTEM. • Blower Housing Assembly with Switch Hardware
• EXTREMELY HOT WHILE IN OPERATION! KEEP • Stove Hardware Bag
CHILDREN,CLOTHING AND FURNITURE AWAY. • Fireplace Conversion Notice Plate
CONTACT WILL CAUSE SKIN BURNS. • Stove Tool
• NEVER OPERATE THE FIREPLACE WITH A • Surround Assembly
CRACKED OR BROKEN GLASS PANEL.
• Install smoke detectors in the living areas and Tools& Materials Required:
bedrooms of your home.Test them regularly . work gloves
and install new batteries twice annually. • safety glasses
When installed in the same room as the stove, • tape measure
a smoke detector should be located as far . phillips screwdriver
from the stove as possible to prevent it from • tin snips
sounding when adding fuel to the fire. . power drill
• Avoid creating a low pressure condition in • High-temperature sealant
the room where the stove is operating.Be • 1"(25 mm) masonry anchors or nails,two
aware that operation of an exhaust fan or • #ro x 1/2"sheet metal screws,three
clothes dryer can create a low pressure area • io mm open end wrench or socket
and consequently promote flow reversal
through the stove and chimney system.The
chimney and building,however,always work Removing the Firebox from Pallet
together as a system-provision of outside 1. Detach the Trim Rod from the upper front of
air,directly or indirectly to an atmospherically the firebox by removing the two screws that
vented appliance.will not guaranty proper
chimney performance.Consult your local secure it for shipping.
10tul authorized dealer regarding specific 2. The Ashlip is shipped secured underthefire-
installation/performance issues. box shroud.Remove two MIS bolts from the
side of the shroud to pull the ashlip out from
underneath the shroud.Replace the bolts to
re-secure the shroud to the firebox.
3. Remove the.screws that secure the pallet
brackets to the sides of the firebox and re-
install after removing the firebox from the
pallet.
5
138344_Rev_D- C45o Kennebec 8.2.10
Jotul C 450 Specifications
29"
737 mm
251/2" Performance
635 mm
— Fuel: 20"Logs
i
Heat Output': 50,000 BTU/hr.(4.1 kg/hr.)
m Firebox Heating Capacity': 1,100-1,600 sq.ft.
251Ja" '� --- --'— 163/4" Overall Efficiency3: 71%
_ —
641 mm '= 91/4„ 425mm Emissions: q.ggrams/hr.
o Firebox Burn Time: 4-9 hours
Sleeve 235mm
Optional Blower: 125 cfm.
8 ' Shipping Weight: 445 lbs. (202 kg.)
�21/2" —_--... i 11/z" /2"
64 mm n 38 mm 216 mm � Maximum Heat Output based on total
to Door Openin —_-- ,
kilograms of dry wood burned in a one
Figure 3. Maximum Sleeve Adjustment hour period.
' Heating Capacity and Maximum Burn
Time will vary depending on design of
home,climate,wood type and
operation.
3 Overall Efficiency is based on a burn rate
� 123/4" of.99 kg wood per hour.
'— _ 349 mm
Surround Firebox 51/4"
Panel Sleeve 158 mm The Jotul C450 Fireplace Insert meets U.S.
61/2" to Door EPA emission limits for wood heaters sold
165mm Opening Firebox afterluly 1990,and are tested and listed to
121/2" ANSI/UL 1482,and CAN/ULC S628.93.It is
311 mm intended for installation in accordance with
NFPA 211 or CAN/CSA 8365.
Figure 2. Minimum Sleeve Adjustment
—� 51/4" �—�—
158mm
to
91/4" �
235mm
i
1
30 1/4" I
768 mm _
559 mm
5
oo a h 5 0
127 mm p _
40 >— ---- 123/4 163/4"
1016 mm —� 324 mm 425 mm �
Cabinet Depth Adjustment
Figure 3. Overall Surround Dimensions are the same for both
Kennebec and Tamarack styles.(Kenebec with double-doors Figure 4. Flue Collar Centerlinefrom Front Face
shown here).
138344_Rev_D- C4So Kennebec 8.2.10
Installation
Masonry Fireplace Requirements Factory-Built Fireplace Requirements
• The entire fireplace and chimney must be cleaned The Jot uI C450 maybe installed into a factory-built
and inspected before instaIIation.The system fireplace with the following conditions:
must meet local building code requirements. • The factory-built fireplace must be listed per
• The structure and components must be free of UL 127 or ULC S61o.
any defects such as cracks or broken bricks or flue . Installation must include a full height listed chim-
tiles.Any damage must be repaired before instal- ney liner meeting type HT requirements(ztooF)
lation. per UL 1777(U.S.)or ULC S635(CAN).The liner
Any opening that may exist between the masonry must be securely attached to the insert flue collar
of the fireplace and the facing masonry must be and the chimney top.
permanently sealed. • The damper or fireplace front must be sealed to
• The chimney must have a clay tile liner or a stain- prevent passage of room air into the the chimney
less steel liner utilizing a positive connection. cavity.
