FMP-0782-2019 Use only FUEL BURNING APPLIANCE & office
CHIMNEY AP -� Permit#: �Nt IP 7 1'Z
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MIR
D ECE # r Fe:$ 1ZS .Gi�
Town of Qucensbury
742 Bay Road, Queensbury, NY 12804 DEC 10 2019
P: 518-761-8256 www.queensbury.net T , fq OF F ""q-�
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Project Location: 44 A t'b� it S DUI �����a�vs�URm : 3 G2 , l 7 — I -zf S
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Room of Install: Planned Install Date:
**ONE APPLICATION PER APPLIANCE**
CONTACT INFORMATION:
• Applicants
Name(s): .I-) �2) Fyr A e-4
Mailing Address, C/S_Z: �I
Cell Phone: c5 ) Land Line: )
Email: 6+hf MV r
• Primary Owner(s):
Name(s): K r� /A-op
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email: Vz
❑ Check if all work will be performed by homeowner only
• Installer/Builder: Workers' Comp documentation must be submitted with this application
Contact Name(s): (-�,
Contractor Trade: Y—e-
Mailing Address, C S/Z: � )
Cell Phone:_( JC 9 ) Land Line: _( )
Email: U ro
Contact Person for Building P V& Code Compliance: W AA
Cell Phone: _( ) Land Line: _( )
Email:
el Burning Appliance&Chimney Application Revised February 2019
r
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
Stove _ Fireplace Insert V Fireplace 1 NC
Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3)
_ Fireplace,factory built**
(**Manufacturer's name: Model#: )
SOURCE OF HEAT:
Wood Coal Pellet Gas
CHIMNEY INFORMATION:
_ Masonry (require plans to be submitted):
block brick stone
_ Flue:
the _steel _size, in inches
_Material*:
_double-wall triple-wall_insulated
(*Manufacturer's name: Model #: )
1. Two inspections are required. A rough-in inspection, prior to installation and a final inspection, after
installation.
2. Manufacturer's installation manual must be available at the time of inspection.
3. Masonry fireplaces & chimneys require plans to be submitted.
4. Twenty-four(24) hour notification is required for inspections.
5. Workers' Comp insurance information is required with this application.
Declaration:Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer
requirements. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations and all
conditions that are part of these requirements and also will allow the inspector to enter the premises to perform the
required inspections.
have read and agree to the above:
PRINT NAME: V
SIGNATURE: DATE:/
Fuel Burning Appliance&Chimney Application Revised February 2019
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Black Louvers Vignette Faceplate-Tuscan Sunset Vignette Faceplate-Platinum
POPULAR SIZE
our most popular fireplace size is available in both slim and deep j Input(BTU) 30,000 ..29,500 30,000
I Turn down to(BTU) 15,500 19,500 15,500
box designs to deliver beautiful fire and efficient heat to most
Efficiency(steady state) 70.55°% 72.88% 71.26%
common family rooms,dens and bedrooms. -
EnerGwde Rating(Canada only) 62.36% 66.86% 63.89%
VERSATILE STYLE ' "AREA)
with the versatile Panorama P36, you can turn a traditional Viewing Area ,451 sq.in.;451 sq.in.'451 sq.in.
fireplace into a dynamic part of your home decor. Customize with !width 36" 36" 36"
Height 30-1/2" '30-1/2" 30-1/2"
warm finishes, screen doors and decorative accents - make it your ---- ---- - - — --'-- --- --~i -----
Depth 12-314" 12-314" 17-1/8"
Regency, right down to the last detail. *__......._ _..__.__._
For propane(LP)specs please see page 20.
