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38B-203 (4) 37 MANHAN ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1795 Map:Block:Lot:38B-203- 001 CITY OF NORTHAMPTON Permit: Solid Fuel Appliance PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1795 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: Est. Cost: THE FIRE PLACE 99401 Const.Class: Exp.Date:01/06/2022 Use Group: Owner: LONDON, NAOMI D. Lot Size(sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: PO BOX 606 (413)397-3463 WHATLEY, MA 01093 ISSUED ON:08/26/2021 TO PERFORM THE FOLLOWING WORK: WOOD INSERT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Q CP-11 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner City of Northampto ,--,ow,,...:, / �/V S : ;» Massachusetts / ;� q0G 2 i 14., DEPARTMENT OF BUILDING INSP2, TIONS U20,7 ` s212 Main Street • Municipal lld �� • l�` Northampton, MA 01060.—`OgT 1U// ai5'\C' � ! wx :" Nq ylt�l��G/p TAN Mq 0ONS APPLICATION FOR SOLID FUEL APPLIANCE INSTALLA1LION Property Information/ Owners Name: N Q ern I tan 9 avn Address: i /Y)zn Aan r«-71- (No.) (Street Address) Phone: `-//3 58- c' i Cell: Email: Owners Signature: Date: ' f\ Contractor's Information (If Applicable) Name: % our/Ls L /hhu- `%k 1r<'7/ c< Phone: //f 3 .3?.7' 3s/6 Construction Supervisor's License #: 99 Sao l Expiration: /-‘-%2a Home Impr. Contractor License #: / 10 V 77 Expiration: 7/-/I'? Stove Information Type of Fuel (check all that apply): Wood V Pellet Coal Location: rs-f A oar Freestanding Insert >( Manufacturer: Aop; Model: jns a jer _L won i`n.s1/4rl- inSfaat,n7 et S"S' /rn-r ,'n/n oC. FOR BUILDING DEPARTMENT USE ONLY----------------_-_-_--_---- Permit# Daten Applied: Total all Fees: $ Building Official: Jots l Ko55 Date Issued: g 21-1-Zp2/ Signature of Building Official: /?Pr-/i: RECEIVED A U G 2 4 2021 DEPT OF BUILDING INSPECTIONS NORTHAMPTON,MA 01060 r The Commonwealth of Massachusetts y Department of Industrial Accidents !— :� Office of Investigations Lafayette City Center \ - '; '� 2 Avenue de Lafayette, Boston,M.4 02111-1750 ww v.mass.aov/dig Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name:THE FIRE PLACE Address: 100 STATE RD City/State/Zip:WHATELY, MA 01093 Phone#:413-397-3463 Are you an employer? Check the appropriate box: Business Type(required): 1.0 I am a employer with 10 employees (full and/ 5. 0 Retail or part-time).* 6. ❑ Restaurant/Bar/Eating. Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real estate. auto.etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. El Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing no employees. [No workers' comp. insurance required]** II ❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees.a workers-compensation policy is required and such an organization should check box#I. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC Insurer's Address:P.O. BOX 859222-9222 City State Zip: BRAINTREE, MA 02185 Polio =or Self-ins. Lic. =01400503301116 Expiration Date: 1-1-22 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 ORI)ER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif.,under the pains aml krenalties of pry erju that the information provided above is true and correct. Signature: '(ts-4._; _/ / Date: ,D.4,28'7/ Phone 5//3 3 73 - Sig Official use only. Do not write in this area,to be completed by cit.),or town official. City or Town: Permit/License# Issuing Authority(check one): 1.0Board of Health 2.0 Building Department 3.0 City/Town Clerk 4.❑Licensing Board 5.