HomeMy WebLinkAbout3505 Gray StreetA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
L /S' T=, ,A, c.:T,)
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Tim Ar�PM
Re -Inspection required: Yes -/,No
When corrections have been made, schedule for re -inspection online at.
httpYlwww.ci. wheatridge.co.us4nspection
Date: Inspector: /;V ---
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECT -ION NOTICE
f
Inspection Type:' ! !`-� • 1 `�-``'`
Job Address:
Permit Number:
❑ No one available for inspection: Time I/PM
Re -Inspection required: Yes'' o
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci, wheatridge, co: usrnspection
Date: `7,V t., Inspector:
DO NOT NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 4�1-
Job Address:
Permit Number: 0(�!�
❑ No one available for inspection: Time'`. --m/
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uslinspection
Date'' • Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE:
Building Inspection Division
r (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: Ig�
Job Address:
Permit Number: [� �r
❑ No one available for inspection: Ti
Re -Inspection required: Ye i=_�N
When corrections have been made, schedule for re -inspection online at:
httpYAvww. ci. wheatridge. co. usorinspection
Date: -2-V,.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 ? b - t✓
Job Address:>
Permit Number: 01 �)&?2 0_2
DI-v"ill4pblv�-� d
�
❑ No one available for inspection: Time �r `! N/PM
Re -Inspection required: Yes / N�
When corrections have been made, call for re -inspection at 303-234-5933
tf c
Date: � .._, � Inspector: GJrPo ���C
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4"V,_3 le!�F%
Job Address:.f.
Permit Number:
❑ No one available for inspection: Time I '52(_,AM/PM
Re -Inspection required: Yes, No
When corrections have been made, call for re inspection-at,3 3-234- 933
Da .Z_ —Inspector", �
�.._
DO NOT REMOVE THIS NOTICE
I
City of Wheat Ridge
A r
" Residential Electric PERMIT - 201800070
PERMIT NO: 201800070 ISSUED: 01/08/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 03/26/2019
JOB DESCRIPTION: Update electrical services from existing to 200 AMP box.
*** CONTACTS ***
OWNER (303)521-2167 CORONADO ANA LIZETH REYES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation
0.00
Use Tax
42.00
Permit Fee
77.50
Extend Expired Permi
38.75
Investigative Fees
77.50
** TOTAL **
235.75
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and alLapplicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the pro] and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. fif irther attest that I'am legally authorized to include all entities named within this document as parties to the work to be
performed acid that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sinn ture of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than I80.days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The 'issWrice or granti of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app is e c de ora rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0
I'44
City of
�Wh6at ,e (_
COMMUNiTy DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in
writing and received prior to the date of expiration. An extension of no more than 180 days may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permitsa,ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # t�201 �) f �� �� Property Address: ra4w C!!!� —(,
Phone # 1�0v
35,gj, 'Email Address:
Reason for extension request:
Number of days requested: /
Printed Name:Signature: /� Date:
For office use only
This request has bee oved ❑ Denied Extended until:
Approved by: V") Date: /4:64
www.ci.wheatridge.co.us
P
i CITY OF WHEAT RIDGE
a
�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: T e f
Job Address: ,3 '`O� 61o,y S1,
Permit Number: ?01?1 02 " 0 �
r
/,p `.D I?rp _ r
❑ No one available for inspection: Time11;+ A�
Re -Inspection required: Yes (, 10
When corrections have been made, call for re -inspection at 303-234-
Date:- 3 /'-/
03-234-
Date:31'-1 / IIt Inspector: , (ir;E Loy -F ff
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201803207
PERMIT NO: 201803207 ISSUED: 12/28/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/28/2019
JOB DESCRIPTION: Remove walls to expand kitchen and living room; update electrical and
plumbing on main level and basement; add egress windows in basement; 2,200
sq ft total.
***Revision Installation of a new gas fireplace, framing, adding new 3/4
inch gas line. Located in the living room on main floor on the north wall.
Kozy Heat Callaway 50 with Komfort Zone,35.5K BTUs, Fan pulls 15amps.
Added Valuation $4500.00.***
*** CONTACTS ***
OWNER (303)521-2167 PASTRANA ANA LIZETH & JESUS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40,250.00
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
FEES
Total Valuation
0.00
Plan Review Fee
406.93
Use Tax
845.25
Permit Fee
626.05
** TOTAL **
1,878.23
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201803207
PERMIT NO: 201803207 ISSUED: 12/28/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/28/2019
JOB DESCRIPTION: Remove walls to expand kitchen and living room; update electrical and
plumbing on main level and basement; add egress windows in basement; 2,200
sq ft total.
***Revision Installation of a new gas fireplace, framing, adding new 3/4
inch gas line. Located in the living room on main floor on the north wall.
Kozy Heat Callaway 50 with Komfort Zone,35.5K BTUs, Fan pulls 15amps.
Added Valuation $4500.00.***
I, by my signature, do hereby attest t the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all pli able municipal codes, policies and procedures, and that I am t%e legal owner or have been authorized
by the legal owner of the prope and authorized to obtain this permit and perform the work described and approved in conjunction with
this erm� . I further attest that le lly authorized to include all entities named within this document as parties to the work to be
perform and that all wor e pe rfned is disclpsed in this document and/or its' accompanying approved plans and specifications.
G2 —
6ature of OWNER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in the permit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordigance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief $ui, ding Official Date
REQUESTS NU ST BE N E BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Rdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(fti.wheatridge.coms
FOR OFFICE USE ONLY
Date: f9 Iif �C
Add to Permit # Z10 32-0
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 55C�V�
Owner (blease orint): '7—,
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Company:
Contact Person:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Phone:
V4 Phone:
Phone:
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
'05 � �CC�1C� U e tv � ( A C � A -,J� iO�k = LSC 4 u
evy-r-W ZaLe
Sq. FULF
Btu's
Amps i6 Squares
;v Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
O"'NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this apRfication to list that entity on this application.
CIRCLE ONE. -(:(OWNER (CON CTOR) or (AUTHORIZED R RESENT 71, ) of (OWNER NTRACTOR)
PRINT NAME:IGNATURE: DATE: Ci ?�1��
ZONING COMMMENTS:
Reviewer.
BUILDING DEPAPTMENT COMMENTS -
Reviewer:
d44
i479 I q
PUBLIC WORKS COMMENTS:
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $ Y5�aD_�,
TAft h ",ft A
�'Im
KozyAHEAT
F I R E P L A C E S
HUSSONG MANUFACTURING CO., INC.
CALLAWAY 50
Model #CLW -50
Direct Vent Gas Fireplace
350 (27CaUt5f �R6�207
INSTALLATION AND
OPERATION MANUAL
English and French installation manuals are available through your
local dealer. Visit our website www.kozyheat.com.
Les manuels d'installation en frangais et en anglais sont disponibles
chez votre di�taillant local. Visitez www.kozyheat.com.
RATIONAL we suggest that our gas
rtsrtn ri hearth products be installed
®and serviced by profes-
sionals who are certified in
the U.S. by the National
Fireplace Institute° INFII as
C us, CERTIFIED NFI Gas Specialists.
AWARNING:
FIRE OR EXPLOSION HAZARD
Failure to follow safety warnings exactly
could result in serious injury, death, or
property damage.
-- Do not store or use gasoline or other
flammable vapors and liquids in the vicinity
of this or any other appliance.
—WHAT TO DO IF YOU SMELL GAS
• Do not try to light any appliance.
• Do not touch any electrical switch; do
not use any phone in your building.
• Leave the building immediately.
• Immediately call your gas supplier from
a neighbor's phone. Follow the gas
supplier's instructions.
• If you cannot reach your gas supplier,
call the fire department.
—Installation and service must be performed
by a qualified installer, service agency or
the gas supplier.
This appliance may be installed in
an aftermarket, permanently located,
manufactured home (USA only) or mobile
home, where not prohibited by local codes.
This appliance is only for use with the type
of gas indicated on the rating plate. This
appliance is not convertible for use with other
gases, unless a certified kit is used.
Y±11IV
►� 7:
HOT GLASS WILL
CAUSE BURNS
DO NOT TOUCH GLASS
UNTIL COOLED
NEVER ALLOW CHILDREN
at TO TOUCH GLASS
A barrier designed to reduce the risk of burns
from the hot viewing glass is provided with this
appliance and shall be installed for the protection
of children and other at -risk individuals.
INSTALLER: Leave this manual with the appliance.
CONSUMER: Retain this manual for future reference.
Hussong Mfg. Co., Inc. • CLW -50 Report No: 0216GF054S • Rev. 1, March 2018
Read this manual before installation or operating this appliance.
Please retain this owner's manual for future reference.
C0NGMTVL,AgT0YS!
We welcome you as anew ownerof a Kozy Meatgas fireplace. KozyYfeat products are designedwith superior components
andmaterials, andassembled6y trainedcraftsmen who take pride in their work 7o ensure you receive a quality product, the
burner and valve assembly are 100 percent test fired, and the complete fireplace is thoroughly inspected before packaging.
Our commitment to quality and customer satisfaction has remained the same for over 40 years. We offer a complete line of
gas and woodfireplaces, along with stylish accessories to complement any decor. Adding a fireplace is one of the best ways
to increase the value of your home, and we are proud to offer a network of dealers throughout the country to help make
your experience everything you imagine. We pride ourselves in being ded sated not only to functionality and relra6ility, but
also customersafety. We offer our continualsupport andguidance to help you achieve the maximum benefit andenjoyment
from your xozy Meat gas fireplace.
Jim Hussong Dudley Hussong
President Board Chairman
Homeowner Reference Information
Model Name:
Serial Number:
Dealership Purchased from:
Notes:
We recommend you record the following information:
Date purchased/installed:
Location of fireplace:
Dealer phone:
HOMEOWNER REFERENCE 3
TABLE OF CONTENTS
TABLEOF CONTENTS.....................................................................5
1.0 INTRODUCTION......................................................................7
1.1 Appliance Certification.............................................................................7
1.2 California Proposition 65 Warning........................................................7
1.3 Requirements for the Commonwealth of Massachusetts............
7
2.0 SPECIFICATIONS.....................................................................8
2.1 Appliance Packaging Components......................................................8
2.2 Heating Specifications..............................................................................8
9.1 Electrical Specifications............................................................................33
2.3 Appliance Dimensions..............................................................................9
2.4 Barrier Dimensions.....................................................................................10
3.0 FRAMING.................................................................................11
3.1 Appliance Placement Considerations.................................................11
10.1 Setup Proflame 2 IFC Module..............................................................37
3.2 Stand-off Assembly and Installation....................................................11
10.2 Initialize the Control System.................................................................37
3.3 Clearances to Combustibles...................................................................12
10.3 Reset the System for Manual Operation..........................................37
3.4 Wall Enclosure Rough Opening.............................................................13
10.4 Automatic Safety Restart.......................................................................37
3.5 Floor Support and Protection.................................................................14
10.5 Backup Battery Operation....................................................................37
3.6 Recess Construction...................................................................................14
10.6 IFC Module Ignition Sequence............................................................38
3.7 Vent Termination Framing.......................................................................15
10.7 Additional Diagnostic Information....................................................38
4.0 FACING AND FINISHING.........................................................16
4.1 Nailing Flange Assembly and Installation..........................................16
4.2 Facing and Finishing Requirements.....................................................17
11.1 Pressure Testing........................................................................................42
4.3 #CW50-SCK Optional Skim Coat Kit.....................................................19
11.2 Burner Flame Adjustments...................................................................43
5.0 GAS LINE CONNECTION.........................................................20
5.1 Gas Conversion (sold separately)..........................................................20
13.0 MAINTENANCE......................................................................47
5.2 Gas Line Installation...................................................................................20
6.0 TERMINATION LOCATIONS....................................................21
6.1 Vertical Vent Cap Termination................................................................21
13.3 Vent System................................................................................................47
6.2 Minimum Termination Clearances........................................................22
13.4 Glass Assembly..........................................................................................47
7.0 VENTING..................................................................................23
7.1 Approved Vent Systems............................................................................23
7.2 Venting Requirements..............................................................................23
LIMITED WARRANTY......................................................................51
7.3 Use of Elbows...............................................................................................23
7.4 Vent Restriction..........................................................................................23
7.5 Vent Installation...........................................................................................24
7.6 #800-2 Series Direct Vent Termination Kit(s).....................................28
7.7 Horizontal Heat Shield Installation.......................................................29
8.0 FIREPLACE SETUP...................................................................30
8.1 Barrier Installation......................................................................................30
8.2 Glass Frame Assembly...............................................................................30
8.3 Burner/Perimeter Media Installation...................................................31
8.4 Control Board Removal and Installation.............................................32
9.0 ELECTRICAL INFORMATION..................................................33
9.1 Electrical Specifications............................................................................33
9.2 Wiring Requirements.................................................................................33
9.3 600-TLKTop Light Kit (optional)............................................................34
10.0 OPERATING INSTRUCTIONS................................................36
10.1 Setup Proflame 2 IFC Module..............................................................37
10.2 Initialize the Control System.................................................................37
10.3 Reset the System for Manual Operation..........................................37
10.4 Automatic Safety Restart.......................................................................37
10.5 Backup Battery Operation....................................................................37
10.6 IFC Module Ignition Sequence............................................................38
10.7 Additional Diagnostic Information....................................................38
10.8 Remote Control Operation..................................................................39
11.0 ADJUSTMENT........................................................................42
11.1 Pressure Testing........................................................................................42
11.2 Burner Flame Adjustments...................................................................43
12.0 TROUBLESHOOTING.............................................................45
13.0 MAINTENANCE......................................................................47
13.1 Firebox..........................................................................................................47
13.2 Fan.................................................................................................................
47
13.3 Vent System................................................................................................47
13.4 Glass Assembly..........................................................................................47
13.5 Burner and Pilot System........................................................................48
14.0 REPLACEMENT PARTS LIST..................................................49
LIMITED WARRANTY......................................................................51
LIFETIME WARRANTY....................................................................53
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces TABLE OF CONTENTS 5
1.0 INTRODUCTION
1.1 Appliance Certification
Laboratory: OMNI -Test Laboratories in Portland, Oregon
Standards:
ANSI Z21.88-2016/CSA 2.33-2016, Vented Gas Fireplace Heaters
CSA 2.17 2017, Gas -Fired Appliances for Use at High Altitudes
This installation must conform with local codes, or in the absence of
local codes, with the National Fuel Gas Code, ANSI Z223.1 /NFPA 54, or
the Natural Gas and Propane Installation Code, CSA 8149.1.
1.2 California Proposition 65 Warning
0 WARNING: This product can expose you to chemicals including
Carbon Monoxide, that is an externally vented by-product of fuel
combustion, which is [are] known to the State of California to cause
birth defects or other reproductive harm. For more information, visit
www.PS5Warnings.ca.gov.
1.3 Requirements for the
Commonwealth of Massachusetts
The following requirements reference various Massachusetts and
national codes not contained in this manual.
For all sidewall horizontally vented gas fueled equipment installed
in every dwelling, building or structure used in whole or in part for
residential purposes, including those owned or operated by the
Commonwealth and where the side wall exhaust vent termination
is less than (7) feet above finished grade in the area of the venting,
including but not limited to decks and porches, the following
requirements shall be satisfied:
1.3.1 Installation of Carbon Monoxide Detectors
At time of installation of side wall horizontally vented gas fueled
equipment, the installing plumber or gas -fitter shall observe that
a hard wired carbon monoxide detector with an alarm and battery
back-up is installed on the floor level where the gas equipment is
to be installed. In addition, the installing plumber or gas -fitter shall
observe that a battery operated or hard wired carbon monoxide
detector is installed on each additional level of the dwelling, building
or structure served by the side wall horizontal vented gas fueled
equipment. It shall be the responsibility of the property owner
to secure the services of qualified licensed professionals for the
installation of hard wired carbon monoxide detectors.
In the event that the side wall horizontally vented gas fueled
equipment is installed in a crawl space or attic, the hard wired carbon
monoxide detector with alarm and battery back-up may be installed
on the next adjacent floor level. In the event that the requirements
of this subdivision can not be met at the time of completion of
installation, the owner shall have a period of thirty (30) days to
comply with the above requirements; provided, however, that during
said thirty (30) day period, a battery operated carbon monoxide
detector with an alarm shall be installed.
1.3.2 Approved Carbon Monoxide Detectors
Each carbon monoxide detector as required in accordance with the
above provisions shall comply with NFPA 720 and be ANSI/UL 2034
listed and IAS certified.
1.3.3 Signage
A metal or plastic identification plate shall be permanently mounted
to the exterior of the building at a minimum of eight (8) feet
above grade directly in line with the exhaust vent terminal for the
horizontally vented gas fueled heating appliance or equipment. The
sign shall read, in print no less the one-half inch (1/2) in size, "GAS VENT
DIRECTLY BELOW. KEEP CLEAR OF ALL OBSTRUCTIONS".
1.3.4 Inspection
The state or local gas inspector of the side wall horizontally vented
gas fueled equipment shall not approve the installation unless, upon
inspection, the inspector observes carbon monoxide detectors and
signage installed in accordance with the provisions of 248 CMR 5.08
(2) (a) 1 through 4.
1.3.5 Exemptions
The following equipment is exempt from 248 CMR 5.08 (2) (a) 1
through 4: The equipment listed in Chapter 10 entitled "Equipment
Not Required To Be Vented" in the most current edition of NFPA 54 as
adopted by the Board; and Product Approved side wall horizontally
vented gas fueled equipment installed in a room or structure separate
from the dwelling, building or structure used in whole or in part for
residential purposes.
1.3.6 Manufacturer Requirements
1.3.6.1 Gas Equipment Venting System Provided
When the manufacturer of Product Approved side wall horizontally
vented gas equipment provides a venting system design or venting
system components with the equipment, the instructions provided
by the manufacturer for installation of the equipment and the
venting system shall include:
• Detailed instructions for the installation of the venting system
design or the venting system components; and
• A complete parts list for the venting system design or venting
system.
1.3.7 Gas Equipment Venting
System NOT Provided
When the manufacturer of Product Approved side wall horizontally
vented gas equipment does not provide the parts for venting the
flue gases, but identifies "special venting systems', the following
requirements shall be satisfied by the manufacturer:
• The referenced "special venting systems" instructions shall
be included with the appliance or equipment installation
instructions and;
• The"special venting systems" shall be Product Approved by the
Board, and the instructions for that system shall include a parts
list and detailed installation instructions.
A copy of all installation instructions for all Product Approved
side wall horizontally vented gas fueled equipment, all venting
instructions, all parts lists for venting instructions, and/or all venting
design instructions shall remain with the appliance or equipment at
the completion of the installation.
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces INTRODUCTION 7
2.0 SPECIFICATIONS
2.1 Appliance Packaging Components
Part Number
Description
CW50-150
Control Board Assembly
700-203
Manual Gas Shut-offValve
CW50-057T
900-086
Glass Frame Assembly
5 in (127 mm) Restrictor Plate
700-408
Remote Control
CW50-SHD
Steel Framing
CW50-HHS
Vent Heat Shield Assembly
2.1.1 Additional Components Required
Refer to Section 7.0 Venting on page 23 for approved vent systems.
2.2 Heating Specifications
2.2.1 Altitude Adjustment
This appliance may be installed at higher altitudes. Please refer to
National Fuel Gas Code ANSI Z223.1/NFPA 54, CSA -B 149.1 Natural
Gas and Propane Installation Code, local authorities, or codes having
jurisdiction in you area regarding derate guidelines.
2.2.1.1 US Installations
Refer to the American Gas Association guidelines for the gas designed
appliances derating method. For elevations above 2,000 ft (610 m),
input ratings are to be reduced by 4% for each 1,000 ft (305 m) above
sea level.
2.2.1.2 Canadian Installations
When the appliance is installed at elevations above 4,500 ft (1,372 m),
the certified high altitude rating shall be reduced at the rate of 4% for
each additional 1,000 ft (305 m).v
8 SPECIFICATIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
Natural Gas
Propane
Maximum
35,500 Btu/h
35,000 Btu/h
Input Rating
10.4 kW
10.26 kW
Minimum
18,500 Btu/h
18,000 Btu/h
Input Rating
5.4 kW
5.2 kW
Manifold Pressure
3.8"WC
11"WC
(High)
(0.95 kPa)
(2.74 kPa)
Manifold Pressure
1.1"WC
2.9"WC
(Low)
(0.27 kPa)
(0.72 kPa)
Orifice Size (DMS)
#34
#51
2.2.1 Altitude Adjustment
This appliance may be installed at higher altitudes. Please refer to
National Fuel Gas Code ANSI Z223.1/NFPA 54, CSA -B 149.1 Natural
Gas and Propane Installation Code, local authorities, or codes having
jurisdiction in you area regarding derate guidelines.
2.2.1.1 US Installations
Refer to the American Gas Association guidelines for the gas designed
appliances derating method. For elevations above 2,000 ft (610 m),
input ratings are to be reduced by 4% for each 1,000 ft (305 m) above
sea level.
2.2.1.2 Canadian Installations
When the appliance is installed at elevations above 4,500 ft (1,372 m),
the certified high altitude rating shall be reduced at the rate of 4% for
each additional 1,000 ft (305 m).v
8 SPECIFICATIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
2.3 Appliance Dimensions
TOP VIEW
22"
(559mm) 1815/�a'
• (481mm)
64Y:'
0638mm)
LEFT SIDE FRONT VIEW RIGHT SIDE
S,
(135mm)
18"
(458mm)
44
(1131mm) (1359mm53Ye" 39"
)
16Yi" (993mm)
(425mm)
SYe 008mm) ELECTRICAL
(130mm) 9Y4"
(248mm) p ACCESS
�Q
GAS LINE 21 As' 5915" st4-
HOLE (68mm) (1512mm) (140mm)
Figure 2. 1, CLW -50 Dimensions
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces SPECIFICATIONS 9
2.4 Barrier Dimensions
2.4.1 Safety Barriers
WARNING: A barrier designed to reduce the risk of burns from the hot
viewing glass is provided with this appliance and shall be installed for
the protection of children and other at -risk individuals.
If the barrier becomes damaged, the barrier shall be replaced with
Hussong Mfg.s barriers for this appliance. Only doors certified with the
appliance shall be used.
;A'A"
2.4.2 Surrounds
IMPORTANT Consider the height of hearth finish material when
building a fireplace platform. Proper installation of surrounds with an
overlap fit design require the bottom of the fireplace to be level with
finished hearth.
The surrounds below are shown with safety barrier.
For installation instructions, see Section 8.1 Barrier Installation on
page 30.
52%"
(1330mm)
15%"
(394mm
Safety Barrier Screen (only)
CW50-ES
Rectangle Surround (1 piece)
CW50-RS
RS"
Gallery Surround
CW50-GS
21'
(553
cal/.
Rectangle Surround (4 piece)
CW50-RS4
59me'
Forged Surround
CW50-FS
10 SPECIFICATIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
3.0 FRAMING
3.1 Appliance Placement Considerations
WARNING: Due to high temperatures, the appliance should be located
out of traffic and away from furniture and draperies.
• This appliance must be installed on a level surface capable
of supporting the fireplace and venting. If possible, place the
fireplace in a position where the vent terminates between two
studs, eliminating the need for any additional framing.
• This fireplace may be installed in a bedroom.
• Please be aware of the large amount of heat this fireplace will
produce when determining a location.
3.2 Stand-off Assembly and Installation
NOTE: If installing the Komfort Zone Kit, please reference the manual
included with kit.
WARNING: The top stand-offs brackets provide the required minimum
clearance to the header. The clearance to header must be maintained.
Top stand-off brackets must be formed and attached prior to
positioning fireplace into framed opening.
1. Remove and save (4) screws securing the stand-off brackets on
top of the fireplace.
2. Form each stand-off bracket by bending at perforations, as
shown.
3. Align the holes in the formed stand-off brackets with the
holes on top of the fireplace. Secure with (4) screws previously
removed along with (4) screws provided in the fireplace
components packet.