For detailed specifications please see pages 20-23. -•
FRAMING INSTALLATION
P36/P36E/036D C Q ZOI
i �` �--��
'Minimum height to ,
combustible material INSTALLATION UNITS A I
p� I
Framing with Vignette 1 P36/P36E 36-11 (4"� 1 3�i' a& � 42 71 6" 33-1N' 436-1/4" 60" ,7-1/4" 12 3/4"
sieei/wood Faceplate (P36D " " 117-3/8" 146" !48" 133-1/4" 136-1/4" 68" 111-1N' '
stud on edge 36-1/4 40-3/4 11 1/8"
Framing with Vignette {P361P36E 38" !41 5/B"
38"
61-13'/1
143/4"- 46" - 1I_4_3__11I('_T/
-_-1i_�..---.( 6----!---._-._--u--_-1�1-4..-.3�^./_4"
B Faceplate&Finishing _ i38" 71-9/16 1311/4
Trim Finished Flush IP36D 38" 41-5/8" 19 3/8 46" 96" '33114'
A 1P36/P36E 36 1/4"
Frammgwith Louvers 36-1/4" 12-3/4" 46" I42-7/16" 33-1/4" 36-1/4 160" I7-1/4 112-3/4"
-_._----- ---- 17and safety screen -1/4" 136-1/4" 168" 11-1N' -1/8"
P36D I36 114 3714 33
L _-
--
I'I
- -- ----
*'D'is minimum height to combustible materials including the minimum 2"top clearance to the horizontal vent.
�E P90
F
j stand ffs
N G !Framing and Finishing I P90 146-1/2" �45 1/4"*I21-1/2" 53-3/4" 151 1/8" j 31" 146 112" �72 114" !13 11116" I19 114"
146-3/8
H I I
,
•If raised 1-118"using base standoffs.
P33/P33E P121 - SEE THRU
VERTICAL TERMINATION OR VERTICAL VERTICAL TERMINATION OR VERTICAL
RISE WITH HORIZONTAL TERMINATION RISE WITH HORIZONTAL TERMINATION ,
Vignette and Vignette Finishing Trim- Vignette and Vignette Finishing Trim
Finished Flush or Safety Screen and Louvers '
i A* �25„
For Both Rlald a Flex For Both Wald a Flex
al 34-3/4° fil 31-3/4" !B '42-1/2"
Wood stud Wood stud 1 A '
on edge on edge
TB
C !46-3/4"
*Minus 2X the finishing material thickness.
Finish Material thickness includes:drywall,
34-gry6" 33-1/4" I� - ceramic tile,slate,etc.
1/4" 37-1/4' NOTE The applicance extends 2-3/4"further on the vent side.If trying to center the appliance in a
room add 2-3/4"to the non vent side when framing.Do not however change dimension(C)as the
opening remains the same.
52-314"-+�
REAR TERMINATION REAR TERMINATION
Vignette and Vignette Finishing Trim- Vignette and Vignette Finishing Trim
Finished Flush or Safety Screen and Louvers P131 - PIER,
For Rlald Vent For Rlald Vent
34-3Llp31-3/4"
Wood stud Wood stud -
on edge on edge
36^16-1/2" !� A 25".1/4" lr min.
B I42-1/2"
34-9116" 33-1/4" i - —
1
For Flex Vent For Max Von l C 45"
34-3/4° 1---
i -----
wood stud Wood:At
*Minus 1X the finishing material thickness.
on edge on eFinish Material thickness includes:drywall,
14-1/2" ceramic tile,slate,etc.
min. .
34-9116" 33-114"
i
For Both Riaid 8 Flex For Both RI id 8 FI
1/4" 37-1/2"N 23° 37-1/2^
F2-3/4" ,
' 33-1/4"
�--53-1/4" 53-1/4"
For installation,framing and clearances see manuals on our website:www.regency-fire.com
All products tested to the following standards:GRAVITY DIRECT VENT WALL FURNACE TESTED AND APPROVED FOR U.S.A AND CANADA TO:CAN/CGA-2.17-M91,(ANSI z21.88b-1999/CSA 2.33b-M99).
f NOTE:All product specifications are subject to change without notice.Before installing refer to the relevant product manual for full and up-to-date information.