43-128 (8) 51 GREENLEAF DR BP-2017-0321
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 43- 128 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: woodstove BUILDING PERMIT
Permit# BP-2017-0321
Project# JS-2017-000527
Est. Cost:
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot Size(sq. ft.): 39813.84 Owner: SUN MEIPING
Zoning: Applicant: THE FIRE PLACE
AT: 51 GREENLEAF DR
Applicant Address: Phone: Insurance:
P 0 BOX 606 (413) 397-3463 0 WC
WHATELYMA01093 ISSUED ON:9/9/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:RAIS GABO WOOD STOVE - INSTALLING
CLASSA SELKIRK CHIMNEY AS WELL
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 9/9/2016 0:00:00 S40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
i _ City of Northampton
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/ a Massachusetts �<.:
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1 ., E,:['4e , DEPARTMENT OF BUILDING INSPECTIONS �J '
� 212 Main Street • Municipal Building ..�
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`V -:.- --,-= Northampton, MA 01060 sNn .4,•_)‘\'
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SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# /151'7(/-6.- if
Please fill in all appropriate information l
1. Name of Applicant : /Jo0 yir.3 41Pgr-':-
Address: 75 Ne rt-iS 3i 6./i rt,1-.! At A o/6 35 Telephone: 5 773 4S-V
2. Owner of Property : M e 7;ti9 /91J? 7-7)A Y if) ,k/
Address: s/ 6/C='I 4-4-74 -Dr. X00rnp9o- i Telephone:
Nj,� /rSS.
3. Status of Applicant : Owner Contractor !nS e in/n -7/--
4. Type or Brand of Stove : �f 61 S ( .tibo D - Zico 0 57 6 V Q-e- S ale( ii
5. Estimated Cost : 9'pQO• O
If applicant is not the homeowner:: }} �/ /
� L 1W-cc-
Construction
// / '`e_�l C'�
Contractor name/,/009le.S
Construction Supervisor's License Number 99$10/ Expiration Date /-6 /,P
Home Improvement Contractor Registration Number /8G 72 Expiration Date //--/9---4
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: 9-Z'4 APPLICANT'S SIGNATURE —_r�`z --
DATE:
.DATE: p-29-r4 HOMEOWNER'S SIGNATURE -z
APPROVED
DATE: BUILDING OFFICIAL
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- . The Commonwealth of Massachusetts
Department of Industrial Accidents
m! = Office of Investigations
r
1 Congress Street, Suite 100
-� � g Boston, MA 02114-2017
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:106 STATE RD
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 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ T am a sole proprietor orpartner- listed on the attached sheet. 7. [i Remodeling
ship and have no employees These sub-contractors have 8. (1 Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
i g officers have exercised their 11. Plumbing repairs or additions
3.0 I am a homeowner doing all work P
myself. !to workers' right of exemption per MGL 1
[� comp. n Roof repairs
insurance required.] ' c. 152; §1(4),and we have no
employees_ [No workers' 13.0 Other
comp. insurance required.]
'.Any applicant that checks box=I must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a ffidavit 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
inform anion.
Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC.
Policy#or Self-ins. Lie. #:014005033601116 Expiration Date:1-1-2017
Job Site Address: Si Cfc'c-k-i A &i' ."-Dr. City/State/Zip: Aiof Aori p Yet-) mA am46'
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 MOL 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 ORDER 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.
.1 do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct.
Signature: '�( .L -', v i� Date: 4
Phone c: 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#:
p
Single wall connector stove pipe—6"(15cm)diameter
Chimney pipe—Class A,UL-103 HT,6"(15cm)diameter
Optimal Thermal Output—15,300 BTU(4.5 kW);range is 12-26.7 kBTU(3.5-7.8 kW)
Minimum stove draft pressure at above output—0.056"WC(14 Pascals)
Efficiency—74%based on DS standard
Tested EPA emission particulate rate—2.13 grams/hour
Minimum distance to non-combustible material—2"(5cm)Note: Non-combustible must
be solid cement or block(not brick or tile over combustible material).
Mini •••• - material—
•
F C,1
� H
# Description RAIS Gabo RAIS Vola RAIS Pina
A Distance to combustible -US 11"(28cm)
side wall -Canada 13"(33cm)
B Distance to combustible -US 6"(15cm)
back wall -Canada 8"(20cm)
C Corner distance to side walls 4"(10cm) 3"(8cm) 4"(10cm)
D Connector pipe to -US 18"(46cm) 18.5"(47cm) 19"(48cm)
side wall -Canada 20"(51cm) 20.5"(52cm) 21"(53cm)
E Connector pipe to -US 11"(28cm) 9.5"(24cm) 11"(28cm)
back wall -Canada 13"(33cm) 11.5"(29cm) j 13"(33cm)
F Corner pipe to side walls 12"(30cm)
G Distance to furniture 36"(91cm)
H Front floor protection -US 16"(41 cm)from door opening
-Canada 18"(46cm)
I Side floor protection 8"(20cm)from door opening
Ceiling to top of stove 36"(91cm)
Ceiling to connector pipe 18"(46cm)
Note: A heat shield or protective wall may be used to reduce clearances if it meets the NFPA
requirements.Contact your local Building Inspector for proper guidelines.
Assembly Instructions
The RAIS Gabo, RAIS Pina, and the RAIS Vola stoves come assembled. To add the
Soapstone top plate on the RAIS Gabo, remove the steel top plate and replace with the
Soapstone top plate and the 2 bushings that are supplied. You may also just place the
Soapstone top plate directly on top of the steel plate. CAUTION: Soapstone is fragile, so
please handle with care.
Mount the special RAIS collar using the included hardware. When installing the first piece
of pipe (at the stove), place the pipe over the collar, which is designed so any moisture or
creosote will drip back into the stove and bum away. If using a crimped pipe, cut that
section off at the bottom and place it over the collar. Install the remaining stovepipe
segments with the crimped end down whenever possible.
5
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Chimney
The RAIS stoves must be installed using a Class A UL 103 HT — A.
approved factory-built chimney system or a code-approved
masonry chimney with a flue liner. In Canada,the installation must B.
conform to CAN/CSA-B365.
C.
The chimney must extend through the roof at least 3' (1m), and 2' D.
(.6m) above any structure within 10' (3m).
B.—►
The condition of the chimney and height is very important. We
suggest a total minimum height of 10' (3m). _ritz E.
Note the chimney connector pipe should not pass through an attic
or roof space, closet or similar concealed space, or a floor or
ceiling.
F.
Do not connect this stove to a chimney flue or air distribution
duct or any system serving another appliance.
Required Installation Components —L
A. Chimney Cap ❑l
B. Insulated Chimney
C. Storm Collar IL I
D. Roof Flashing
E. Ceiling Support Box or Joist Shield/Firestop Spacer
F. Chimney Connector Pipe
For venting vertically into a Class A chimney, single wall pipe (at least 24 gauge) may be
used in the room where the stove is installed. Refer to the manufacturer's instructions for
the connection to the listed chimney. The chimney/stove pipe must not be smaller than 6"
(15cm) in diameter.
For venting directly into a masonry chimney or through a thimble, the top of the single wall
pipe must be at least 18" (46cm) below a combustible ceiling and conform to NFPA 211
guidelines and methods. See diagram below.
Chimney Connector Pipe
Flue 18'(46cm)below ceiling
Mr
2'(Scw)
Insulated
Chimney
Alin.
J 2"(Scm)
f�CI
Masonry
7
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