4. Remove and save screws securing the back stand-off brackets.
Form the back stand-off heat shields as shown. Secure using
provided screws.
m
�a o
Figure 3. 1, Stand-off Assembly and Installation
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces FRAMING 11
3.3 Clearances to Combustibles
Table 3. 7, Minimum Appliance Clearances to Combustible Material
From appliance top stand-off brackets
3-1/2 in
89 mm
From appliance left and right stand-off brackets
0 in
0 mm
From appliance back stand-off brackets
0 in
0 mm
From appliance corners
3 in
76 mm
From appliance front
36 in
914 mm
Appliance sides to adjacent sidewall
3 in
76 mm
Fireplace finishing edge to 3/4 in (19 mm) trim
18 in
457 mm
Mantel 6 in (152 mm) deep from fireplace finishing edge
21-1/2 in
545 mm
Mantel 6 in (152 mm) deep from fireplace enclosure floor
48 in
1219 mm
Minimum height of fireplace enclosure
48 in
1219 mm
TYPICAL VERTICAL INSTALLATION
TYPICAL HORIZONTAL INSTALLATION
3'
3'
(76mm)
(76mm)
7Y
_
(551 mm)
(559mm)
64%,
64%'
(1638mm)
(1636mm)
TYPICAL CORNER INSTALLATION
I ssh„
(657mm)
I
53�fK
(1357mm)
(2711mm)
(1636mm)
75%e
3' (191 M)
(76mm)
Figure 3.2, Clearance to Combustibles
12 FRAMING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
3.4 Wall Enclosure Rough Opening
WARNING: Provide adequate clearance in front of the fireplace for
barrier removal, component access, gas line installation, service
access, etc.
NOTE. The construction of the fireplace wall enclosure must comply
with local building codes and all clearances as outlined in this manual.
NOTE. Cold air transfer area. The fireplace wall enclosure should be
constructed in a manner to prevent cold air from entering the room
and outside walls should be insulated.
FIRE HAZARD: Do NOT install this appliance directly on carpeting,
vinyl, or any other combustible material other than wood.
• Framing dimensions should allow for wall covering thickness
and fireplace facing materials. Adjust rough opening size as
necessary to maintain minimum clearance requirements.
Figure 3.3, Framing Dimensions
• The bottom of the fireplace must be placed directly on a wood or
non-combustible surface (not linoleum or carpet). If the fireplace
is to be installed above floor level, a solid, continuous platform
must be constructed below the fireplace.
• Build the hearth to desired size and height.
• If masonry is to be used (optional), prepare the necessary
foundation for the masonry load. A lintel must be used over
the top of the appliance to support the additional weight of
masonry construction.
• If installing the Komfort Zone Kit, please reference the manual
included with kit.
• Installation of CW50-SHD steel framing is required (included in
components packet).
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces FRAMING 13
3.5 Floor Support and Protection
Floor protection in front of the fireplace is not required.
Combustible material may be used if installing a hearth
extension. Consider the thickness of the hearth extension
finishing material if building a fireplace platform. The bottom
of the fireplace must be level with finished hearth extension for
proper fit of the safety barrier.
If this appliance is to be installed directly on carpeting, tile,
or other combustible material other than wood flooring, this
appliance shall be installed on a metal or wood panel extending
the full width and depth of the appliance.
If the appliance is to be installed above floor level, a solid,
continuous platform must be constructed below the appliance.
3.6 Recess Construction
WARNING: All clearances to venting must be maintained.
Mounting a television above a fireplace has become a common
practice. Television surface temperatures are affected by mantel
depth, ceiling heights, and wall and mantel construction material.
Most television manufacturers specify in their instructions that a
television should not be installed on, near, or above a heat source.
Television location rests solely on the homeowner. It is the home
owner's responsibility that the preferred TV mounting and mantel
design will not exceed the listed maximum operation temperature of
their electronic goods.
Figure 3.4 shows the minimum dimensions for the fireplace. Anything
above the minimum enclosure height of 48" (1219mm) can be
capped off or recessed.
14 FRAMING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.7 March 2078
3.7 Vent Termination Framing
IMPORTANT: Vent cap location must be in compliance with Section 6.2
Minimum Termination Clearances on page 22.
WARNING: DO NOT RECESS THE VENT CAP INTO WALL OR SIDING.
3.7.1 Vertical Terminations
CAUTION: Cold air transfer area. The surround fireplace chase
must comply with all clearances as outlined in this manual, and be
constructed in compliance with local building codes. Outside walls
should be insulated to prevent cold air from entering room.
• Follow vent pipe manufacturer's installation instructions for
vertical terminations.
• A minimum of 1 in (25 mm) clearance on all sides of the vertical
vent pipe must be maintained.
• Attic insulation shields may be insulated using unfaced
insulation products listed as non-combustible per ASTM E 136.
3.7.2 Horizontal Terminations
IMPORTANT.• Horizontal vent sections require 1/4 in (6 mm) rise for
every 12 in (305 mm) of travel.
NOTE: Elbows listed with approved ventsystems for this appliance vary
in vertical length. Please consult the vent manufacturer's instructions
to determine the elbow dimension used for installation. Adjust the
wall pass-through rough opening dimensions to maintain clearance
requirements.
Kozy Heat's #800-WPT series, or wall thimble products that comply
with the required 3 in (76 mm) top clearance to combustibles, must
be installed for all horizontal vent runs that pass through interior or
exterior walls. These wall thimble products may be insulated using
unfaced insulation products listed as noncombustible per ASTM E 136.
1. Measure from floor level of the fireplace to the center of where
the vent pipe will penetrate the wall.
2. Cut and frame an opening in the wall to allow the vent system
to run level through the wall pass-through. This wall pass-
through must be fully lined with insulation products listed as
noncombustible per ASTM E 136. A minimum top clearance of
3 in (76 mm) and a minimum 1 in (25 mm of the horizontal vent
pipe at the wall pass-through must be maintained.
3. Follow the vent pipe manufacturer's installation instructions for
vent installation.
#CLW -50 R.1 March 2018
NATURAL GAS AND PROPANE FLEXIBLE PIPE
HORIZONTAL TERMINATION
22"
(559mm)
o
42"
(1067mm)
00
NATURAL GAS AND PROPANE RIGID PIPE
MINIMUM HORIZONTAL VENTING (NO VERTICAL VENTING)
22"
(559mm)
343/9"
(873mm)
�a o
NATURAL GAS AND PROPANE RIGID PIPE
MINIMUM HORIZONTAL VENTING (45° VERTICAL ELBOW)
22"
(559mm)
443/4"
(1137mm)
�a o
Figure 3.5, Vent Termination Locations
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
FRAMING 15
4.0 FACING AND FINISHING
4.1 Nailing Flange Assembly
and Installation
CAUTION: Never permanently remove these assemblies from the
fireplace—they must be secured regardless of finish material used.
1. Remove (2) nailing flanges from the right and left side of the
fireplace.
2. Align nailing flange with holes on outside corners of fireplace,
with the stand-off flanges on the nailing flanges facing away
from the fireplace
3. Secure the nailing flanges to the fireplace with screws (provided)
through the slots in nailing flanges.
4. Bend perforation on nailing flange until parallel with fireplace
face. Do not bend toward fireplace face.
5. Position framing stud against the small stand-off (located on
backside of nailing flange). Secure with nails or screws.
• When installed, the nailing flanges provide the minimum
21/2 in (64 mm) clearance from the sides of the fireplace to
framing.
BACK VIEW
FRONT VIEW
. — NAILIN LANGE INSTALLED
STAND-OFF
FLANGE
L
NAILING FLANGE
NAILING FLANGE
INSTALLED
AS SHIPPED
O D
TOP VIEW
FRONT VIEW
FRAMING STUD
2'/:'
STAND-OFF FLANGE AILING FLANGE
EARAN
CLEARANCE
FRAMING STUD
NAILING FLANGE
Figure 4. 1, Nailing Flange Installation
16 FACING AND FINISHING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
4.2 Facing and Finishing Requirements
WARNING: Maintain all minimum clearances to combustibles from the
appliance and vent system.
4.2.1 Mantel Requirements
WARNING: All minimum clearances to combustible material MUST be
maintained.
• Combustible Mantel Projections - As referenced in Figure 4.2,
the 3/4" trim can start at 18" (457mm) above the finishing edge
with a 6" (152mm) mantel starting at 21-1/2" (545mm) above
the finishing edge. Mantel projections can increase 1" (25mm) of
depth for every 1" (25mm) of height starting at the 6" (152mm)
mantel.
• Non-combustible Mantel Projections - Minimum Vertical and
Maximum Horizontal: A minimum vertical clearance of 6 in (152
mm) above the finishing edge to a maximum 6 in (152 mm)
depth of a non-combustible mantel. Follow projection 1 in (25
mm) up for every 1 in (25 mm) deeper.
4.2.2 Facing Requirements
Non-combustible material is required at the top and sides of the
fireplace. This fireplace is designed to accommodate non-combustible
facing material up to 1/2 in (13mm) thick.
EACH SQUARE REPRESENTS
1"(25mm)
r)F MANTFI DRnwrT1nN /
• Install facing material up to the finishing edge that surrounds
the glass frame assembly. Do not apply any material beyond this
point. The glass frame assembly must be removable.
• Do not secure material to the lower cover panel using screws.
This may damage control system components. To secure material
to this area, use a silicone sealant that has a 300°F (149°C)
continuous exposure rating.
• It is acceptable to pre -drill holes and to use self -tapping screws
prior to attach the non-combustible material to the top and
sides of the fireplace face. Do not use excessively long screws.
4.2.3 Finishing Recommendations
NOTE: The surface area above the appliance may be affected by high
temperatures emitted from this appliance. To help avoid or reduce the
possibility of the sheetrock to crack, Hussong Mfg. recommends the
following methods:
• Ensure the non-combustible material and sheetrock is dry and
dust free.
• For taping and mudding seams, we recommend heat resilient
tape, mesh and joint compounds, such as Durabond. Mud must
be cured as per manufacturer's recommendations.
• For a painted surface, use a high quality acrylic latex primer
and finish coat. Avoid flat or light-colored paints to prevent
discoloring.
COMBUSTIBLE FLOORING
Figure 4.2, Mantel Requirements
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces FACING AND FINISHING 17
STEEL FRAMING REQUIRED
441/2"
(1130mm)
51/2"
(140mm)
641/2"
(1638mm)
Figure 4.3, Finished Opening Clearances
18"
(458mm)
531/z" _
(1354mm)
163/4"
(425 mm)
(248mm)
-COMBUSTIBLE MATJALLOCO .
111/2"
(545mm)
STEELFRAMING REWIRED
(16"MM) NON-COMBUSTIBLE MATERIAL ONLY
NON-COMBUSTIBLE MATERIAL ONLY
3/,w
. 1238mm) �—(l9mm)
163/4"
531/x. (425mm) 63/x"
............
- (1359mm) (161mm)
OWER COVER PANEL
COMBUSTIBLE MATERIAL ALLOWED
NO SCREWS ALLOWED ABOVE FRAMING
+BOTTOM 1/4 19mm)
(19mm) - (261mm)
Figure 4.4, Minimum Non -Combustible Finishing Dimensions
COMBUSTIBLE MATERIAL ALLOWED
COMBUSTIBLE MATERIAL ALLOWED
18 FACING AND FINISHING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
4.3 #CW50-SCK Optional Skim Coat Kit
If you plan to skim coat finish across the combustible and non-
combustible material and plan to use 1/2" thick of material, you
will need to use the #CW50-SCK Slim Coat Finish to have the
noncombustible material flush with the finishing flange of the
fireplace.
This kit includes:
(16) self -tapping screws (2) side panels
(2) top & bottom panels
1. Ensure the hand bend tabs are bent at a 90° angle for required
clearances. This is required to provide 1/4"of the spacing
required for a flush mount installation.
2. Install panels. Align the panels with the corners of the finishing
flange.
3. Do not use screws above the framing for the gas and electrical
components when installing the bottom panel. See Section
Figure 4.4, Minimum Non -Combustible Finishing Dimensions on
page 18 for maintaining required areas.
i
i
I
1
Figure 4.6, Aligned Corners
Figure 4.7, Panels Installed
Figure 4. 8, Installed Panels and Non -Combustible Material
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces FACING AND FINISHING 19
5.0 GAS LINE CONNECTION
5.1 Gas Conversion (sold separately)
ATTENTION: The conversion shall be carried out in accordance with
the requirements of the provincial authorities having jurisdiction and
in accordance with the requirements of the ANSI Z223.1 installation
code.
This fireplace is manufactured for use with natural gas. Follow
the instructions included with the conversion kit if converting to
propane.
5.2 Gas Line Installation
CAUTION: Installation of the gas line must only be done by a qualified
person in accordance with local building codes, if any. If not follow
ANSI 223.1. Commonwealth of Massachusetts installations must be
done by a licensed plumber or gas fitter.
NOTE: The appliance and its individual shutoff valve must be
disconnected from the gas supply piping system during any pressure
testing of that system at pressures in excess of % psi (3.5 kPa). For test
pressures equal to or less than % psi (3.5 kPa), the appliance must be
isolated from the gas supply piping system by closing its individual
manual shut-off valve.
• A listed (and Commonwealth of Massachusetts approved) 1/2
in (13 mm) tee handle manual shut-off valve and flexible gas
connector are to be connected to the 1/2 in (13 mm) control valve
inlet. If substituting for these components, please consult local
codes for compliance.
• This fireplace is equipped with a 3/e" (10 mm) x 18" (457 mm) long
flexible gas connector and manual shut-off valve.
• Run gas line into fireplace. The gas line should be run to the
point of connection where the shut-off valve and flexible gas
line will connect.
• Do not run gas line in a manner that would obstruct fan
operation.
• For high altitude installations, consult the local gas distributor or
the authority having jurisdiction for proper rating methods.
Table 5. 7, Inlet Gas Supply Pressures
Fuel
Minimum Pressure
Maximum Pressure
Natural Gas
5"WC (1.25 kPa)
10.5"WC (2.62 kPa)
Propane
12"WC (2.99 kPa)
13"WC (3.24 kPa)
20 GAS LINE CONNECTION Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
6.0 TERMINATION LOCATIONS
6.1 Vertical Vent Cap Termination
WARNING: This appliance must notshare or be connected to a chimney
flue serving a separate solid -fuel burning appliance.
LOWEST
DISCHARGE
OPENING
APPROVED CAP—
MINIMUM
12" (.30m)
APPROVED
VENT PIPE H
x
12
ROOF PITCH = x/12
H - MINIMUM HEIGHT FROM ROOF TO
LOWEST DISCHARGE OPENING
Figure 6. 1, Vertical Vent Cap Clearance
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces TERMINATION LOCATIONS 21
Minimum height (H) from roof
Roof Pitch
Feet
Meters
Flat to 6/12
1.0
0.30
Over 6/12 to 7/12
1.25
0.38
Over 7/12 to 8/12
1.5
0.46
Over 8/12 to 9/12
2.0
0.61
Over 9/12 to 10/12
2.5
0.76
Over 10/12 to 11/12
3.25
0.99
Over 11/12 to 12/12
4.0
1.22
Over 12/12 to 14/12
5.0
1.52
Over 14/12 to 16/12
6.0
1.83
Over 16/12 to 18/12
7.0
2.13
Over 18/12 to 20/12
7.5
2.27
Over 20/12 to 21/12
8.0
2.44
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces TERMINATION LOCATIONS 21
6.2 Minimum Termination Clearances
Canadian installations US installations
A
Clearance above grade, veranda, porch, deck, or balcony
12 in (30 cm)
12 in (30 cm)
B
Clearance to window or door that may be opened
12 in (30 cm)
9 in (23 cm)
C
Clearance to permanently closed window (recommended to prevent condensation on
window)
12 in (30 cm)*
12 in (30 cm)*
D
Vertical clearance to ventilated soffit located above the terminal within a horizontal
distance of 2 feet (61 cm) from the cent line of the terminal
24 in (61 cm)*
24 in (61 cm)*
E
Clearance to unventilated soffit
12 in (30 cm)*
12 in (30 cm)*
F '
Clearance to outside corner
0 in (0 cm)*
0 in (0 cm)*
G
Clearance to inside corner
12 in (30 cm)*
12 in (30 cm)
H
Clearance to each side of center line extended above meter/regulator assembly
3 ft (91 cm) within a height
15 ft (4.5 m) above the meter/
regulator assembly
Clearance to service regulator vent outlet
3 ft (91 cm)
J
Clearance to non mechanical air supply inlet to building or the combustion air inlet to
any other appliance
12 in (30 cm)
9 in (23 cm)
K
Clearance to mechanical air supply inlet
6 ft (1.83 m)
3 ft (91 cm) above if within
10 ft (3 m) horizontally
Massachusetts: 10 ft (3 m)
L
Clearance above paved sidewalk or paved driveway located on public property
7 ft (2.13 m)t
M
Clearance under veranda, porch deck, or balcony
12 in (30 cm)*
12 in (30 cm)
N
Clearance between two horizontal terminations
12 in (30 cm)
12 in (30 cm)
O
Clearance between two vertical terminations (may be same height)
12 in (30 cm)
12 in (30 cm)
P
Above furnace exhaust or inlet
12 in (30 cm)
12 in (30 cm)
* Clearance in accordance with local installation codes and the requirements of the gas supplier.
t A vent shall not terminate directly above a sidewalk or paved driveway that is located between two single family dwellings and serves both dwellings.
* Permitted only if veranda, porch, deck, or balcony is fully open on a minimum of two sides beneath the floor.
VINYL SOFFIT, VINYL CEILING, AND VINYL OVERHANG DISCLAIMER: Clearances to heat resistant material (i.e. wood, metal). This does not include vinyl. Hus-
song Manufacturing Co., Inc. will not be held responsible for heat damage caused from terminating under vinyl overhangs, vinyl ceilings, or vinyl ventilated/
unventilated soffits.
22 TERMINATION LOCATIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2078
7.0 VENTING
7.1 Approved Vent Systems
This appliance is equipped for use with a 5" (127mm) exhaust by
8" (203mm) air intake co -axial vent pipe system. This appliance is
approved for use with Kozy Heat 5" (127mm) x 8" (177mm) #800
Series Flexible Direct Vent System (horizontal terminations only).
Refer to Section 7.6 #800-2 Series Direct Vent Termination Kit(s) on
page 28 for venting components and installation instructions.
Other approved vent manufacturers (horizontal and vertical
terminations): American Metal Products (Ameri-Vent), BDM, ICC, Metal
Fab, Olympia Chimney Supply, Inc., Security, Selkirk, and Simpson
DuraVent. Refer to the vent manufacturer's installation manual for
complete installation instructions. Vent installation must conform
with venting requirements and restrictions as outlined in this manual.
Vent reduction from a 5" exhaust to a 4" exhaust may be used
for vertical vent runs using a listed reducer from the approved
vent manufacturer as listed above. Refer to vent manufacturer's
instructions.
This appliance can be adapted to use 3"x 3"flexible co -linear vent
pipes when used in combination with an existing minimum 6"
x 8" ID masonry or 7" ID class A metal chimney. Refer to the vent
manufacturer's instructions.
7.2 Venting Requirements
NOTE. Consult the local and national installation codes to assure
adequate combustion and ventilation air is available. Venting
requirements apply to both natural gas and propane.
• Flame height and appearance will vary depending upon venting
configuration and the type of fuel used.
• Provide a means for visually checking the vent connection to the
appliance after the fireplace is installed.
• A minimum of 1 in (25 mm) clearance on all sides of the
vertical vent pipe must be maintained. Attic insulation shields
may be insulated using unfaced insulation products listed as
noncombustible per ASTM E 136.
• Kozy Heat's #800-WPT series, or wall thimble products that
comply with a minimum of 3 in (76 mm) clearance on the top
side and a minimum of 1 in (25 mm) clearance on the bottom,
left, and right sides of the horizontal vent pipe at the wall
pass-through must be maintained. Wall thimble products that
comply with the required clearances to combustibles must be
installed for all horizontal vent runs that pass through interior
or exterior walls. These wall thimble products may be insulated
using unfaced insulation products listed as noncombustible
per ASTM E 136. If using a 4" x 6-5/8" reducer, follow vent pipe
manufacturer's wall thimble installation instructions.
7.3 Use of Elbows
• MAXIMUM NUMBER OF ELBOWS: 5
• For each additional 90° elbow used after the first elbow, 3 ft (91.4
cm) must be subtracted from maximum venting allowed.
• For each 45° elbow used, 11/2 ft (457 mm) must be subtracted
from maximum venting allowed.
• (2) 45° degree elbows may be used in place of (1) 90° elbow.
7.4 Vent Restriction
Burner flame appearance and characteristics are affected by altitude,
fuel quality, venting configuration, and other factors. To achieve
desirable flame appearance, the vent exhaust may be restricted by
the restrictor plate (included in components packet).
The restrictor plate is shipped with all inner rings intact, and when
installed, provides the most vent restriction. There are (2) inner rings
that can be knocked out. The inner most ring knocked out will create
less restriction, and the outer most ring knocked out will create the
least amount of restriction.
Follow Figure 8.1 for restrictor plate installation before attaching
venting. For vent restriction plate recommendations and adjustments,
see Section 11.2.2 Vent Restriction (after installation) on page 44.
SLIDE RESTRICfOR INTO EXHAUST PIPE ON
TOP OF FIREPLACE WITH TABS IGTOWARDS
YOU PRI RTO ATTACHING VENTING
RESTRICTOR PLATE
C
BENDTABS TO APPROX. 80' ANGLESTO CREATE
TENSION TO HOLD ITSELF IN PLACE WHEN INSTALLED
REMOVE INNER MOST CIRCLE
TO CREATE LESS RESTRICTION
OREMOVE ALL INNER RINGS FOR
THE LEAST RESTRICTION
0
Figure 7. 1, Restrictor Plate Installation
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces VENTING 23
7.5 Vent Installation
7.5.1 5"x 8"Venting
7.5.1.1 Vertical Terminations
Table 7. 7, Natural Gas and Propane
Vertical Terminations - Min. Vertical /Max. Vertical
Minimum Vertical Length Maximum Vertical Length
3ft 914 mm 150ft 15.2m
Minimum/Maximum Vertical Venting:
45° vertical elbow + 3' (914mm) minimum vertical length / 50'
(I 5.24m) maximum vertical length +termination cap
DIAG.1 NATURAL GAS AND PROPANE VERTICAL VENTING
(A) Stand-off Heat Shields (C) 90° Elbow (not applicable)
(B) 45° Elbow (D) Termination Cap
50,
D.2
(1 s.24m)
3'
(914mm)
A
B
_po
24 VENTING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces t1CLW-50 R.1 March 2018
7.5.1.2 Horizontal Venting
IMPORTANT: Horizontal ventsections require V4 in (6 mm) rise for every
12 in (305 mm) of travel.
IMPORTANT. The horizontal vent heat shield MUST BE INSTALLED
when using a 45° elbow off the back of the appliance. See Section 7.7
on page 29.
