31A-209 (5) 25 HARRISON AVE BP-2020-0691
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:3 1 A-209 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-2020-0691
Project# JS-2020-001177
Est.Cost: $5700.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot Size(sq.ft.): 12371.04 Owner: JOHNSON TRAVIS
tonin : U�RB(100)/ Applicant. THE FIRE PLACE
AT. 25 HARRISON AVE
Applicant Address: Phone: Insurance:
P O BOX 606 (413) 397-3463
WHATELYMA01093 ISSUED ON.12/4/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-PACIFIC ENERGY T5 ALDERLEA
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:
FeeTyim Date Paid: Amount:
Building 12/4/2019 0:00:00 $40.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
�.� City of Northampton
Massachusetts
t
' TMENT OF BUILDING INSPECTIONS
'n Street • Municipal Building l ;fib
Pp / bxthampton, MA 01060
019 6 P- ate- Ce g/
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SINGLE p1c'I' f�FA ILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL,P LLET,CORN,STRAWI OR SIMILAR STOVES,OR FIREPLACES
Check#
/ Please fill in all appropriate information
1. Name of Applicant :
c� /1 0�0�3 �/3 pyx s�G
Address: /00 �{ � /�� /i1l�e��� !�/''' Telephone:
2. Owner of Property : V�S own Son
Address: C;� XV< . /V or41,&rxP h-1-) Telephone: moa-3a�� X533
3. Status of Applicant : Owner Contractor
4. Type or Brand of Stove :
5. UL Listing
�a
6. Estimated Cost : 500
t
7. Email :
If applicant is not the homeowner::
Contractor name I)oul?/1 S t Abzz Email
Construction Supervisor's License Number �,�,Xo Expiration Date
Home Improvement Contractor Registration Number /f 177 Expiration Date
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:—/,/, 69 APPLICANT'S SIGNATURE—
DATE:_ '� aT HOMEOWNER'S SIGNATURE
APPROVED
DATE: 3 BUILDING OFFICIAL
Safety Clearances
Please read this entire manual before installation Masonry or Factory Built Fireplace
and use of this wood burning insert.Failure to follow
these instructions could result in property damage, The minimum required clearances to surrounding combustible
materials when installed into a masonry or factory built fireplace
bodily injury or even death. are listed below and in figure#1.
We strongly recommend that smoke detectors be installed. If
smoke detectors have been previously installed,you may notice
that they are operating more frequently.This maybe due to curing
of stove paint or fumes caused by accidentally leaving the fire
door open. Do not disconnect the detectors.If necessary,relocate
them to reduce their sensitivity.
SAFETY NOTICE: If this stove is not properly installed, a
house fire may result. For your safety,follow the installation Minimum Clearances to Combustibles
directions. Consult local building or fire officials about (Measured From Insert Body)
restrictions and installation inspection requirements in
your area. Adjacent Sidewall.....................20.5 in. (520 mm.)
Mantel..........................................16 in. (406 mm.)
NATIONAL We recommend that our products be Top Facing .16 in. 406 mm.
FIREPLACE installed and serviced by professionals Side Facing (1.5 in.extension)... 6.5 in. (165 mm.)
INSTITUTE
who are certified in the U.S. by the
National Fireplace Institute (NFI)
or in Canada by Wood CAUTION:Unit hot while in operation.Parts of the appliance,
Energy Technical Wood Energy especially the external surfaces, will be hot to touch when
CERTIFIED Training (WETT) Technical Training in operation. Keep children, clothing and furniture away.
www.nficer ified.org www.wettinc.ca Contact may cause skins burns.
Fig.# 1
i
Mantel or Top Facing w
iv
4,
16"
c
U
LL
N
U)
6 5"
20.5"
�gll
pola�erl
M
Fireplace
Hearth
2'
T 4
g,
PACIFIC
ALT5.CINSB 210714-24 3
ENERGY
*Fireplace hearth requirements:(Measured without the insert)
The non-combustible fireplace hearth must be raised 2"above an adjacent combustible floor and extend 16"in front and 8"beyond
each side of the existing fireplace opening.A non-combustible hearth that extends a minimum 23-1/2"in front of the fireplace
opening may be flush to an adjacent combustible floor.
MINIMUM FIREPLACE
OPENING AND HEARTH
DIMENSIONS
. 16" O
24 1/2-
21
/2"21" 24„ 18"
Non-combustible fiteplace
181/4 hearth
- –
t2"
• r r
2'
** Ember protection:
Combustible floor in front of the fireplace insert must be protected from hot embers by non-combustible material
extending 16"(USA) and 18"(CANADA)to the firing side and 8"to other sides of the unit.
