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35-242 (9) i 39 LADYSLIPPER LN BP-2020-0250 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35-242 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: woodstove BUILDING PERMIT Permit# BP-2020-0250 Proiect# JS-2020-0004321 Est.Cost: Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: OLD HADLEIGH HEARTH & HOME CENTER 98784 Lot Size(sq.ft.): 60984.00 j Owner: STEPHENS GILLIAN j .zoning: Applicant. OLD HADLEIGH HEARTH & HOME CENTER AT. 39 LADYSLIPPER LN Applicant Address: Phone: Insurance: 119 WILLIMANSETT ST (413) 538-9845 WC SOUTH HADLEYMA01075 1 ISSUED ON:8/28/2019 0:00:00 TO PERFORM THE FOLLOWING WORK•JOTUL WOOD STOVE POST.THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building, Inspector i Underground: Service Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: I Final:. Final: Rough Frame: I Gas: Fire Department Fireplace/Chimney: I Rough: Oil: Insjulation: l Final: Smoke: Final.: I THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: Date Paid: Amount: = I Building 8/28/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587 1272 Louis Hasbrouck—Building Commissioner I I ��-do-d City of Nort Massachuse is }yii eU DSPARTMSW OF BUILDZNO 8P6C ON$�' 71 pY . e..� 212 Naia street • Municipal Buil g kl Northampton, ma, 010 W a {iia OEpt pP N31 ����O �... N i SINGIE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APIPLICATION FOR WOOD,COAL,,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES Check# bb Please fill in all appropriate information 1. Name of Applicant: omf\ J Address: C (t`^ }�'(•SLty6C I s\1, Telephone: 4-1 2. Owner of Property: {t�IL�._•ii7 -(� w`S 6 Address: I(`,(/�j�:i��.C L,( ('Com'_ LN elephone: 3. Status of Applicant Owner Contractor 4. Type or Brand of Stovj:._-_ AAL C- 4-50 K-E=i\j E jE-e 5. UL Listing: UL I,'l't 6. Estimated Cost: 56f3b i 7. Email: C1It,Us9r•!!'`G.SDUH. S 61`v M L• (b/A ' i If applicant is not the ho eowneri: Contractor name 0j,? k-t,$j, &ux Email: + ' � � oto g L.yC) ltkc"J, . t a a Construction Supervisor'sbcense Number C 5 5 L-C 9 t.77 `I Expiration Date Home Improvement Contractor Registration Number 1`I ttt z Expiration Date q-l fl '1 S i i AM Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit 8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANTS SIGNATURE DATE: .L2— HOMEOWNER'S SIGNATURE I ' I APPROVED DATE 8 - !!/ BUILDING OMCIA _ I I Division of Prbf"si-onaFUd-` Board of Building Regulations and Staindards s Constructi r=SPeciaaity 8784irfss. 0418/Z021 1 � V ITT �N C, y ` - ti s- - CoC04- rnmiss oher� :_.... . _.. .. ....__ j _ jroxowwwa W&ma Gme& - a. x ra' is " J r r Of Consumer Afkus and Business Regulation f =10 Park Plaza-Suite 5170 Boston, Massachusetts 02116 Home lrnprovernei� Eo�tractor Registration Type:: Corporation 01.Di` E ' Registratlon: 148198 riiADCEH HEARTH&HOME CENTEI I lNC' Explratlon: 09/12/2019 119-WLLWANSETT STRETT RT 33 S.HADLEY.MA 01075 I Update Address and ireturn card. Mark reason for change. � 11 Addrgaa f'1 RanewAl n Employment 0 Lost Card ''%�r X+.rr.a.rrnrrn/C�'r�^�l�isnr�n�r.