Table 7.2, Natural Gas and Propane Minimum/Maximum Horizontal
Terminations (no vertical venting)
Minimum Horizontal
Minimum
Maximum
Venting
Horizontal Run
Horizontal Run
45° elbow
6 in 152 mm
24 in 609 mm
Minimum/Maximum Horizontal Terminations:
45° horizontal elbow+ 6" (152mm) minimum horizontal / 24"
(609mm) maximum horizontal +termination cap
E v
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
(15.2m) 50-
48-
46-
44-
42-- N I
(1 2.9m)
0-
48 -46-
44-
42-
(12.9m) 40-
38-
36-
34-
32-
30-
28-
26-
24-
22-
(6.1m) 20-
18-_
16-
14-_
12-
10-
8-
6-
4-
2-
(ft.)0-
Figure 7.2, Combination Venting
A
DIAG.2 NATURAL GAS AND PROPANE HORIZONTAL VENTING
(A) Stand-off Heat Shields (D) Termination Cap
(B) 45° Elbow
(C) 90° Elbow (not applicable)
ffl
IC
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces VENTING 25
7.5.1.3 Combination Venting
Table 7.3, Natural Gas and Propane Minimum/Maximum
Horizontal Terminations
Minimum
Minimum
Minimum
Maximum
Vertical
Horizontal
Horizontal Run
Horizontal Run
Venting
Venting
45° elbow
90° elbow
6 in 1 152 mm
3 ft 914 mm
Minimum/Maximum Horizontal Terminations:
45° vertical elbow+ 90° horizontal elbow + 6"(152mm) minimum
horizontal / 3ft (914mm) maximum horizontal +termination cap
Table 7.4, Natural Gas and Propane Minimum/Maximum
Horizontal Terminations
Minimum
Minimum
Minimum
Maximum
Vertical
Vertical Rise
Horizontal Run
Horizontal Run
Venting
45° elbow
12 in305
mm
6 in
152 mm
12 ft 3.6 m
45° elbow
24 in
610 mm
61n
152 mm
20 ft 7.32 m
Minimum Vertical Rise/Maximum Horizontal Terminations:
45° vertical elbow + 12" (305mm) vertical vent pipe + 90° horizontal
elbow + 6" (152mm) minimum horizontal / 12 ft (3.6m) maximum
horizontal + termination cap
OR
45° vertical elbow + 24" (610mm) vertical vent pipe + 90° horizontal
elbow + 6" (152mm) minimum horizontal / 20 ft (7.3m) maximum
horizontal +termination cap
Table 7.5, Natural Gas and Propane Combination Terminations Max.
Vertical/Max. Horizontal
Maximum
Vertical Rise
Maximum
Horizontal Run
Total Length
25ft 1 7.6m
25ft 7.6m
50ft 15.2m
Maximum number of elbows: 5
_E a_
m ai
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
.........iiiiiiiiiiiiiiiiiiiiii
(15.2m) 50-
48-
46-
4-
42-
(12.9m) 40- 1 IN
38-_
36-
M-
32-
30-_
28-
26-
24-
22-
(6.1 m) 20-
18-
16-
14-
12-
10-
8-
6-
4-
2-
(ft.)0-
Figure 7.3, Combination Venting
26 VENTING
DIAG.3 NATURAL GAS AND PROPANE COMBINATION VENTING
(A) Stand-off Heat Shields (C) 90° Elbow
(B) 45° Elbow (D) Termination Cap
48"
6" (1219mm) I
(152mm)
I I
I I
A I I
D
. B
•®e
12'
6" (3.66m)
(152mm)
C i 3
D
A 12'(305mm) Vent Pipe
B
®8
e e�
20'
(7.32m)
6"
(152mm)
C
I I
�D
24" (610mm) Vent Pipe
A
B
•®o
®.e
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
#CLW -50 R.1 March 2018
7.5.2 4"x 6-5/8" Reducer Venting
Table 7.6, Natural Gas and Propane Co -linear (3"x 3')
Vertical Terminations -Min. Vertical / Max. Vertical
Minimum 3"x 3"
Maximum 3"x 3"
Vertical Length
Vertical Length
loft 3.05 m
50 ft 15.2 m
Minimum/Maximum Co -linear Vertical Venting:
45° horizontal elbow + 4"x 6-5/8" reducer + co -axial to co -linear
adapter+ 10'(3.05m) minimum 3"x 3"flex pipe vertical length/ 50'
(15.24m) maximum 3"x 3" flex pipe vertical length
Table 7.7, Natural Gas and Propane Basement Installation
Minimum Vertical Rise /Maximum Horizontal Run
Minimum Vertical
Minimum 5"x 8"
Maximum 4"x 6-5/8"
Venting
Vertical Rise
Horizontal Run
45° elbow
24 in 610 mm
4 ft 1219 mm
BASEMENT INSTALLATION -Minimum Vertical Rise /Maximum
Horizontal Run:
45° vertical elbow + 24 in (610mm) minimum 5"x 8" vertical length +
4" x 6-5/8" reducer+ 90' horizontal 4" x 6-5/8" elbow +4'(1219mm)
vertical length + termination cap
NOTE: More vertical length can be used before the reducer but no
more than 4'(1 219mm) horizontal length of the 4"x 6-5/8"can be
used.
#CLW -50 R.1 March 2018
DIAG.4 NATURAL GAS AND PROPANE 4"x 6-5/8" REDUCER VENTING
(A) Stand-off Heat Shields (D) 4" x 6-5/8"decreaser
(B) 45° Elbow (E) Termination Cap
(C) 90° Elbow
Ono1311
moo
1011 moo
0o111000
I
i
i
sa
0000000 (15.24m)
E n000nnn
0 Donn
0a0000o
10,
(3.05m)
A D
po
4Mo
48"
(1219mm)
6"
(152mm)
C i
D E
24" (610mm) Vent Pipe
A—
B
�o
Hussong Mfg. Co., Inc. " Kozy Heat Fireplaces
VENTING 27
7.6 #800-2 Series Direct Vent
Termination Kit(s)
IMPORTANT. The horizontal heatshield must be installed when using a
45° elbow off of the fireplace back. See Section 7.7 on page 29.
IMPORTANT.• The flex pipe is permanently attached to the exterior plate.
DO NOTATTACH either #8441 or #845-1 termination kit to fireplace (or
extension kit) until it has passed through the wall. Install termination
plates to the outside wall exterior.
IMPORTANT. The minimum bend radius to center is 6 in (152 mm)
required for installation of the flexible vent pipe. Care should be taken
when installing the flexible vent pipe to avoid a tight bend that may
cause abrasion or damage to the flexible pipe.
• If terminating against vinyl siding, a vinyl siding protector must
be used (included with the #844-1 and #845-1 direct vent kits).
Follow instructions included.
• Each #846-1 extension kit contains enough 5"& 8"flexible
aluminum pipe to extend chimney an additional 6 ft (1.83 m).
7.6.1 Assembly and Installation
1. Mount the required wall thimble (G) with the required 3 in (76
mm) top clearance and 1 in (25 mm) side clearances to the
exterior wall, and seal.
2. (OPTIONAL) insulate the wall -pass through with any unfaced
insulation products listed as non-combustible per ASTM E 136.
3. Apply a liberal bead of exterior sealant around outer edge of
termination box (A), placing assembly through the wall -pass
through in exterior wall. Place screws through the four holes (B),
securing it in place.
4. Form the 5"& 8"flexible aluminum pipes on termination kit
(#844-1 or #845-1), and if applicable, on each extension kit.
5. Gently pull 5"& 8" pipes down to the top of the fireplace, or if
applicable, the extension kit.
DO NOT stretch extension kit beyond 6 ft. (1.83 m); DO
NOT stretch beyond what is required. It is very difficult to
decompress flex pipes once stretched.
6. Place a bead of sealant outside 5" flex pipe collar (C) (end with
EXTERNAL LIP) and sliding it into 5" pipe on extension kit or top
of fireplace (D). Secure with 3 evenly spaced screws.
7. Place a bead of sealant inside 8" flex pipe collar (E) (end with
the INTERNAL lip), sliding it over 8" pipe on top of fireplace (F).
Secure with 3 evenly spaced screws.
8. If additional extension kits are required, repeat Steps 4 and 5,
placing 5"& 8" pipes onto previous extension kit.
/ A
v� I
B
STAND-OFF HEAT SHIELDS
:p
Figure 7.4, Installation and Assembly of #800-2 Series (Vent Heat Shield Assembly not shown for clarity purposes only)
LEGEND
A
Termination box
B
Holes in exterior wall plate (only 3 shown)
C
S"flex pipe collar
D
5"pipe on fireplace or extension kit (not shown)
E
8"flex pipe collar
F
8" pipe on fireplace or extension kit (not shown)
G
Wali Pass Through
28 VENTING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
7.7 Horizontal Heat Shield Installation
IMPORTANT.• The horizontal vent heat shield must be installed when
using a horizontal 45° elbow off the back of the appliance.
1. Bend perforation on the (1) hand -tab down on the horizontal
vent heat shield.
2. Locate the (2) screw holes located above the flue outlet on the
back of the fireplace.
3. Align the (2) slots on the heat shield with the corresponding
(2) screw holes on the back of the fireplace. Secure with the
attachment screws (provided). The 1 in (25 mm) vent stand-off
tab will rest on top of the vent pipe.
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces VENTING 29
8.0 FIREPLACE SETUP
8.1 Barrier Installation
8.1.1 Safety Barrier Screen (#CW50-ES)
1. Locate the (2) slots located on each side of the fireplace metal
cabinet.
2. Align the notched tabs located on the back of the safety screen
with the slots on the fireplace frame.
3. Raise the safety screen front slightly into slots and allow the tabs
to lower into position.
• To remove safety screen: lift the screen up and out of slots.
I
SAFETY BARRIER SCREEN
#C W 50 -ES
Figure 8. 1, Safety Screen Installation
8.1.2 Optional Surrounds (CW50-RS,
CW50-RS4, CW50-GS, CW50-FS)
1. Remove the safety barrier.
2. Locate the (2) mounting nuts on each side of the fireplace metal
cabinet.
3. Align the mounting holes on the shroud to the corresponding
mounting nuts.
4. Secure with (4) truss head screws (provided).
5. Reinstall safety barrier.
30 FIREPLACE SETUP
8.2 Glass Frame Assembly
WARNING: Do not operate this fireplace with the glass removed,
cracked, or broken. Replacement of the glass assembly should be done
by a licensed or qualified service person.
8.2.1 Remove Glass Frame Assembly
WARNING: Do not remove the glass assembly when hot.
1. Remove the safety barrier.
2. Remove the gas valve access cover by lifting up out of slots.
3. Locate (2) spring-loaded latches securing the glass assembly at
the bottom of the firebox.
4. Pull the spring-loaded latches out and down to release the
bottom of the glass assembly.
5. Lift glass assembly up and off of the (2) tabs located at the top of
the firebox.
8.2.2 Install Glass Frame Assembly
1. Align the slots on top of the glass assembly over the tabs at
the top of the firebox while lowering the bottom of the glass
assembly into position.
2. Pull the spring-loaded latches out and up to secure the bottom
of glass to the bottom of the fireplace.
3. Reinstall valve access cover by setting down into slots.
4. Reinstall safety barrier.
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
#CLW -50 R.1 March 2018
(2)TRUSS HEAD
SCREWS -
LEFT SIDE
MOUTNING
NUTS
Figure 8.2, Surround Installation
30 FIREPLACE SETUP
8.2 Glass Frame Assembly
WARNING: Do not operate this fireplace with the glass removed,
cracked, or broken. Replacement of the glass assembly should be done
by a licensed or qualified service person.
8.2.1 Remove Glass Frame Assembly
WARNING: Do not remove the glass assembly when hot.
1. Remove the safety barrier.
2. Remove the gas valve access cover by lifting up out of slots.
3. Locate (2) spring-loaded latches securing the glass assembly at
the bottom of the firebox.
4. Pull the spring-loaded latches out and down to release the
bottom of the glass assembly.
5. Lift glass assembly up and off of the (2) tabs located at the top of
the firebox.
8.2.2 Install Glass Frame Assembly
1. Align the slots on top of the glass assembly over the tabs at
the top of the firebox while lowering the bottom of the glass
assembly into position.
2. Pull the spring-loaded latches out and up to secure the bottom
of glass to the bottom of the fireplace.
3. Reinstall valve access cover by setting down into slots.
4. Reinstall safety barrier.
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
#CLW -50 R.1 March 2018
8.3 Burner/Perimeter Media Installation
WARNING: DO NOT BLOCK PILOT WITH MEDIA. A BLOCKED PILOT MAY
CAUSE DELAYED IGNITION.
8.3.1 Burner Media Kits (#903 -LAV,
#304 -COP, #304-BLK)
1. Install an even layer of your chosen media across the whole
burner. See figure below.
2. Save any unused media for later use.
8.3.2 Perimeter Media Kits (#904 -LAV, #307 -COP,
#307-BLK, #105-VERM, #104 -SAND -B)
3. Install an even layer of media across the front and rear perimeter.
See figure below.
4. Save any unused media for later use.
BURNER MEDIA INSTALLATION -INSTALL AN EVEN LAYER ACROSS THE WHOLE BURNER
PERIMETER MEDIA INSTALLATION -INSTALL AN EVEN LAYER ACROSS THE FRONT AND REAR PERIMETER
Figure 8.3, Media Installation
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces FIREPLACE SETUP 31
8.4 Control Board Removal and Installation
WARNING: Avoid burns or personal property damage by using
appropriate protection to remove any components if the burner and/
or pilot have been burning.
WARNING: DO NOT operate this appliance without the sealing gasket
(located under the control board) in place. If the sealing gasket is
damaged, it must be replaced.
CAUTION: Check all connections for leaks with soapy water, whether
field or factory made.
8.4.1 Control Board Removal
1. Disconnect electrical power.
2. Locate the manual valve installed by your qualified service
technician. Turn the manual valve clockwise to the OFF position.
3. Remove the safety barrier, access cover, and glass frame
assembly.
4. Remove perimeter media and burner media.
5. Remove pilot shield (2) screws.
6. Remove burner cover and burner (4) screws. Release the burner
tube venturi off of the burner orifice and remove from firebox.
7. Remove the front media tray and media tray brace (6) screws.
8. Remove burner support brackets (2) screws.
9. Remove rear media tray and media tray brace (2) screws.
10. Remove bottom air chute panel (4) screws.
11. Remove and save (9) screws securing the control board.
12. Lift the control board out of the firebox, being careful not to
damage the sealing gasket underneath.
8.4.2 Control Board Installation
1. Place the control board in the firebox, aligning the holes in
control board with the holes and alignment screws in firebox
bottom. VERIFY SEALING GASKET IS IN PLACE.
2. Secure the control board with screws previously removed.
3. Align the holes on the air chute panel with the holes in the
bottom of the firebox. Secure with (4) screws previously
removed.
4. Reinstall rear media tray and media tray brace (2) screws
previously removed.
5. Reinstall burner support brackets (2) screws previously removed.
6. Reinstall front media tray and media tray brace (6) screws
previously removed.
7. Reinstall the burner and burner cover. Position the burner
venturi over the burner orifice. Secure with (4) screws previously
removed.
8. Reinstall pilot shield (2) screws.
9. Reinstall burner and perimeter media.
10. Reinstall the glass frame assembly, access cover, and safety
barrier.
11. Turn the manual valve counterclockwise to the ON position.
12. Reconnect electrical power.
13. Verify proper media placement, operation of fireplace, and any
electrical components.
32 FIREPLACESETUP
K-'"'
O
REMOVE PILOT SHIELD (2) SCREWS LEFT SIDE
REMOVE BURNER AND BURNER COVER (4) SCREWS
REMOVE (4) SCREWS ON EACH BURNER COVER SIDE
REMOVE FRONT MEDIA TRAY, MEDIA TRAY BRACE,
AND BURNER SUPPORT BRACKETS (8 SCREWS TOTAL)
El
REMOVE REAR MEDIA TRAY AND MEDIA TRAY BRACE (2) SCREWS
REMOVE BOTTOM AIR CHUTE PANEL (4) SCREWS
REMOVE CONTROL BOARD (9) SCREWS
O
Figure 8.4, Control Board Removal and Installation
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
#CLW -50 R.1 March 2018
9.0 ELECTRICAL INFORMATION
WARNING: Do not use this fireplace if any part has been under water.
Immediately call a qualified service technician to inspect this appliance
and to replace any part of the control sys tem and any gas control which
has been under water.
WARNING - Electrical Grounding Instructions: This appliance is
equipped with a three -prong (grounding) plug for your protection
against shock hazard and should be plugged directly into a properly
grounded three -prong receptacle. Do not cut orremove the grounding
prong from this plug.
9.1 Electrical Specifications
This appliance, when installed, must be electrically grounded in
accordance with local codes, or in the absence of local codes, with
the National Electrical Code, ANSI/NFPA 70, or the Canadian Electrical
Code, CSA C22.1.
9.2 Wiring Requirements
• The IFC System Module requires 120V of electricity and/or
batteries to operate.
• Using the battery back-up will operate the burner only.
• Optional fan component will not function on battery back up
power.
o z
m m
z
Zo
zz
¢M
ao
a�
a�
0
00000000000
III FUSE Q o
ON L 3.15AT + N o a
ryrZZ� LL ZE_x' COMF0RTLAMP COMBUSTION AU%
FAN BLOWER
USER DNOSTIC
INTERFACE INTERFACE
IAG XBe 0 • O%9
K2 X3 X4 X6 X7 0 00 0 O O
°%OA•
Ewa
•••UU
••• a.
0
Z
O=
N cc
s
Z
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t D
- m
5
wU r <°
a
m ¢ ° ® O
a
ro
ro .
Figure 9. 1, Wiring Schematics
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces ELECTRICAL INFORMATION 33
9.3 600-TLKTop Light Kit (optional)
CAUTION. Disconnect all electrical power from the fireplace before
performing this task.
ATTENTION. If converting to Propane, complete the conversion before
installing any light kit components. Follow instructions provided with
the conversion kit (sold separately).
NOTE. To avoid damage and prolong the life of the halogen bulbs,
never touch with bare hands. Always use a soft cloth when handling.
9.3.1 Install Light Kit
1. Remove the safety screen, access cover, and glass frame
assembly (if installed).
2. Remove the exhaust cover (4) screws. Save screws.
REMOVE EXHAUST COVER (4) SCREWS
3. Remove the (2) light kit covers, (8) screws each. Save screws.
171P 1--p
REMOVE LIGHT KIT COVERS (8) SCREWS EACH
4. Feed the light kit housing wiring through the light kit hole down
through the back of the firebox.
5. Attach both light kit housing to the top of the firebox using the
previously removed screws.
1 1
ATTACH LIGHT KIT HOUSING USING
SCREWS PREVIOUSLY REMOVED
6. Install (2) halogen bulbs (included with this kit) into lamp bases.
7. Install the light kit glass and glass bracket for each side. Use
(4) sheet metal screws previously removed and (4) sheet metal
screws (included with this kit).
8. Locate the wiring previously fed through the light kit holes
below the firebox.
9. Reference Section Figure 9.3, Wiring Schematic for 600-TLK on
1 1
INSTALL LIGHT KIT GLASS AND GLASS
BRACKETS USING (8) SCREWS
page 35 for proper wiring.
10. Reinstall exhaust cover (4) screws previously removed.
11. Reinstall glass frame assembly, access panel, and safety screen.
34 ELECTRICAL INFORMATION Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
0 0 0 0
0 Ho
0 Ho
0 o O O
YELLOW
FEMALE
CONNECTORS
RED MALE
CONNECTORS
BLUE FEMALE
CONNECTORS
RED MALE
CONNECTORS
(from control module)
Y W
U G
S
m �
O 'Ag O
1� I 3 g Z � m �°`�a
o C E31105wo "K
Figure 9.2, Wiring Schematic for 600-TLK
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces ELECTRICAL INFORMATION 35
10.0 OPERATING INSTRUCTIONS
FOR YOUR SAFETY READ BEFORE OPERATING
WARNING: If you do not follow these instructions exactly, a fire or explosion
may result causing property damage, personal injury, or loss of life.
A. This appliance is equipped with an ignition device which
phone. Follow the gas supplier's instructions.
automatically lights the pilot. Do not try to light the pilot by
If you cannot reach your gas supplier, call the fire
hand.
department.
B. BEFORE OPERATING smell around the appliance area for
C. Use only your hand to turn the gas control manual valve.
gas. Be sure to smell next to the floor because some gas is
Never use tools. If the valve will not turn by hand, do not
heavier than air and will settle on the floor.
try to repair it; call a qualified service technician. Force or
WHAT TO DO IF YOU SMELL GAS
attempted repair may result in a fire or explosion.
• Do not try to light any appliance.
D. Do not use this appliance if any part has been under water.
• Do not touch any electric switch; do not use any phone in
Immediately call a qualified service technician to inspect the
your building.
appliance and to replace any part of the control system and
• Immediately call your gas supplier from a neighbor's
any gas control that has been under water.
WARN/NG
CAUTION
Do not operate appliance with the glass front removed, cracked, or broken.
Clothing or other flammable material should not be placed on or
Replacement of the glass should be done by a licensed or qualified service
near the appliance.
person.
Young children should be carefully supervised when they are in the
Under no circumstances should any solid fuel (wood, coal, paper,
same room as the appliance. Toddlers, young children and others
cardboard, etc.) be used in this appliance.
may be susceptible to accidental contact burns. A physical barrier is
Children and adults should be alerted to the hazards of high surface
recommended if there are at risk individuals in the house. To restrict
temperature and should stay away to avoid burns or clothing ignition.
access to a fireplace or stove, install an adjustable safety gate to keep
toddler, young children and other at risk individuals out of the room
and away from hot surfaces.
OPERATING INSTRUCTIONS
1. STOP! Read all the safety information above on this page.
9. Turn on all electric power to the appliance.
2. Press the wireless remote OFF button.
10. Press the wireless remote ON button.
3. Turn off all electric power to the appliance.
11. If the appliance will not operate, follow the instructions, "To
4. This appliance is equipped with an ignition device which
Turn Off Gas To Appliance" and call your service technician or
automatically lights the pilot. Do not try to light the pilot by
gas supplier.
hand.
5. Locate the manual valve installed by your qualified service
technician.
OFF
6. Turn the manual valve clockwise �� to the OFF position.
ON
7. Wait five (5) minutes to clear out any gas. Then, smell
ONIOFF a�
for gas, including near the floor. If you smell gas, STOP!
v
Follow'B' in the safety information above. If you do not smell
gas, go to the next step.
f
8. Turn the manual valve counterclockwise 1('1 to the ON
position.
TO TURN OFF GAS TO APPLIANCE
1. Press the wireless remote OFF button.
3. Locate the manual valve installed by your qualified service
2. Turn off all electric power to the appliance if service is to
technician.
4. Turn the �� to OFF
be performed.
manual valve clockwise position.
NOTE
When this fireplace is initially lit, condensation will appear on the glass. This is normal in all gas fireplaces and will disappear after several
minutes. A paint smell will occur during the first few hours of burning. It is recommended to leave the fan off during this period to help speed
the paint curing process. This fireplace may produce noises of varying degree as it heats and cools due to metal expansion and contraction.
This is normal, and does not affect the performance or longevity of the fireplace.
36 OPERATING INSTRUCTIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
10.1 Setup Proflame 2 IFC Module
1. Set the main ON/OFF rocker switch in the OFF position.
2. Install (4) AA batteries (included in the components packet) into
backup battery holder on the control module.
3. Install (3) AAA batteries (included in the components packet) in
the remote control battery bay, located at the base of the remote.
4. Connect the IFC Module to an AC power supply.
10.2 Initialize the Control System
IMPORTANT. Remove all packaging and combustible material from the
firebox before initializing the control system.
NOTE. Performing the next steps will initiate pilot start-up in manual
mode, where the pilot igniter will spark repeatedly. The pilot will ignite
if gas is supplied to the fireplace.
1. Locate the red SW1 button the IFC module.
2. Press the SWI button. The IFC module will BEEP (3) times and
illuminate an amber LED. This indicates the receiver is ready to
synchronize with the transmitter.
3. Within (5) seconds, push the ON/OFF button on the remote
control.The receiver will BEEP (4) times to indicate the transmitter's
command is accepted, and is set to the transmitter's particular
code. The pilot will automatically ignite.
4. Press the remote control ON/OFF button again. The pilot will
extinguish, confirming the remote control command. The control
system is now initialized.
5. Set the main ON/OFF rocker switch to ON position for remote
control operation of the main burner and fireplace features.
10.3 Reset the System for
Manual Operation
1. Set the ON/OFF rocker switch to OFF position.
2. Press the red SWI button on the IFC module until it emits (3) beeps
and an amber LED is illuminated.
3. Within (5) seconds, press the red SWI button again. This will
close synchronization with the remote control. The pilot will
automatically light.
• Turn the main burner ON by setting the ON/OFF switch in ON
position.The main burner will only operate on HI.