• DO NOT REMOVE BRICKS OR MORTAR FROM • Circulating air chambers (i.e.in a steel fireplace
THE FIREPLACE OR CHIMNEY STRUCTURE.How- liner or metal heat circulator) may not be blocked.
ever,masonry or steel may be removed from the . Air flow within and around the fireplace shall not
smoke shelf and adjacent damper frame area to accommodate installation of a chimney liner, be altered by installation of the insert.The C 450 provided that their removal will not weaken the Surround Panels comply with this requirement.
structure of the fireplace or chimney,and will not • Alteration of the fireplace is limited to
reduce protection for combustible materials. a) removal of the damper for liner installation
• CHIMNEY HEIGHT: b) removal of external,non-functional trim which
Minimum-15 ft.(4.57 meters) must be stored within the fireplace for replace-
Maximum-33 ft.(10.5 meters) ment.
• Fireplace Conversion Notice PN 220508 must be
permanently attached to the back of the fireplace.
This metal label is included in the bag containing
this manual.
• Final approval is contingent on the authority hav-
Minimum Fireplace Dimensions ing local jurisdiction.
A: FRONT WIDTH"..........................27 1/2"(698 mm)
B: HEIGHT .............................................. 23„(584 mm)
C: REAR WIDTH ..............................25 1/2"(648 mm)
D: REAR HEIGHT ............................. zl t/z"(546 mm)
E: DEPTH .................................................14" (355 mm)
'NOTE:Width dimension accommodates clearance for
surround attachment to the front of the firebox.
-- D
O O I
JL
Figures. Minimum Fireplace Dimensions 7
7393442ev—D- C45o Kennebec 8.2.10
Clearance to Combustible Materials
• There maybe no combustible materials located
anywhere within 36"(914 mm)of the front of the
fireplace insert.This precaution includes items such
as drapes or doors that could swing into the area
within 36"of the insert. 89 35"
M
55 1/2"
+
• Clearance (open space) must be maintained be- 142 5/8"43
1 m
tween the fireplace insert and combustible materi-
54" 7 3/4"
als located above and to the side. 138 m 197 mm
9 7 '
See figures 6-8 for minimum dimensions.
i 25KO m/6m
52 IrZ' 12"
305 MM
134
Minimum Clearances
Clearances are measured from the hearth surface, 51"
door opening,or centerline as noted below. 130
cm —
A: Hearth Protection,width from centerline........... 49 1/2"
..............................................................20"(508 mm) 126
cm
B: Hearth Protection,forward from the door opening
........................................................................................
................................................................18'(457 mm)
C:Side Trim, 1"max.thickness,from centerline.......
...............................................................20 3/4"(527 mm) I'l
D: Side Room Wall
.........................441/4" (1124mm) ..... ----
E:Mantel-with no Heat Shield; Figure 7. Mantel Clearances-measured from the
3 1/2"(90 mm)............................491/2"(1257 mm) hearth surface to the lowest mantel surface.
F: Mantel-with no Heat Shield:
12"(304 mm)max.depth -551/2"(1410 mm) 30,51'm"m-
43 1/2"
l/Z
107 an 89m
:E_=1 47' M_7
197
T_
40 l/Z' 9
L 2
103 cm 50m
i it
O 39'
Co— 99 CM
37 1/2"
Figure 6. Clearance Diagram-No Heat Shielding 95 cm
Mantel Clearance with
Optional Heat Shield 155346
Clearance may be reduced as shown in fig.8.Maxi-
mum approved Mantel Depth is 12"
Clearance is measured from the hearth to the bot- . ....
tom of the mantel as illustrated. Figure 8. Mantel Clearances,with Mantel Heat Shield
755346-measured from the hearth to the mantel.
8
138344_Rev_D - C45o Kennebec 8.2.io
®®
24 1/2"
.aro®+§a F (622 mm)
f°
(521 1m o o from face
from face
(2 1/2" s m a° 6 1/2"
a
i \ (165 mm) �e°
a.
(457 mm) E_ 18" o'
from door Firebox; (457 mm) Firebox
opening Sleeve '. ® from door Sleeve
ii
opening
Figure 9. Sleeve adjustment results in minimum firebox Figure 1o. Provide hearth protection to accommodate
extension forward of fireplace face. maximum firebox extension forward of fireplace face.
Hearth Protection Requirements
The floor area in front of fireplace insert must be
protected from live sparks and radiant heat.
• Materials:Hearth protection must be noncom-
bustible insulating board,having an R value of
2.92(0.343 K-value)such as KaOW001®26o0#15
or the equivalent mortared masonry material.
See Appendix A on page 18 for information how
to calculate the R-value of alternative materials.
Alternate protection must composed of materials
as specified by NFPA 211.
• Protected Area: 18"Deep x 40"Wide
A) Front-The protection must extend at least 18
inches(457 mm)forward from the door opening.
B) Sides- Protection must extend 20 inches
(508 mm)to both sides of the centerline of the
insert.
• Note that the firebox may extend out forward of
the fireplace face depending on where the cabinet
sleeve has been set to accommodate flue connec-
tion.Always measure hearth protection from the
final,installed position of the firebox and the door
opening.See figures 9 and 1o.