❑Selectmen's Office 6.DOther Contact Person: Phone#: w w.mass.eovldia • 20 Fireplace Insert Installation (for qualified installers only) Insert Dimensions 6" (152mm) Dia. 5-7/8" (149mm) Small-28-1/2' 23-5/8" (724mm) g �• (600mm) 8-3/8' , (213mm, ��,r A "A -- 3/4"(19mm) Large-30-1/2" Y (775mm) , ;` 4 i 20 "'., � . � ii Ili20_3/4, (508mm) - 1 ' i (527mm) 1 f lit Small-40' „ y� Ili (1016mm \ Ili . aId 't' 14-1/4' Large-42" (362mm) (1067mm) / % ' - 16-1/4" (413mm) ©Travis Industries 4/26/2021 - 1510 Answer • Fireplace Insert Installation (for qualified installers only) 21 Fireplace Requirements Minimum fireplace size requirements are shown below. Minimum Fireplace Size Masonry Z.C. (Metal) Fireplace Fireplace (a)Height(front) 20-3/4" 20-3/4" (528mm) (528mm) C (b)Height(rear) 20-3/4" 20-3/4" 0 44t4 (528mm) (528mm) tilanter (c)Width(front) 23-5/8" 25-5/8"** I (601mm) (651mm) Iiii) I(d)Width(rear) 23-5/8" 25-5/8"** (601mm) (651mm) -r1,�, 0 / �(e)Depth" 14-1/2" 15 1/2"** (369mm) (394mm) (i) . 6445, 1, 45. (f)Hearth Depth* 18" 18" ® �'re7or (Includes insert depth on hearth (458mm)(US) (458mm)(US) y plus required hearth extension) 20" 20" O (508mm)(Canada) (508mm)(Canada) (g)Hearth Width 35-5/8" 35-5/8" (905mm)(US) (905mm)(US) O 39-5/8" 39-5/8" tioo f (1007mm)(Canada) (1007mm)(Canada) Co • (h)Facing Width 42-5/8" 47-5/8" \ b4,9/, (1083mm) (1210mm)/ 'ie (i)Facing Height 32" 32" Ortfj (above base of Insert) (813mm) (813mm) 0 (j)Mantel Height 35-1/2" 44" (above base of Insert) (902mm) (1118mm) 'This dimension is for a panel with no trim. If using the optional trim the insert will extend 3-1/4 (77mm)onto the hearth. **1"(26mm)Clearance to fireplace walls is required foo Z.C. Fireplaces Fireplace Altered Tag Attach the "This fireplace has been altered..." plate to the fireplace (use two screws or other suitable method). You may wish to place it in a location where it will be covered by the surround panels. © Travis Industries 4/26/2021 - 1510 Answer 22 Fireplace Insert Installation (for qualified installers only) Insert Placement Requirements • The insert must be placed so that no combustibles are within, or can swing within (e.g. drapes, doors), 36"of the front of the insert. • Insert and hearth must be installed on a level, secure floor • The minimum clearances, facing, and hearth requirements listed below must be met. Follow the clearances for the type of fireplace being used —(masonry or zero-clearance-metal). Minimum Clearances Masonry Z.C. (Metal) Fireplace Fireplace (k)Sidewall 13" 13" 10 liie,%/�maOS4ei�,Ma�f (1}Side Facing (9�2) (3312m) ei (242mm) (305mm) TO AaO� (m)Top Facing 32" 32" Side '' n,9 9 (813mm) (813mm) Wall (n)Mantel 35-1/2" 44" n / (889mm) (1118mm) %I N4t., (o)Front Hearth(does net include 16" 16" insert extension"x" (407mm)(US) (407mm)(US) 18" 18„ '" `�' (458mm)(Canada) (458mm)(Canada) t�III �,; (p)Side Hearth 6" 6" O \ (153mm)(US) (153mm)(US) `-'' \ (204mm)(Canada) (204mm)(Canada) N0'Xe0 �/� (q)Front of Insert 36" 36" tieays�ib,e �� 4 (915mm) (915mm) `� 0 (x)Extension onto Hearth* (51mm*) (51mm*) *This dimension is for a panel with no trim. If using the optional trim the insert will extend 3-1/4"(77mm)onto the hearth. Masonry Fireplace - Hearth Extension Requirements • Must extend 16" (USA) or 18" (Canada) in front of the insert and 6" (USA) or 8" (Canada) on both sides USA- min. 18" (458mm)deep by 35-5/8" (905mm) wide Canada - min. 20" (508mm)deep by 39-5/8" (1007mm)wide • Masonry hearth extensions must be non-combustible and at least .018"thick (26gauge). Masonry Fireplace Requirements CANADA ONLY: The fireplace insert must be installed with a continuous chimney liner of 6"diameter extending from the fireplace insert to the top of the chimney. The chimney liner must conform to the Class 3 requirement of Can/ULC S635, Standard Lining Systems for Existing Masonry or Factory- Built Chimney&Vents, or CAN/ULC S640, Standard for Lining Systems for New Masonry Chimneys. • Chimney must have a clay tile liner or a stainless steel liner(positive connection). • Entire fireplace, including chimney, must be clean and undamaged. Any damage must be repaired prior to installation of the insert. • Chimney height: 15' (4.5M) minimum; 33' (10M) maximum. • The fireplace insert must be placed on a masonry hearth built to UBC standards. ©Travis Industries 4/26/2021 - 1510 Answer