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Home My WebLink AboutBuilding Permit #696 - 106 BOSTON STREET 5/11/2010 TF� BUILDING PERMIT o?ob NOROOR TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received,'" //ll Date Issued: V IMPORTANT: Applicant must complete all items on this page LOCATION ` . __ ._4 Ura &))*kpV- .s , o r 1 A1'JA6VV �. Prin PROPERTY OWNER L \� (� Print MAP 210 10 J PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair,.replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: u-js\z��i �i3 eA NlvL kj)ov, Iden ' ation Please Type or Print Clearly) OWNER: Name: \\e,,%J Phone: Address: 06 6;:N0 ti S� �1v�� N-NA VQr G �-4 CONTRACTOR Name: Phone: o� y Address: 1 f>�-- G � �l'' IV, 033 -41 5L— Q 1 �-7 Exl Date: Supervisor's Construction License. C5 -! p. Home Improvement License: 13 Exp. Date: ARCHITECT/ENGINEER Address: �Z— � ` ra �'`c't'` � Reg. No. FEE SCHEDULE:BULDING PERM :$12.00 PER$1010.00 OF TJTOTAL ESTIMATED COST BASED ON$125.00 PER S.F. co Total Project Cost: $ ��' FEE: $ Y ] Check No.: Receipt No.: ) 3 �— NOTE: Persons contracting with unregistered contractors do not have acce to theZn ran fund Signature of Agent/Owner Signature of contractor Location 145,1" 'el No. d Date 9� NONTO, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ s�CMus Foundation Permit Fee $ Other Permit Fee $ — TOTAL $ Check # / idd�-d 23142 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS c. HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i I i ❑ Notified for pickup - Date ............................................_..----..................................._................................................................._........__.._......_..._._........_.........................___.................................................................................._................._....__................................................................_............._........................... Doc.Building Permit Revised 2010 . Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With .Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 NORTH Town o _ x over No. G gh C,o = E dower, Mass., ' �y LA COCMICHEWICK y1. ADRATED S BOARD OF HEALTH PERMIT TFood/Kitchen I Septic System BUILDING INSPECTOR .... THIS CERTIFIES THAT............ ...... . .... ... ... ........................................................................................................... Foundation Lhas permission to erect........................................ buildings on-1.0-.6 Sbc--6n.........1;.. Rough to be occupied as:.............. s:..............040.44-0.w ... .....w�_ .....5�� ......... . a .................................................... Chimney . . . . provided,that the person cepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final will PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU SL.B. Rough .. ..... ........... Service UILINSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Strm Na. K SEE REVERSE SIDE _ , i �I Home & Hearth, Inc. 102 Lafayette Road Hampton Falls, NH 03844 (603)-926-2084, fax(603)926-0079 Contract Agreement 1. A Pellet appliance, floor pad, venting & accessories has been ordered by Bill Gillen to be installed, as listed on Sales Order "#1019368 (attached)for the amounts listed on said sales order.The customer agrees to pay sales order balance, plus all piping & materials deemed necessary by contractor at completion of installation as well as applicable taxes to be added to the total of the sales order at such time. 2. Company Name&Address Home & Hearth, Inc. 102 Lafayette Road Hampton Falls, NH 03844 Fed ID#02-0333350 Contractor Name- Robert King/Warren Wolterbeek Contractor Registration#130052 Customer Name&Address BILL GILLEN 106 BOSTON ST. N. ANDOVER MA 01845 Sales Person-KATE FALLON Date of Sales Order 01/29/2009 3. Installation scheduled for February 20, 2009 & due to be substantially completed February 20. 2009. 4 Pellet stove, floor pad, pellets &accessories to be delivered & installed according to manufacturer's specifications & MA Safety Code book using approved & UL listed pellet vent pipe. 5. The total amount to be paid for installation is$450.00 as stated on sales order#1047075. 