• Turn the main burner OFF by setting the ON/OFF switch in the
OFF position. The pilot will remain lit even if burner is turned off,
provided CPI mode is turned on.
10.4 Automatic Safety Restart
• This system will execute an automatic turn OFF command for
approximately (5) seconds within (24) hours of a continued pilot
flame ignition to perform a safety check. This allows the system to
verify correct safety functions.
• After the turn OFF sequence is completed, the IFC module will re -
execute the latest command.
10.5 Backup Battery Operation
This appliance will operate on the backup battery pack when electric
power is interrupted, or in a power outage. The lifespan of the backup
batteries depend on various factors, such as the quality of the batteries,
number of ignitions, et cetera.
• When the backup battery pack is low, the IFC module will emit a
double -beep while receiving an ON/OFF command.
• No commands will be accepted after this alert until the back up
batteries are replaced.
• Once replaced, the IFC module will emit a 'beep' as soon as it is
powered.
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces OPERATING INSTRUCTIONS 37
10.6 IFC Module Ignition Sequence
The IFC module will try (2) times for ignition, each lasting
approximately (60) seconds, with approximately (35) seconds
between each attempt.
1. With the system in OFF position, press the remote control ON/OFF
key. Approximately (4) seconds after this key is depressed, the IFC
module will generate sparks to the pilot hood.
2. First ignition attempt will generate sparks for (60) seconds.
3. If there is no flame ignition (rectification) within the (60) second
time frame, the IFC module will stop generating sparks for
approximately (35) seconds.
4. After (35) seconds of wait time, the IFC module will generate
sparks for another (60) seconds for the second ignition attempt.
5. If there is no positive rectification after (60) seconds, the IFC
module will go into a lock out. The red LED will blink (3) times, in
intervals, until the system is reset.
10.6.1 Reset IFC Module after Lockout
10.6.1.1 ON/OFF Rocker Switch
1. Set the ON/OFF rocker switch to the OFF position.
2. After approximately (2) seconds, move the switch to the ON
position. The ignition sequence will start again.
10.6.1.2 Remote Control ON/OFF Key
1. Press the remote control ON/OFF key to turn the system OFF.
2. After approximately (2) seconds, press the ON/OFF key again. The
ignition sequence will start again.
10.6.1.3 Cycling Flame
1. Press the remote control down arrow key during flame adjustment
mode to reduce the flame to OFF (indicated by OFF displayed on
the LCD screen).
2. After approximately (2) seconds, press the up arrow key. The
ignition sequence will start again.
10.7 Additional Diagnostic Information
Low Battery Condition (<4V) Remote Control:
• Battery Icon will appear on LCD remote control display.
• Replace batteries.
Low Battery Condition (<4V) Battery Backup:
The red LED Indicator will blink (1) time in intervals.
• A low double -beep emits from the IFC control module when it
receives an ON/OFF command from the remote control..
Replace Batteries.
Pilot Flame Error Condition:
• Red LED Indicator will blink (2) times in intervals. Contact your
dealer if this occurs.
System Lock Out Condition:
• Red LED Indicator will blink (3) times in intervals.
• Verify gas is turned on.
• Verify sensor is not shorted.
• Follow Section 10.2 Initialize the Control System.
38 OPERATING INSTRUCTIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
PROFLAME 2 TRANSMITTER
BLUE BACK
LCD DISPLAY
ON/OFF KE
THERMOSTAT KEY
UP/DOWN ARROW,
MODE KEY
10.8 Remote Control Operation
LCD DISPLAY
TRANSMISSION
THERMOSTAT Er
OFF/ON/SMART oFl
ON
SM 9
SET POINT —
TEMPERATU RE/LEVEL/STATE
FLAME ON
IMAX
FAN
10.8.1 Temperature Display
1. With the system in the OFF position, simultaneously press the
thermostat key and the mode key to change degrees from °F to
°C.
2. Visually check the LCD screen to verify either °F or °C is displayed
on the right side of the room temperature display.
10.8.2 Key Lock
2 F
This function locks the keys to avoid unsupervised operation. Once
activated, a lock icon will appear on the LCD screen.
1. Simultaneously press the mode key and the up arrow key to
activate or deactivate this function.
IaoN®M1 I F
KEY LOCK
— LOW BATTERY ALARM
eF I ROOM
TEMPERATURE
CPI MODE
[Elm'
I -j
1
MAX
LIGHT ON
10.8.3 Pilot Ignition Selection (IPI/CPI)
This system has the option of a continuous (standing) pilot. This
features allows the system to change from a spark -to -pilot system
to the standing pilot option. The standing pilot will keep the firebox
warm and establish a draft in the vent, which allows the main burner
to ignite with less air -flow disruption.
When the system is OFF, the LCD screen will display the snowflake icon
during the setup of either IN or CPI mode. To select the preferred pilot
ignition feature,
1. With the system in the OFF position, press the mode key to index
the CPI mode icon.
2. Press the up arrow key to activate CPI.
3. Press the down arrow key to return to IPI. A sing le'beep' will
confirm reception of the command.
When the system is ON,
IPI mode: LCD screen will not display the snowflake icon
CPI mode: LCD screen will display the snowflake icon
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
OPERATING INSTRUCTIONS 39
10.8.4 Turn ON the Appliance
1. With the system in the OFF position, press the remote control
ON/OFF key to turn ON the appliance.
A single'beep'will emit from the IFC module to confirm
reception of the command.
The LCD screen will display all active icons, and the IFC module will
start the ignition sequence.
10.8.5 Turn OFF the appliance
1. With the system in the OFF position, press the remote control
ON/OFF key to turn ON the appliance.
A single'beep'will emit from the IFC module to confirm
reception of the command.
The LCD screen will only display the room temperature and its icon,
and the IFC module will turn off the main burner.
10.8.6 Remote Control Flame Adjustment
This control system has (6) flame levels. If the smart thermostat
operation is activated, then the manual adjustment of the flame
height will be disabled.
1. Verify the system is in the ON position and the flame level is set
at maximum.
2. Press the down arrow key once to reduce flame height by one
level until the flame is turned off.
3. Press the up arrow key once to increase flame height by one
step. If the up arrow key is pressed while the system is on, but
the flame is off, the flame will ignite on HI.
4. A single'beep'will confirm reception of the command.
Jr*F
Flame Level 5
B-3
10.8.6.1 Deactivate Flame Modulation
1. Verify all (3) AAA batteries are installed in the remote control
battery bay.
2. Remove (1) AAA battery.
3. Press and hold the on/off key and the mode key at the same
time.
4. Reinsert (1) AAA battery.
5. While still holding the on/off key, let go of ONLY the mode key.
6. Index over to the flame graphic on the LCD screen to edit. Use
the up or down arrow key to choose'ON' or'OFF.
• F
NMIM. ■M■
. ME* 4=.
r !I P A
10.8.7 Remote Control Thermostat Operation
10.8.7.1 Room Thermostat
The remote control can operate as a room thermostat. The thermostat
can be set to a desired temperature to control a room's comfort level.
To activate this function,
1. Press the thermostat key. The LCD screen will display a
temperature bulb graphic, the room temperature and set
temperature.
2. To adjust the set temperature, press the up or down arrow keys
until the desired temperature is displayed on the LCD screen.
F381
SET TEMPERATURE
10.8.7.2 Smart Thermostat
The smart thermostat function will adjust the flame height based
on the set temperature and the actual room temperature. The smart
thermostat function automatically adjusts the flame down when the
room temperature reaches the set point. To activate this function,
1. Press the thermostat key until the'SMART' appears on LCD
screen on the right side of the temperature bulb graphic.
2. To adjust the set temperature, press the up or down arrow keys
until the desired temperature is displayed on the LCD screen.
r3E]
10.8.7.3 Deactivate Remote Control
Thermostat Operation
The thermostat operation function can be deactivated. The remote
control will still operate the main burner on and off, and function
flame, fan, and light modulation. To deactivate this function,
1. Verify all (3) AAA batteries are installed in the remote control.
2. Remove (1) AAA battery.
40 OPERATING INSTRUCTIONS Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
3. While reinserting the battery, push and hold the thermostat key.
The temperature bulb graphic will not be displayed on the LCD
screen.
4. To reactivate remote thermostat operation, follow the same key
sequence procedure above. The temperature bulb graphic will
reappear on the LCD screen.
16'`
H'
l�
10.8.8 Fan Speed Control (optional)
Fan speed can be adjusted through (6) speeds. To activate this
function,
1. Press the mode key to index to the fan control icon.
2. Press the up or down arrow keys to turn on, off, or to adjust fan
speed.
Thermostat mode: Fan(s) have a (5) minute delay time when the
fireplace is let. This allows time for heat to build in fireplace before
fan operation. The fan will continue to operate for approximately (12)
minutes after the fireplace has been turned off.
Manual mode: Fan(s) will operate at previous setting. There is no delay
in start up or stop time.
10.8.9 Accent Light Kit (if applicable)
The light intensity can be adjusted through (6) levels.
1. Press the mode key to index to the light icon.
2. Press the up or down arrow keys to adjust the intensity level.
3. A single'beep'will confirm reception of the command.
I'F
Adie
4
10.8.9.1 Deactivate Light Kit Modulation
1. Verify all (3) AAA batteries are installed in the remote control
battery bay.
2. Remove (1) AAA battery.
3. Press and hold the on/off key and the mode key at the same
time.
4. Reinsert (1) AAA battery.
5. While still holding the on/off key, let go of ONLY the mode key.
6. Index over to the bulb graphic on the LCD screen to edit. Use the
up or down arrow key to choose'SET'or'CLR'.
■rc r. ;rxar a�-�e
10.8.10 Remote Control Low Battery Detection
Remote control battery lifespan depends on various factors including
battery quality, number of ignitions, changes to room thermostat set
point, etcetera.
• When the remote control battery are low, a battery icon will
appear on the LCD display before all battery power is lost.
• When the batteries are replaced, this icon will disappear.
A . o I I F
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces OPERATING INSTRUCTIONS 41
11.0 ADJUSTMENT
11.1 Pressure Testing
NOTE: The appliance and its appliance main gas valve must be
disconnected from the gas supply piping system during any pressure
testing of the system at test pressures in excess of %s psi (3.5 kPa).
IMPORTANT. Pressure check taps for manifold (outgoing) and inlet
(incoming) pressure have been incorporated into the valve. The
pressure tap marked OUT measures outgoing pressure. The pressure
tap marked IN measures incoming pressure.
11.1.1 Inlet Pressure Test
NOTE: Make sure to apply these incoming pressure test with all other
gas appliances on, or at full capacity in the house for proper pressure
reading.
IMPORTANT.• If the inlet pressure reading is too high or too low, contact
the gas company. Only a qualified gas service technician should adjust
incoming gas pressure.
1. Loosen the inlet (IN) pressure tap by turning screw counter-
clockwise. See (A) in Figure 11.1.
2. Attach manometer using a 1/4 in (6 mm) I.D. hose.
3. Light pilot and burner. Check pressure to ensure it is between
the minimum and maximum recommended pressure settings.
4. Turn off burner and pilot.
5. Disconnect hose and tighten the inlet (IN) pressure tap by
turning screw clockwise. Screw should be snug. Do not over
tighten.
6. Relight pilot and burner. Then reattach manometer to the
inlet pressure tap (A) to verify the tap is completely sealed.
Manometer should read no pressure.
11.1.2 Manifold Pressure Test
1. Light pilot.
2. Loosen manifold (OUT) pressure tap by turning screw counter-
clockwise. See (B) in Figure 11.1.
3. Attach manometer to pressure tap using a 1/4 in (6 mm) I.D. hose.
4. Light burner. Check manometer reading.
5. Turn burner and pilot off.
6. Disconnect manometer hose and tighten the manifold (OUT)
pressure tap by turning screw clockwise. Screw should be snug.
Do not over tighten.
7. Attach the manometer to the manifold pressure tap (B) to verify
it is completely sealed. The manometer should read no pressure
when pilot and burner are on.
Table 11. 1, Inlet Pressures
Fuel
Natural Gas
Propane
Gas Supply
Min - Max
Min - Max
Inlet Pressure
Tap (A)
5"- 10.5"WC
(1.25 - 2.62 kPa)
12"- 13"WC
(2.99 - 3.24 kPa)
Table 11.2, Manifold Pressure
Fuel
Natural Gas
Propane
Gas Supply
Low - High
Low - High
Manifold Pressure
Tap (B)
1.1"-3.8"WC
(.27 -.95 kPa)
2.9"-11"WC
(.72 - 2.74 kPa)
42 ADJUSTMENT Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R. i March 2018
11.2 Burner Flame Adjustments
WARNING: To avoid property damage or personal injury, allow the
fireplace ample time to cool before making any adjustments.
Burner flame appearance and characteristics are affected by
altitude, fuel quality, venting configuration, and other factors. After
installation, this appliance may need additional adjustments to
achieve optimum flame appearance and visual aesthetics.
11.2.1 Burner Venturi
WARNING: VENTURI ADJUSTMENT MUST BE DONE BY A QUALIFIED
SERVICE TECHNICIAN.
NOTE. Burner venturi air shutter settings have been factory set. Refer
to Table 11.3.
When this appliance is first lit, the burner flames will appear blue.
During the first 15 minutes of operation, flame appearance will
gradually turn to the desired yellow appearance. If the flames remain
blue, or become dark orange with evidence of sooting (black tips),
adjustment of the air shutter opening may be necessary.
Regardless of venturi orientation, closing the air shutter will achieve a
desired yellow flame, but may produce soot on the glass. Opening the
air shutter will cause a short, blue flame that may lift off the burner.
Table 11.3, Factory Set Venturi Openings
Fuel
Air Shutter Opening
Natural Gas
1/8 in (3.2 mm) OPEN
Propane
1/2 in (12 mm) OPEN
11.2.1.1 Venturi Adjustment
NOTE. If soot is present on the glass, check glass media placement
before adjusting the venturi.
1. Remove the safety barrier, access cover, and glass frame
assembly.
2. Remove media.
3. Remove the pilot shield (2) screws.
4. Remove the burner and burner cover (4) screws. Release the
burner tube venturi off the burner orifice.
5. Loosen screw on venturi and adjust as necessary. Re -tighten
screw.
h. Reinstall all components previously removed.
BURNER VENTURI
Figure 11.2, Burner Venturi
IMPORTANT. Slight adjustments to the venturi opening will create
dramatic results. Adjust at slight increments until desired look is
achieved. Always burn the fireplace insert for at least 15 minutes, and
allow the appliance ample time to cool before making any further
adjustments.
Table 11.4, Venturi Adjustment Guidelines
Flame Characteristic
Cause
Solution
Dark, orange flame
Venturi closed too far
Open venturi slightly
with black tips
Short, blue flames
Venturi open too far
Close setting slightly
Lifting (ghosting)
Gas pressure too high
Check manometer
flames
Venturi closed too far
settings
Open venturi setting
slightly
IDEAL
LAZY, YELLOW FLAMES
DARK, ORANGE FLAMES
WITH BLACK TIPS
SHORT, BLUE FLAMES
'4 n�n������'�
LIFTING (GHOSTING) FLAMES
Figure 11.3, Flame Appearance and Characteristics
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
ADJUSTMENT 43
11.2.2 Vent Restriction (after installation)
WARNING: To avoid property damage or personal injury, allow the
fireplace ample time to cool before making any adjustments.
WARNING: Improper vent installation may cause the burner flames
to lift or ghost." Perform a visual check on flame appearance after
restriction adjustment to ensure proper performance.
Vertical terminations may display an active, compact flame. If this
appearance is not desirable, a restrictor plate may need to be installed
or modified after vent termination installation. Access to the vent exit
for restriction can be reached through the fireplace baffle. Allow the
fireplace to burn for 15 minutes before making any adjustments.
Table 11.5, Restrictor Plate Adjustment Guidelines
Flame Appearance
Draft Problem
Solution
Short, flickering
Excessive draft
Add restrictor
Not enough restriction
Lifting or ghosting*
Insufficient draft
Remove inner ring(s)
on restrictor, or
Remove restrictor
*If flames continue to lift or ghost after opening the restrictor and
verifying correct vent installation, shut off the gas supply and call a
qualified service technician.
11.2.2.1 Restrictor Plate Installation
1. Remove the safety barrier, access cover, and the glass frame
assembly.
2. Locate the 5 in (127 mm) exhaust pipe in the firebox ceiling.
3. Bend the tabs on the restrictor plate (included in components
packet) to approximately 80° angles. This will create tension
when the restrictor plate is inserted into the exhaust pipe.
4. Insert restrictor plate into the 5 in (102 mm) exhaust pipe with
the tabs pointing towards the ceiling.
5. Reinstall all components previously removed.
11.2.2.2 Restrictor Plate Modification
1. Remove the safety barrier, access cover, and the glass frame
assembly.
2. Remove the restrictor plate by pulling it down and out of the 5 in
(127 mm) exhaust pipe. Make necessary modifications to achieve
desired flame appearance.
3. Insert restrictor plate into the Sin (127 mm) exhaust pipe with
the tabs pointing towards the ceiling.
4. Reinstall all components previously removed.
INSERT RESTRICTOR INTO EXHAUST PIPE
RESTRICTOR PLATE
C
BENDTABSTO APPROX. 80' ANGLES TO CREATE
TENSION TO HOLD ITSELF IN PLACE WHEN INSTALLED
REMOVE INNER MOST CIRCLE
TO CREATE LESS RESTRICTION
oOREMOVE ALL INNER RINGS FOR
THE LEAST RESTRICTION
Oo
Figure 11.4, VentAccess and Restrictor Plate
44 ADJUSTMENT Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
12.0 TROUBLESHOOTING
ATTENTION. Troubleshooting must be performed by a qualified
technician.
Before proceeding with the steps in the following troubleshooting
guide,
• Verify proper 120VAC power supply to the control module.
• Verify the control module battery pack and the remote control
batteries are fresh and installed with correct polarity.
• Verify all connections between the wire harnesses and the
system components are proper and positive.
• Verify the communication link is established between the remote
control and the IFC module.
• Verify inlet pressure meets the recommended inlet pressure. If
necessary, adjust line pressure regulator.
Issue
Cause
Solution
Pilot will not light
Electrical power interrupted or
disconnected
Restore electrical power to appliance or use battery back-up.
Wiring disconnection
Ensure batteries are fully charged if using battery back-up as power
source.
Use wiring schematic in this manual to determine that all wiring
connections are secure and correct.
Gas supply turned off
Check remote shut-off valves from the appliance. Usually there
is a valve near the main gas line. There may be more than (1) valve
between the appliance and main gas line.
Pilot will not stay lit
No propane in tank
Check propane tank. Refill if necessary.
Low gas pressure
Consult a plumber or a gas supplier.
Can be caused by situations such as a bent line, too narrow diameter
or pipe, or a low line pressure.
Pilot flame not making contact
Verify the pilot flame envelopes the top of the flame sensor and
with the flame rectification
extends far enough onto burner for ignition.
sensor on the pilot assembly
To adjust pilot flame, turn pilot adjustment screw on the gas valve
clockwise to decrease flame, and counterclockwise to increase flame.
Pilot adjustment screw not sealed
Seal pilot adjustment screw. Do not over -tighten.
Pilot flame always on, or
Control system set to CPI mode
Set control system to IN mode.
will not extinguish
Main burner flame will not
ON/OFF rocker switch in OFF
Switch rocker switch to ON position.
light
position
Gas supply turned off
Check for multiple shut -offs in the supply line. Verify gas supply is
turned on.
Low gas supply
Consult with plumber or gas supplier.
Check propane tank. Refill if necessary.
Wiring disconnection or
Check for faulty or incorrect wiring.
improper wiring
Plugged main burner orifice
Remove blockage.
Pilotflame
Verify the pilot flame is properly directed to ignite burner. See pilot
flame troubleshooting above.
Remote control not working
Replace batteries.
properly
No call for heat
Verify remote control is powered ON and thermostat operation is
turned OFF.
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces TROUBLESHOOTING 45
Issue
Cause
Solution
Pilot and burner extinguish
No propane in tank
Check propane tank. Refill if necessary.
while in operation
Incorrect glass assembly
Section 8.2 Glass Frame Assembly on page 48
installation
Incorrect vent cap installation
Adjust if necessary.
Vent cap blockage
Remove debris if necessary.
Improper pitch on horizontal
1/4 in. (6 mm) rise per foot (30 cm) is required on horizontal venting
venting
Exhaust vent pipe leaking
Check for leaks and repair if necessary.
exhaust gases back into firebox
Excessive draft
A restrictor may need to be installed or modified. Section 11.2.2 Vent
Restriction (after installation) on page 44.
Soot appears on glass
Improper media placement
Section 8.3 Burner/Perimeter Media Installation on page 31.
Improper venturi setting
Venturi air shutter may need to be opened slightly to allow more air
into the gas mix. Section 11.2.1 Burner Venturi on page 43.
Incorrect vent cap installation
Adjust if necessary.
Vent cap blockage
Remove debris if necessary.
Flame burns blue and lifts
Improper venturi setting
Venturi air shutter may need to be opened slightly to allow more air
off burner
into the gas mix. Section 11.2.1 Burner Venturi on page 43.
Incorrect vent cap installation
Adjust if necessary.
Blockage or leakage of the vent
Check the vent pipes for leaks, and the vent cap for debris. Repair the
system
vent pipes or remove debris from vent cap, if necessary.
No reaction to command
Battery back batteries or remote
Replace batteries.
control batteries low
No communication between
Reprogram remote control to IFC module.
remote control and IFC module
A maximum number of failed
Reset IFC module.
ignitions or flame restorations
has been reached
46 TROUBLESHOOTING Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
13.0 MAINTENANCE
ATTENTION. Installation and repair should only done by a qualified
service person. The appliance should be inspected before use and at
least annually by a professional service person. More frequent cleaning
might be required due to excessive lint from carpeting, bedding
material, etcetera. Itis imperative that control compartments, burners,
and circulating air passageways of the appliance be kept clean. Use a
vacuum to clean all components.
WARNING: The appliance area must be kept clear and free from
combustible materials, gasoline and other flammable vapors and
liquids.
13.1 Firebox
Performed by: Qualified Service Person
Frequency: Annually
Action:
• Vacuum and clean any debris in the firebox that is not supposed
to be there.
• Inspect and operate the bottom latch assembly. Verify the
assembly is free from obstruction to operate. The handles must
have spring tension but be able to move forward freely.
13.2 Fan
CAUTION. Label all wires prior to disconnection when servicing
controls. Wiring errors can cause improper and dangerous operation.
Verify proper operation after servicing.
Performed by: Qualified Service Person
Frequency: Every 6 months
Action:
• Disconnect the fan from electrical current and vacuum.
• The bearings are sealed and require no oiling.
13.3 Vent System
NOTE. If the vent -air intake system is disassembled for any reason,
reinstall per instructions provided with installation. Refer to Section
7.0 Venting on page 23.
Performed by: Qualified Service Person
Frequency: Annually
Action:
• Examination of the vent system is required.
• The flow of combustion and ventilation air must not be
obstructed.
13.4 Glass Assembly
CAUTION: Do not operate appliance with the glass assembly removed,
cracked, or broken. Use protective gloves to handle any broken or
damaged glass assembly components.
WARNING: Do not use substitute materials.
WARNING: Avoid striking or slamming glass assembly. Avoid abrasive
cleaner. DO NOT clean glass while it is hot.
IMPORTANT. Any safety screen, guard, or barrier removed for servicing
the appliance must be replaced prior to operating the appliance.
Performed by: Homeowner
Frequency: Annually
Action:
Prepare a work area large enough to accommodate the glass
assembly on a flat, stable surface.
• Remove safety screen and glass frame assembly.
• Clean glass window with a suitable fireplace glass cleaner using
a soft cloth. Abrasive cleaners must not be used. Be careful not to
scratch the glass when cleaning.
• Reinstall glass assembly and safety screen. Do not operate
fireplace without safety screen.
