25C-088 (11) 22 LINCOLN AVE BP-2019-1425
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:25C-088 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cate¢orv: woodstove BUILDING PERMIT
Permit# BP-2019-1425
Pro ject# JS-2019-002307
Est.Cost:$4800.00
Fee:$40.0o PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot Size(sa.H.): 6621.12 Owner: GELLER MARIAN J&GINA-KAMAS B CHOI
Zoning,URB(100 Applicant: THE FIRE PLACE
AT.- 22 LINCOLN AVE
Applicant Address: Phone: Insurance.,
P O BOX 606 (413) 397-3463 0 WC
WHATELYMA01093 ISSUED ON.6//712019 0.00.00
TO PERFORM THE FOLLOWING WORK:HARMAN PELLET 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:
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 Occuoancv signature:
FeeTVDe: Date Paid: Amount:
Building 6/1720190:00:00 540.00
212 Main Street,Phone(413)587-1240.Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
sg x
-^ Massachusetts �.
L t 4 `
I.i I D?PAN2N•LPNa O_ BUILDING IVs21iCPIONa 11 ,i
212 Y3' et t F
G. ^vim ��
> SC8
SINGLE OR TWO FAMILYSOLiD FUEL APPLiANCE PERMIT APPLICATION
FOR WOOD, COAL,PELLET.CORN, STOVES.OR FIREPLACES
please fM 1-,31
i. Name of Applicant: /JDO9lfS L•Al5ee — J1;4c
Address /06 Sl&k ef—b h -A,�
_. Owner o;Property: M fri en C—c/%/'
Address: 9.7 lincc/n ave ., 1✓or-Mempt'6-I - p96-63/6
3. Status of Applicant: Owner Contraldo.
Type or Brand of Stove : /11r1wen a[eCen me es 9'C//c}' -5f r'
5. Estimated Cost: /{EGD
If applicant is not the homeowner::
Contractor name l�agv�as LAbb�
Construction Supervisor's License Number 9x/Iteo Expi_tion Date
Horna Improvement Contractor Registration Number /1rO171 Expiration Date
All Applicants must complete a Workers Compensation insurance Affidavit before we can issue a perrnit
6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge...,^1
DATE: APPLICANTS SIGNATURE _
DATE: l� O'HOMEOWNER'S SIGNATURE
APPROVED RECEIVED --
DATE: BUILDING OFFICIAL
JUN 1 4 2019
' DEFT OF&IILDINp INSPECTIONS
NORTNRMPTON,MTOtOBO
C i _... I
i
' �
ii L. .. ._
I
I
B. Clearances to Combustibles
When selecting a location for the appliance it is important to 2-1/4"/57mm
consider the required clearances to walls.
Notice. Illustrations reflect typical installations and are FOR l
DESIGN PURPOSES ONLY.Actual installation may vary due
to individual design preference.
A CAUTION g
THIS APPLIANCE MUST BE VENTED TO THE OUTSIDE. 3
3
A WARNING
RISK OF FIRE OR BURNSI Provide adequate
clearance around air openings and for service
access.Due to high temperatures, the appliance should
be located out of traffic and away from furniture and
draperies.
Alcove Installation:
The Clearance to The Top of The Unit is 60' (152cm) 6-114"
Measured From The Floor. 159mm -----
This
-This is the minimum size Harman-recommends for an alcove
with a 60" ceiling. Figuer 3.2.
143/4" 103/4"
241 375m1Ii 3751T11r
610mm
2-1/4.
57mm�
54.. INO r
1372-11 r
3 '
Figure 3.2
Place the stove away from combustible walls at least as far
as shown in Figures 3.3.
Note that the clearances shown are minimum for safety but do Figure 3.3
not leave much room for access when cleaning or servicing.
Please take this into amount when placing the stove.
Due to high temperatures,the stove should be placed out of
traffic and away from furniture and draperies.
Children and adults should be alerted to the hazards of high
surface temperatures and should stay away to avoid burns
to skin and/or clothing.
Young children should be carefully supervised when they are
in the same room as the stove.
Clothing and other flammable materials should not be placed
on or near this unit.
9 Hannan® - Amentra Installation Manual R48 - 2902- •03/19 3-90-003261
I I
C. Floor Protection Alternate floor protector dimension may be used as long as
Place the stove on a noncombustible floor or floor protector they satisfy the measurement requirements shown below.
that extendsa minimum of6"(152mm)tothefront ofthe load Minimum size floor protection for a corner installation hearth
door opening,6"(152mm)to the sides of the door opening, pad is 24-1/16'deep x 28-5/8"wide. NOTE: Floor protector
and l'to the rear, or a HannaneCast Iron floor protector. WILL NOT touch the wall. Figure 3.5.
The minimum floor protector material is 20 gauge sheet metal.
Other floor protector materials are ceramic tile, stone,brick, Comer to edge dimension for comer Installation floor protection
etc. Figure 3.4
Minimum Size floor protection is 24-1116"deep x 28-5/8"wide.
*Floor protection dimensions for the front and sides are _ 36"
measured from the appliance door opening in The United
States.In Canada,the side dimension is measured from the
widest part of the appliance.
Venting:
U2-Follow PL vent manufacturers recommendations when
configuring vent pipe installation.
0
Canada- Must extend 2" (51mm) beyond each side of any
horizontal flue pipe.
L
Figura 3.6
J -
FLOOR PROTECTOR
K
Figure 3.4
J Sides 6" 152mm
K Front 6" 152mm
L Rear 0- Omm
10 Hannan® • Accenlra Installation Manual R48 2002- •O3/19 MM8326i
The Commonwealth of Massachusetts
�J r Department oflndustrialAcciden4
f I Congress Street,Suite 100
Boston, MA 02114-2017
1> wwlAmass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant information Please Print Legibly
Business/Organization,Name:THE FIRE PLACE
Address:106 STATE RD-P.O.BOX 606
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. [3Retail
or part-time).• 6. ❑ResmurantBer/Eating Establishment
2.❑ 1 am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,amp,etc.)
employees working for me in any capacity.
[No workers'comp.insurance required] 8. ❑Non-profit
3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing
no employees.[No workers'comp.insurance required]•
4.❑ We are a non-profit organimtion,staffed by volunteers, I I.❑Health Care
with no employees.[No workeri comp.insurance req.] 12 13 Other
'Any applinm the,chinks box tl muttako fill out Ne stinum tel—AoH'mad ,vdkers'compensation policy infomadon.
^Ifrk cm ti,omcers have excmpu,d Nemxives,bin it.cmpomlm has odlerempl,ye ,a Hurlers'mmpelw,ion polityk required end such an
or mmlion shmld check box 9L
lam an employer that is providing workers'compensation insurance for my enrployeeo Helmv is the policy infarmaaon.
Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC
Insurer's Address:P.O.BOX 859222-9222
City/State/Zip: BRAINTREE MA 02185
Policy#or Self-ins.Lia#0140050336011116 Expiration Date. ISI 2O
.Attach a copy of the workers'compeosation 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 ofthis statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
lefoherebycerti&, nder thepains andpefi,!Pi0 ofperjury that the informationprovided above is hum and correct
Signature: / /r/ Date: di• s/ 9
Phone#:413-397-3463 r
Official use only. Do not write in this area,to be completed by city or tower official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office
6.Other
Contact Person: Phone#:
Hww.meu.gav/dip