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23A-241 (9) BP-2024-1078 49 MANN TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-241-001 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-2024-1078 PERMISSION IS HEREBY GRANTED TO: Project# WOOD STOVE 2024 Contractor: License: Est.Cost: 0 DOUGLAS L'ABBEE CSL99401 Const.Class: Exp.Date:01/06/2026 Use Group: Owner: L DEPIERO JENNIFER Lot Size(sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 0140050301116 WHATLEY, MA 01093 ISSUED ON: 09/20/2024 TO PERFORM THE FOLLOWING WORK: WOOD 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: 1:72. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner e-yr a 1 • vs'CK; 1 k€ i?€i(a a --• 4 Q s3/ City of Nort = to CELEo /f&... r ' • Massachusetts 24 Sys ' �•J��i � _.�} f# 5+ DEPARTMENT OF BUILDING INS�p a �s i s �� .'. =* 212 Main Street • Municipal- ,ipJAV n� /Nsperlo J'J` „�• `�C� ems , ,, � Northampton, MA 01060 r.1q 0tps0 NS y� �nS� APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION • Property Information • Owners Name: J vw►i�Ct nSRvu Address: tf q M.a A n u• F ,-e 6 c c_ (No.) (Street Address)) Phone: Cell:q(3VIS`O2 Email: \gaw ck"Q►ef) ( Ck)'&• conti. J 1 - ay Owners Signature: X Date: Contractor's Information f Applicable) Name: 'Dooq/41.S 2 .14 Phone: 5/(3 - 3 7 3 4/G 3 Construction Supervisor's License #: CS-5-L.- o9?s/ol Expiration: /6 —24 Home Impr. Contractor License #: /fi V 77 Expiration: //—/'1' ) Stove Information Type of Fuel (check all that apply): Wood Y Pellet Coal Location: /2rs" lc Ft.re(7/•e& Freestanding Insert V Manufacturer: /.q7 t. Model: Qcsaalcl' 'Y-fin ,•nserl— Il s/Ef/(n? 'v.n 55 /tf?rr i rho i7uc ----------FOR BUILDING DEPARTMENT USE ONLY---------------/----- - - Permit# 4t�'4 / /�7©/�Date Applied: • Total all Fees: $ zV G- Datesse:el 440 C1G 00 Building Official: <S7 /f/�zt� ffjj Signature of Building Official: 1----6,----,--0,-„, # (Jv , ,D l s' 19 242 nip, 4 NooTNA ai,00h SP c77ON O/06p S • The Commonwealth of Massachusetts Department of Industrial Accidents 9=—_& - Office of Investigations 14 _73— �1= Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 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.I=1 I am a employer with 10 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P n' 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.❑ 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 employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t I Iomeowners 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 RETAILMERCHANTS GROUP Policy#or Self-ins. Lic. #:01400503301116 Expiration Date:1-1-25 Job Site Address: ' 51 ¢''0 /e-cr City/State/Zip: 7-12are-r« ")'' aia 66' 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 ceerrtify'under the pain.:,d penalties of perjury that the information provided above is,t/rue and correct. Signature: /�-t- -tJ .(1: Date: P. / 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): 10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.1=1Other Contact Person: Phone#: 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) \ (600mm) I 8-3/8" e. Large-30-1/2" (213mm) ��1` --- 3/4"(19mm) (775mm) "' IIA � � I (508mm) '.<- ' ISI i 20-3'4 ' rN (527mm) IM N tl iw i Small-40 ii (1016mm)----- 44 ii .., El .. 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. \ r Minimum Fireplace Size Masonry Z.C. (Metal) Fireplace Fireplace (a)Height(front) 20-3/4" 20-3/4" (528mm) (528mm) Cori15. (b)Height(rear) 20-3/4' 203/4'/b� (528mm) (528mm) \I� 4/0/6, (c)Width(front) 23 5/8" 25 5/8"•• (601mm) (651mm) j (d)Width(rear) 23-5/8" 25-5/8"" (601mm) (651mm) if) 00,C$1 © / (e)Depth' 14-1/2" 15 1/2.•• (369mm) (394mm) b` �6/' (f)Hearth Depth' 18" 18" OI e aC (Includes insert depth on hearth (458mm)(US) (458mm)(US) ' ``" plus required hearth extension) a 20" 20" I (508mm)(Canada) (508mm)(Canada) I 'X (g)Hearth Width 35-5/8" 35-5/8" (905mm)(US) (905mm)(US) C 39-5/8" 39-5/8" 4,00s, O (1007mm)(Canada) (1007mm)(Canada) o (h)Facing Width 42-5/8" 47-5l8" `t'i (1083mm) (1210mm) 0 (I)Facing Height 32" 32" ?// (above base of Insert) (813mm) (813mm) O p)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 for 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. .l V 4 �� I 1 III © 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 _V- (k)Sidewall 13" (331mmj 13" (331mm) ab/e 'ye°� (I)Side Facing 9-1/2" 12" b`'Sa6yeT ei (242mm) (305mm) 00'P (m)Top Facing 32" 32" Side �eci,� j (813mm) (813mm) Wall (n)Mantel 35-1/2' 44" (889mm) (1118mm) (o)Front Hearth(does not include 16" 16" Insert extension"x" (407mm)(US) (407mm)(US) / IIV (458mm)(Canada) (458mm)(Canada) 0Q � (p)Side Hearth 6" 6' (153mm)(US) (153mm)(US) �' / j )8"( 8" )( \ N � (204mm)(Canada) (204mm)(Canada) °o,C (q)Front of Insert 36" 36" 0h'earhkp., 4 -C✓© (915mm) (915mm) O (x)Extension onto Hearth' 2"' 2"' (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 Fireplace Insert Installation (for qualified installers only) 25 Insert with Positive Connection Insert with Direct Connection (Masonry REQUIRED IN CANADA. Fireplace) NOT ALLOWED IN CANADA. A block-off plate or other non-combustible sealing device (e.g. damper adapter) is required. It must seal the chimney to ensure smoke does not enter the home while providing the chimney system with sufficient draft. 17 fDB1134 OC =C CC =C ■C ]OI DC ]OI �C OI �C OI OC =C CC =C ■C ]OI DC )OI CC =C OC =C •C ]OI DC )OI CC =C CC =C ■C ]OI =C )OI • CC JC OC C C ]OI DC ]OI OC =C CC =C ■C )OI DC ]OI CC••• CIC CC OC ■C =I C )OI CC O1 �C OI r • 01 •■I—lv )OI � � =C — � MC ■ — ]OI •■ ]OI = OC — =C ■ r OOI ■ r wool 'OOC •- ?. 'OOC ■ I *u OOI �00 I ��O C � C ••OI • OC JOI IJOI IC IOC CI JOI �� -- sim - - m — I= I� — I= N � � � � � � � � Figure 12 © Travis Industries 4/26/2021 - 1510 Answer