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18C-158 (4) BP-2024-1545 36 WARBURTON WAY COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-158-001 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-2024-1545 PERMISSION IS HEREBY GRANTED TO: Project# WOOD INSERT Contractor: License: Est. Cost: 0 DOUGLAS L'ABBEE CSL99401 Const.Class: Exp.Date:01/06/2026 Use Group: Owner: E.LERNER, JANE Lot Size (sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 01400503011 16 WHATLEY, MA 01093 ISSUED ON: 11/21/2024 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: 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: 1/1 Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner City of Northton + Y ', Massachuset s �4__� Y_ r-- ��,- w({{ _l.i _----.`:'..�_. _yam, ;%' ;:3t) "" s DEPARTMENT OF BUILDING INSPECTIONS ; i .i •.y 212 MaiNorthampton, MAn Street • ci01060,pal Nf 1 9 2024 '-�.r � g IN 1 IirTrCi,r3cfrn p„ Onn,enrti. C4Curr()Ns APPLICATION FOR SOLID FUEL APPLIANCE N Property Information • Owners Name: Jaoc Icr/)cC Address: JJ 6,/;(cha"kkr) Ay rtA tn-i pYen A/169 (No.) ' Street Address) Phone: V/ •rib •619/ Cell: mail: Owners Signature: Date: /0/F L yill Contractor's Information (IfApp icable) ern�*/- �ircY �e f� rcp/�cc^`� eel Ai Name: i)duf/FS L AI- x - iZ lam�ltcc Phone: 1,71/3. 3??. 3V-i 5 Construction Supervisor's License#: 551- o?iVo/ Expiration: /-‘ -aG Home Impr. Contractor License #: / FOV77 Expiration: i/-iF ..P4 Stove Information Type of Fuel (check all that apply): Wood y Pellet Coal Location: irrsf /-i'oC Freestanding Insert\( Manufacturer: Lop i Model: Ldery cr) i tSe- i•n 54e I/II, ‘ " 55' Fk-k /rncC (-Alto c FOR BUILDING DEPARTMENT USE ONLY--------- _ Permit# 3O- �.�1- 15 Date Applied: - Total all Fees: $ lii) V Building Official: 7 f/ 6--7(2 Date Issued: //• Z/.z.y Signature of Building Official: c.1.3rint) 21...... 6 Fire • lace Insert Installation (for qualified installers only) Installation Options Features • Masonry Fireplace Insert • Single Operating Control • Zero-Clearance (Metal) Fireplace Insert • Steel Plate Construction (1/4"&3/16") • Heavy Duty Refractory Firebrick • Optional High-Tech Blower Heating Specifications Approximate Maximum Heating Capacity (in square feet)* up to 2,000 (185 square meters) EPA Tested Cord Wood BTUs per Hour** 12,772 to 70,720 Maximum Burn Time Up to 10 Hours * Heating capacity will vary depending on the home's floor plan, degree of insulation, and the outside temperature. It is also affected by the quality and moisture level of the fuel. ** EPA tests to determine BTU output are achieved with a single load of wood at each burn rate.At home, you are likely to add more wood to your stove to maintain your desired comfort level. By the simple process of loading your stove with additional wood, you could achieve up to a 20% higher heat output than established during EPA testing. This model was tested for efficiency using method B415.1-10 and was determined to have a weighted average Higher Heating Value (HHV) Overall Heating Efficiency(OHE) of 77.1%. Overall efficiency of the heater may be lower if the heater is operated without a heat exchange blower or with the installed heat exchange blower turned off. Dimensions 6" (153mm) Dia. I `:r \. 26" Small -30-1/2' -v:f % (661mm) (775mm) •gF' i� •=' �- \23-1/2" ;; -:: (597mm) Large - 34„ ,19-3/8" (61 _ \\ (864mm) '1(239mm) 55-7/8"'\,` �,/ [153mm ,\ '`• 1 Cfi•• 1 23„ +'' ®' ' (585mm) l Small -42 -.. IL' i (1067mm) \ ' 15-1/8" (385mm)\ Large 44" f 19-3/8" (1118mm) \ (493mm) Emissions This heater meets the 2020 U.S. EPA's cord wood emission limits for wood heaters. Tested to EPA Alt-125, ASTM E3053-17, ASTM 2515-11, CSA B415.1-10 this heater has been shown to deliver heat at rates �`" ranging from 12,772 to 70,720 BTU/hr and an emission value of 1.52g/h. Report No. 0028WS119E (or,) ©Travis Industries 8/8/2022 - 1560 Evergreen Insert Fire • lace Insert Installation (for qualified installers only) 7 SAFETY NOTICE: Please read this entire manual before you install and use your new room heater. Failure to follow instructions may result in property damage,bodily injury,or even death. Contact local building or fire officials about restrictions and installation inspection requirements in your area Planning the Installation We suggest that you have an authorized Travis Industries dealer install your fireplace insert. If you install the fireplace insert yourself, your authorized dealer should review your installation plans. eCheck with local building officials for any permits required for installation of this fireplace insert and notify your insurance company before proceeding with installation. Preparation for Installation • Check for damage to the exterior of the fireplace insert (dents should be reported, scratches can be fixed by applying touch up paint). • Check the interior of the firebox(replace cracked firebrick and make sure baffle is in place). (el The fireplace insert can be lightened by removing the firebricks (pg 31)- replace before operation. Installation Considerations Installation Type Considerations Insert with Positive Flue (Full Reline) • Utilizes existing masonry or zero clearance fireplace (Page 14) • Provides best draft • Easiest to clean Insert with