21-018 (3) 511 SYLVESTER RD BP-2017-1126
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 21 -018 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 4 BP-2017-1126
Project# JS-2017-001912
Est.Cost: $2900.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot size(so. e.): 265193.28 Owner: VACCHELLI ANTHONY
Zoning: Applicant: THE FIRE PLACE
AT: 511 SYLVESTER RD
Applicant Address: Phone: Insurance:
P O BOX 606 (413) 397-3463 () WC
W HATELYMA01093 ISSUED ON:4/10/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:NAPOLEON S9 WOODSTOVE
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:
FeeTYDe: Date Paid: Amount:
Building 4/10/2017 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1126
APPLICANT/CONTACT PERSON THE FIRE PLACE
ADDRESS/PHONE P O BOX 606 WHATELY (413)397-3463 0
PROPERTY LOCATION 511 SYLVESTER RD
MAP 21 PARCEL 018 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid LAU
Building Permit Filled out
Fee Paid
Typeof Construction: NAPOLEON S9 WOODSTOVE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 99401
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOR TION PRESENTED:
proved_ Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding _ Special Permit _ Variance*
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demotiti..I Del,_
i / Y/d-/17
Si Odin_O-icia Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet die strict standards of MGL 40A.Contact Office of
Planning& Development for more information.
City of Northampton
r.r<,
„ Massachusettsc1F
DEPARTMENT RTM N - O BUILDING a I t� '
r
Qom.
SINGLE OR TWO FAMSLY SOLID FUEL , i:6 a - it4ii ADP' CY iJiJ
\ -FOR WOOD,COAL PELLET, OS S -f �D{j2:[,{:,...h , S S c riDD ..__
1t Jv
Name of Applicant -Mc i(ce /3/4c c7 r ot,q/t 3 2 ;411.I.r c
Address: /4 Ste JC ' Alk A.( ilM arny..� E. e_ 1i3 3477 ave 3
Owner of Property- A%J/Atny/��.t cAcl/r'
Address: S/l Sy/yes kr /s.r„j fie ccnee /73A -'_- -. .e. J/3. 4,171 3/13
3. Status of Applicant : Owner _ rte' Contrac:er
Type or Brand of Stave : A+ 20,0coti Si ejj,IM STOYG.
5 Estimated Cost : ;9CJ4'.00
if applicant is not the homeowner:.
Contractor name Mc !-tic•t?/ue 7)057 /'flier
-
Construction Supervisor's License Number riki0/ E o ati n Dare /`4 'l8
Home Improvement Contractor Reaictrabon Number /?0V77 Expiration Date !/-!g'-/
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a pet mh
6 Cer tiliCa{ion:I Nearby certify that the:nformation contained herein is true and accurate to the best of my
knowledge.
DATE: Y'S /7 APPLICANT'S SIGNA.TURE ---'= _ �
rr I
DATE: V-3-/7 ._HOMEOWNER'S SIGNATURE _.a.:... . . .%"r
APPROVED
DATE: BUILDING OFFICIAL
•
The Commonwealth of Massachusetts
q_ ODepartment of Industrial Accidents
—–1 -,�tl I Congress Street,Suite 100
��'-- '`� Boston,MA 02114-2017
I ,
www.massgov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILET)WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Business/Organization Name:THE FIRE PLACE
Address: 106 STATE ROAD
City/State/Zip:WHATELY, MA 01093 Phone #:413-397-3463
Are you an employer?Check the appropriate box: Business Type(required):
I. I am a employer with 10 employees(full and/ 5. 0 Retail
or part-time).* 6. ❑Restaurant/Bar/Ealing Establishment
10 I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.)
employees working for me in any capacity.
[No workers' comp. insurance required] 8. ❑Non-profit
3.0 We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152,§I(4),and we have 10.111 Manufacturing
no employees.[No workers' comp. insurance required]**
4.❑ We are a non-profit organization,staffed by volunteers, I ICI Health Care
with no employees. [No workers'comp. insurance req.] 12.0 Other _
"Am applicant that checks Mix 41 must also till out the section below showing their wrkers-compensation policy information.
"*Ir the corporate officers hate exempted theinsdv¢hut the corporation has other employees.a workers compensation policy is required and such an
ottani:cation should check hos:I.
I am an employer that is providing workers'compensation insurance for my employees. Be/ow is the policy information.
Insurance Company Name:MA RETAIL WC GROUP , INC
Insurer's Address:P.O. BOX 859222-9222
Cit)State/Zip: BRAINTREE, MA 02185
Policy a or Self-ins. Lie.;1014005033601115 Expiration Date:1-1-18
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 ofa
fine up to 51500.00 and/or one-year imprisonment,as well as civil penalties in the form ofa 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.
/do hereby certify corder,The pains and pe Ides y perjury that the information provided above is true and correct.
Signature: 0 7 0.. Date: `{ s
Phone : 5413 -377 - 3Y63'
Official use only. Do not write in 11th area,to be completed by Girt•or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office
6.Other
Contact Person: Phone#:
'wn rnais ldoudla
9
3.0 PRE-INSTALLATION PREPARATION
3.1 APPLIANCE PLACEMENT EN
Have an authorized dealer install the appliance. If you install the appliance yourself, have your dealer review
your installation plans and/or installation.