Performed by: Qualified Service Person
Frequency: Annually
Action:
• Clean glass window with a suitable fireplace glass cleaner using
a soft cloth. Abrasive cleaners must not be used. Be careful not to
scratch the glass when cleaning.
• Inspect the glass for cracks, scratches, and nicks.
• Verify the glass assembly is properly intact and not damaged.
• Replace the glass and the assembly #CW50-057T as necessary.
• Only Hussong Mfg. Co., Inc. will supply the replacement of glass
assembly as a complete unit.
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces MAINTENANCE 47
13.5 Burner and Pilot System
The burner assembly may be removed for easier access to the control
compartment. Refer to Section 8.4 Control Board Removal and
Installation on page 32 for instructions. Verify gas supply is turned
on and filled. Consult with plumber or gas supplier as necessary.
Performed by: Qualified Service Person
Frequency: Annually
Action:
• Vacuum all components of the burner system.
• Check all accessible gas -carrying tubes, connections, pipes and
other components for leaks.
• Inspect the operation of the flame safety system Pilot or Flame
rectification device. Visually check pilot light when in operation.
• Inspect and ensure the lighting of the main burner occurs within
(4) seconds of the main gas valve opening. Check for faulty or
incorrect wiring and correct or replace as necessary. Inspect
primary air openings (burner ports) for blockage, especially near
the pilot.
• Visually check burner flame pattern when in operation. Flames
should be steady, not lifting or floating.
• Test and measure the flame failure response time of the flame
safety system. It must de -energize the safety shutoff in no more
than (30) seconds.
BURNER PORTS
BURNER
ORIFICE
Figure 13.1, Burner System
33,�aQ JJ�J 0':i�T
IDEAL
LAZY, YELLOW FLAMES
Figure 13.2, Pilot and Burner Correct Flame Appearance
48 MAINTENANCE Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces #CLW -50 R.1 March 2018
14.0 REPLACEMENT PARTS LIST
Replacement parts are available through your local dealer. Contact your local dealer for availability and pricing.
GLASS AND GLASS PARTS
1 CONTROL BOARD AND PARTS
701-019T
Control Board - Natural Gas
CW50-150
Valve Step Motor - Natural Gas
700-504
Control Board - Propane
CW50-151
Valve Step Motor - Propane
700-504-1
S.I.T. IPI Gas Valve - Natural Gas
700-567
18 in. Flexible Gas Line - Black
700-213B
S.I.T. IPI Gas Valve - Propane
700-567-1
Flexible Gas Line -Valve to Burner Connection
700-226
Proflame 2 IFC Board
700-652
Natural Gas Burner Orifice #34
700-234
IFC Wire Harness Assembly
700-653
Propane Burner Orifice #51
700-251
Proflame 2 IFC External Antenna
700 -ANT
Conversion Kit - Natural Gas
NCK-CW50-SP
PSE IPI Pilot Assembly- Natural Gas
900-064
Conversion Kit- Propane
LCK-CW50-SP
PSE IPI Pilot Assembly- Propane
900-064-1
Burner Cover
CW50-350
Transmitter (Remote Control)
700-408
Burner
CW50-351
Pilot Orifice - Natural Gas #.023 NG
700-123
Pilot Shield
CW50-043
Pilot Orifice - Propane #.014 LP
700-114
GLASS AND GLASS PARTS
51-3/4"x 15-3/20"- Glass with Gasket
701-019T
1-1/8"Glass Gasket
900-006
Replacement Valance
CW50-005
SAFETY BARRIERS
Safety Barrier Screen (only) CW50-ES
Hussong Manufacturing Co., Inc.
P.O. Box 577
204 Industrial Park Drive
Lakefield, MN 56150-0577
USA
CLW -50
" SURROUNDS
Rectangle Surround (1 piece)
CW50-RS
Rectangle Surround (4 piece)
CW50-RS4
Gallery Surround
CW50-GS
Forged Surround
CW50-FS
#CLW -50 R. i March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces REPLACEMENT PARTS LIST 49
LIMITED WARRANTY
Kozy Heat Limited 10 Year Warranty
This limited 10 Year Warranty will not become effective until the
Warranty Registration Form has been completed and mailed to
Hussong Manufacturing Co., Inc., P.O. Box 577, Lakefield, MN 56150.
This registration form must be received within 30 days of installation.
Failure to do so may result in delayed warranty coverage and
submission of proof of purchase will be required.
Hussong Manufacturing Co., Inc. warranties to the original purchaser
of this Kozy Heat Fireplace, that it is free of defects in materials and
workmanship at the time of manufacture.
Subject to the following conditions & requirements, Hussong
Manufacturing Co., Inc. extends the following limited warranty under
normal use and service, with respect to the Kozy Heat line of gas
burning fireplaces.
Year 1
Subject to the conditions & requirements listed below, within the
first year from date of purchase, Hussong Manufacturing Co., Inc.
shall, at its discretion, replace or repair any such defect in material or
workmanship, at Hussong Manufacturing Co., Incl expense, including
reasonable labor costs to repair or replace the defective component,
if a factory pre -authorization is given for the repair.
Years 2 through 10
Subject to the conditions & requirements listed below, beginning
with the first day of the second year and continuing through the
tenth year, Hussong Manufacturing Co., Inc., will at its discretion,
provide repair or replacement parts at current list prices for any
defect in material or workmanship of components, including optional
components and accessories (if available). Hussong Manufacturing
Co., Inc. shall not be responsible for any installation, labor,
transportation of other indirect costs.
Limitation of Liability
To make a claim under this warranty, the purchaser must first contact
the dealer/installer from whom the fireplace was purchased.
This limited warranty will be void if the fireplace is not installed by a
qualified installer and according to the installation instructions. Use of
unauthorized components will make this warranty null and void.
This limited warranty also is void if the fireplace is not operated, at all
times, according to the operating instructions furnished.
This warranty is limited to defects in material and workmanship. It
does not apply to any product that has been subject to negligence,
misapplication, improper installation.
No person is authorized to extend the time of this warranty or to
accept on Hussong Manufacturing Co., Incas behalf any additional
obligation of liability connected with the unit.
It is expressly agreed and understood that this warranty is Hussong
Manufacturing Co., Incas sole obligation and purchaser's exclusive
remedy for defective fireplace equipment. Hussong Manufacturing
Co., Inc. shall not be liable for any consequential, incidental or
contingent damages whatsoever. The foregoing warranty is exclusive
and in lieu of all other expressed warranties. Hussong Manufacturing
Co., Inc. shall not be held to implied warranties or merchantability and
fitness for a particular purpose. This warranty replaces all previous
warranty policies.
Some states do not allow the exclusion or limitation of incidental
or consequential damages or limitations on how long an implied
warranty lasts, so the above limitations or exclusions may not apply
to you. This warranty gives you specific legal rights and you may also
have other rights which vary from state to state.
Hussong Manufacturing Co., Inc. reserves the right to make changes
at any time, without notice, in design, material, specifications
and prices. Hussong Manufacturing Co., Inc. reserves the right to
discontinue models and products.
December2014
Warranty Conditions and Requirements
You are the original purchaser. This warranty is not transferable.
Installation of the fireplace is performed by a qualified installer.
Installation and operation must comply with installation and operation instructions.
Paint and glass gaskets are covered for 30 days from date of purchase.
Remote controls and all optional accessories are covered for 1 year from date of purchase.
This warranty does not offer coverage for Light Bulbs, Batteries or Fuses (whether factory, dealer or installer supplied). This includes any
damage stemming from either component's nonuse.
Components broken, (including glass panels), during shipping, careless handling of components, or defects resulting from improper
installation, misuse of the fireplace and components are not covered under this warranty.
This warranty does not cover any part of the fireplace or any components which have been exposed to or submerged underwater.
Hussong Manufacturing Co., Inc. must be notified by the dealer the fireplace was purchased from or a qualified installer/service
technician of the defect.
10. Annual service of the fireplace as required in the installation manual, is performed by a qualified installer/service technician. (Copies of
such service records may be required to claim a warranty).
11. All previous warranty/service has been performed by a qualified installer or service technician. (Copies of such service records maybe
required to claim a warranty).
#CLW -50 R.1 March 2018 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces LIMITED WARRANTY 51
LIFETIME WARRANTY
LIFETIME WARRANTY COVERAGE WILL BE EXTENDED AS DESCRIBED BELOW PROVIDED ALL WARRANTY CONDITIONS AND REQUIREMENTS ARE MET AS
OUTLINED IN THE 10 YEAR LIMITED WARRANTY POLICY.
Lifetime Warranty Coverage
LIFETIME WARRANTY IS EXTENDED AS FOLLOWS:
Hussong Manufacturing Co., Inc. warranties to the original purchaser
that the firebox, heat exchanger, fiber logs, burner tube and glass
panel of this Kozy Heat Fireplace will not be defective in material
or workmanship under normal use and service for as long as you
own this product. If any of these components fail due to defects in
material and workmanship under normal use and service, Hussong
Manufacturing, Co., Inc. will, at its sole discretion, repair or replace the
defective component. This LIFETIME WARRANTY does not cover any
installation, labor, transportation or other indirect cost arising from
defective components.
Limitation of Liability
This Lifetime Warranty will be void if the fireplace is not installed by a
qualified installer and according to the installation instructions. Use
of unauthorized components will make this warranty null and void.
This Lifetime Warranty also is void if the fireplace is not operated, at all
times, according to the operating instructions furnished. This warranty
is limited to defects in material and workmanship of components
specified. It does not apply to any product that has been subject to
negligence, misapplication, improper installation.
No person is authorized to extend the time of this Lifetime Warranty or
to accept on Hussong Manufacturing Co., Inc's behalf any additional
obligation of liability connected with the unit.
Hussong Manufacturing Co., Inc. may fully discharge all obligations
with respect to this Lifetime Warranty by refunding the wholesale
price of the defective component(s).
It is expressly agreed and understood that this Lifetime Warranty
is Hussong Manufacturing Co., Incl sole obligation and original
purchaser's exclusive remedy for defective fireplace equipment.
Hussong Manufacturing Co., Inc. shall not be liable for any
consequential, incidental or contingent damages whatsoever other
than those incurred by Hussong Manufacturing Co., Inc. to repair or
replace the defective component. The foregoing warranty is exclusive
and in lieu of all other expressed warranties. Hussong Manufacturing
Co., Inc. shall not be held to implied warranties, including but not
limited to the implied warranties or merchantability and fitness for a
particular purpose. This lifetime warranty replace all previous lifetime
warranty policies.
Hussong Manufacturing Co., Inc. reserves the right to make changes at
any time, without notice, in design, material, specifications and prices.
Hussong Manufacturing Co., Inc. reserves the right to discontinue
models and products.
To activate this Lifetime Warranty coverage, this registration
card must be completed and mailed with your completed 10
Year Limited Warranty form within 30 days of installation to the
following address:
Hussong Manufacturing Co., Inc.
P.O. Box 577
204 Industrial Park Drive
Lakefield, MN 56150-0577
September 2011
CUT ALONG DOTTED LINE
.............................................................................................................................................................................................................................................................................. .
PURCHASER NAME:
ADDRESS:
TELEPHONE:
INSTALLER NAME:
ADDRESS:
TELEPHONE:
#CLW -50 R.1 March 2018
INSTALLATION DATE:
MODEL NUMBER:
SERIAL NUMBER:
Koz Y) ` HEAT
R E P L A C
HUSSONG MANUFACTURING CO., INC.
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
LIFETIME WARRANTY 53
KOMFORT ZONE KIT
For use with the Callway-50 #CLW -50
Direct Vent Gas Fireplace
AO 1�03�0-7
Kozy ® HEAT
F I R E P L A C E S
HUSSONG MANUFACTURING CO., INC.
INSTALLER: Leave this manual with the appliance.
CONSUMER: Retain this manual for future reference.
English and French installation manuals are available through your
local dealer. Visit our website www.kozyheat.com.
Les manuels d'installation en frangais et en anglais sont disponibles
chez votre d6taillant local. Visitez www.kozyheat.com.
NATIONAL We suggest that our gas
I 'E
REKAr
INT11TUTE hearth products be installed
® ' snd sesrviced aby p
onalwho recertifie
d in
the U.S. by the National
C US Fireplace Institute' (NFI) as
CERTIFw
IEDn NFI Gas Specialists.
This optional convection duct kit redistributes the
warm air flow away from the fireplace opening to
a more desirable location using natural convection
without the use of a fan. The warm air flow may be
relocated to a position higher up the wall, out the
sidewalls, or even to an adjacent room. The result
is much cooler wall temperatures above the fire-
place opening for locating televisions, artwork, etc.
The use of this kit will permit lower mantel clear-
ances to be used. These lower mantel clear-
ances must be only used when the KZK Duct
system is installed.
READ ALL THESE STEPS
BEFORE STARTING INSTALLATION.
LEAVE THESE INSTRUCTIONS WITH THE
APPLIANCE.
This kit must be installed by a qualified installer,
service agency, or gas supplier at the time of
the heater installation. These instructions must
be used in conjunction with the installation and
operation manual provided with the appliance.
Please read the appliance owner's manual
completely before performing any procedures in
these instructions.
WARNING:
DO NOT cover or place objects in front of the
air outlet(s). AVOID locating outlet within 7 feet
above floor level as discharge temperatures are
hot!
WARNING:
Minimum clearances below the ceiling is 2-1/2".
Note that staining or streaking may occur on
light colored ceilings to any dust, etc. in air flow.
Placing the plenum(s) lower on the wall will help
reduce the possibility of staining or streaking.
Hussong Manufacturing Co., Inc.
P.O. Box 577, 204 Industrial Park Drive CLW -50 • Rev. 1, 2/18
Lakefield, MN 56150-0577, USA Report Number: 0216GF054S
A. Kit Contents
#KZK-050
\ 49�/$"
(1267mm)
G1
4 take off collars included
#KZK-410
(4) -10' x 5" (aluminum flex) listed to UL -181 Class 0 Air Duct
KomfortZoneKit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
B. Suggested Configurations
#KZK-158 SIDE WALL OUTLET
#KZK-158 REAR WALL OUTLET
NOTE: FIREPLACE VENT MAY CONFLICT WITH PLENUM. OFFSET VENT AROUND PLENUM.
#KZK-050 REAR WALL OUTLET
------------
#KZK-050 FRONT WALL OUTLET
11,' 7 X11
4 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces KomfortZone Kit
C. Overview
21/2"Minimum
CEILING clearance to
ceiling
NEW
261/2"Min
= 2W Max
Minimum 1/2"
clearance to — — —
combustibles
around pipe —
121/2"
3g"
163
9;/4"
0 d
The tubing that connects the plenum to the fireplace must be UL181 Class 0 approved air duct.
If you are mounting the plenum above the fireplace 10' or less, use (1) #KZK-410 kit.
If you are mounting the plenum above the fireplace between 10'to 20; you will need (2) #KZK-410 kit and #KZK-CPL coupler kit.
KomfortZoneKit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces 5
IMPORTANT. The air duct pipe cannot run horizontally without
a vertical rise.
IMPORTANT.• The 1/2" clearance around the air duct pipes must
be maintained.
Use #KZK-410 UL 181 Class 0 Air Duct piping to connect the
plenum(s) to the unit.
Hussong Mfg. requires pipes to be listed as UL 181 Class 0 Air
Duct to connect the plenum (s) to the unit.
WHEN INSTALLING AIR DUCT PIPE MAINTAIN A MINIMUM 4" VERTICAL RISE FOR EVERY 12" HORIZONTAL RUN
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces KomfortZone Kit
D. Dimensions
#KZK-050
48" 3„ F12" 11/Z„
STANDOFF
1/Z„/ 1/s” q
6„
STANDOFF 3/4"
STANDOFFIMI—1/Z"
12" 12" 12" 4„ o=5" STANDOFF
#KZK-158
131/2" 12" 11/z,r
3rr STANDOFF
1 n/— 5
7/8rr 811/16a
/2
STANDOFF
3/4n
STANDOFF 1/2"
65/8„ 4r, �= 5r,
STANDOFF
KomfortZoneKit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces 7
E. Rough Frame Openings
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces KorrrfortZone Kit
F. Framing and Clearances
(REFER TO ROUGH OPENING DIMENSIONS ON PREVIOUS PAGE)
#KZK-050
41/4" % 21/2" 11/2"
6"
Y2"J L,/2„
#KZK-158
8 1Y4 21/2
II/2„
KomfortZone Kit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
G. Combustible Finish, Mantel,
& Hearth Clearances
NOTE. It is not required to use the #KZK-050 discharge trim if desired
to run finishing material up to the edge of the plenum discharge.
Finishing material must not block the opening and must be run evenly
along the plenum opening.
WARNING! RISK OF OVERHEATING AND FIRE! Ensure the KZK duct
system is installed in accordance to this manual AND the convection
baffle is removed when using these combustible clearances.
10
NOTE: THESE MANTEL CLEARANCES APPLY ONLY WHEN THE KZK DUCT SYSTEM
IS INSTALLED AND THE CONVECTION BAFFLE REMOVED.
Combustible wall finish
may be installed over cement
board and butt up to the finishing
edge around the opening.
Each square represents
1" (25mm)
of mantel projection.
45°
12" 305mm
6" 152mm
Finishing Edge
163/4"
26Yz" (425mm)
(673mm)
Finishing Edge
6" 152mm
9" 229mm
93/4"
(248mm)
12" 305mm
O p
Fireplace Enclosure Floor
Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
Komfort Zone Kit
Combus
may be installs
If surround i
wall finish mus
to the
SURROI
FIREPLACE ENCLOSURE FLOOR
KomfortZone Kit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces
H. Installation
The Kozy Zone Kit requires that the convection baffle, located
above the firebox inside the appliance metal cabinet, to be
removed to allow the hot airflow to convect upwards into the
air ducts installed on the fireplace.
TAKE -OFF COLLAR
I
CONVECTION BAFFLE
TO BE REMOVED
CONECTIVE AIRFLOW WITHCONVECTION AIRFLOW
THE BAFFLE IN PLACE / WITH BAFFLE REMOVED
FIREBOX
I
1. Remove the convection baffle from the appliance. The
baffle is secured by (2) screws right behind the upper
edge of the fireplace opening. Recycle this panel if it is no
longer needed.
positions and rough frame opening sizes.
5. Install the plenum(s) into the rough frame opening
maintaining minimum clearances to combustibles as
listed (see previous pages). Fix the plenum to the framing
using nails or screw through the top mounting bracket.
NOTE: Mounting brackets are not intended to carry the
weight of the plenum and pipes. Provide support to the
underside of the plenum and ensure the plenum is level
and its outlet is not distorted.
6. Use metal strapping (all-around, not supplied) as required
to further secure the plenum to framing.
Attach the piping from all (4) plenum vent collars to all
(4) fireplace vent collars. If you are mounting the plenum
10' or less above the fireplace, use (1) #KZK-410 kit or
UL -181 Class 0 approved air duct. If you are mounting the
plenum between 10' to 20' above the fireplace then you
will need (2) #KZK-410 kits and #KZK-CPL or UL -181 Class 0
approved air duct.
8. An upward slope must be maintained in horizontal
sections of pipes for proper convection. Support
horizontal sections every 24 inches.
9. Paint the inside surfaces of the plenum using high-
temperature flat black spray for installations where the
inside of the plenum(s) may be visible.
2. Remove the four cover plates on top of the appliance (4 10. Install the #KZK-050 discharge trim to the plenum after
screws each).
the wall finish is completed using (2) screws if using the
3. Align the vent collars to the corresponding holes on top
#KZK-050 plenum. Finishing material must not block and
of the appliance. Secure with screws previously removed.
should run evenly along plenum opening.The #KZK-050
Install the vent collars to the corresponding opening(s) on
discharge trim is optional depending on finishing material
the plenum(s). Use supplied screws.
choice.
4. Frame a rough opening at the desired location. See
previous pages of this manual for allowable plenum
12 Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces KomfortZone Kit
11. Install the 14" x 6" air grille provided with the kit using (2)
screws if using the #KZK-158 plenum.
12. If desired, the air grille/discharge trim maybe painted. Use
high temperature paint (2507).
13. Continue with fireplace installation.
KomfortZone Kit Hussong Mfg. Co., Inc. • Kozy Heat Fireplaces 13
City of
_ge
COMMUNITY DEVILOPMEN I
APPROVED
Review
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f ode Compliance
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21803207
Insulation Certificate
This form must be filled out and posted to comply with building code requirements.
Meets IRC Sections N1101.3, N1101.41, and N1101.8 requirements.
The following spray polyurethane foam product(s) has/have been installed:
8aysealTM OC Open -Cell Spray Foam Insulation
[ 1/1 BaysealT"" CC X Closed -Cell Spray Foam Insulation
[ ] BaysealT"' CC XP Closed -Cell Spray Foam Insulation
Consult International Building Code, Chapter 26 -Plastic and International Residential Code (IRi
_ - Foam Plastics for specific requirements. The spray polyurethane foam insulation system(s) has/he
installed in accordance with manufacturer's processing guidelines to provide a thermal resistance t
Area Insulated Aged R -Value
Thickness*
Attic Area
R-
t
inches
Sloped Ceilings
f R-
At
inches
Walls (Location):
R-
At
inches
I Walls (Location):
R-
At
inches
Floors (over an unheated crawl space)
R-
At
inches
Crawl Space Perimeter
R-
At
inches
Basement Exterior Walls
R-
At
inches
Other (Location):
R-
At
inches
Nominal thicknesses are representative of field, spray -applied foam material
Jobsite Address: � � (,;- j^a y� �( l 4� A /,d 9,,--G. o
Date of Insulation:, %
Building Contractor:
Insulation Contractor:
Insulation Contractor
Installed By Vj -
INSULATION CERTIFICATE -DO NOT REMOVE
-Please Post Near Electrical Panel
2400 Spring Stuebner Rd
Spring, TX
1.800.221.3626
Tel 281.350.9000
Fax 281.288.6450
www, pol yarethane.covestro. com
i' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 30 J _t,9
Job Address: a 6/' .
Permit Number:
❑ No one available for inspection: TimeAIV,
Re -Inspection required: Yes to
When corrections have been made, call for re -inspection at 303-234-5933
Date: a ' ' I" C! Inspector:
DO NOT REMOVE THIS NOTICE
s
r'
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ?Qt_ P 01,"A
Job Address: 0;;.
Permit Number: 101J0_1 ?
