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03-028 (9)
599 COLES MEADOW RD BP-2017-1032 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 03 -028 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Wood Stove BUILDING PERMIT Permit# BP-2017-1032 Project# JS-2017-001776 Est.Cost: $3000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Cons.Class: Contractor: License: Use Group: THE FIRE PLACE 99401 Lot Size(sq. ft.): 104936.04 Owner: COLE SCOTT&LISA Zoning: RR000)/WSP000)/ Applicant THE FIRE PLACE AT: 599 COLES MEADOW RD Applicant Address: Phone: Insurance: P 0 BOX 606 (413) 397-3463 0 WC W HATE LYMA01093 ISSUED ON:3/17/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:PACIFIC ENERGY-T6 ALDERLEAWOODSTOVE 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 3/17/2017 0:00:00 $40.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck-- Building Commissioner City of Northampton ..:.-..Ito Massachusetts d, C-tti 'c DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 $a.�`• q MAR I V 2017 6f - / 7-/632 SINGLE OR TWO FAMILY SOLID FUEL APPIANCE PERMIT APPLICATION FOR WOOD,COAL, PELLET,CORN, T � STRAW O OR IMSIMILAR STOVES, FIREPLACES O Please fill in all appropriatepp� information 1. Name of Applicant : �c�7/-/re• / (cc - r/o0y/QS LAh�ct Address: /EX /c ?4 - �1UA&/!c&./ (/t(/� 6/693 Telephone: 1i3 S.:77 3 V 2. Owner of Property : '52 / eg r Address: S79 (J/c3 /11c8-Dow 7) Nie mPiO'h Telephone: -508- 965666 3. Status of Applicant : Owner //Contractor 4. Type or Brand of Stove : (7m-U-riC L-7,c - /6 / LDer-Jcti 5. UL Listing : 6. Estimated Cost : C306r7. o• 7. Email If applicant is not the homeowner:: Contractor name-Da / 0 ts Email / rr � c0� 4 Email : �yorx)�� 6cr rsT�S'/eh ' cr]Y/erJ`5�`/�/7Y' Construction Supervisor's License Number 9`x'/4/ Expiration Date /-la /8 Home Improvement Contractor Registration Number / ?a Y 77 Expiration Date //-/7-il All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit 8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: x'/3-/ 7 APPLICANT'S SIGNATURE —1' y DATE: \J ' r HOMEOWNER'S SIGNATUREM-` � err DATE: 3-7p // APPROVED G 9 �`/` BUILDING OFFICIA Installation - Residential Warning: Under no circumstances is this heater to be installed in a makeshift or"temporary"manner. It may be fired only after the stove is installed properly • DO NOT ATTEMPT TO CONNECT THIS HEATER TO ANY AIR DISTRIBUTION DUCT • We recommend that our woodburning hearth products be installed and serviced by -, professionals who are certified in the U.S.by the National Fireplace Institute®(NFI)as DO Dot CO ' NFI woodburning Specialists or who are certified in Canada by Wood Energy Technical Training(WETT). another A. r • Outside combustion air or fresh air into the room may be required in your area,consult local building codes(see Combustion Air section). BOTH CHIMNEYSYSTEMAND CONNECTOR MUST BE LISTEDTO:IN CANADA - ULC S-641 LISTED CONNECTOR AND ULC-S-629 LISTED CHIMNEY,IN USA - UL-103 HT LISTED CONNECTOR AND CHIMNEY Clearances — Residential 1. This heater may be installed using a single-wall connector(smoke pipe)or listed double- wall connector(see Mobile Home installation). 2. Clearances to combustible surfaces and materials using single-wall connector are shown in Figure#2. Clearances maybe reduced with various heat insulating materials.Consult local,National fire codes and authorities for approval. 3. Alternately,for close clearances,use a listed double-wall connector. See Figure#2a. Ilea Minimum Clearances to Combustibles — Residential 9" 6.. 1775' 1229mm 20.25 152mm 451 mm , 514mm SINGLE WALL C 356mm �0� CONNECTOR " AO v 28 75" 152mm \\ / 756mm x.. g 42a 7.5" 191mm /G'S i O/ .a //C 1625" 19 . t875 1 10" 192 - _ 413mm fQ _ 330mm 475mm 2�4mm e 48BmmS 1ZImm rt� cl s C DOUBLE WALL ' II lal osmm 2775" ' osmm E781 mm' ALCOVE: Min.Height 7 feet(2.1 m) Max.Depth 4 feet(1.2m) 030215-24AL6B 7 ©PACIFIC ENERGY FIREPLACE ej y PRODUCTS LTD. Floor Protector LAM The stove may be installed on a combustible -- Canada Only floor provided noncombustible ember U.S.A. Only Minimum Width -43"(1.09m) protection is used. Minimum Width -3e"(914mm) Minimum Overall Depth-501/2(1.28m) This protection must extend as follows: Minimum Overall Depth-401/2(1.03m) In Canada: 18" (457 mm)on the firing side and 8" (203 mm) to the other sides. See ( -- Figure#5 on left. 8" [203mm] .1_ In USA: 16" (406 mm) to the front and 8" — --- 1 (203 mm) to the sides of the fuel loading r-- E door opening. See Figure #6 on right. 