Direct Connect Flue • Masonry fireplace only •Provides good draft (Page 15) •Requires fireplace block-off plate Packing List • Wood Moisture Meter • Bypass tool • Gloves Additional Accessories Needed for Installation • Surround Panels (see page 16) ©Travis Industries 8/8/2022 - 1560 Evergreen Insert 8 Fire . lace Insert Installation (for qualified installers only) Fireplace Requirements Minimum fireplace size requirements are shown below. Minimum Fireplace Size (a)Height(front) 23-1l4" (591 mm) c (b)Height(rear) 23-1/4" oil (591mm) bGsr�b%,y (c)Width(front) 26-1/4 \ a''rei (667mm) 7 \ (d)Width(rear) 23-3/4 © (603mm) (e)Depth* 15-1/4 (388mm) (f) Hearth Depth 20-1/4" il) , O (Includes insert depth on (515mm)US hearth plus required hearth 22-1/4" 0 extension) (566mm)CA 35-5/8" 0 O (905mm)US 4yon (g)Hearth Width 39-5/8" C o/77b`srb/atie (100 42m)CA O a7h (h)Facing Width (1067mm) 0 (i)Facing Height 36-3/4" (above base of insert) (934mm) (j)Mantel Height 43" (above base of insert) (1093mm) Fireplace Altered Tag f..,, 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 8/8/2022- 1560 Evergreen Insert Fire • lace Insert Installation (for qualified installers only) 9 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 1 (k)Sidewall 18" ' (458mm) c (I)Side Facing 8" °fib,/, (204mm) Side Co�0,,4„. ,Top eMa%I (m)Top Facing 36-(934mm)3 ,__ Wall / �sc•c (n)Mantel 43" Fac;n9 9 Max.Depth 12"(305mm) (1093mm) © bIN /1" (o)Mantel Leg 8" O Max. Depth 9-112"(242mm) (204mm) / O (p)Front Hearth(does not include 16" insert extension"x" (407mm)(US) v. �!!� (458mm)(Canada) �++ (q)Side Hearth 6' O `\\ ' (153mm)(US) O 8" (204mm)(Canada) 4'cryoo,� t41 (r)Front of Insert 36" GOya.965 (bie 'r© (915mm) O (x)Extension onto Hearth' 4-1/4"" (108mm') 'This dimension is for a panel with no trim. If using the optional trim the insert will extend 5-1/2"(134mm)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 From chart above USA-min.20-1/4" (515mm)deep by 35-5/8" (905mm)wide (x) + (p) = Min. hearth required from Canada-min. 22-1/4" (566mm)deep by 39-5/8" (1007mm) front of fireplace opening wide • Masonry hearth extensions must be non-combustible and at least .018"thick (26 gauge). ©Travis Industries 8/8/2022 - 1560 Evergreen Insert 14 Fire • lace Insert Installation (for qualified installers only) Insert with Positive Connection REQUIRED IN CANADA. Sealing the Flue to the Insert The flue connection is vitally important. To ensure ' proper draft, and to prevent smoke spillage during re-loading, it is crucial for the flue to be m 1--El sealed with fireplace cement. If an adapter isNC� O1 used, both joints to the liner and the insert should CC =C be sealed. Use a generous amount of fireplace NI C JOI cement at every connection (where the flue CC ,=C connects to the insert and at every joint). IN C= =1 In addition, we recommend using non- C 01 combustible fiberglass insulation to seal the CC C fireplace enclosure. By sealing the top and •C =I bottom of the chimney, and the surround panels, Cl€ =C you will be ensuring outside air is not pulled into m C 301 the chimney. OC =C ■C JOI OC"' OC ■C 3O1 OC MC INC 3O1 pP :C ■t-7r )0I MN w ■ NU 301 iimo C Kr —OOI .. 'OOC ■Zi ii CC 011 ,,— 01 1OC \--m01 - COI =C JOI OOD I Il—IL�L Flue Installation The flue(or INTEGRITY"' Super Stove Starter adapter)may Flue(flexible or rigid) be notched to INTEGRITY Venting Systems allow room for manufactures starter sections in '' 3 brackets and 6 self- `,. the bypass rod. straight or angled configurations to drilling screws are suit your application. They are included with the insert. secured from inside the firebox, Use these components making installation much easier. a i,III1II11 to secure the flue Contact INTEGRITY Venting i�. (and/or appliance Systems for additional details: ,y; Top of Insert adapter)to the insert. ie , 4r integrityventingsystems.comIED �;` `. . d ©Travis Industries 8/8/2022 - 1560 Evergreen Insert The Commonwealth of Massachusetts o — Department of Industrial Accidents ko'4 r Office of Investigations �;E}._ Lafayette City Center a 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEibly 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 l'am a employer with 10 4. 0 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. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P t3' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. 10.❑ Electrical repairs or additions required.] 5. 0 We are a corporation and its 3.0 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 G. 152, §1(4),and we have no employees. [No workers' 13.0Other _ 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. *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. N Insurance Company Name: MA RETAILMERCHANTS GROUP — Policy#or Self-ins. Lie, #:01400503301116 Expiration Date:1-1-25 Job Site Address: 3� efibor a1 lv�� City/State%Zip: xj/,r M E ni Pi n �u G 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 Under the pains a penalties of perjury that the information provided above is true and correct. Signature: ' 2 Date // /9* 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): 11:1Board of Health 2❑Building Department 3JICity/Town Clerk 4.0 Electrical Inspector SEIPlumbing Inspector 6.0Other Contact Person: Phone#: .