I,
m
❑ No one available for inspection: Time �-i AM/r' '
�
Re -Inspection required: Yes (No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 1 � Inspector: Jk,,,,C- I -)�-Z- 7'
DO NOT REMOVE THIS NOTICE
dl SO 3 1 u ALUMALINE
57 EASTTRUMAN
SALT LAKE CITY, UT 84115
Phone # 801-487-0631
Fax # 801487-9528
(moi Po• % 51 -
QUOTE # QUOTE DATE
QUOTED BY
Project Name
SHIP VIA
2474849 12/6/2018
steveokell
PASTRANA
Will Call
AMSCO # ORDER DATE
ORDERED BY
Quote Name
Expiration Date
Quote Not Ordered
steveokell
ADAMS COUNTY GLASS
Quote Not Certified
LINE # DESCRIPTION QUANTITY PRICE ExtPrice
100-1 RO: 69.5" X 50.875" Overall Unit: 69" X 50.375" 1
Studio Direct Set, 69 x 50.375
U -Factor: 0.3 SHGC: 0.33 VLT: 0.63 CR: 59 \ STC: NR OITC: NR EWR: NR
Room Location Structural: CW-PG35 Air: 0.01 Water: 12 `rest Report: 310-3235 I
None Assigned Complete Unit. White, 3/4" Insulated. CozE (LowE), DS over DS, Super Spacer,
Protective Wrap
LINE # DESCRIPTION QUANTITY PRICE ExtPrice
200-1 RO: 53.25' X 50.875" Overall Unit: 52.75" X 50.375" 3
Studio Single Vent XO. 52.75 x 50.375
U -Factor: 0.32 SHGC: 0.31 VLT: 0.58 CR: 56 ,, STC: 25 01TC: 20 EWR: 25 I
Room Location Structural: LC-PG25 Air: 0.05 Water: 5.25 Test Report: 310-3006
None Assigned Complete Unit, XO, White, 3/4" Insulated. CozE (LowE). SS over SS, Super Spacer. L b
Cam Latch. White Screen. Egress = Yes, Protective Wrap 116 L
523
LINE # DESCRIPTION QUANTITY PRICE ExtPrice
300-1 RO: 37.25' X 38.875" Overall Unit: 36.75" X 38.375' 2
Studio Single Vent XO. 36.75 x 38.375
U -Factor: 0.32 SHGC: 0.31 VLT: 0.58 CR: 56 \ STC: 25 OITC: 20 EWR: 25
Room Location Structural: I.0-PG25 Air: 0.05 Water: 5.25 Test Report: 310-3006
None Assigned Complete Unit. XO, White. 3/4" Insulated. CozE (LowE), SS over SS, Super Spacer,
Cam Latch. White Screen, Egress = No, Protective Wrap
h
C*
t
za.rs-
Page I or 3 12/19/2018 12:01 I'M
QUOTE # QUOTE DATE
QUOTED BY
Project Name
SKIP VIA
2474849 12/6/2018
steveokell
PASTRANA
Will Call
AMSCO # ORDER DATE
ORDERED BY
Quote Name
Expiration Date
Quote Not Ordered
steveokell
ADAMS COUNTY GLASS
Quote Not Certified
LINE #
400-1
or-ot' <ir 1 wry UUHIV I I I Y
RO: 37.25" X 39.25" Overall Unit: 36.75" X 38.75" 1
Studio Direct Set. 36.75 x 38.75
U -Factor: 0.3 SHGC: 0.33 VLT: 0.63 CR: 59 \ STC: NR OITC: NR EWR: NR
Room Location Structural: CW-PG35 Air: 0.01 Water: 12 Test Report: 310-3235
None Assigned Complete Unit, White, 3/4" Insulated, CozE (LowE), SS over SS, Super Spacer,
Protective Wrap
PKIGt txtPrice
1
R -5-
LINE #
DESCRIPTION QUANTITY
PRICE ExtPrice
500-1 RO:
53.25" X 26.25" Overall Unit: 52.75" X 25.75" 3
Studio Single Vent XO. 52.75 x 25.75
U -Factor: 0.32 SHGC: 0.31 VUI': 0.58 CR: 56 ; STC: 25 OITC: 20 EWR: 25
Room Location
Structural: LC-PG25 Air: 0.05 Nater: 5.25 Test Report: 310-3006
I
None Assigned
Complete Unit, XO, White, 3/4" Insulated, CozE (LoNvF,), SS over SS, Super Spacer,K
b
Cam Latch, White Screen, Egress = No. Protective Wrap
I
LINE #
DESCRIPTION QUANTITY
PRICE ExtPrice
600-1 RO: 48.5" X 36.5" Overall Unit: 48" X 36" 4
Studio Single Vent XO. 48 x 36
U -Factor: 0.32 SHGC: 0.31 VLT: 0.58 CR: 56 \ STC: 25 OITC: 20 EWR: 25
Room Location
Structural: LC-PG25 Air: 0.05 Water: 5.25 Test Report: 310-3006
I
None Assigned
Complete Unit. XO, White. 3/4" Insulated. CozE (LowE), SS over SS, Super Spacer,
1"
Cam Latch, White Screen, Egress = No. Protective Wrap
�s
LINE #
DESCRIPTION QUANTITY
PRICE ExtPrice
700-1 RO:
33.25" X 19" Overall Unit: 32.75" X 18.5" 2
Studio Direct Set, 32.75 x 18.5
U -Factor: 0.3 SHGC: 0.33 VLT: 0.63 CR: 59 \ STC: NR OITC: NR EWR: NR
Room Location
Structural: CW-PG35 Air: 0.01 Water: 12 Test Report: 310-3235
1
None Assigned
Complete Unit, White, 3/4" Insulated, CozE (LowE), SS over SS, Super Spacer,
v.
Protective Wrap
1
32.75'
Page 2 of 3 12/19/2018 12:01 PM
City Of
�W heate
MUNTTY DEVELOPMENT
!�►l/�'i7LL'Ljs�
City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in
writing and received prior to the date of expiration. An extension of no more than 180 days may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits ,ci.wheatrid eg co.us or fax to 303-237-8929.
Party requesting permit extension: --< 3, 1 - T -LA 1) (,
Permit # C2t Property Address:
Phone #S6t 5_�1,9((��� Email Address: 7 5 _("Cyc2
Reason for extension request: -�; fL + LAk
Number of days requested: 36
Printed Name:`Jt._s(,; 1-',.,-T(,1.gjp, Signature Date-/),?— -
For office use only
This request has been:
Approved by:
iZ/) 3 4,,
❑ Denied Extended until: 2-- ) J` ` q
Date: 2-113111
www.ci.wheatridge.coms
4r •..
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -
Job Address: %...
Permit Number:
❑ No one available for inspection: Time�M
Re -inspection required: Yes
When corrections have been made,
DatIns
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 4 -�L`f
Permit Number:
t
❑ No one available for inspection: Time I I L(_i (AV/PM
Re -Inspection required: Yes No
When corrections have been made, call for ie-inspectionn at 3D3-2345933
Date: "� Inspect l�.__
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
t
Inspection Type: 313' RLa,
Job Address:
Permit Number:
90
0�
d
s
F-
❑ No one available for inspection: Time 5- A�
Re -Inspection required: Yes�°No�
When corrections have been made, ca re -inspection at 303 -234 -
Date:. i P31 1,01 Inspector: Dalgro Q.a�_C et
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building inspection Division'
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: r err
Permit Number: 0V G > Z;_ , �
I f%V'L# V, !_w: /W-1 . 4 '' 0 o'i-V
❑ No one available for inspection: Time 7 `a ` ANF'�l
Re -Inspection required: Yes d.
When corrections have been made, call for re -inspection at 303-234-5933
Date: f % �! �� Inspector:_`''_���-�',�t
DO NOT REMOVE THIS NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office @ (303) 237-8929 Fax
[ � 4rl
INSPECTION, NOTICE
Inspection Type, J "rwl",Or
Job Address: .3503 6rrX
Permit Number: '7cj 0�7
/IR
J No one available for inspection: Time A M ley
Re -inspection required: bs) No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: lkl't",
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
S;.
Homeowner Interior Remodel PERMIT - 201803207
PERMIT NO: 201803207 ISSUED: 12/28/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/28/2019
JOB DESCRIPTION: Remove walls to expand kitchen and living room; update electrical and
plumbing on main level and basement; add egress windows in basement; 2,200
sq ft total
*** CONTACTS ***
OWNER (303)521-2167 PASTRANA ANA LIZETH & JESUS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 35,750.00
FEES
Total Valuation 0.00
Plan Review Fee 369.56
Use Tax 750.75
Permit Fee 568.55
** TOTAL ** 1,688.86
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that l am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this -permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subaect to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
cable code qVy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201803207
PERMIT NO:
201803207
ISSUED:
12/28/2018
JOB ADDRESS:
3505 Gray St
EXPIRES:
12/28/2019
JOB DESCRIPTION:
Remove walls to expand
kitchen and living room;
update electrical and
plumbing on main level
and basement; add egress
windows in basement; 2,200
sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that l am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this -permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subaect to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
cable code qVy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City or
�/ �1`! heat j�dge
COMML)NiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(dci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
v7
Plan/Permit #
kvi'
Plan Review Fee: 1 1 4 1
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be progessed. ***
Property Address: �Q-i
Owner (please print): US IQS � tJnq�.. Phone-
Property Owner Email:
Tenant (Commercial Projects Only) �i Q
Property Owner Mailing Address: (if different than property address)
Address: �Q,rr\c- k '�kDpv4u AA14.rVi�-
City, State, Zip:
Architect/Engineer E-mail: mi as Y `, - Phone: ldO -q 3,Da5
cm
Contractor:
City of Wheat Ridge License #: n Phone:_n 164
Contractor E-mail Address: frl l&�
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): c .SVS pQSI-yn'YQ' Phone: 3 D-3--
CONTACT
3—CONTACT EMAIL(p/ease print): , 1 Q -S , txlst� (�yIUhD C) C�rYI
Sub Contractors (Must proyidg W 9 )heat Ridge License No. :
El6cridal: = �A.f�� __, ;f *rndro:11 Mechanical:
W.R. City License # • MR. City Liceps #, + W. R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
[❑ COMMERCIAL
RESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to be used, etc.
)Lrnae� U�da�e cF��e��i�;cGl c�rtcl ���LmdQ sLtsAem: a'o 0
1nS
a Ick lea
Who
Arl,
qanNck or ul�s ��z„�-}e�ncl 1 v�ny ruo►�,n.
)Bcualk.(l l p"�ta�e-or Oec-t C( ',J
C►�� d .e �1Ctt.e rnp�� �- Ctrc-i l.,uGc ll anG�.1��chr\ ►� �� � ►'� �x-ccse»�erti—,. �-ck���q
� � �� ✓ � )S W � ►'t�.tDt.� S t n lit} -e rr�-erc-E
Commercial Projects Only: Occupancy Type: Construction Type:
Sq. Ft.ILF 2M S4- BTUs Gallons
Amps Squares
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
s 15 . TT)r e
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE:�(OW�NER)CO T CTOR) (AUTHORIZED REPRESENTATIVE) of(OWNER) (CONTRACTOR)
Sienature (first aDATE: a �'
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _
CONSTRUCTION TYPE'
Reviewer:
BUILDING DEPARTMENT COMMENTS: H d I f !^
" IL 001 -Icr, 1100 6 X V 3a.6"a = 35', TSD
Reviewer
aAd 12gKss W r it at OWC.
o r4cloje all rAVP
PUBLIC WORKS COMMENTS:
Reviewer'
Building Division Valuation: 35—i 07 SD
10 December 2018
Jesus Pastrana
Jesus.pastrana82@yahoo.com
(303)521-2167
Dan Canda, P.E.
J2.26 Engineering
6937 W 83rd Way
Arvada, CO 80003
dcanda@j226engineering.com
(720) 937-2055
RE: Remodel design requirements
Jesus,
You requested J2.26 Engineering to determine the size required for a steel beam and column to
replace a load bearing wall in your basement. This column is to span up to 27' (field verify exact
dimension) and be supported at midspan by a column. The applied load is 40psf residential loading in
addition to minimum dead loads. There are no additional floors or roof loads which contribute to the
applied beam load path.
The minimum steel beam size required is a ASTM A992 W6x25 with a 2x nailer with nails bent
around the top flange of the beam at 12" o.c. ea side. The minimum size column at mid span is a
premanufactured 3 %" sch. 40 pipe. Positively attach column to beam and foundation with appropriate
attachment methods. The column shall be supported by a 18"x18"x12" footer. Use Simpson BA top
flange joist hangars or equivalent (See attached).
Additionally, you requested recommendations to remove the load bearing wall on the main
floor. (2) 2x12 microlams are acceptable to replace the load bearing wall. Support this beam with triple
2x4 stud pack ((3) 2x4 studs) on each end. Attached to the main microlam, a sistered double 2x10 DF #2
joists may be used to support the adjacent joists towards the south end of the micro lam beam. Support
one end with a standard Simpson double joist hanger attached to the new microlams, and the other
with (2) 2x4 studs. All stud packs must be continuous to the foundation and nailed together with 10d
nails at 8" staggered. Use blocking at floor joist transitions as necessary. An additional sintered double
6937 W 83rd Way, Arvada, CO 80003 - www.i226engineering.com - 720.937.2055
Page 1 of 2
2x10 will be supported by the first double 2x10 beam and the other end by a (2) 2x4 stud pack,
continuous to the foundation.
Finally, You indicated you may install egress windows in the basement which consists of 8" nominal
CMU Walls. For a maximum of 48" use a 2L3x3x1/4" A36 lintel, bear directly on CMU a minimum of 8"
on each end. Meet all state and local governing codes regarding size and location of windows if
applicable.
Please feel free to contact me if you have any additional questions.
Regards,
Daniel M. Canda, P.E.
r,':'UO47958
J2.26 Engineering, LLC
ss�ONV
E.hw.aaJ-2anhp�..vcum
Daniel M. Canda M
o.m m+e izw is:..,isnroa
6937 W 83rd Way, Arvada, CO 80003 - www.i226engineering.com - 720.937.2055
Page 2 of 2
(49 .J2M26
ENGINEERING
10 December 2018
Jesus Pastrana
Jesus.pastrana82@yahoo.com
(303)521-2167
Dan Canda, P.E.
J2.26 Engineering
6937 W 83rd Way
Arvada, CO 80003
dcanda@j226engineering.com
(720) 937-2055
RE: Remodel design requirements
Jesus,
You requested J2.26 Engineering to determine the size required for a steel beam and column to
replace a load bearing wall in your basement. This column is to span up to 27' (field verify exact
dimension) and be supported at midspan by a column. The applied load is 40psf residential loading in
addition to minimum dead loads. There are no additional floors or roof loads which contribute to the
applied beam load path.
The minimum steel beam size required is a ASTM A992 W6x25 with a 2x nailer with nails bent
around the top flange of the beam at 12" o.c. ea side. The minimum size column at mid span is a
premanufactured 3 %" sch. 40 pipe. Positively attach column to beam and foundation with appropriate
attachment methods. The column shall be supported by a 18"x18"x12" footer. Use Simpson BA top
flange joist hangars or equivalent (See attached).
Additionally, you requested recommendations to remove the load bearing wall on the main
floor. (2) 2x12 microlams are acceptable to replace the load bearing wall. Support this beam with triple
2x4 stud pack ((3) 2x4 studs) on each end. Attached to the main microlam, a sistered double 2x10 DF #2
joists may be used to support the adjacent joists towards the south end of the micro lam beam. Support
one end with a standard Simpson double joist hanger attached to the new microlams, and the other
with (2) 2x4 studs. All stud packs must be continuous to the foundation and nailed together with 10d
nails at 8" staggered. Use blocking at floor joist transitions as necessary. An additional sistered double
6937 W 83r'd Way, Arvada, CO 80003 - www.i226engineering.com - 720.937.2055
Page 1 of 2
2x10 will be supported by the first double 2x10 beam and the other end by a (2) 2x4 stud pack,
continuous to the foundation.
Finally, You indicated you may install egress windows in the basement which consists of 8" nominal
CMU Walls. For a maximum of 48" use a 2L3x3x1/4" A36 lintel, bear directly on CMU a minimum of 8"
on each end. Meet all state and local governing codes regarding size and location of windows if
applicable.
Please feel free to contact me if you have any additional questions.
Regards,
Daniel M. Canda, P.E.
r:'.0047958
J2.26 Engineering, LLC
DOr'.f^.9NOa'w�Y. [.rN.
Daniel M. Canis
. Iq�n: i wlrmn a ee
5937 W 83d Way, Arvada, CO 80003 - www.i226engineering.com - 720.937.2055
Page 2 of 2
City of See attached list for additional requirements that
`%`%heat ge apply to this project.
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Review is limited to the contents of the plans submitted and any errors or omissions contained herein shall not be
construed as permission to allow any conditions to exist in violation of the codes of the City of Wheat Ridge
Rough Framing and Wood Requirements
The complete rough inspection is to be made after the rough framing, rough electric, rough plumbing, and
rough heat and ventilation are complete. The building should be fully enclosed with the roof covering and
siding in place.
2 Fire blocking shall be installed to cutoff all concealed draft openings in the following locations: (IRC 302.11)
A. In concealed spaces of stud walls and partitions, including furred spaces, vertically at the ceiling and floor
levels, and at 10 -feet horizontal intervals. B, At interconnections between concealed vertical and horizontal
spaces such as occur at soffits, drop ceilings, and cove ceilings. C. In openings around vents, pipes, ducts, cable,
wires, chimneys, fireplaces, and similar openings that afford a passage for fire at ceiling and floor levels. D. In
concealed spaces between stair stringers at the top and bottom of the run, and between studs in line with the
run of the stairs at unfinished walls.
18 There shall be a floor or landing on each side of each exterior door, except where a stairway with 2 or fewer
risers located on the exterior side of the door, other than the required exit door, a landing is not required for the
exterior side of the door. The landing must be no lower than 73/ -inches below the top of the threshold of the
door provided the door does not swing over the landing. (IRC R311)
19 Stairways must be at least 36 -inches in width. Handrails shall not project more than 4% -inches. The
maximum rise may not exceed 7% -inches. The minimum tread depth may not be less than 10 -inches. Minimum
headroom is 6 -feet, 8 -inches. For stairways with solid risers a nosing of %-inch to 1% -inches shall be provided.
When open risers are used the opening between the treads shall not allow the passage of a 4 -inch sphere to
pass through. Landings must be provided at the top and bottom of the stairway that is the width of the stairway
measuring at least 36 -inches in the direction of travel. Handrails shall be provided on at least one side of
stairways with 4 or more risers and ramps with a slope exceeding 1:12. Handrails shall be mounted 34 -inches to
38 -inches above the nosing of the treads. Handrails must be continuous for the entire length of the stairs and
provided with a minimum space of 1% -inch between the wall and the handrail. Ends shall be returned or
terminate in newel posts or safety terminals. See the requirements and more information. (IRC R311.7.8.2)
20 Handrail Grip Size Shall Be:A. Circular Handrails: 1% -inch to 2 -inches perimeter. B. Non -Circular: 4 -inches to
6% -inches perimeter with a maximum cross section of 2% -inches. C. Perimeter Dimension Greater than 6% -
inches: shall have a finger recess on both sides.
21 Guards must be provided for porches, screened porches, balconies, fixed seating and raised floa0turfaces
'Oen more than 30 -inches above the floor or grade below. Guards must have a minimum height of 36-inchd'sen
e
sides of stairs with a total rise of more than 30 -inches above the floor or grade below shall have gins notdp 1`
than 36 -inches high. Intermediate rails shall not allow the passage of a 4 -inch sphere. (R312) Window fall
protection must be provided for window openings less than 24 inches above the finished floor and more than 72
inches above grade or surface below. (R312.2)
22 Safety glazing shall be installed in the following hazardous locations and be permanently labeled as safety or
tempered glazing: glazing panels in doors; glazing enclosing spas, bathtubs or showers; glazing panels adjacent
and within 24 -inches of the edge of a door; glazing panels greater than 9 square feet within 18 -inches of the
floor; glazing used for railings; glazing used for barriers for swimming pools and spas; and glazing enclosing
stairways, landings, and ramps within 36 -inches horizontally of a walking surface. See the Boulder County Land
(IRC R308)
Heating and Ventilation Requirements
32 Bathroom exhaust fans shall exhaust directly to the exterior and must be provided in bathrooms where
windows of at least 3 square feet are not provided. The mechanical ventilation must be capable of providing an
exhaust capacity of 50 cfm intermittent or 20 cfm continuous exhaust. (IRC R303.3, M1507.4)
33 Appliances and equipment shall be installed in accordance with the conditions of their listing.
Manufacturer's installation instructions must be available at the time of the inspection. (IRC G2408.1, M1307.1,
M1401.1,(M1902.2)
34 Appliances shall be accessible for inspection, service, repair and replacement without removing permanent
construction. 30 -inches of working depth and width shall be provided in front of the control side of an
appliance. (IRC M1305.1)
35 Combustion air is required for all liquid fuel, solid fuel and gas appliances. (IRC M1701.1, G2407)
Electrical Requirements
36 All hot, neutral, and grounding conductors in electrical boxes shall be tied together with a mechanical
connection at the time of rough inspection.
37 Recessed lighting fixtures must either be IC -rated or installed in a sealed box in which the insulation is at least
3 -inches from the light fixture. All recessed lights must be tightly sealed or gasketed to prevent air leakage through
the fixture into the ceiling cavity. (IRC NI 102.4.5)
47 Tamper -resistant Receptacle outlets are required in every kitchen, family room, dining room, living room,
parlor, library, den, sunroom, bedroom, recreation room or similar dwelling areas spaced so that no point along
the wall line exceeds 6 -feet from an outlet. (IRC E3901, E3902, and 4002.1-4002.14)
48 Counters 12 -inches in width or wider shall have receptacles placed no more than 20 -inches above the
counter top and spaced so no point exceeds 24 -inches from an outlet. B. Island and peninsula counters with a
length at least 24 -inches and a width of 12 -inches or greater must be equipped with at least one oMet:C.'At
least one receptacle shall be installed in a bathroom within 36 -inches of each basin.
49 At least one receptacle outlet must be installed in each laundry, basement, attached garage and detached
garage with power. E. At least one receptacle outlet that is accessible while standing at grade level and located
not more than6-feet, 6 -inches (1981 -mm) above grade, shall be installed outdoors at the front and back of each
dwelling unit having direct access to grade. Balconies, decks, and porches that are accessible from inside of the
dwelling unit and that have a usable area of 20 square feet. F. Attics or crawlspaces containing equipment must
be provided with at least one receptacle outlet within25-feet of the equipment. G. Hallways 10 -feet or more in
length.
50 Two 20 -amp rated branch circuits shall serve receptacles in the kitchen, pantry, breakfast area, and dining
area. At least one 20 -amp branch circuit shall supply bathroom receptacles and at least one 20 -amp branch
circuit shall supply laundry. (IRC E3703.2, E3703.3, E3901)
51 Ground fault protection shall be provided on all 125 -volt, single phase, 15 and 20 -amp receptacles in the
following locations: bathrooms, garages, unfinished grade level accessory buildings, at exterior locations,
crawlspaces, unfinished basements, kitchen counters, within 6ft. of laundry, utility and wet bar sinks,
boathouses, hydro massage, spa and hot tub locations. Receptacles must be in a readily accessible location.
(IRCE3902, E3902.11)
50 Combination type Arc -Fault circuit interrupters must be installed on all 120 -volt 15 and 20 -amp branch
circuit outlets in Receptacle outlets are required in every family room, dining room, living room, parlor, library,
den, sunroom, bedroom, recreation room, hallway, closets, and similar dwelling areas. (IRC 3902.12)
51 At least one wall switch -controlled lighting outlet shall be installed in every habitable room, bathroom,
hallway, (10ft) stairway, attached garage, detached garage with electric power, and at the exterior side of each
outdoor egress door having grade level access. Attics, under floor spaces, utility rooms and basements
containing equipment or used for storage must be provided with a switch
52 Smoke alarms shall comply with UL 217. Smoke alarms are to be powered by the building's wiring operated
light. (IRC E3903)with battery backup and shall be interconnected so the actuation of one alarm will activate all
alarms in the dwelling unit. Smoke alarms shall be installed in the following locations: (IRC R314) A. In each
sleeping room; B. Outside each sleeping area in the immediate vicinity of the bedrooms; and C. One on each
additional story including basements.