Draw out a detailed plan of the installation including dimensions and verify the dimensions with the
requirements listed in this manual.
You may wish to adjust the appliance position slightly to ensure the vent does not intersect with a framing
member.Appliance must be positioned so that no combustibles are within. or can swing within (e.g. drapes,
doors). 4 feet (1.2m) of the front of the appliance.
67.18
3.2 CLEARANCE TO COMBUSTIBLES
DO NOT INSTALL INTO ANY AREA HAVING A HEIGHT LESS THAN 7 FEET(2.1 m)
(CELING OF ENCLOSURE TO APPLIANCE BOTTOM, EXCLUDING HEATH HEIGHT)
BACK WALL BACK WALL
A A A
D C J
A Q
C I. 3 w
B A0 0
C7)
PARALLEL&CORNER SINGLE WALL CONNECTOR DOUBLE WALL CONNECTOR
S1 S4 S9 S1 S4 S9
SIDEWALL(A) 16" 16" 22" 16" 16" 22"
(40.6cm) (40.6cm) (55.9cm) (40.6cm) (40.6cm) (55.9cm)
SIDEWALL TO FLUE (B) 21" 21" 21" 19" 19" 19"
(53.3cm) (53.3cm) (53.3cm) (48.3cm) (48.3cm) (48.3cm)
BACKWALL(C) 10" 12" 12" 6" 6" 12"
(254mm) (305mm) (305mm) (152mm) (152mm) (305mm)
BACKWALL TO FLUE(D) 13" 16.5" 16.5" 9" 9" 16.5"
(33cm) (41.9cm) (41.9cm) (229mm) (229mm) (41.9cm)
CORNER (E)
(152mm) (152mm) (203mm) (51mm) (102rmn) (203mm)
CEILING (F) 7 feet 7 feet 7 feet 7 feet 7 feet 7 feet
(2.1m) (2.1m) (2.1m) (2.1m) (2.1m) (2.1m)
Clearances can be reduced with shielding acceptable to local authorities. Reduced installation must comply
with NFPA 211 or CAN/GSA-8365.
V41 5-1476/A/09.30 16
10
3.3 FLOOR PROTECTION
EMBER PROTECTOR:
EN This appliance must be installed on a non-combustible protector that extends to the front, sides and back of the
appliance as per the minimum requirements below.
NOTE- Ember protection is required for spark and ash shielding, not for limiting floor temperatures
from the radiant heat of the appliance.The appliance was designed and safety tested so that without
any protection, the floor will not overheat.
O 1 FRONT(I) SIDES(.1) BACK(K) VENT (L)
J
�-' CANADA 18" (45.7cm) 8" (203.2mm) 8' (203.2mm) N/A
USA 16" (40.6cm) 8" (203.2mm) 8" (203.2mm) 2"(50.8mm)
99.18
3.4 OUTSIDE AIR
IF ROOM AIR STARVATION OCCURS BECAUSE THE FRESH AIR INTAKE IS BLOCKED WITH ICE,
LEAVES, ETC.,OR BECAUSE THE APPLIANCE DOOR WAS LEFT OPEN, OR DUE TO A STRONG
EXHAUST FAN OPERATING ETC., DANGEROUS FUMES AND SMOKE FROM THE OPERATING
APPLIANCE COULD BE DRAWN INTO THE ROOM.
The following are signs that a fresh air kit may be required:
• When there is combustion present Wood burns poorly, smoke spillsback-draft takes place and your
chimney does not draw steadily.
• In the winter there is too much condensation on the windows.
• Opening a window seems to alleviate the above symptoms.
• A ventilation system is installed in the house.
Other devices are present that exhaust house air.
The house has tight fitting windows and/or is equipped with a well-sealed vapour barrier.
If possible connect the air intake at the pedestal's back to outside air with a 4 inch (100mm)diameter fresh
air kit available at your authorized dealer/distributor. Follow detailed instructions under"Mobile Home
Outside Air
3.4.1 OUTSIDE AIR - MOBILE HOME
Connection from the stoves air intake to outside
homes
pedestal nback, Use rghh air kit the fl or ttollineediameterth alum in the PLA OUT
air is mandatory in mobile
e
y throughup with the knockout in the KNOC Tom.
pedestal throughhole in the floor to '
4 inchaluminum liner
by g the end once it is inserted through the 4-1/2 inch diameter hole in 4 1 /
either the back or base of the pedestal. If the air intake is through the floor, h-�
the hole in the pedestal back must be covered with sheet metal to avoid cold 7 TRIM
air spillage into the room.A cover plate is available from your local authorizedr L
dealer/distributor.Avoid cutting away floor joists, wall studs, electrical wires I, PEDESTAL
or plumbing. Seal around the outside pipe with insulation to prevent drafts.
Attach the rear knockout plate(located inside the ash pan for shipping purposes).
NOTE: The S4 can only have outside air connected to pedestal backplate. Connection to bottom of
pedestal not available.
f x19.!:7 =./09.iS lb