42-013 (2) BP-2023-1631
276 WEST FARMS RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-013-001 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-2023-1631 PERMISSION IS HEREBY GRANTED TO:
Project# PELLET STOVE 2023 Contractor: License:
Est.Cost: DOUGLAS L'ABBEE CSL99401
Const.Class: Exp.Date: 01/06/2024
Use Group: Owner:- THOMPSON, WAYNE &LACEY, CANDY
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: 11/20/2023
TO PERFORM THE FOLL O WING 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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I iI , 3.-
'I ♦
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
��CIV� - Hof Northampton
THE �_.
- J �to
aSsachusetts .- rci'
ik G
r lit' w ti3 w,
I ;, :, tie NOV 1 7 202PEP, `TME OF BUILDING INSPECTIONS y;� r ,c,'
A. 212 Mai Street • Municipal Building 0 ..
r�, orthampton, MA 01060 Nit a t
cpT OF BUILDING INSPECTIONS
NORTHAtvr TON.MA 01060
APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION
Property Information
Owners Name: 2ont a.S 5eA:7C '
Address: Zo3 Sy/vim fry g r 1/ors,7c� !r t d-
(No.) (Street Address)
Phone: i//3 6957•G sVV V Cell: Email:
Owners Signature: Date:7/� �o�.�
Contractor's Infor ation (If Applicable) emal/7<im ff k, /e/A r-p/t c.cna. eoni
Name: "i)or /e,f L c.c Phone: //3 3 7-7 F/4 :
Construction Supervisor's License #: 5-5'1.- a ''fial Expiration: /-6 ,7/'
Home Impr. Contractor License #: /ea 1 77 Expiration: //--/f a54
Stove Information
Type of Fuel (check all that apply): Wood V Pellet Coal
Location: h Af«h#— Freestanding '( Insert
Manufacturer: /// Model: AC cAtc/ /000-C
Kc,,,uoinit dC-f) G✓coo 4.ri cc-- f isiet/i%7T /lecu moo.) e� 1«✓f / 5i 7��
FOR BUILDING DEPARTMENT USE ONLY C
Permit# v51�' 4 .'/&3 Date Applied: • Total all Fees: $ `►0 L-�, z-.
Building Official: / r-ul•-) 4,5 Date Issued: 11-20-2623
(Print)
Signature of Building Official: • _
The Commonwealth of Massachusetts
----- Department of Industrial Accidents
(„iiii -1 i
Office of Investigations
motel
...., . , Lafayette City Center
Y _�o:
2 Avenue de Lafayette, Boston, MA 02111-1750
c�yss� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
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 10 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
listed on the attached sheet. 7. ❑ Remodeling
2.E I am a sole proprietor or partner
ship and have no employees These sub-contractors have 8. ❑ Demolition
employees and have workers'
working for me in any capacity. 9, ❑ Building addition
[No workers' comp. insurance comp, insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no 13.❑ Other
employees. [No workers'
comp, insurance required.]
*My 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.
Contractors 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 WC GROUP INC _
Policy#or Self-ins. Lic. #:01400503301116 Expiration Date:1-1-24
' Job Site Address: Jai Sy/✓-sic" City/State/Zip: oreitc'� At r-+
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. 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 certify u r the pains and alties of perjury that the information provided above is true and correct.
Signature: ai( Date: //•/7`'/•"23
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 (check one):
1❑Board of Health 20 Building Department 3.00ity/Town Clerk 4.1:Electrical Inspector 5FlPlumbing
Inspector 6.❑Other
Contact Person: Phone#:
•
General Information
The Fire Chief 2020 EPA-Certified Furnace has been engineered to accommodate the heating requirements of the average sized
home,even during winter's coldest months. It is constructed with high grade, heavy gauge steel and is continuously welded to
assure the highest structural strength. In addition,the firebox is lined with insulated stainless steel panels to ensure many years of
energy efficient service.The design of the secondary combustion chamber increases fuel efficiency by creating a"secondary burn"
of smoke and wood gases before they are vented up the chimney.The cast iron doors are custom fitted to provide an airtight seal,
greatly extending the burn time and ensuring maximum efficiency in fuel consumption. The heavy-gage cast iron grate allows for
convenient ash removal and reduced maintenance.
For total comfort and convenience, a thermostatically-controlled Draft Blower and fan-limit-controlled Circulation Blower are
included. These fully automatic components provide heat disbursement throughout your home, minimizing recovery time when
the wall thermostat demands heat.
All of these features are standard,offering you the most efficient, durable, and affordable indoor wood burning furnace.