6. A deposit is taken at time the sales order is written of a minimum of$500.00. Balance of payment is due upon completion &satisfaction by both parties of installation. Any charges incured to the customer to assure that placement of the stove is possible & legal in the dwelling shall be deducted from total of sales order if one is written. 7. NOTICE a. All home improvement contractors &subcontractors shall be registered and any inquiries about such should be directed to: Registration Division, Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel:(617)727-3200 ext.25239 b. The homeowner has three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. Home & Hearth will return full deposit if job is-cancelled before on-site work has begun. c. All warranties on the owner's rights under the provisions of 780 CMR R6 and MGL c 142A 9. It is the contractors responsibility to obtain the construction (building ) permit for installation of a pellet appliance. Owners who secure their own construction related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 10. No contract shall contain an acceleration clause under which any part of the balance not yet due may be declared due & payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work,that the balance of funds due under contract, which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor&the owner for withdrawal. Work may begin once contract is signed & each party is in possession of a copy of the agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES This agreement &the information herein has been reviewed & is approved as a contract bet en the homeowner& ont ctor Dated: j t1 110 Signature,,6fi Owner Signature of Contractor \� Name of Owner Name of Contractor Arbitration: If the contractor determines that in the event of a dispute,the contractor wished the dispute to be settled by arbitration, this fact must be signified on the contract and both the owner& the contractor shall sign this clause separately. "The contractor &the homeowner herby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A." 'y %�� Own r � ��-- Contractor Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170 Boston, MA. 02116 (617)973-8787 or 1-(888)283-3757 Consumer Complaint Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 I N V D I C E PAGE: I HOME& HEARTH INC PHONE#: (978)725-5993 DATE: 11/26/2007 3:04:32 Ph 102 Lafayette Road ALT.#: INVOICE#:88579 Hampton Falls, NH 03844 FAX#: CUSTOMER#: 9951 Phone#: (603)926-2084 P.O.#: CP: Kate F Fax#: (603)926-0079 TERMS: Cash LOCATION:1 SALES ORDER#: 1019368 SALES TYPE#: Sales BILL TO 9951 SHIP TO BILL Gillen BILL Gillen 106 BOSTON STREET 106 BOSTON STREET N ANDOVER, MA 01845 N ANDOVER, MA 01845 1 MFR PRODUCT NUMBER DESCRIPTION SOLD B/O PRICE NET TOTAL HSC 1-90-00674-1 ACC PELLET INSERT 24"-BLACK 1 0 $2,950.00 $2,950.00 $2,950.00 S/N: 17015 .... STOVE INSTALL STOVE INSTALL 1 0 $375.00 $375.00 $375.00 MATERIALS EXTRA&TAXED SDV SIM-PV316OF 4"X FFLEX PV 1 0 $172.50 $172.50 $172.50 HSC 1-00-674099 LOG KIT 1 0 $57.77 $57.77 $57.77 INVOICE DID NOT HAVE TON DID NOT SHOW LOG SET All returns will be honored with store credit. Merchandise left more than 90 days will be subject to a storage fee! SUBTOTAL: $3,555.27 TAX: $159.01 INVOICE TOTAL: $3,714.28 PYMT VISA: $500.00 PYMT DISCOVER: $3,214.28 AMOUNT DUE: $0.00 Picked Up By: Jlte {vomrmzoxr o�.�adaac�i.�eltl �� _ Office of Consumer Affairs&Business Regulation tLL l } d45:i1#iusettx-DCI)artment of Pubi OME IMPROVEMENT CONTRACTOR __ �hrd of Budding Regulations.4nd SIUIU-"" r g , _ Construction Supervisor SpecialWU4044. , m R Registratiow-134-062 Expirig6 tt'172011 License: CS SL 99217 e tyrp% NPONeitrent Card Restricted to: SF HOME&HEARTH IN' WARREN WOLTERBEEK WARREN WOLlBEK 4 LAMSON LANE 102 LAFAYETTE Rb HAMPTON, NH 03842 HAMPTONFALLS,NH 03. Untkrsecretary Expiration: 9/poll ('ummissiuner" '`Tr#: 99217 tic— Safct - -- M-. %sachusetts- DeR` m tnonti Public d Standards _ 0�Ce � �uuuea o�.