9
738344_Rev_D- C45o Kennebec 8.2.10
Chimney Connection
A positive connection must be made between the fire- Installation
place insert and the chimney by one of the following
approved methods. t. Remove the existing damper and linkage compo-
nents from the fireplace.Alternatively,you can
In the U.S: wire the damper plate to lock it in the open posi-
The insert is connected to a listed stainless steel flexible tion.Thoroughly clean the firebox and smoke shelf
connector that extends beyond the chimney flue tile area with a wire brush.
liner. A sealed block-off plate must be installed at the z. if the fireplace has been modified to accommo-
damper area of the existing fireplace.See fig.it. date installation,use anchors or masonry nails to
For internal chimneys,(no sides of the chimney attach the metal Fireplace Conversion Notice Plate
exposed to the outside below the roofline,)a positive (PN 220508)to the back wall of the masonry fire-
connection to the first flue tile is acceptable provided the place firebox where it will be readily seen should
tile is no larger than 8"x tz".For external chimneys,(one the insert be removed.
or more sides are exposed to the outside below the roof 3. Install the Flex Connection plate according to the
line,)a positive connection to the first flue the is accept- manufacturer's instructions.The sealing plate may
able provided the the is no larger than 8"x 8". require trimming to accommodate your specific
A6",7", or 9"stainless steel liner,extending the full fireplace damper.
height of the chimney,is required for all installations
where the flue tile is greater than 8"x tz"for internal
chimneys,or 9"x 8"for external chimneys.
In Canada:
The insert must be installed with a continuous chimney
liner of 6"(152 mm)diameter extending from the fire-
place insert to the top of the chimney.The chimney liner Flex connector
must conform to the Class 3 requirements of CAN/ULC- Pipe extends into
S635,Standard for Lining Systems for Existing Masonry the flue tile
or Factory-Built Chimneys and Vents,or CAN/ULC-5640,
Standard for Lining Systems for New Masonry Chimneys.
See fig.rla. R
Do not use aluminum or galvanized steel pipe for chim-
ney con necti on components-these materials are not
suitable for use with solid fuel.
r
Applysealant
around damper e� t �
opening
Adjustable
Sealing Plate
t
Damper Frame Attach Fireplace
conversion
Locking Notice Plate
Bracket to Rear Wall of
Fireplace
�
Figure n. Positive Chimney Connection-U.S.
.. l
10
(�/� li Tt L of �: ✓ . J 7
COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS
POLICY NUMBER: NC955286
❑ Extension of Declarations is attached. Effective Date: 12/02/2009 12:01 A.M. Standard Time
LIMITS OF INSURANCE ❑ If box is checked, refer to form S132Amendment of Limits of Insurance.
General Aggregate Limit (Other Than Products/Completed Operations) $ 2, 000, 000
Products/Completed Operations Aggregate Limit $ 2, 000, 000
Personal and Advertising Injury Limit $ 1, 000o000 Any One Person Or Organization
Each Occurrence Limit $ 1, 000, 000
Damage To Premises Rented To You Limit $ s o, 000 Any One Premises
Medical Expense Limit $ 5, 000 Any One Person
RETROACTIVE DATE (CG 00 02 ONLY)
This insurance does not apply to"bodily injury", "property damage"or"personal and advertising injury'which occurs
before the Retroactive Date, if any, shown here: NONE (Enter Date or"NONE"if no Retroactive Date applies)
BUSINESS DESCRIPTION AND LOCATION OF PREMISES
BUSINESS DESCRIPTION: INSTALLATION & SERVICE OF WOOD/GAS & PELLET STOVES
LOCATION OF ALL PREMISES YOU OWN, RENT, OR OCCUPY: ® Location address is same as mailing address.
1. 9 BEARPATH LANE
HUDSON NH 03051-
2.
Additional locations (if any)will be shown on form S170,Commercial General Liability Coverage Part Declarations
Extension.
LOCATION OF JOB SITE (If Designated Projects are to be Scheduled):
VARIOUS LOCATIONS -
PREMIUM RATE ADVANCE
CODE# - CLASSIFICATION * BASIS Prem/Ops Prod/Comp PREMIUM
ps
91340 - Carpentry-construction of residential P 13,400 68 .134 913
property not exceeding 3 stories in height
INCLUDED INCLUDED
95648 - Stove Installation NOC Incl. LPG P 13,400 38 .582 517
connection pipe INCLUDED
INCLUDED
' PREMIUM BASIS SYMBOLS + = Products/Completed Operations are subject to the General Aggregate Limit
a = Area (per 1,000 sq.ft.of area) o = Total Operating Expenditures s = Gross Sales (per$1,000 of Gross Sales)
c = Total Cost (per$1,000 of Total Cost) (per$1,000 Total Operating Expenditures) t = See Classification
m= Admissions (per 1,000 Admissions) p = Payroll (per$1,000of Payroll) u = Units (per unit)
PREMIUM FOR THIS COVERAGE PART $ 1,430
FORMS AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere in the policy)
Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue:
Refer to Schedule of Forms and Endorsements
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.
S150(07/09) Includes copyrighted material of Insurance Services Office,Inc.with its permission.