35-118 (17) BP-2023-0303
49 DREWSEN DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-118-001 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-2023-0303 PERMISSION IS HEREBY GRANTED TO:
Project# PELLET STOVE 2023 Contractor: License:
Est. Cost: DOUGLAS L'ABBEE CSL9940 I
Const.Class: Exp.Date: 01/06/2024
Use Group: Owner: GRIPPIN LEA A(L/E) DRESSER, KRISTOPHER J
Lot Size (sq.ft.)
Zoning: WSP Applicant: THE FIRE PLACE
Applicant Address Phone: Insurance:
100 STATE RD •(413)397-3463
WHATLEY, MA 01093
ISSUED ON: 03/10/2023
TO PERFORM THE FOLLOWING WORK:
PELLET STOVE
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: f I a�
4 •r ..YwY., „a-aft
. .
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
iin - City of Northampton
x -1 Massachusetts $ f{.
f,/;:t::::;':::;.4
��.>(,.. ,4, $g) MAR PAR�'MENx OF BDTLDING TNSPECTTONS ... '; ,
t\0syr ' �'� 9 2� 12 in Street • Municipal Building y0% c
S'. J Northampton, MA 01060 jr-,�rj�1�
., 7.OF BUILDINGINSPECTIONS
^'ORTHAMP?ON,MA 01060
APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION
Property Information
Owners Name: 'Lek ./-: n
Address: Si9 /Drews.-r) �r comet 0t0
(No.) (Street Address)
Phone: 41/3- VirS'v p Cell: Email:
Owners Signature: .— Date: tc.-3.-3
Contractor's Information (If Applicable)
Name: <-7)ov9/e_i /121,be Phone: 41/1 3 7-r 't/
Construction Supervisor's License #: 99'st0y Expiration: '-- ?
Home Impr. Contractor License #: /toy 17 Expiration: ///f';'5.6
Stove Information
Type of Fuel (check all that apply): Wood Pellet V Coal
Location: r5J Poor Freestanding k Insert
Manufacturer: Pirtn Model: 2',3-
/ns tl :nv i r -/ e"A(M Ss /i fir r- ,plc 4ec — , .
FOR BUILDING DEPARTMENT USE ONLY-------------..-.,--..-w-____----
Permit# 44 �3- 3t) Date Applied: Total all Fees: $ �U � �5 m 13
Building Official: 4-ult...) /J<o .s Date Issued: a lb-Z02 3
/�/Signature of Building Official: /�
The Commonwealth of Massachusetts
Department of Industrial Accidents
l, 1 Congress Street, Suite 100
: :its=
4.=_-��=
..; t' Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): THE FIRE PLACE
Address: 100 STATE ROAD
City/State/Zip: WHATELY, MA 01093 Phone#:413-397-3463
Are you an employer?Check the appropriate box: Type of project(required):
1.0 I am a employer with 1 0 employees(full and/or part-time)."` 7, 0 New construction
2. I am a sole proprietor or partnership and have no employees working for me in
8. 0 Remodeling
any capacity.[No workers'comp,insurance required.]
3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. ['Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
10 Q Building addition
ensure that all contractors either have workers'compensation insurance or arc sole 11.Q Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
5.171 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.QRoof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6.0 We are a corporation and its officers have exercised their tight of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:MA RETAIL MERCHANTS GROUP INC
Policy#or Self-ins.Lic.#:01400503301116 Expiration Date:1-11--2�4
Job Site Address: `11 �p/eot15cn �r• City/State/Zip: /%O/ence- Ot$
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$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certi y under the pains and nalties of perjury that the information provided above is true and correct.
n.
Signature: G Date: 3.‘. a 3
a e,:
Phone#:413-397-3463
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
B. Clearances to Combustibles Place the stove away from combustible walls at least as far
When selecting a location for the appliance it is important to as shown in Figure 3.2. Please note the difference in side
consider the required clearances to walls, Figure 3.2. wall clearance with and without side shields.
Note that the clearances shown are minimum for safety but do
A WARNING not leave much room for access when cleaning or servicing.
Please take this into account when placing the stove.