�cwe Office of consumer Affairs&Business Reg" Board of Building Malty t.60.6e OME IMPROVEMENT CONTRACTOR Y'} Construction supervisor Sp License: CS SL 99169 ,Registration a°fi�0052 Restti ted to: SF Exp)rat dW-'T- P011 1ppTeiiiitCard'R UROBERT KING Y HOME&HEARTH IN j t 8 SPRING HILL ROAD ROBERT KING ; . � GREENLAND, NH 03840 102 LAFAYETTE � - Undersecretary Expiration: 3IQ8�2tlj"2 HAMPTONFALLS,NFi'Q3$ ► ,f �y Tr#: 99168, ('osmnis, iuner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/E lectricians/Plumbers Applicant Information Please Print LeLribly HOME&H .0 Name(Business/Organization/Individual): 102 LAFAYETTE ROAD RAMP I ON A NH 03044 Address: City/State/Zip: Phone#: p�� FF� an employer?Check the appropriate box: Type of project(required): m a employer with 7 4. ❑ I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction m a sol proprietor or partner- 'listed on the attached sheet.t I• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp,-insurance. g, ❑Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and-we have no 12.El Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13.n Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 their workers'comp,policy information. I an:an employer that is providing workers'compensation insurance for my employees. Below is flee policy and job site Information. Insurance Company Name: Policy#or Self-ins.Lic.#: 7 3Expiration Date: Job Site Address: � � City/State/Zip:A l_&Iit� / w PUNS- Attach atopy of tile 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$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 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. �Idaherebyc er 'y wsder thepants andpenalties ofperjury that tate information provided above is true and correct. ature: Date: S'/0"2v�� Phone#: Official use only. Do not write in flits area,to be completed by city or town officiaC 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#: ACQRQ„ CERTIFICATE OF LIABILITY INSURANCE DATE ' PRODUCER (603)926-3830 FAX (603)926-0283 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bean Insurance Agency, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 151 Winnacunnet Road HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 660 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hampton, NH 03843-0660 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: The Hartford Home & Hearth Conservation Inc INSURER B: 102 Lafayette Rd INSURER C: Hampton Falls NH 03844 INSURER D: INSURER E: RAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODPLIm um TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 04 SBA ZP3123 04/23/2010 04/23/2011 EACH OCCURRENCE $ 1,000,0001 'i X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,0001 CLAIMS MADE A OCCUR MED EXP(Any one person) $ 10,00 A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPFOP AGG $ 2,000,0 POLICY JET LOC AUTOMOBILE LIABILITY 04 UEC HH1097 04/23/2010 04/23/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 04 WEC LE7823 04/23/2010 04/23/2011 WCSTATu OTH- EMPLOYERS'LABILITY FR E.L.EACH ACCIDENT $ 1 OOO OO A ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,00 I';- yyes,desc�e under SPECAL.PROVISIONS below E.L DISEASE-POLICY LIMIT $ 1!000, OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bill Gillen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 106 Boston Street OF ANY IDND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. N Andover, MA 01845 AUTHORIZED REPRESENTATIVE Robert Bean ACORD 25(2001108) @ACORD CORPORATION 1988 Venting 24 —The chimney top must be capped to prevent rain and/or. #3 Installing into an existing snow from entering the chimney. chimney only) i This method provides excellent venting for nor- mal operation. This method also provides natural draft in the event of a power failure. If the chimney, ! condition is questionable you may want to install a { liner as in method#2. f This is the minimum allowed vent pipe using 4" }---j Fiberglass insulation stainless steel flex pipe. packed above the The vent. pipe must extend past the damper damper opening and sealing area by at least 12 inches. J. `' sealed plate. (Not a Note: The fiberglass insulation must not be al- i Harman product.) lowed to expand to the point that it covers the end of I the flex pipe. } - The chimney should be capped with any style cap that will not allow rain or snow to enter. �t t Fig.51 Chimney top MUST BE sEALED #4 Preferred This method provides excellent venting for nor- mal operation and in a fireplace with inada4 nate flue j Fiberglass insulation space,or a height of over 30 feet. A 3"or 4"PL vent pipe should be used with an optional swivel flue stub. packed above the damper opening and NOTE:The flue stub insulation wrap must still sealed plate. (Not a be used with this method. See page 13, Fig. 27 & Harman product.) 