•/(,i office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Comdratlon before the expiration date. It found ratto: at,. urn Registration tion Office of Consumer Affairs and Business Regulation 148198 08/12/2018 10 Perk Plaza•Sulte 8170 OWE HAOLEIGH HEARTH 6 HOME CENTER,INC. Boston,MA 02118 MATTHEW D.COXfZ„�' —_ r I i9 W ILLIMANSETT STRETT RT 33 S HADLEY.MA 01075 ndersecretary ' Not valid WIthout signature i 1• I i The CON111witlpealth of Massachusetts Departiitent of 111ditstrialAccidents i 1 Congress Street,Snite 100 Boston,MA 02114-2017 mm Imus got/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricitins/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information I Please Print Le [bl Name(Businessiorganization/Individual):_ I("1P_ q �1 q� �,lr-�-�d Address:--hot WM%t rrG.f1S ++ ST City/State/Zip: 01 Pion#:4j 3 J;c38'c(8'4'6j Are you an employer?Check the appropriate box: Type of project(required): 2.0 am a employer with _employees(fall and/orpart=lima).• 1. EJ,New construction 2.❑1 am a sole proprietor or partnership and have nonemployees working for mein S. E:]Remodeling any capacity.[No workers'comp,insurance required.] 3. I am a homeowner dein all workm calf t 9. ❑Demolition ❑ B y [No workers'comp.insurance required.] 4.❑I am a homeowner and will be hiring contractors to conductall work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are solo I L[]Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.Q 1 am a general contractor and 1 have hired the sub-contractors listed on the altiched sheet. Iliese sub-contractors have employees and have workers'comp.insurance.t 13.ORoof repairs 6.E]Weare a corpgration and its officers have exercised their right of exemption per MGL o. I4.ID Othed`I W T 152,§1(4),and-.ve have no employees.[No workers'comp.insurance required.] 'Any applicantthat checks box Nl must also fill out the sec]ion below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the tubcontractorsand state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 ant an employer drat ft providing workersconTensation Insurance for sty employees. Below is the policy and Job site htforntation. lI Insurance Company Name: Policy 9 or Self-ins.Lie.M. L�� 3311495 3 Expiration Date: I_ � � z zo ZC) Job Site Address: ALL I OCATIONS City/State/Zip:AMO' erst, MA 01002 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations iof the DIA for insurance coverage.verification. 1 do Itereby-c—erto under the pant anal penalties ojperJnry that the information provided above fs tare and correct. Si natur : Date: LG/Zo/ : Phone 0: -53 OfJlcial its e only. Do not sprite�n this area,to be.coinpleted by city or torn ojficiaL City or Town: Permit/License#I Issuing Authority(circle one):' , 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector G.Other Contact Person: Phone#: - r Ln su ID _ JOtul C 450 Kennebec M Cr Fireplace Insert vz � o Installation and Operating Instructions for the United States & Canada ■ The J¢tul C 450 Kennebec fireplace insert is j — listed to burn solid wood only. Do not burn any other fuels. Kennebec Clean Face ■ Read this entire manual before you install and use this appliance. ■ Save these instructions for future reference and make them available to anyone using or servicing the fireplace insert. ■ This wood heater requires periodic inspection and repair for proper operation. See this manual for specific maintenance information. It is against federal regulations to operate this wood heater in;a manner inconsistent with the operating instructions in this owner's manual. i I ' JTUL° C US I Intertek i39684 Rev_9/C 45 Kennebec i/is Standards The Jotul C 450 Kennebec fireplace insert has been WARNING ! tested and listed