1 ® E _ , This protection is also required under the chimney connector and 2" (51 mm)beyond ctt �— m each side. ® 18" [457mm] 3 E 3 3 t6"149smm] m Non-combustible floor protector/ Non-combustible floor protector / Combustion Air Intake or combustion air can be supplied to the stove in one of two ways.Consult your local building code or CAN/CSA-B365, Installation Code for Solid-Fuel-Burning Appliances and Equipment before proceeding. 1. Outside air supply-(Necessary for mobile home installation, optional for residential installation.)To draw outside air through the floor,cut or drill a 4"(100mm)diameter hole directly below the bottom hole of the ash box enclosure(see page 6 Fig.#1 a).Connect enclosure to the floor with a short 4"(100mm)diameter pipe. This hole must get its air from a ventilated crawl space or be extended with duct to the outdoors (see Figure #4. Page 10).The use of outside combustion air for residential installation requires the unit to be secured to the structure to prevent dislodging of the air duct. Note:When installed in a mobile home,this unit is not designed to be operated with the firing door open. In addition to the obvious hazard of sparks landing on combustibles, an open fire door will cause the heater to draw air from the living space and possibly cause suffocation. 2. Room air supply-There is a 4"(100mm)opening in the ash box enclosure.The stove will draw its air from the room through this opening and into the firebox intake. Note:The living space around the heater must be well ventilated with good air circulation. Anything that may cause a negative pressure can cause gases or fumes to be pulled into the living area.During extremely cold weather,and especially when burning at very slow rates,the upper parts of the exposed chimney may ice up,partially blocking the flue gases.If blockage occurs,flue gases may enter living space. d nom, ©PACIFIC ENERGY FIREPLACE 12 030215-24 AL6B PRODUCTS LTD. The ConunonwenithofMassachusetts Department ofIndustrial Accidents _:•'� r?, I Congress Street,Suite 100 Boston,MA 02114-2017 www.niass.got/din Workers'Compensation insurance Affidavit Central Businesses. TO 1W RUED 144TH THE PERldI1TStM_C AtTHORIT€ Applicant Information ^ - Please Print Legibly Business/Organization Name:THE FIRE PLACE Address: 106 STATE Re Clio state:Zip:W HATELY,MA 01093 phone 4:413-397-3463 1 Are you an employer?Cheek the appropriate bas: Business Type(required): • ! i.'!, ; Pin it employer with 10 employees(MI and, 5. 0 Retail sarz-zinee).* 6. ❑Restaurant/Bar/Eating Establishment pipi a sale proprietor or partnership and have no 7, ❑Office and/or Sales(incl.real estate,auto.etc.) =naio ees evorking for me in any capacity. [Nc. 'orkers insurance insunce required] B. ❑Non-moth 2.1_1 Ye are a corporation and its officers have exercised 9. 0 Entertainment (heir right of exemption per c. 152,§I(4),and we have i0.0 Manufacturing - !la employees.[No workers'camp.insurance required)*qqq - 11.0 Health Care Roy ere a non-profit organization,staffed by volunteers, »uA no employees.[too workers'comp.insurance req.] 12-0 Other `in . .oc,-t checks hos'i must also fill out the section tine shooing theirworkers'compensation pulley infonretion. ca'c_+t:c.opi.'; rs Ivaco esemoted themselves,bin the corporation has otltr employees,a workers`campention policy is required and such en oroanisaiino should check has SI. I am an employee that is providing markers'compensation insurance for mw employees. Below is the policy information. Insurance Company Name:MA RETAIL WC GROUP,INC Insurer's address:P.O. BOX 859222-9222 Cine/Stateilip: BRAINTREE MA.02185 polio `or Seri-ins.iso,#014005033601115 Expiration Date:1/6/16 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 tine up to Si.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 m S2f000 a day against the violator. Be advised that a copy of this statement may be forwarded to die Office of Irves:Da:ions of the DIA for insurance covemee verification. l do hereby certif under:he pains and implies offperju'y that dee information provided above is trite and correct. Signature: tit-u-Kl- . "`"D"^'S Date: `gr13- Phone u,1413-397-3463 Official use only. Do not write in this area,to be completed by airy,or town official. City or Town: Permit/License Issuing Authority(circle one): 1. Board of Healon 2.Building Department 3.City/fovn Clerk 4.Licensing Board 5-Selectmen's Office 6.Other Contact Person: Phone#: woov.massgnv/die