29• With a 100% outside air kit the outside air can be installed in the same manner as the flue pipe. Stainless Steel ; `Y { • �y 3"Flex f Outside Air Inlet ,V r Cover pipe part#1-10-09542 f f / 36" ri _i a f ; y� CAUTION 18"min. KEEP COMBUSTIBLES (SUCH AS 1 -- GRASS, LEAVES, ETC.)AT LEAST 3 I i FEET AWAY FROM THE FLUE OUTLET t I { ON THE OUTSIDE OF THE BUILDING Installation 14 9. Install the completed frame/surround assembly into the firebox and level/plumb the wing to the fireplace face using the leveling bolts as jacks. .v - *Ash protection must be used from hearth opening to 6" in front of door glass and 6"to each side of the stove body to protect any 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. )} •/ff 12"(305 mm) tel /j t2"(305mm)Mmtcau Chcminmi� Sidewaff �� B rsmnenu A}onlue f n C % h.-r BodyD E E � CLEARANCES. A B C D E Flue _ Stub From Insert Body 10" 12" 3/4" 6" 6"(from glass) Assembly 10. Test fit the cast ash lip (See fig. 25) on the shell frame There are three different diameter flue pipe stub mounting rails. The ash lip should slide on these side rails assemblys. without lifting upward off of the rails as the ash lip is slid inward. 1.The unit comes standard with the largest for use with 4' A small clearance of about 1/16"is an ideal space between the stainless steel flex pipe. legs of the ash lip and the hearth.This cast ash lip is a decorative 2 part#1-10-082745 for use with 4"PL vent starter pipe. part that does not and should not support any weight. 3. Part # 1-10-674039 for use with 3" PL vent starter 11.Tighten the(2)1/2"threaded wedging rods up against the pipe and also for use with 3"aluminum flex duct for out- lintel of the fireplace opening. It is also recommended to use side air connections. some form of anchoring screws through the bottom of the shell into the hearth.There are up to 5 holes provided.Note: It is a The flue stub assembly base is a round plate which al- good idea to check the ash lip again. The frame may have lows it to swivel to allow the flue pipe to exit the mount- shifted when the final anchoring was completed.See fig.26. ing frame in other positions rather than straight up. SeE fig.28. 12. Complete the flue piping, and outside air piping, if used. Make sure the damper area is sealed. 14. Install the flue pipe insulation wrap. See Fig. 27. Thi: CAUTION: IF THE STAINLESS STEEL FLUE PIPE DOES ceramic insulation is precut to form around the flue pip( NOT EXTEND FAR ENOUGH ABOVE THE OLD DAMPER stub, to reduce heat transfer into the area around th( OPENING, MAKE SURE THE FIBERGLASS INSULATION rear of the hopper and motor area. This insulation mus DOES NOT EXTEND UPWARD AND COVER THE PIPE be installed in all configurations, even if a rea OUTLET. discharge is used. See Fig. 29. WARNING DO NOT CONNECT THIS UNIT TO ANY AIR DIS- TRIBUTION DUCT OR SYSTEM. This picture shows the completed insulation wrapped around the flue pipe 13.If a rear exit flue configuration is used,with or without outside from the mounting frame upward. Twisted tie wire air,make sure the flue pipe termination clearances are followed as per the manufacturers recommendations. Ash • mounting rails Fig. 27 With larger flue pipes this bottom edge of the insulation wil need to be trimmed to complete the wrap. Pre-cut ceramic insulation and(2)pieces of tie wire. Modele:ACCENTRA INSERT Tested& Portland O Appareil de chauffage a granules de bois Listed ey Oregon USA C us Serial No./N^de series OMNI-Test Laboratories,Inc. Test realises par OMNI-Test Laboratories,Inc. Report#/Rapport#135-S-12-2 Tested to/Teste a:ASTM E1509-04,ULC S628-93 and PREVENTION DES INCENDIES ULC C1482-M1990 Respecter scrupuleusement les instructions du consWcteur pour This pellet burning appliance has been tested and listed for use in ('installation et les consignes de fonctionnement. Respecter les Manufactured Homes in accordance with OAR 814-23-900 through 814-23-909 regles de securite en vigueur dans votre region. Normes Europeennes: AVERTISSEMENT POUR MOBILE HOMES:Ne pas installer dans NF EN 14785 CETIAT—Dec.2006 une Chambre.II est imperatif de prevoir une prise d'air exterieur. AEMC MESURES EN 50366—Dec.2006 Uintegrite