Efficiency was determined using the higher heating value of the fuel per B415.1-10 testing requirements. Dry seasoned wood will
develop greater BTU output.A well-insulated dwelling will always lead to better results and overall improved fuel usage efficiency.
Your Fire Chief Furnace is designed to be either a supplemental or central heating source for your home. This wood burning
furnace may be installed in parallel with a properly operating electric, gas or oil-fired central furnace, listed or certified in accordance
with a nationally recognized safety standard, and within clearances specified on the nameplate. When in a parallel installation,the
static pressure of the central furnace plenum may not exceed 0.15 water column inches, and the maximum setting on the central
furnace limit switch is 182°F. With the Fire Chief Furnace in an"Interconnection Arrangement,"your furnace should be upstream
of the central furnace. The Fire Chief Furnace warm air supply should never be connected to return air for the central furnace. A
qualified installer should perform the installation.
IMPORTANT: FOR TECHNICAL SUPPORT OR CUSTOMER SERVICE
ISSUES, DO NOT RETURN TO THE STORE OR TO THE DEALER.
CALL 1-800-875-4788.
Forced Hot Air Circulation:
The plenum size of your Fire Chief Furnace must not be reduced to less than 100 square inches, and must provide a minimum of
18 inches between the top of your Fire Chief Furnace and the main trunk connection. Do not modify the outer shell of the furnace
at any time.The plenum attached to the furnace must be constructed of metal. The warm air supply duct system should be
constructed of materials with a minimum temperature rating of 250°F.
Clearances:
Unit must be placed on a non-combustible floor. This floor must extend at least 16 inches in front of, and 8 inches on either side of,
the fuel loading and ash removal doors; underneath the chimney connector; and 2 inches on either side of the chimney connector.
The furnace must maintain the following clearances to combustibles:
• Heat plenum=2 inches
•Chimney connector= 18 inches
• Front=48 inches
• Rear= 12 inches
•Sides=6 inches
• Furnace= 12 inches
These are minimum clearances and should be strictly followed. In the case of a power outage, a dangerous level of heat
accumulation may develop. Do not store fuel or other combustible materials within installation clearances.
4
Location and Installation
NOTE: Before beginning installation, consult proper local authorities regarding local codes governing all such applications and
installations.
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER APPLIANCE. Your furnace must be placed on a non-
combustible floor. Position the furnace as close to the chimney as possible. Air for combustion must be provided into the room where
the furnace is located. Allow air free access to the furnace for combustion and ventilation.
The installation of a warm air furnace within an attached garage is prohibited by building codes and regulations.
RECOMMENDATION: Smoke detectors and carbon monoxide detectors should be installed on all levels of your home. Having a fire
extinguisher within close proximity is strongly recommended.
This wood heater needs periodic inspection and repair for proper operation. It is against federal regulations to operate this wood
heater in a manner inconsistent with operating instructions in this manual.
Return Air Duct
Supply Duct
1
440,,
Back Draft
Dampers '"'"%4414114.•
.444041p.444 „7 ...4., , 4,
114040,044
141r,
,oise
5
•
CHIMNEY HEIGHT REQUIREMENTS
The chimney must extend at least three feet above the highest The termination cap should be designed to
point where it passes through the roof surface and at least inhibit down-drafting without restricting
two feet higher than any part of the building within a horizontal u) the exhaust discharge.
distance of ten feet.
3' min.II 2'
3' min. 111_„04001012
•When installing into an unlined brick chimney,lining the
entire chimney with stainless steel chimney liner is strongly
recommended.The liner must be 6"for the FC1000E.
•The diameter of the chimney stack should be consistent
throughout the length of the chimney.
1
•The chimney size should be at least as large as the exhaust
stack on the furnace,but not more than twice its size.
•The chimney stack should have a built-in airtight clean-out. p C
•Do not operate the furnace with the clean-out uncapped.
r -1
WARNING- RISK OF FIRE:
• Do not operate with flue draft exceeding .08 water column inches (19.9 Pa).
• Do not operate with fuel loading or ash removal doors open.
• Do not store fuel or other combustible materials within marked installation clearances.
• Inspect and clean flues and chimney regularly.
DANGER-Risk of Fire and Explosion:
•Do not burn garbage,gasoline, naphtha,engine oil,or other flammable liquids/inappropriate materials.
WARNING:
• NEVER use galvanized pipe in your chimney connection, it produces poisonous gases when subjected to extreme
temperatures.
• USE only lined masonry or manufactured Class"A"HT2100 All Fuel Chimney for your furnace.
•INSPECT chimney system periodically for structural integrity.
•CLEAN the chimney system regularly to prevent creosote accumulation.
•NEVER leave the ash pan in your furnace during operation.
•DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER APPLIANCE.
9