RISK OF FIRE OR BURNS! Provide adequate Due to high temperatures, the stove should be placed out of
clearance around air openings and for service traffic and away from furniture and draperies.
access. Due to high temperatures, the appliance should Children and adults should be alerted to the hazards of high
be located out of traffic and away from furniture and surface temperatures and should stay away to avoid burns
draperies. to skin and/or clothing.
Young children should be carefully supervised when they are
ACAUTION in the same room as the stove.
Clothing and other flammable materials should not be placed
THIS APPLIANCE MUST BE VENTED TO THE OUTSIDE. on or near this unit.
NOTICE:Illustrations reflect typical installations and are FOR
DESIGN PURPOSES ONLY.Actual installation may vary due
to individual design preference.
P61-C & P68-C Freestanding Pellet Stove P43-C Freestanding Pellet Stove
2"(51mm) 2"(51mm)
14"(355mm)with / ` , *10"(254mm)with ` ,
side shields i ° side shields i��
20"(508mm) *16"(406mm)
without side shieldsbilmo 14"(355mm) without side shields o F *10"(254mm)
20"(508mm) 16"(406mm)
L .EJ
36"(914mm) 36"(914mm)
9II
97228mm)
1
N
9"(228mm)With Side Shields
13"(330mm)Without Side Shields 9"(228mm) With or Without Side Shields
Figure 3.2
9 Harman® • P-Series Installation Manual R4 • 2018- • 04/21 8390-0441
C. Floor Protection Corner Installation:
Parallel Installation: Minimum size floor protection for a corner installation hearth
pad is:
Place the stove on a noncombustible type floor or floor P43-C - Minimum size floor protection is 25-7/16" Wide by
protector that extends a minimum of 6 inches (152mm) to 26-3/4" Deep(646mm X 680mm).
the front of the load door opening, 6 inches (152mm)to the
sides of the door opening, and 6 inches to the rear. P61-C - Minimum size floor protection is 25-1/8" Wide by
The P-Series does not require R value floor protection. 27-3/4" Deep(638mm X 705mm).
The minimum floor protector material is 20 gauge sheet metal. P68-C - Minimum size floor protection is 25-3/16" Wide by
Other floor protector materials that can be used include Type 27-3/4" Deep (640mm X 705mm).
I hearth pads, ceramic tile, stone, brick, etc. Figure 3.3 Note: Floor protector WILL NOT touch the wall using
*Floor protection dimensions for the front and sides are minimum clearances.
measured from the appliance door opening in The United If corner floor protection is desired to touch the wall, the
States. In Canada,the side dimension is measured from the floor protection will need to be at least 40" x 40" (1016mm
widest part of the appliance. x 1016mm). Note: This will allow the floor protection to
P43-C - Minimum size rectangular floor protection is 25- touch the wall as shown. Figure 3.4.
7/16"Wide by 26-3/4" Deep (646mm X 680mm). Alternate floor protector dimension may be used as long as
P61-C-Minimum size rectangular floor protection is 25-1/8" they satisfy the measurement requirements shown below.
Wide by 27-3/4" Deep (638mm X 705mm).
P68-C - Minimum size rectangular floor protection is 25-
3/16"Wide by 27-3/4" Deep (640mm X 705mm).
Venting:
-Follow PL vent manufacturers recommendations when
configuring vent pipe installation.
Canada- Must extend 2" (51mm) beyond each side of any
horizontal flue pipe.
O
e ` inv
L
0
Figure 3.4
D. Mobile Home Installation
When installing this unit in a mobile home, several
requirements must be followed:
J Floor Protector 1. The unit must be bolted to the floor. This can be done
K using an appropriate fastener for the application.
Figure 3.3 2. The unit must also be connected to outside air. See
"Termination Location and Vent Information" Section D.
Floor Protection US Canada 3. Floor protection and clearances must be followed as
Requirements shown.
J Sides 6" 152mm 4. The appliance must be properly grounded to the frame of
K Front 6" 152mm the mobile home using a minimum of 8 AWG copper solid
L Rear 6" 152mm or stranded, insulated or bare wire or equivalent.
10 Harman® • P-Series Installation Manual_R4 • 2018- • 04/21 8390-0441