structurale du plancher,du plafond at des murs doit etre EMITECH,APAVE&BFP Electronique—Fevher 2004 strictement preservee. EN 55014-1,EN 55014-2,EN 61000-3-2,EN 61000-3-3 Se reporter aux instructions du fabricant et aux reglementations "Prevent House Fires" specifiques locales concernant les precautions requises lors de la Install and use only in accordance with the manufacturer's installa- traversee d'un mur ou d'un plafond. tion and operation instructions.Contact local building or fire officials Contr6ler et netteyerfrequemment tout le systeme d'evacuation des about restrictions and inspection in your area. fumees conformement aux recommandations du constmcteur. WARNING:FOR MANUFACTURED HOMES:DG not install appli- Realiser 1'evacuation des fumees an utilisant des conduits a Special ante in a sleeping room.An outside combustion air inlet must be provided.The structural integrity of the manufactured home Floor, granules»de 0 125 mm Gu de la Baine flexible inox double peau ceiling and walls must be maintained. 0125 mm a I'aide d'un adaptateur adequat comme indique dans la Refer to manufacturer's instructions and local codes for precautions notice d'utilisation. required for passing chimney through a combustible wall or ceiling. Ne pas raccorder c a un conduit de cheminee deja utilise Inspect and clean exhaust venting system frequently in accordance pour un autre app with manufacturer's instructions. FONCT NE EXCL ENT C DES GRANULES DE BOIS. Use a 3"or 4"diameter type"L"or"PL"venting system,or 4"stain- in n maxim glh less steel flex as per owner's manual. r s s el s: Do not connect this unit to a chimney flue servicing anothe —5 ntensite au demarrage 2,0 A pliance. FOR USE WITH PELLETIZED WOOD FUEL OR site fonctionnement normal 1,1 A CORN AND PELLET MIXTURE ONLY. le cordon d'alimentation a I'ecart du poele. Input Rating Max:5lb.fuellhr. ANGER:Risque d'electrocution.Debrancher I'appareil avanitoute Electrical Rating:240 VAC,50 art 2. n S intervention. USElectrical Rating:115VAC rt 4. AMPS Pour une information plus complete, se reporter a la notice Emission of CO in Combusti d'utilisation. Nominal Heat Output:<.02%,Re ced t tput:<.04% Ne remplacer la vitre qu'avec une vitre ceramique 5 mm de meme Flue Gas Temperature:224 C qualite disponible aupres de votre revendeur. Thermal Output:10.5kW Tenir la porte frontale at le couvercle de tremie hermeliquemenl clos Energy Efficiency:Nominal:84%,Reduced:73% Route power cord away from unit. durant Ie fonctionnement de I'appareil. Puissance calorifique emise:Nominale:10,5 KIN Reduile:1,8 KW DANGER:Risk of electrical shock.Disconnect power supply before Concentration GO(a 13%02) servicing. o a For further instruction refer to owner's manual. apuissancenominale:<0,02/ a puissancerduite:<0,04/ Replace glass only with 5mm ceramic available from your dealer. Rendement a puissance nominale:84% a puissance redude:73% Keep viewing and ash removal doors tightly closed during operation. ECARTS MINIMUM DE SECURITE MINIMUM CLEARANCES TO COMBUSTIBLE MATERIAL Let protection de sol doit etre constituee de materiau Non-combustible floor protector must extend 6" (152 incombustible et s'etendre de 457 mm(18")a('avant mm)to the sides and front of the unit,measured from et 203 mm(8")sur les cotes(CANADA). the glass face(US). US Environmental Protection Agency This model is exempt from EPA Certification under 40 CFR 60.531 r by definition(wood heater(A)"Air-to-Fuel Ratio") Bi Trim/Panneau de Moulure Agence Americaine pour la Protection de I'Environnement _ W. Ce modde est dispense par EPA Certification d'apres v 40 CFR 60.531 par definition [Appareil a bois(A)a Ratio air/combustible»] = d A � &t Manufactured by/Fabrique par: "' g H — 352 Mountain House Road Halifax PA 17032(USA) A.Insert Body to side wall-10"(254 mm) B.Insert Body to 12"(305mm)Mantel/Manteau de Chemin€e-12"(305 mm) DO NOT REMOVE THIS LABELINE PAS C.Insert Body to combustible trim above-3/4"(19 mm) ENLEVER CETTE ETIQUETTE O D.Insert Body to side trim-6"(152 mm) MADE IN THE USA/FABRIQUE AUX USA E.Floor protection.Measured from glass..6"(U.S.)-OR 8"(203mm)to sides and 18"(457mm)in front(CANADA) Date of Manufacture/Date de fabrication: 2009 2010 2011 JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC Label#3.90-00676 NEON NONE MENNNEE IGN