to the following)standards: THIS WOOD HEATER HAS A MANUFACTURER- tested SI/ULi48z-zohefoll and ANSIgstand-zon SET MINIMUM LOW BURN RATE THAT MUST Canada:CAN/ULC-S627-00 and ULC-S628-93 NOT BE ALTERED.IT IS AGAINST FEDERAL REGULATIONS TO ALTER THIS SETTING Certified Safety Tests performed by: OR OTHERWISE OPERATE THIS WOODHEATER IN A MANNER INCONSISTENT WITH ITS,Intertek Testing Services OPERATING INSTRUCTIONS INT HIMANUAL. Middleton,Wisconsin Manufactured by: Jotul North America This heater meets the 2015 U.S. 55 Hutcherson Drive Environmental Protection Agency's Gorham,Maine 04038-2644. emission limits for wood heaters manufactured)after May 15,2015- Combustion 5,2015.Combustion Specifications This appliance may not be sold,after JOW C 45o Kennebec May 15,2020. Heat Output Range: 11,940 to 36,05o BTU/hr. Max. Heat Output: 50,000 BTU/hr. Check Building Codes I When installing, operating and maintaining your Heating Capacity:Z Up to II600 sq.ft. J0tul C 450 CB fireplace insert,follow the guidelines Maximum Burn Time:Z Up to g hours presented in these instructions,and makethemavailable to anyone using or servicing the stove. Combustion Efficiency:3 HHV LHV 72.57% 78.42% In the U.S.,the National Fire Protection Association's Code, CO Emissions:4 i67.0g g/hr NFPA 211,Standards for Chimneys,Fireplaces, Vents and Pariculate Emissions:s 4.4 g/hr Solid Fuel Burning Appliances,or similar regulations,may Fuel: 20'Logs(508 mm) applytothe installation of a solid fuel burning appliance inyourarea. See the Operation section of this manual for important In Canada, the guideline is established by the CSA information regarding the safe,proper,and most efficient Standard,CAN/CSA-B365TM93,Installation CodeforSolid- operation of your stove. Fuel-Burning Appliances and Equipment. Heat Output a results are determined during p 9 g Always consultyour local building inspector or authority specific emissions tests established by the EPA. having jurisdiction to determine what regulations apply The Maximum Heat Outputval ue is representative of a in your area. more'frequent re-fueling cycle than specified in the EPA High Heat Output test method. THE JOTUL C 45o KENNEBEC FIREPLACE INSERT IS NOT 2 Heating Capacity and Maximum Burn Time will vary APPROVED FOR USE IN MOBILE HOMES. depending.on design of home,climate,wood type and operation 3 High Heat Value and Low Heat Value are obtained per NOTE: CSA B415.1-lo test method.HHV calculation encompasses CONSULT THE AUTHORITY HAVING allproducts of combustion,including H2O condensation. JURISDICTION IN YOUR LOCALE LHV calculation includes H2O'in its vaporstate.Simply (SUCH AS MUNICIPAL BUILDING put,HHV assumes all the water component is in a liquid DEPARTMENT, FIRE DEPARTMENT, state(condensed)at the end of combustion and that FIRE PREVENTIOIN BUREAU, heat recovered from condensation can be put to use. ETC.) BEFORE INSTALLATION TO 4 Carbon Monoxide Emissions rate results from Test DETERMINE THE NEED TO OBTAIN A Method CSA B415.1-10. PERMIT. j i s- Particulate Emissions rate is o tained using EPA Test Method 28-5H. 3 I I p39684_Revy/C45o Kennebec r/18 Jotul C 450 Specifications 29'1' � - 737nm � 2512„ Optional Blower: 125 cfm. 635 mm Shipping Weight: 445 lbs.