23A-228 (7) 113 NONOTUCK ST BP-2020-0937
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV-.Block:23A-228 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-2020-0937
Proiect# JS-2020-001590
Est.Cost:$3800.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot Size(sg. ft.): 10715.76 Owner: PAPOUCHIS ALEXANDER
Zoning: URB(100)/ Applicant: THE FIRE PLACE
AT: 113 NONOTUCK ST
Applicant Address: Phone: Insurance:
P O BOX 606 (413) 397-3463 O WC
WHATELYMA01093 ISSUED ON.211812020 0:00:00
TO PERFORM THE FOLLOWING WORK: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 Occupancy Shmature:
FeeType: Date Paid: Amount:
Building 2/18/2020 0:00:00 $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
l City of Northampton
0<7
sic
Massachusetts
� EEP TMENT OF BUILDING INSPECTIONS �t
L2l lain Street • Municipal Building �Jy� `ate
Notthampton, MA 01060
FEB 18 /if
6 0~ a o -937
�f cT QF ,
T Nr?gT TUILDInIr;Inr ✓/ J �!
HA.1ahTON.P,4A pE06IONS
SINGLE OR ILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check#.�f "r(Z-AO
Please fill in all appropriate information
1. Name of Applicant : _ Z)00�z�o5 z ��j�c - h� /� �l c qc–
Address: r60 ��{c �� /�//iQ fc�, 141d a/G 9 3 Telephone: 5��3 �/`' -5Sl6-':S'�
2. Owner of Property
Address: Avi✓0fve-/C -1V'1),91--4i2 Telephone: o3
3. Status of Applicant : Owner Contractor
4. Type or Brand of Stove
5. UL Listing : UL/(IP a
6. Estimated Cost : ft3 roo ,da
7. Email :
If applicant is not the homeowner:: c
Contractor name / JDU�;I�S L-A� &2 Email
Construction Supervisor's License Number Expiration Date
Home Improvement Contractor Registration Number /PG y77 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.
m
DATE: l� APPLICANT'S SIGNATURE —
DATE: �/ °?Q HOMEOWNER'S SIGNATURE "
APPROVED
DATE: �r'�w BUILDING OFFICIAL
The Commonwealth of Massachusetts
Department of Industrial Accidents
r Office of Investigations
4�
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
�•'� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/Organization Name:THE FIRE PLACE
Address:100 STATE RD
City/State/Zip:WHATELY, MAO 1093 Phone #:413-397-3463
Are you an employer? Check the appropriate box: Business Type(required):
1.❑E I am a employer with 10 employees (full and/ 5. ❑Retail
or part-time).* 6. ❑Restaurant/Bar/Eating Establishment
2.❑ 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] g• ❑Nor-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]** 11.❑ 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.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box fl.
I am an employer that is providing workers'compensation insurance for my 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#or Self-ins. Lic. #014005033601116 Expiration Date:1-1-21
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under § 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 of this statement may be forwarded to the Office of Investigations of
the DIA for insurance coverage verification.
I do hereby certify, der the pains and p ialttes of pe►jurl�that the information provided above is true and correct.
R
Signature: Date: 01• /-�•020
Phone#: 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(check one):
1.❑Board of Health 2.❑Building Department 30 City/Town Clerk 4.❑Licensing Board
50 Selectmen's Office 6.❑Other
Contact Person: Phone#:
www.mass.gov/dia
3 Clearances
A. Appliance Dimension Diagram
Dimensions are actual appliance dimensions. Use for reference only.
24-1/16" 1
O
(V
r
Gn
N
u `
1 24-9/16" -
i
I
f
1-1/4"
-----------------
Outside Air
"70�. �MP Intake
r`
N
6-1/8'
Figure 3.1
7 Harman® Absolute43 Installation Manual—R9 • 2015-_• 08/17 3-90-00778i
B. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are
those consisting entirely of steel, iron, brick, tile, concrete, —f51mm)
slate, glass or plasters, or any combination thereof.
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in
a Vertical Tube Furnace at 750° C and UL763 shall be
considered non-combustible materials. 6"(152=7)
C. Combustible Materials Specification
Materials made of or surfaced with wood, compressed
paper, plant fibers, plastics, or other material that can ignite -
and burn, whether flame proofed or not, or plastered or un-
plastered shall be considered combustible materials.
D. Clearances to Combustibles 6"(450mm)
When selecting a location for the appliance it is important to
consider the required clearances to walls (see Figure 3.2).
AWARNING 6.25' --------
RISK OF FIRE OR BURNS! Provide adequate (159mm)
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.
NOTICE:Illustrations reflect typical installations and are FOR
DESIGN PURPOSES ONLY.Actual installation may vary due
to individual design preference. �' 61
Place the stove away from combustible walls at least as far
as shown in Figure 3.2.
Note that the clearances shown are minimum for safety but do
not leave much room for access when cleaning or servicing.
Please take this into account when placing the stove.
NOTE: Top of unit must be a minimum of 12" (305mm)to
When installing the unit into an alcove it is important to ceiling
consider the required clearances listed below.
Figure 3.2
A CAUTION
THIS APPLIANCE MUST BE VENTED TO THE OUTSIDE.
NOTICE: Clearances may only be reduced by means
= approved by the regulatory authority having jurisdiction.
N
Due to high temperatures, the stove should be placed away
from traffic, furniture and draperies.
36"Wide 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.
Height=42",Width 36,Depth 24" Clothing and other flammable materials should not be placed
on or near this unit.
8 Harman® • Absolute43 Installation Manual-R9 • 2015-—• 08/17 3-90-00778i
E. Floor Protection Corner Installation:
Parallel Installation: Minimum size floor protection for a corner installation hearth
Place the stove on a noncombustible floor or floor protector pad is 25-7/8"Wide By 28" Deep(658mm X 711 mm). Note:
that extends a minimum of 6 inches (152mm) to the front Floorprotector WILL NOTtouch the wall using minimum
of the load door opening, 6 inches (152mm)to the sides of clearances.
the door opening, and 1 inches to the rear. Floor protection If corner floor protection is desired to touch the wall,the floor
must also extend 2 inches (51 mm)beyond each side of any protection will need to be at least 36"x 36"(914mm x 914mm).
horizontal flue pipe. The minimum floor protector material Note:This will allow the floorprotection to touch the wall
is 20 gauge sheet metal. Other floor protector materials are as shown. Figure 3.4.
ceramic tile, stone, brick, etc. Alternate floor protector dimension may be used as long as
Minimum Size floor protection is 25-7/8" wide By 28" deep they satisfy the measurement requirements shown below.
(658mm X 711 mm). Figure 3.3
------ --------,
LOOK PROTECTOR
L' iL
o
O °
' FLJOR PROTEC'OR
K Figure 3.4
Figure 3.3 F. Mobile Home Installation
When installing this unit in a mobile home, several
Floor Protection US requirements must be followed:
Requirements _ 1. The unit must be bolted to the floor. This can be done
using an appropriate fastener for the application.
J Sides 6" 152mm 2. The unit must be connected to an outside combustion
K Front 6" 152mm air inlet. Proper supports and spark arresters must be
L Rear 1" 25mm considered when installing venting. See "Termination
Location and Vent Information" Section D.
3. Floor protection and clearances must be followed as
shown.
4. The appliance must be properly grounded to the frame of
the mobile home using a minimum of 8 AWG copper solid
or stranded, insulated or bare wire or equivalent.
w..wt
Install 1/4"lag bolts here.
Figure 3.5
9 Harman® • Absolute43 Installation Manual R9 2015- 08/17 3-90-007781