53 Carbon Monoxide alarms are required in a single-family dwelling that has fuel -fired appliance(s), or a
fireplace, or an attached garage. The alarm must be installed within 15 -feet of the entrance to each sleeping
room. Must be listed by a nationally recognized, independent lab. Plugs into a dwelling's electrical outlet and
has a battery backup. They may be combined with a smoke -detecting device if the combined device complies
with applicable law. (IRC R315)
54 Clothes closet lighting shall be limited to surface -mounted or recessed incandescent fixtures with completely
enclosed lamps, and surface -mounted or recessed fluorescent fixtures.Surface mounted fixtures shall be
installed on the wall above the door or on the ceiling with the following clearances between the fixture and the
nearest point of a storage space: (IRC E4003.12)A. Incandescent fixtures or LED shall have a minimum 12 -inch
clearance. B. Fluorescent fixtures shall have minimum 6 -inch clearance. Recessed fixtures shall be inselofed in
the wall or ceiling with the following clearances: A, Recessed incandescent fixtures shall have a mi # a%' -d9
e
inch clearance to the nearest point of storage. B. Recessed fluorescent fixtures shall have a minimum 6-incbv,.Wo"
clearance to the nearest point of storage. e,,ud�n9
55 Working space must be provided around energized equipment for servicing and maintenance. The minimum
dimensions shall not be less than 36 -inches in depth and 30 -inches in width in front of the equipment. Working
space shall extend to at least 6 -feet, 6 -inches above the floor. (IRC E3405.2)
56 Electrical fixtures installed in wet or damp locations shall be installed so that water cannot enter or
accumulate n wiring compartments or other electrical parts. Fixtures installed in wet locations must be labeled
"suitable for wet locations". Fixtures installed in damp locations must be labeled "suitable for damp locations"
or "suitable for wet locations". Switches or circuit breakers located in wet locations or outdoors must be
enclosed in a weatherproof enclosure. Outdoor receptacles must have a weatherproof enclosure and an in -use
cover. Cord -connected fixtures, hanging fixtures, track lighting, pendants, and ceiling fans shall not be located
within3-feet horizontally and 8 -feet vertically from the top of a tub or shower rim. (IRC E4003.9, E4002.8,
E4002.9,(E4002.10, E4003.9, E4003.10,E4003.11)
Plumbing Requirements
58 DWV systems shall be tested on compellation of the rough piping installation by water or for piping system
other than plastic by air with no evidence of leakage. Either test shall be applied to the drainage system in its
entirety or in sections after rough piping has been installed .1) Water test 10 feet above the highest fitting
connection or to the highest point of the completed system. The system shall prove leak free for 15 minutes.
2) Air test shall maintain 51bs of pressure for 15 minutes.
59 Piping must be inspected and tested prior to concealing. It shall be protected against physical damage and it
must be approved for use and bear the identification of the manufacturer. (IRC P2503, P2603, P2608.1)
60 Bathtubs, walls above bathtubs with shower heads, shower floors, and shower compartments shall be
finished with a non-absorbent surface which extends to a height not less than 6' above the floor. Showers must
have a minimum 900 square inches of interior area and a minimum dimension in each direction of 30 -inches.
Shower valves must be pressure balance/thermostatic mixing valves. Shower receptors shall have a curb
threshold not less than 1 -inch below the sides and back of the receptor. The curb shall measure a minimum of
2 -inches to a maximum of 9 -inches above the top of the drain. (IRC R307, P2708, P2709)
61 The centerline of toilets or bidets shall not be less than 15 -inches from adjacent walls or tub. Toilets, bidets,
and lavatories must have a minimum clear space of 21 -inches in front of the fixture. Lavatories require a 4 -inch
clearance to wall or to a toilet. (IRC P2705)
62 Showers and tub/shower combinations shall have control valves of the pressure balance, thermostatic
mixing or combination pressure balance/thermostatic mixing valve types with high limit stop per ASSE 1016 or
CSA6125.1. Tubs shall also have a control valve as listed for a shower or a water -temperature -limiting device
that conforms to ASSE 1070. The high limit stop for a device shall be set to a maximum of 120'. (IRC
P2708.3,P2713.3)
63 Shower doors shall have safety glazing; hinged show door shall open outward. (R308.4.5, P2708.1) -c-
64
.64 Backflow prevention must be provided to prevent contamination of potable water. This includes put -i's not
limited to: hose connections, irrigation systems, boilers, solar systems, fire sprinklers, and dishwashers.
Backflow device must be inspected and approved by a 3rd party agency. (IRCP2902.2, Table P2902.3, P2717)
Insulation
65 R-20 Walls
R-49 Ceiling
R-19 Crawlspace Window
U -Factor .32 Floor R-30
66 Supply Ducts in attics shall be insulated to a minimum of R-8. All other ducts shall be insulated to minimum
R-6. ( N 1103.2. 1)
67 Combustible insulation shall be separated a minimum of 3 -inches from fan motors and heat -producing
devices. Insulation shields must be provided where vents pass thorough insulated assemblies and must
terminate at least 2 -inches above attic insulation materials. Can lights must be airtight if located in the building
envelope. (G2426.4)
Class I or II vapor retarders are required on the interior side of the insulation in framed walls, floors and
roof/ceilings of the building's thermal envelope. The vapor barrier is not required in construction where
moisture or freezing will not damage the materials, or where the framed cavity (or space) is ventilated to allow
moisture to escape. A vapor retarder is not recommended on a concrete basement foundation wall or in a
shower /bath compartment (IRC 702.7, R702.7.1).
Wallboard Requirements
68 The garage shall be separated from the residence and its attic by materials of not less than %-inch gypsum
board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms
above by not less than 5 8 -inch Type X gypsum board. Where the separation is a floor -ceiling assembly, the
structure supporting the separation shall also be protected by not less than %-inch gypsum board. (IRC R302.6)
Openings between the garage and residence shall be equipped with solid wood doors not less than 1 -inch in
thickness, solid or honeycomb core steel doors not less than 1 -inch thick, or 20 -minute fire -rated doors.
Openings are prohibited between garages and rooms used for sleeping. (11302.5.1 )Doors between attached
garages and living space shall be weather stripped to the degree necessary to make them airtight and shall be
self-closing and self -latching.
70 Nail spacing for gypsum board % gypum board Ceiling 16oc, 7", nails 12", Type S screws % wall spacing
24"OC, 8" nail spacing. 12"OCscrews. 5/8 ceiling board 16"OC, 7nailsI2"spacing, screws 240C 8".
72 Water-resistant gypsum backing board used as the base or backer for adhesive application of ceramic tile or
other required nonabsorbent finish material shall conform to ASTM C1396, C1178 or C1278. It is permitted on
ceilings where framing spacing does not exceed 12 -inches o.c. for %-inch thick or 16 -inches o.c. for 5 8 -inch
thick gypsum board. Water-resistant gypsum board shall not be installed over a vapor retarder in a shower or
tub compartment and may not be used where there will be direct exposure to water, or in areas of cGn�,,
high humidity. All cut and exposed edges shall be sealed. (IRC R702.3.8) V`IheatR,dge
�Uda�n9p���g�or
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City of
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CUMMUMTY DFVEEC>I`MENT
APPROVED
Reviewed for Code Corr.pliance
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complying with R310 of the 2012
IRC for size, height, location, well
and ladder requirements.
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City of
Wheat Ridge
Building Division
City of Wheat Ridge
Homeowner Demolition PERMIT - 201803186
PERMIT NO: 201803186 ISSUED: 12/10/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/10/2019
JOB DESCRIPTION: Homeowner demolition -interior drywall, existing electrical and plumbing.
2200 square feet.
*** CONTACTS ***
OWNER (303)521-2167 PASTRANA ANA LIZETH
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Demolition Fee 50.00
** TOTAL ** 102.50
*** COMMENTS ***
*** CONDITIONS ***
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building code
and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner ofahe roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this per, t. I further'atte t that I am legally authorized to include all entities named within this document as parties to the work to be
per O'm d and that'all oak to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
ginature of OWNER or CONTRACTOR (Circle one) Date
j. This permit was issued based on the information provided in the permit application and accompanying)tans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2.This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
6. Th uance or gra i g of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
a i ble ode or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
CQMMW heat j . dge
UNiTy DEVELOPMENT
Building & Inspection Services
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)-ci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
Plan/Permit #
c9clg03/�
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
ProDertv Owner
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Phone:
Phone:
Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[]COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
„�Cer�ccx.r� Tn/lEI�� kJ`�' GL'� v >✓ 5���'�rt-'� �L-�� ��"
V
Sq. FULF BTUs
Gallons
Amps Squares For Solar: Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
�� 2C`
OV1'NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) CONTRACTOR) or AUTHORIZED REPR ENTA VE) of (OWNER) (CONTRACTOR)
Signature (first and last name):
Printed Name:7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
-
le �E `
ENvjRc3NMENTA,L coNBuLTING
AL.dop-W
LIMITED ASBESTOS INSPECTION REPORT
3505 Gray St
Wheat Ridge CO
RCZI\jF'ID
4/11/2017
Prepared for:
New Customer
Liz & Jesus Pastrana
3505 Gray St
Wheat Ridge CO 80212
720.934.1193
liz@liveurbandenver.com
Prepared by:
BuildSafe Environmental Ltd.
CDPHE Registration No.:'ACF - 19059
303 S Broadway Unit 200-239
Denver, CO 80209
Admin@BuildSafeEnviro.com
(720) 598-0600
303 S BROADWAY, 200-239, DENVER CO B0209 WWW.BUILDSAFEENVIR❑.0❑M
Table of Contents
Section i Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
1.3 Sample Location Map
Section 2 Results and Recommendations
2.1 Post -Renovation Asbestos Containing Materials Notice (if identified)
2.2 Photo Log of Asbestos Containing Materials (if identified)
Section 3 Project Overview
Section 4 Asbestos Inspection Procedure
4.1 Suspect Asbestos Containing Building Materials
4.2 Sampling and Laboratory Analysis
Section 5 Conclusion
5.1 Limitations
Appendix A - Laboratory Report and Chain of Custody Form
Homogenous Material Types - Reference List
Surfacing Material
List of Acronyms
TS
Textured Surfacing
ACM
Asbestos Containing Materials
PL
Plaster
ACBM
Asbestos Containing Building
CMS
CMU Sealant
Material
SOF
Spray -on Fire Proofing
Thermal System Insulation
G
Good
DT
Duct Tape/Wrap
D
Damaged
PI
Pipe Insulation
SD
Significantly Damaged
Miscellaneous
BBA
Baseboard Adhesive
F
Friable
CA
Carpet Adhesive
NFI
Non -Friable Category I
CDW
Composite Drywall
NFII
Non -Friable Category II
CT
Ceiling Tile
DW
Drywall
NA
Not Analyzed
FTM
Floor Tile Mastic
ND
None Detected
MA
Miscellaneous Adhesive
MS
Miscellaneous Sealant
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL
Roofing Sealant
Trace
<_1% by (Point Count/Composite)
SVF
Sheet Vinyl Flooring
ACM
ACM (>10/o asbestos)
WG
Window Glazing
Section 1 Inspection Project Summary
Job ID: 170331-2 Inspector: Brian Cook
Date: 03/31/17 State Cert #: 22169
Client: New Customer
Customer: Liz & Jesus Pastrana
Property Details:
Site Address: 3505 Gray St
Wheat Ridge CO
Property Type: SFRD
Age of Construction: N/A Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): Basement throughout, Main floor kitchen, hall, den
Scope of Inspection: Partial Renovation
Potential Spill Identification?: No
Work Scope Notes: Removal of wall and flooring materials for remodel purposes
Sample Notes:
Laboratory: EMSL
NVLAP #: 200-828-0
Results Time: 5 Day
# of Samples: 15
1.1 Homogenous Areas in Work Scope - Table
ID*
Material
Type**
# of
Samples
Material Description
Functional Space
Quantity
in Scope
1
PL
3
Off wht TS over PL
Main flr kit, hall, den walls
300 SF
2
PL
3
Off wht TS over PL
Bsmt bth, W bdr, hall walls
500 SF
3
PL
3
Off wht TS over PL
Bsmt E bdr, den, util walls
500 SF
4
FTM
1
Tan FT & Adhsv
Bsmt den & E bdr floor
800 SF
5
FTM
1
Brown FT & Adhsv
Bsmt bth, W bdr, hall floor
800 SF
6
FTM
1
Tan FT & Adhsv
Utility rm floor
500 SF
7
SVF
1
Blue/wht SV & Adhsv
Stairs & kit floor
500 SF
8
BBA
1
Brown BB & Adhsv
Perimeter most of bsmt
200 LF
9
BBA
1
Off wht BB & Adhsv
Perimeter bsmt E bdrm
100 LF
10
*ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table
**See table of contents Reference List for how to classify homogenous materials type
�.� Summary of asbestos Samples
Sample
ID
Homog.
Mat'I ID
Bulk Sample and Locations Table
Material
Condition
Friability
Category
Analytical
Results
Sample Location ID*
PL 1-1
1
A. Main flr den N wall 4'f W 1' up
G
NFII
ND
PL 1-2
1
B. Kit E wall 2'f S 1' up
G
NFII
ND
PL 1-3
1
C. Dining N wall 3' f E 1' up
G
NFII
ND
PL 2-1
2
D. Bsmt W bd E wall T f S 2' up
G
NFII
ND
PL 2-2
2
E. Bsmt hall E wall V f N 5' up
G
NFII
ND
PL 2-3
2
F. Bsmt bthrm S wall T f E 6' up
G
NFII
ND
PL 3-1
3
G. Bsmt E bdrm W wall 6'f S 6' up
G
NFII
ND
PL 3-2
3
H. Bsmt den W wall 6'f N 1' up
G
NFII
ND
PL 3-3
3
I. Util E wall 10'f S 6' up
G
NFII
ND
FTM 1-1
4
J. Bsmt Den floor 6'f N 5'f W
G
NFI
3% Chrysotile
FTM 2-1
5
K. Bsmt btrm floor T f N 1' f E
G
NFI
12% Chrysotile
FTM 3-1
6
L. Util room floor 5'f S 4' f W
G
NFI
2% Chrysotile
SVF 1-1
7
M. Bsmnt stairway 2' f N 8' f W
G
NFI
15% Chrysotile
BBA 1-1
8
N. Bsmt hall E wall 12' f N 1' up
G
NFI
ND
BBA 2-1
9
0. Bsmt E bdrm 5'f S 1' up
G
NFI
711/o Chrysotile
*See Sample Location Map for corresponding Sample Location ID
1.3 Sample Location Map
1.3 Sample Locations Map (Continued)
Section 2 Results and Recommendations
Asbestos -containing building materials have been identified within the affected area(s) of the Site
Address. Any repair, removal or other activities that will disturb asbestos -containing materials must be
performed by a certified and licensed asbestos abatement contractor in accordance with applicable
federal, state, and local regulations.
Any friable suspect asbestos -containing materials identified as having trace (:51%) asbestos through
laboratory visual estimation must be considered to be an asbestos -containing building material. Further
analysis may be performed on friable materials having a visual estimate of :51% by point counting, which
is a more quantitative analysis of the material.
Any work performed on asbestos -containing building materials and/or trace asbestos -containing building
materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos
construction industry, general construction industry, and respiratory protection standards. Worker
exposure assessments are part of the asbestos construction industry standard and include excursion
limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional
engineering or administrative controls to properly protect workers engaged in activities that may damage
or disturb materials which contain asbestos.
2.1 Post -Renovation Asbestos Containing Materials Notice
Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this
report are accessible with the potential for disturbance and/or damage from material contact, vibration
and/or air erosion. CDPHE requests that the Client notify the current property owner and all site
contractors of the ACBM(s) present at the property.
2.2 Photo Log of Asbestos Containing Materials
The following material(s) contain(s) greater than 1% asbestos:
Floor tile in den HOT for Asbestos content
Sheet Vinyl in stairway floor HOT for Asbestos
content
Baseboard in basement E bedroom HOT for
Asbestos content
Floor tile in bathroom floor HOT for Asbestos
content
2.2 Photo Log of Asbestos Containing Materials (Continued)
The following material(s) contain(s) greater than 1% asbestos:
Flooring tile in utility room floor HOT for
Asbestos content
Section 3
Project Overview
BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a
limited repair/renovation specific asbestos inspection (inspection) at the above referenced
"Site Address". The inspection was conducted by an Environmental Protection Agency
(EPA) accredited and Colorado Department of Public Health and Environment (CDPHE)
certified Asbestos Building Inspector. The inspection was performed at the direction of
the client and only includes those materials, locations, and quantities specified in the
"Homogenous Areas in Work Scope Table".
The client is planning repair/renovation activities that will disturb suspect Asbestos
Containing Building Materials (ACBM) within the repair/renovation affected areas at the
Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos
(Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified
personnel prior to conducting any repair/renovation activities that will disturb the suspect
ACBMs. All samples were analyzed by a laboratory accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the
following trigger levels for different types of properties, which specify how suspect and
confirmed ACBMs are inspected and subsequently abated:
• With regard to single-family residential dwellings (SFRD), the trigger levels are
50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon
drum
• With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes,
160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum
The purpose of the inspection was to identify, visually inspect, and sample all suspect
ACBMs, at the direction of the client, which may be disturbed during the course of the
repair/renovation work.
Section 4
Asbestos Inspection Procedure
The inspection procedure was conducted in accordance with EPA Asbestos Hazard and
Emergency Response Act (AHERA), CDPHE Reg 8, and applicable Occupational Safety
and Health Administration (OSHA) guidelines and regulations. These regulations specify
requirements and protocols for conducting asbestos inspections, sample analysis, and
asbestos abatement.
4.1 Suspect Asbestos Containing Building Materials
Homogenous Material Types
The inspection involved identification and sampling of suspect ACBMs in the areas
established by the client that would be part of the scope of work. Suspect ACBMs were
grouped into homogenous materials based on color, texture, and date of application.
Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on
the type sequence of the homogenous material. Details about the size, color, condition,
friability, quantity, location within each functional space and other important details for
each homogenous material were reported as part of the inspection. Homogenous
materials are grouped into one of three categories based on intended use:
1. Surfacing Material — material that is sprayed on, troweled on, or otherwise
applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials
on structural members, or other materials on surfaces for acoustical, fireproofing,
or other purposes.
2. Thermal System Insulation — material applied to pipes, fittings, boilers,
breeching, tanks, ducts, or other interior structural components to prevent heat
loss or gain, or water condensation, or for other purposes.
3. Miscellaneous Materials — interior building material on structural components,
structural members or fixtures, such as floor and ceiling tiles, and does not include
surfacing material or thermal system insulation.
Homogenous Material Friability
Each homogenous material was given one of the three following friability categories
defined by the EPA and CDPHE:
1. Friable Material — materials that can be crumbled or reduced to powder by hand
pressure.
2. Category I Non -friable Material — materials that cannot be crumbled or
reduced to powder by hand pressure including resilient floor coverings, gaskets,
packing materials and asphalt impregnated roofing materials.
3. Category II Non -friable Materials — all other materials that cannot be
crumbled or reduced to powder by hand pressure that do not include category I
non -friable materials.
Homogenous Material Condition
Each homogenous material was given one of three condition categories based on visual
observation defined by the EPA and CDPHE:
1. Good Condition — No visible signs of damage were observed during the
inspection.
2. Damaged Condition — Visible signs of damage less than ten percent spread over
the entire material or twenty five percent localized.
3. Significantly Damaged Condition — Severe damage greater than ten percent
spread over the entire material or twenty five percent localized.
4.2 Sampling and Laboratory Analysis
Sample Collection
Bulk samples of each suspect homogenous material were collected randomly throughout
the homogenous material area within the scope of work. Bulk samples were sampled all
of the way through the material so that all associated layers within each homogenous
material are represented. Bulk samples were placed in closeable sample bags and then
labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1,
MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the
homogenous
materials were also
collected at this time during
the inspection. Sample
quantities of
each homogenous
material were collected based
on material type and
quantity detailed in the following table as required by regulation:
Homogenous Material
Minimum Number of
Quantity
Type
Samples
0 to < 1,000 SF
3
Surfacing material
1,000 to 5,000 SF
5
>5,000 SF
7
Each Material
3
Thermal System Insulation
Patch < 6 LF, SF
1
Miscellaneous Material
Each Material
1
Laboratory Sample Analysis
Bulk samples were submitted to the laboratory along with a completed chain of custody
form to the above listed NVLAP accredited laboratory for analysis by polarized light
microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982).
Microscopic visual estimation was used in obtaining the percentage of asbestos within
each layer of the bulk samples.
Asbestos Containing Building Materials
EPA and CDPHE both define an asbestos containing building material (ACBM) as a
material which has an asbestos content of greater than one percent. In the event that a
friable material is estimated to contain 'trace" or between zero -to -one percent, that
material must undergo a point -count analysis by the laboratory to confirm that the
material is trace asbestos -containing. Further, if a point count analysis is performed on a
bulk sample, the point count result takes precedence over the visual estimation result.
See appendix A for laboratory report and chain of custody documents.
Section 5
Conclusion
BuildSafe has performed a limited repair/renovation specific asbestos inspection of the
home/facility located at the Site Address. Through visual inspection and laboratory
analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a
certified general asbestos abatement contractor to remove any ACBMs that may have
been identified within the scope of work. All inspection activities were conducted at the
direction of the client and only include those materials, quantities and locations detailed
in sections 1 and 2 of this report. See sections 1 and 2 of this report for information
regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample
information and laboratory analysis results.
5.1 Limitations
General Comments and Limitations
Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs
within the scope of work. However, for any structure, the existence of unique or
concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected
suspect ACBM bulk samples in the repair/renovation areas at the direction of the client.
This limited repair/renovation asbestos inspection report is not considered a
comprehensive asbestos inspection report and is only valid for the materials and locations
detailed in sections 1 and 2 of this report.
Should further repair/renovation work expand outside of materials and locations listed in
sections 1 and 2 of this report, those locations must be properly inspected and sampled
by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement
of ACBMs must be performed in accordance with all federal, state and local regulations
pertaining to abatement, transport, and disposal of ACBMs.
The asbestos inspection was conducted in a manner consistent with the level of care and
skill exercised by professionals of the asbestos inspection profession. The results,
findings, conclusions and recommendations expressed in this report are based on
conditions observed during our limited inspection of the repair/renovation areas. The
information contained in this report is relevant to the date on which this survey was
performed, and should not be relied upon to represent conditions at a later date. This
report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or
other third -parties supplying information which may have been used in the preparation
of this report. No warranty, express or implied is made.
Sincerely,
Brian Cook
BuildSafe Environmental, LTD
303 S Broadway, Unit 200-239
Denver, CO 80209
970 531 3115
Brian@BuildSafeEnviro.com
Appendix A
Laboratory Report and Chain Of Custody Form
EMSL Analytical, Inc.