Consult CAN/CSA-13365(clause 8.1.3.2,pg15)Installation Code for Solid-Fuel-Burning appliances and equipment in Canada,
and N.FP.A.211 Standard for chimneys,fireplaces,vents and Solid-Fuel-Burning appliances in USA.
MINIMUM EMBER
PROTECTION
DIMENSIONS
22 1/2"USA
�-24 1/2"CANADA' O
I
Non-combustible fireplace 16"USA
hearth 18"CANADA
Non-combustible floor
covering
t 2„
4 ENE GY ALT5.CINSB 210714-24
n sta I I at i o n I Fig.#2 Full Flue Liner
(Required in Canada)
Your Insert is designed to be installed into a masonry orfactory-built,
zero-clearance wood burning fireplace. The masonry fireplace
must be built according to the requirements of the Standard of
Chimneys, Fireplaces,Vents and Solid Fuel Burning appliances,
N.FP.A. 211 (Latest Edition) or applicable National, Provincial, Rain Cap
State or local codes. The installation shall conform to CAN/ -
CSA-8365, Installation Code for Solid-Fuel-Burning Appliances
and Equipment. The factory-built, zero-clearance fireplace and
its chimney must be listed per UL 127 or ULC S610 standards.
Warning: Under no circumstances is this heater to be installed
in a makeshift or"temporary" manner.
Stainless Steel
i;
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE Rigid or Flex Liner
SERVICING ANOTHER APPLIANCE.
Fireplace Specifications
Your fireplace is required to have the following minimum sizes: Mantel or
WIDTH (at front) 24 1/2" (622 mm) Top Facing\
WIDTH (at rear) 24" (610 mm)
HEIGHT 21" (533 mm)
DEPTH 18 1/4" (464 mm)
Chimney height 15' (minimum)
O
A metal tag is provided and is to be fastened to the back
wall of the fireplace, if the fireplace has been modified to
accommodate the insert.
Into a Masonry Fireplace
Inspect your fireplace for cracks, loose mortar or other physical
defects. If repairs are required,they should be completed before
installing your insert. Full Flue Liner:(Fig.2)where a stainless steel rigid or flexible liner
The fireplace chimney must be suitable for wood burning use. extends from the Insert flue collar to the top of the chimney.
Check for creosote build up or other obstructions, especially if it Positive Flue Connection(In U.S.A.only): where a throat blocker
has not been in use for some time- have chimney swept. plate and a short connector pipe is used.
The existing fireplace damper is to be locked open or removed Note: A clean-out door may be required under local codes,
completely. when a positive flue connection is used. Consult local codes.
WARNING: Do not remove bricks or mortar from your existing pacific Energy highly recommends the use of a full liner as
fireplace. the safest installation and providing optimum performance.
Exception: Masonry or steel, including the damper plate, may When connected to a full liner, the Insert is able to draft
be removed from the smoke shelf and adjacent damper frame if correctly and will prevent problems such as difficult start-
necessary to accommodate a chimney liner, provided that their ups and smoking out the door.
removal will not weaken the structure of the fireplace and chimney,
and will not reduce protection for combustible materials to less For difficult installations,this insert is approved for use with
than that required by the National Building Code. a SPND.30FFSETA-3"flue offset box.Only this offset box is
The Insert must be installed in accordance with local and or approved for use with this insert.The use of any other offset
national building codes.The two methods of flue connection that box may cause a hazard and/or void any warranty.
are acceptable in most areas are:
6 ENERGY ALTS.CINSB 210714-24
The Conunomvealth of Massachusetts
Department of IndustrialAccidents
1 Congress Street,Suite 100
l< ) Boston,MA 02114-2017
)vwly.nIasS.,-ov1dia
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):
1. I am a employer with 10 employees(full and/ 5. ❑Retail
or part-time)." 6. E]Restaurant/Bar/Eating Establishment
2.[:J 1 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' camp.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 10.0 Manufacturing
no employees. [No workers' comp.insurance required] 1 LQ Health Care
4.❑ We are a non-profit organization,staffed by volunteers,
with no employees.[No workers'comp.insurance req.] 12.0 Other
Any applicant that checks box=1 must also fill out the section below showing their workers'compensation policy information.
uxlf the corporate officer have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organisation should check box=1.
I ani an employer that is pr•ovidirrg workers'compensation insurance foi-niy employees. Below is the policy information.
Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC
Insurer's Address:P.O. BOX 859222-9222
City/State/Zip: BRAINTREE MA 02185
Policy r or Self-ins.Lic.=0140050336011116 Expiration Date.
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 Sl.500.00 andior 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 and p allies of pei jury that lire information provided above is true and correct.
, 2 l/ ass- /`3
Signature: (..u-�..�.. Date:
Phone#:413-397-3463
Official use only. Do Trot 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.Licensing Board S.Selectmen's Office
6.Other
Contact Person: Phone#:
w,.tnv-mass.-owdia