(202 kg.) I Firebox Accessories 251/4 12 t,—r — —"— —— 163/4 Steel Wide Surround/47 3/4!'x 34 #157213 641 mm 3 9y4, 425mm TrimableSurround/40"x30" #157325 o Firebox I I. 235mm Mantel Heat Shield/Std.Cast Srnd. #155346 Ln sleeve Mantel Heat Shield/Steel Wide Srnd. #157361 —�— Stove Gloves #157363 2 2„ 1y2„�g y2” Universal Gasket Kit #157050 164 rim f ���� 38 mm 216 mm to Door Openin ---- Figure i. Maximum Sleeve Adjustment I L "` 123/4„ r Surround Firebox —I "—"—"—" — 349mm Panel Sleeve - 51/4" 158 mm 61/2" o oor 1 Firebox } 165mrrPPening i 32y2„ --- I 311 mm j � I Figure 2. Minimum Sleeve Adjustment — 51114" - -i 158 mm to 911/4" 23 5m 301/4- GlassArea 768 mm 219 sq in.. 559 mm 3 5„ 0 f 127 rn 40" 12 3/4"-16 3/4" 1016 mm 324mm-425 mm Cabinet Depth Adjustment Figure 3. Overall Surround Dimensions are the same for both Kennebec Lattice and Clean face versions. Figure 4. Flue Collar Cente dine from Front Face I 5 i I i 7396842evy /C45oKennebec 1/18 Clearance to Combustible Materials These clearaces apply only to those C 450 inserts Figure 9. i 1 1"4 s manufactured after December-2014 having FLUSH FIREBOX serial numbers higher than'14250. I ! ( See Appendix B,page 20 for older units. • There may be no combustiblematerials located ` f anywhere within 36"(9i4 mm)of the front of the door.. i j 7•s' This precaution includes items such as drapes or doors © i s.s° y that could swing into the area within 36"of the insert. ( © tt.s• ;�„ • Clearance(open space)must bh maintained between the fireplace insert and combustible materials located above i and to the side. See figures 8-16 and Table 1 for minimum j dimensions. Mantel and Wall Clearances 1 k j ev Clearances are measured from the hearth surface, _v' door opening,or centerline as noted in fig 8=io. Y A:Hearth Protection: Width from centerline............:.:.......... 20"(5o8 mm) Figure io. =e B: Hearth Protection: EXTENDED FIREBOX T ----t } forward from the door opening......... i8"(457 mm) C:Side Trim -6"max.depth,from centerline: 35-rmoi Firebox flush with fireplace face.......::..... 22"(559 mm) � 1�5.7 :Firebox extended from fireplaceface...... 27"(686 mm) A � a TY D:Side Will=from centerline: I � •6° � g P 1............27„(686 mm) @[O " s�ts . Re ardless of Firebox Position.... f E: UpperTrim- Same as Mantel'at Max.Depth 31/2" i ; Q e-svr (go mm) See Table i. I ;- F: Mantel-See Figures 9-io and Tables. f{( UPPERTMA t § = 4ial o Table 7. Mantel Clearances-Serial Nos.after 74250 - Lat I" Flush Firebox Fig- Extended firebox sc.,o (( j No Heat Heat No Heat Heat T 7—C —^ Shield Shield Shield Shield 1143 mm ioi6'mm 1118 mm 1041 mm Figure S. Clearance Diagram-No Heat Shielding 431/2" 381/2 421/2" 391/2„ B nos mm 978 mm io8o mm 1003 mm Mantel Clearance withC 42" 37" 4111 3$" Optional Heat Shield 15346 1o67mm 940;mm 1041 mm 965 mm Clearance maybe reduced as shown in Table�. D 102g mm 9or / m mm 1003 mm 927 m Maximum approved Mantel Depth isai r/2". E 39" 34" 38" 35" Clearance is measured from the hearth to the bottom 991 mm 864Imm 965 mm 889 mm of the mantel as illustrated. 8 i Olde Hadleigh Hearth&Home Center,Inc. Estimate 119 Willimansett St Rte.33 South Hadley,MA 01075 Date Estimate tt 413-538-9845 8/16/2019 125982 I Name/Address i Stephens..Gillian 39 Ladysupper La. Florence.Ma.01062 � I Project ) Description, Qty C!ost Total Jotul C 450 Kennebec 1 3.429.00 3,429.00T 6"x 25'Liner I 725.00 725.00T Damper Sealing Kit I 40.00 40.001' Labor l 750.00 750.00 Customer Deposit 1 -200.00 -200.00 Sales Tax Payable-MA 6.25% 262.13 i 1 + i � I E i d Total `55.006.13 Customer Signature