1010 Yuma Street Denver, CO 80204
Tel/Fax: (303) 740-5700 / (303) 741-1400
M http://www.EMSL.com / denverlab@emsl.com
EMSL Order: 221701947
Customer ID: BSEN42
Customer PO:
Project ID:
Attention: Brian Cook Phone: (970) 531-3115
BuildSafe Environmental Fax:
303 S Broadway Received Date: 03/31/2017 2:40 PM
Suite 200-239 Analysis Date: 04/07/2017
Denver, CO 80209 Collected Date: 03/31/2017
Project: 170331-2 / 3505 Gray St Wheat Ridge CO
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
PL 2 -3 -Base Coat Off Wht TS over PL
Gray
Non -Asbestos
Asbestos
Sample Description
Appearance
% Fibrous % Non -Fibrous
% Type
PL 1 -1 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0007
221701947-0001
Homogeneous
Inseparable paint/coating layer included in analysis
Inseparable paint / coating layer included in analysis
PL 3 -1 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz None Detected
PL 1 -1 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz
None Detected
Homogeneous
Non -Fibrous
50% Non-fibrous (Other)
221701947-0OOIA
Homogeneous
J
PL 1 -2 -Skim Coat Off Whit TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0002
Homogeneous
Inseparable paint/coating layer included in analysis
PL 1 -2 -Base Coat Off Wht TS over PL
TanM/hite
50% Quartz
None Detected
Non -Fibrous
50% Non-fibrous (Other)
221701947-0002A
Homogeneous
PL 1 -3 -Skim Coat Off Whit TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0003
Homogeneous
Inseparable paint/coating layer included in analysis
PL 1 -3 -Base Coat Off Whit TS over PL
Gray
40% Quartz
None Detected
Non -Fibrous
60% Non-fibrous (Other)
221701947-0003A
Homogeneous
PL 2 -1 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0004
Homogeneous
Inseparable paint / coating layer included in analysis
PL 2 -1 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz
None Detected
Non -Fibrous
50% Non-fibrous (Other)
221701947-0004A
Homogeneous
PL 2 -2 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0005
Homogeneous
Inseparable paint/coating layer included in analysis
PL 2 -2 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz
None Detected
Non -Fibrous
50% Non-fibrous (Other)
221701947-0005A
Homogeneous
PL 2 -3 -Skim Coat Off Whit TS over PL
White
5% Ca Carbonate
None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0006
Homogeneous
Inseparable paint/coating layer included in analysis
PL 2 -3 -Base Coat Off Wht TS over PL
Gray
40% Quartz None Detected
Non -Fibrous
60% Non-fibrous (Other)
221701947-0006A
Homogeneous
PL 3 -1 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate None Detected
Non -Fibrous
95% Non-fibrous (Other)
221701947-0007
Homogeneous
Inseparable paint/coating layer included in analysis
PL 3 -1 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz None Detected
Non -Fibrous
50% Non-fibrous (Other)
221701947-0007A
Homogeneous
Initial report from: 04/07/2017 15:14:57
J
ASB—PLM-0008-0001 - 1.78 Printed: 4/7/2017 1:14 PM
Page 1 of 3
EMSL Analytical, Inc. EMSL Order: 221701947
Customer ID: BSEN42
1010 Yuma Street Denver, CO 80204 Customer PO:
Tel/Fax: (303) 740-5700 / (303) 741-1400
- http://www,EMSL.com / denverlab@emsl.com Project ID:
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
PL 3 -3 -Base Coat
Off Wht TS over PL
Non -Asbestos
Asbestos
Sample Description
Appearance
% Fibrous % Non -Fibrous
% Type
PL 3 -2 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate
None Detected
Homogeneous
Non -Fibrous
95% Non-fibrous (Other)
FTM 1 -1 -Floor Tile
221701947-0006
Homogeneous
30% Ca Carbonate
3% Chrysotile
Inseparable paint/coating layer included in analysis
Non -Fibrous
67% Non-fibrous (Other)
PL 3 -2 -Base Coat Off Wht TS over PL
Tan/White
50% Quartz
None Detected
Non -Fibrous
50% Non-fibrous (Other)
Tan FT & Adhsv
221701947-0008A
Homogeneous
None Detected
PL 3 -3 -Skim Coat Off Wht TS over PL
White
5% Ca Carbonate
None Detected
221701947-OOIOA
Non -Fibrous
95% Non-fibrous (Other)
221701947-0009
Homogeneous
Brown FT & Adhsv
Brown
Inseparable paint / coating layer included in analysis
12% Chrysotile
PL 3 -3 -Base Coat
Off Wht TS over PL
Gray
35% Quartz
None Detected
Non -Fibrous
65% Non-fibrous (Other)
221701947-0009A
Homogeneous
FTM 1 -1 -Floor Tile
Tan FT & Adhsv
White
30% Ca Carbonate
3% Chrysotile
Non -Fibrous
67% Non-fibrous (Other)
221701947-0010
Homogeneous
FTM 1 -1 -Mastic
Tan FT & Adhsv
Tan/Yellow
100% Non-fibrous (Other)
None Detected
Non -Fibrous
70% Non-fibrous (Other)
221701947-OOIOA
Homogeneous
FTM 2 -1 -Floor Tile
Brown FT & Adhsv
Brown
35% Ca Carbonate
12% Chrysotile
Non -Fibrous
53% Non-fibrous (Other)
221701947-0011
Homogeneous
FTM 2 -1 -Mastic
Brown FT & Adhsv
Black
100% Non-fibrous (Other)
None Detected
Non -Fibrous
221701947-OOIIA
Homogeneous
FTM 3 -1 -Floor Tile
Tan FT & Adhsv
Brown/White
30% Ca Carbonate
2% Chrysotile
Non -Fibrous
68% Non-fibrous (Other)
221701947-0012
Homogeneous
FTM 3 -1 -Mastic
Tan FT & Adhsv
Yellow
100% Non-fibrous (Other)
None Detected
Non -Fibrous
221701947-0012A
Homogeneous
SVF 1-1
Blue/Wht SV & Adhsv
Brown/Blue
85% Non-fibrous (Other)
15% Chrysotile
Fibrous
221701947-0013
Homogeneous
Small amount of tan mastic
observed, unable to separate from fibrous backing layer without contamination
BBA 1 -1 -Cove Base
Brown BB & Adhsv
Brown
30% Ca Carbonate
None Detected
Non -Fibrous
70% Non-fibrous (Other)
221701947-0014
Homogeneous
BBA 1 -1 -Mastic
Brown BB & Adhsv
Yellow
30% Ca Carbonate
None Detected
Non -Fibrous
70% Non-fibrous (Other)
221701947-0014A
Homogeneous
BBA 2 -1 -Cove Base
Off Wht BB & Adhsv
White
30% Ca Carbonate
None Detected
Non -Fibrous
70% Non-fibrous (Other)
221701947-0015
Homogeneous
BBA 2 -1 -Mastic
Off Wht BB & Adhsv
Brown
93% Non-fibrous (Other)
7% Chrysotile
Non -Fibrous
221701947-0015A
Homogeneous
Initial report from: 04/07/2017 15:14:57
ASB_PLM_0008_0001 - 1.78 Printed: 4/7/2017 1:14 PM Page 2 of 3
EMSL Analytical, Inc.
1010 Yuma Street Denver, CO 80204
Tel/Fax: (303) 740-5700 / (303) 741-1400
M http://www.EMSL.com / denverlab@emsl.com
Analyst(s)
Amanda Lang (6)
Stuart Printz (23)
EMSL Order: 221701947
Customer ID: BSEN42
Customer PO:
Project ID:
Brendon Rawlings, Laboratory Manager
or Other Approved Signatory
EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no
responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim
product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL
recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless
requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%
Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0
Initial report from: 04/07/2017 15:14:57
ASB—PLM-0008-0001 - 1.78 Printed: 4/7/2017 1:14 PM
Page 3 of 3
OrderID: 221701947
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Parte 2 Of 2
n
City of Wheat Ridge
ri Homeowner Window/Door PERMIT - 201803178
PERMIT NO: 201803178 ISSUED: 12/07/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/07/2019
JOB DESCRIPTION: Homeowner window replacement, .32 or better. New furnace, 80k BTUs, 970
efficiency, water heater replacement with RHEEM, 9.56 GPM natural gas.
*** CONTACTS ***
OWNER (303)521-2167 PASTRANA ANA LIZETH
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
City of Wheat Ridge
k_ Homeowner Window/Door PERMIT - 201803178
PERMIT NO: 201803178 ISSUED: 12/07/2018
JOB ADDRESS: 3505 Gray St EXPIRES: 12/07/2019
JOB DESCRIPTION: Homeowner window replacement, .32 or better. New furnace, 80k BTUs, 97%
efficiency, water heater replacement with RHEEM, 9.56 GPM natural gas.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes d all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of th pr perty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�ppermit. I further est at I am legally authorized to include all entities named within this document as parties to the work to be
perfor and that w to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
nature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off►cial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuav or grantin a permit shall not be construed to be a pen -nit for, or an approval of, any violation of any provision of any
applicable `od or any nance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat fudge
COMMUNin DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:/g/lW0
Plan/Permit # (f
C71-0 / ? 6 3 /'-) S
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
\_J
Property Owner (please print): e��15 u5 cT 4, -rp�4 &/A Phone:,. -3 j), „Z
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
L�ez.
CONTACT NAME (please print): F;57/'_ �'i/Phone:���j 51/"
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[—]COMMERCIAL
❑RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
A-PcA-cc- lUy�-fic �%�arE!' wrT T,Rl�✓k �t "`T��`'l �� /� `�.5 ��d�l
NPI- Tv 01r(- a ta,s
Sq. FULF 16b : BTUs �G' �C�!1.Aw Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) CON CT (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
Printed Name: 1 5tL.� i4/i.�?�
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
City of
Wheat i e
':'10 COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
Project Property:: _s,-50-5
Project Type:
rized signature of Applicant
State of Colorado }
County of , -77- Sll } ss
The foregoing instrument was acknowledged by me this day of �mLr, 20_LJ by
oil
NOSTATNOTA1MYCOMMISSIRIL 22, 2020
�v-------`�/ My Commission Expires ' /p�J20�d
Notary Public
Lagenia Reimer
From: Liz Reyes <liz@liveurbandenver.com>
Sent: Friday, December 7, 2018 12:05 PM
To: CommDev Permits
Subject: Re: 3505 Gray St. WR 80212 -Tankless Water Heater Specs
Attached are the specs for the tankless water heater to be installed at 3505 Gray St. Wheat Ridge, CO 80212.
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Dimensions
Product Depth (in.) 9.7%1
Product Height (in.) 27.%'
Product Width (in.) 18.;
Vent diameter (in.) 5.0
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City of Wheat Ridge
Residential Electric PERMIT - 201800070
PERMIT NO: 201800070 ISSUED: 01/08/2018
JOB ADDRESS: 3505 Gray ST EXPIRES: 01/08/2019
JOB DESCRIPTION: Update electrical services from existing to 200 AMP box.
*** CONTACTS ***
OWNER (303)521-2167 CORONADO ANA LIZETH REYES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Use Tax 42.00
Permit Fee 77.50
Investigative Fees 77.50
** TOTAL ** 197.00
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest th the work to be performed shall comply with all accompanying approved plans and specifications,
applica le building codes, and all ap cable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
by the le al owner f th property d am authorized to obtain this permit and perform the work described and approved in conjunction with
this erm t. I fu er a t that 1 le ally authorized to includ all entities named within this document as parties to the work to be
performe an hat ,.work t er rmed is disclosed in this cument and/or its' accompanying approved plans and specifications.
Signat e of WNER or CONTRACTOR (Circle one) (atutes,
o
1, T is permit was issued based on the information provided in the peapplication and accompanying plans and specifications and is
ject to the compliance with those documents, and all applicable ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardle activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable cody' `any ordinance er regul uron1 f this jurisdiction. Approval of work is subject to field inspection.
f�
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat j ,ge
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address:
rol
Property Owner Email:
Mailing Address: (if different than property address)
Address: 7� 4l�
City, State, Zip:
Architect/Engineer: ti l
Arch itect/Eng 1 neer E-mail:
Contractor: /y A
Contractors City License #:
Contractor E-mail Address:
Phone:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): hone;
CONTACT EMAIL(p/ease
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL `RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
El NEW RESIDENTIAL STRUCTURE I(ICOMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
4 � A--T� �- -C- b6--- C --T t --C- 6 4- L, &(:P5 aV376-G7
zoe AMP �Ik
Sq. FULF
Amps
Btu's
Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ �l ,6 (``/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the apg)ication.
CIRCLE ONE: (OWNLR)—(CeIg"RACTgP)1 or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Siznature (first and last name):
ZONING COMMMENTS:
Reviewer,
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
DATE: dr S' — zc-)
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
M
City of
0"" Wh6atPoj,,de g
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): J E
Project Property:
otarized signature of Applicant
State of Colorado }
County of Je ss
t�
The foregoingin rument was acknowledged by me this day of ��n��� 20 1� by
Je- st,SZ• QS�r4n4
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires �t' / ,�a/20ZU
Notary Public
*** CONDITIONS
Effective December 1, 2014, asphalt shingle installations require an approved midroof
n-pection, conducted when 25-75 percent of the roof covering :is installed, prior to final
aFprocal. Installation of roof sheathing (new or overlay) requires an approved inspection
p:,ior to installation of ANY roof coverings and is require on the entire roof when spaced
or board shez_thing with ANY gap exceeding AM -inch exists. Asphalt shingles arerequired to
be fastened to the roof deck with a minimum of 6 nails per shingle ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
ai;d secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manuf.acturerde'"s installation
instructions, whichever is more stringent. In order to pass a. final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at:
(project address) has been applied in accordance with the installation instruction for.
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702490
1-c,AMIT NO:
201702490
JOB ADDRESS:
3505 Gray ST
ISSUED:
06/26/2017
JOB DESCRIPTION:Residential
Re -roof to install 30
EXPIRES:
06/26/2018
ROOF DECKING - 21
yr Duration Storm
asphalt shingles with
sq.
*** CONTACTS ***
OWNER (303)521-21.67 PASTRANA JESUS
SUB (720)371-6390 Rene Medina
150084 Rene's
Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE, STEWART GARDENS,
USE:
OLI BLOCK/I,OT#:
UA / Unassigned
p /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
7,037.63
Total Valuation
FEES
Use Tax
0.00
Permit Fee
147.79
** **
TOTAL
172.60
320.39
*** COMMENTS ***
*** CONDITIONS
Effective December 1, 2014, asphalt shingle installations require an approved midroof
n-pection, conducted when 25-75 percent of the roof covering :is installed, prior to final
aFprocal. Installation of roof sheathing (new or overlay) requires an approved inspection
p:,ior to installation of ANY roof coverings and is require on the entire roof when spaced
or board shez_thing with ANY gap exceeding AM -inch exists. Asphalt shingles arerequired to
be fastened to the roof deck with a minimum of 6 nails per shingle ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
ai;d secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manuf.acturerde'"s installation
instructions, whichever is more stringent. In order to pass a. final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at:
(project address) has been applied in accordance with the installation instruction for.
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
O'�' INSPECTION RECORD Occupanc
45'M`IECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUE`` '..INE: (303) 234-593").
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Date Inspector Comments
Foundation Inspections Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Inspector Comments
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing
...�.......-.,i rl nr Ralnw/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Final Electrical
Wall Sheathing
Final Plumbing
Final Mechanical
Mid -Roof
Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drvwall Screw / Nail
Date Inspector
Final Inspections Initials
Landscaping &Parking /Planning Dept.
ROW &Drainage /Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Comments
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702490
PERMIT NO: 201702490 ISSUED: 06/26/2017
JOB ADDRESS: 3505 Gray ST EXPIRES: 06/26/2018
JOB DESCRIPTION: Residential Re -roof to install 30 yr Duration Storm asphalt shingles with
ROOF DECKING - 21 sq.
*** CONTACTS ***
OWNER (303)521-2167 PASTRANA JESUS
SUB (720)371-6390 Rene Medina 150084 Rene's Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,037.63
FEES
Total Valuation 0.00 .'..
Use Tax 147.79 'W. 4W
Permit Fee 172.60 -- ------ -- ..
** TOTAL ** 320.39
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Aj�-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from•the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201702490
201702490 ISSUED: 06/26/2017
3505 Gray ST EXPIRES: 06/26/2018
Residential Re -roof to install 30 yr Duration Storm asphalt shingles with
ROOF DECKING - 21 sq.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo d and that all wor to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
ignature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanceor granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code:or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 1:00 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume. lv/G
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3505 Gray Street Wheatridge Colorado
Jesus Pastrana
303-521-2167
Field not completed.
X20. -Sc7
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Rene's Roofing
Contractor's License
150084
Number (for the City of
Wheat Ridge)
Contractor Phone
720-371-6390
Number
Contractor Email Address
Renesroofing(a�jcloud.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Renesroofing(a)icloud.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes tx
roof?
Description of Roofing
30 year duration storm shingles
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
Does any portion of the
No ?/
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
✓
TOTAL SQUARES of all
21
roofing material for this
E
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
house and garage
�eee-e 7 c�) "3-7. C"3
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Rene Medina
Email not displaying correctly? View it in your browser.
3
ROOFING CONTRACT
Rene's Roofing
8331 Downing Drive
Thornton Co. 80229
720-371-6390
June 26, 2017
Work Description:
Remove one layer of shingles 21 sqs
Install 2x4 drip edge
Install 30 pound felt
Install 30 year duration storm shingles
Install 160ft of 5 inch seamless gutters
Install 20 downspouts 60 ft
Total $6,000.00
i
Contractor ���
C.l%�
Home owner
r
Jesus Pastrana
3505 Gray Street
Wheatridge Co.
Date 6
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: MO
O
Job Address: �:�y
Permit Number: Zo 17 U Z t/ 90
❑ No one available for inspecnNo
Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 30334-5933
Date: - Inspector: -
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A OF
Job Address: 3 0 S
Permit Number: 70/ 7 02 -/)
LlNo one available for inspection: Time C��4kllpm
Re -Inspection required: YesC�ifor
When corrections have been made, re -inspection at 303-234-5933
Date: koll Inspector: k
DO NOT REMOVE THIS NOTICE
f'4!1F CE USE ONLY
City of time.
',]R(�Wh6aflk
,jd
Building & Inspection ServicesDivision
7500W1 2e Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2855 * Fax. 303-237-8929
Inspection Line: 3013«234-5933
Building r it Application
Please complete all highlighted ted areas on both sides of this f0m. IntomPtete OPPlIC400114 Mary mot be Processed -
3 Aon
Propertytdree
r print)Phone-
Property
09� rid
Property Owner In all:
Mailing Address (if different than property address)
Address:
City, State; zip:
Architect(Engineor E-mail: Phone:
Contractors City Licen #:
Contractor E-mail Address:
SubContractors.*
Electrical: Plumbing: Mechanical:
W.R. City License # WA. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License ## City License #
Complete all information ation ors BOTH skies of this fair
0 NEW COMMERCIAL
STRUCTURE
ar ELECw SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION # !! REPLACEMENT
COMMERCIAL ACCESSORY STRUCT
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING $YSTEM/APPLIANCE REPAIR. ,
ELECTRICAL
SYSTEM/APPLIANCE
IMM!. R11l. 111: M REPLACEMENT M }
�k� \A>%441 $ Z-d/k"fe_ S C.OtA
.` oe, C �,,
c bI (I- PC ;;W3
. FULF Stu's Gallons
Amps Squares Other
'-i
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
18872
6/21/2005
Inspection Line
303-234-5833
Residential Mechanical
PROPERTY 3505
Unit:
(303) 424-1124
Gray St
OWNER:
Brown, James
Description
To install a 4500 CFM roof mounted Evaporative Cooler wi 110 volt hook-up
1
IPaid
1$29.70
1$78.19
1$107.89
1
1
IPhone
14318015
1
IDue
1$29.70
1$78.19
1$107.89
I
1
ILicense #
119402
IFEES
IFees
luse Tax
IPermit Fee
IT otal Fees
I
ICONTRACTORS
IName
IAaark HeatinQ& Air Conditioni
C vi Whee' Ridae PRESRIPTIVEENERGY CODE
- '. BOILERS i FURNAC!:S;' '.' NIMUMOF 90% AFUE
GAS WATER H[ATERSAMiN;h1UI~ Of ,60 ENERGY FACT()R
ELECTRIC WATER HEATERS A Mik'~UM OF .93 !:N!:RGY FACTOR
SETBACK THERMOSTAT REQUIRELi (EXCEPT HYDRONIC HEAT)
R.21 WALLS . R-38 CEILINGS .R.19 CRAWLS~ACES
Units:
Occupancy:
Roof:
Stories:
Sq Feet:
o
Walls:
I hereby celjify that ~e,setbilcl<. d,istlinces proposed by this penilitapplicationare a,ccucilte,liilddo nolviolate applicable orilinances, ndes or regulations ofihe City iif
Wheat Ridge or covenants, easements or restriclions of record; that aUmeasunments shown, and allegations made are accurate; that I have read and agree to abide by
aU conditions printed on this application; and that I assumefuU responsibility for compliance :with the Wheat Ridge Building Code (V.B.C.) and all other applicable
Wheat Ridge ordinances,for work under this permit.
(OWNER)(CONTRACTOR)
SIGNED DATE
This pennlt waslssued.in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BulldingCode of Wheat Ridge; Colorado or any other applicable or4inances of the City.
This pennit shall expire if (A) the work authoriZed is not comme.ncedwithinslxty (60)days from issnedate or (B) thc building authorized is suspended or '
abandoned,foraperlodof120days.
If this permit expires, a new permit maybeacquireiJfor afee of one-halftlteamolmt nonnaUyrequired, provided no changeS i).ave been ~rwili beniade in the
original plans andspeeificatlons and any suspcnsion ~r abandonment bas not exceeded one (1) year. If cbangesare made or ifsusp~nsion or abandonmeIlt
excecdsone (1) year, fuli fees shall be paid for a new permit. .
4 No work'of any manner shall be done that will chimgethe natural f1ow.ofwater causing a drainagcproblem.
5 Contractor shaU notif}' the Building Inspector twenty~four(24) hours in i1dvancefor.aU inspections and sha,1i receive writtenapprovai on inspedion eard before
proceeding withsuccesslve phases of the job.
TheJssuance ofa permit or the approval of drawings and specifications shali not be construed to be apennit for, noran approval of, any violation of the
provisionsofthcodesor e ce, law, rnle or regulation.
SIGNED DATE
Chie
Tuesday, June 21., 2005
Page lof 1
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2866
CITY OF WHEAT RIDGE
7600 WEST 28TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date :
Property Owner: (rdv/VI :Jaf-ILJ
Property Address: ,'50 t) GrOt <:f/7
Contractor License No.: lAiCl-.. \q,/OZ
Company: Jvurt ~t6h1'1 + /fie
Phone: Lfv-J 1124
Phone: Lf, ( 'tOtS"
OWNER/CONTRACTOR SIGNATURE. OF UNDERSTANDING AND AGREEMENT
I ~ c:eilIIy IMlll1e Niblick dla_ pIllpoud by this permJt appUcatJon ... .ccutllI.
IIId do not ==k:able 0Id1nalal. ruIN or lWgullllolll of lI1e City of Wheel Rldg. or
-.II. or rutrfctioIlI of _: IMlIll ......ulWIlInlIllhown. Iftd .1Ieg.tJonl
....,. ...1CCUI8lI; IMlI have ..eel Iftd 1M II> 'b:' .U condlllona prinlld on this
_ __ t"'n. end 1Ml.11IIUI11I fl!U tor nee with th. Whe.t Rldg. Building
(U.B.C.) and III other .pplic:able Wheol n, lor work under thie pennl!.
DATE U16!o)"
Description; 10 ;",ih. u () 4?o-o CfH t,~ l4d"Md [~ enlrwl wIt('
BUILDING DEPARTMENT USE ONLY
Construction Value: 41'~ ""
Permit Fee: ,1~ 1'1
Use Tax: t Zq 10
(OWNER)(CONTRACTOR) SIGNED
T alai: 4101 Y'1
Approval ;
. 'II" -III]!I 1.1.'......
Approval;
Occupancy ;
Walls;
Roof:
Stories;
Residential Units :
EleclricaJ License No ;
Company;
Plumbing License No ;
Compeny :
Mechanical License No :
Company:
~tlonQate :
.~proval :
.
, . ~. ...d. '...
l;JcpiraU<lILOate :_
Approval;
.
':iUJ: "( llllp. .'
_ Expiration Date :
Approval;
.
(1) ThIo......._ _In __.... ~ lit _In ycpurlppllcollon ond 10 _10 tho _ oltho s.... ol ~ ond..tho Zoning
RoguIaIIonaIlld_ Codool__ ~..eny_~""'''''_ol'''Clty.
(2) 11111....... _..... t W... _1UIIIClrliOd 10 IlOl__ oIxlv (110) cloya 110m iIIuo cia.... (8) tho bulJdlng .uIhorizod Ie _ 0<
_1or.porIoclul20doya.
(3) r 1hiI........... . _....... moy...1OqUked lor. 1M ol_tho...-. nonnaIly roquAd. ptOYlcIad no changaa ne.. -. 0< wi. ba ..- in tho
OfIginIIIpllnallld'p ,. .. .lIIdony_.._........hullOl_ono(l))'Ul. Ifchangaa...........hu.p.....",0< Il>andonment
_....(l))'Ul,U__...paldlOr.__ "
14) NIl_ofeny.......""'''' _....wiI cI1anga lho _ _ol....... caualng I dtalnaga problem.
S) COnlrIcW_1lOCIIy tho 8uIIdIng _~(24) _In adv..... lor alIlilapacllonj ond _ -.. Mittan .pptOV.i on Inlpacllon canl baron.
~ ~.. wMh IUCCIIIIw phuM 01... Job.
(e) ~ ~ ol............. ~ r;/ ftlotnga IIIIcI opocIlIcalIona _ IlOl'" _10 .... _ lor. nor.n .pprov.l or. ony violalJon or the provisions
oltho 1lulIc!"'G......... eny __IIw.IUla" 100_.
'..\
,
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5833 24 HOURS PRIOR TO INSPECTION