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24A-230 (2) 127 PROSPECT AVE BP-2021-1045 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-230 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-2021-1045 Project# JS-2021-001779 Est.Cost: Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE FIRE PLACE 99401 Lot Size(sq.ft.): 10410.84 Owner: BOOTH ERNEST Zoning: URB(100)/ Applicant: THE FIRE PLACE AT: 127 PROSPECT AVE Applicant Address: Phone: Insurance: P 0 BOX 606 (413) 397-3463 () WC WHATELYMA01093. ISSUED ON:3/23/2021 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. yd, `�• Q . TO I • Certificate of Occupancy sinaturc! FeeType: Date Paid: Amount: Building 3/23/2021 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner i 1-1-8--------- i ,`ter OF Northampton SNS.M r„. ?oFi ��ti` `� ` �� 5,s.ter` sr r, : MAR 2 2 1 I�Passachusetts ,��C� /�.�. w ' ?.,s. j ,- t °� 202L ( 1 . * , s. N ,� �' ( ,, ' `I-" EP= `TMENT OF BUILDING INSPECTIONS � = \.\ s A.tin, 21 Maim Street • Municipal Builliny��A J�- . '`" �h "_1T/./gM/n/A✓C'N Northampton, Lam, 01060 ' �4R 2 . y„ - T°" ,,,q o oso°Ns 2 202, OF / 4-- 3�J.�_-'RT°U✓�o, Ng1.r,7Nr✓Aj „ APPLICATION FOR SOLID FUEL APPLIANCE-INSTALL TION Property Information Owners Name: Irrrs4 l�oo"h Address: / ! �rosy.!a Ave /or-/A e<np 7"(n 44 l) aia4,C) (No.) (Street Address) Phone: 4/4r fl-003 11: Email: Owners Signature: _ \ Date: Contractor's Information (If Applicable) Name: * ')our/k s L A b&t-c Phone: 4//: 3f7e 54e Construction Supervisor's License #: y fs(G/ Expiration: /--‘ -,2-- Home Impr. Contractor License #: /f'77 Expiration: 7/—/t' Stove Information 7 06'1t it fn9. !a 71,0 e5(1 in5. lit176icc . n5 l(','lo, (3- x/Ftcr /✓'or,- it, -f1uc. Type of Fuel (check all that apply): Wood Pellet Y Coal Location: F'r, f%c r Freestanding Insert y Manufacturer: /--/Err or) Model: le cce-ad re 5,7, 7C --------FOR BUILDING DEPARTMENT USE ONLY 1�--- 'tea Permit# ✓►' ^a '1013 Date Ap lied: Total all Fees: $ 2 �n Building Official: Key it....) ii4PSS Date Issued: 3-ZS- 202 j (P . Signature of Building Official: ( t The Commonwealth of Massachusetts Department of Industrial Accidents 9 ` =— Office of Investigations 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, MA 01093 Phone#:413-397-3463 Are you an employer?Check the appropriate box: Business Type(required): 1.El 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] 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]** 11.0 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#I 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#1. 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. #01400503301116 Expiration Date: 1-1-22 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 certi ,under the pains a �d peen/aalties of perjury that the information provided above is true and correct. Signature: 5 -� Date: 3, /7'o0/ Phone#: S1/3 ,3� 3/‘ 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): 1.0Board of Health 2.0 Building Department 3.0City/Town Clerk 4.0Licensing 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. - 24-7/8" -' ro ,„ ,, ,, ..r.., , _______i Y O �_ • Y N Y 0 14-3/8" N tN d A •-• w Y V V V C O. O. !-- 12-3/4" v u v To Top Edge a a a I 22-3/4" i O. i Measured from steel stove body tf— 10-1/2"—.— N N RI N To Glass ✓ N W N f\ n lil u1 V1 ]i- O O' O. a-, r an 1 — -4 , I ' LTA1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIR'I'>'<°.:"-11"�, 3 i ' Illllllllllllllllllllltl r l -®ill-.* 1 -\ It 1 T;1" f,I b `— .......!-_-....11'jiii X- i ,1 \ I I -'iTs. irsi Os V:411 M.1 la 11u,. _,:.� p ,,, ungllr,II ul ,,,III / tnllllllul t III i 11111111118... I '� . .� luo,,,,,,,lulu,dluu,,,,,,,.II II IIIII _i �___�f 13/16" X.,_ 15 9/16"� 14-3/8" _ d a I •f 5 I r 29-15/16" 41-13/16" Figure 3.1 8 Harman® • Accentra52i-TC Installation Manual R13 • 2017- • 01/21 3-90-00584i B. Clearances to Combustibles&Floor Protection When selecting a location for the appliance it is important to NOTICE:Illustrations reflect typical installations and are FOR consider the required clearances to walls (see Figure 3.2). DESIGN PURPOSES ONLY. lllustrations/diagrams are not WARNING! Risk of Fire or Burns! Provide adequate drawn to scale.Actual installation may vary due to individual clearance around air openings and for service access. Due design preference. to high temperatures, the appliance should be located out of traffic and away from furniture and draperies. * Floor protection must be used from hearth opening to 6" (152mm) in front of door glass and 6" (152mm) to each side of the stove body OR 8" (203mm) to sides to protect combustibles from hot ashes.A minimum size will be 16.5" deep by 30"wide and be made of a non-combustible material or meet UL approval. Clearances: A B *C *D E (From Glass) From Insert Body: 12" (305 mm) 12" (305 mm) 0" 0" 6" (152 mm) *3/4 Trim,Zero Clearance to Cast Surround A =to sidewall B =to 12" mantel 12 (305mm)Mantel C =to3/4"trim D=to3/4"trim E =floor protectionA t t l I NT \ ( 1( D e I t L. E 141 E r �E Figure 3.2 C. Minimum Opening - Masonry and Manufactured Fireplaces Location:.:, Inches Millimeters F Minimum Width 24-7/8 632 G Minimum Depth 15-9/16 395 G H Minimum Height#1-90-574240 24 610 H H Minimum Height#1-90-574220 22 779 H Minimum Height#1-90-574200 20 508 • / F \ f 1 9 Harman® • Accentra52i-TC Installation Manual_R13 • 2017- • 01/21 3-90-00584i 4 Termination Location and Vent Information A. Venting Termination Design #1 Installing into an existing fireplace chimney a. The chimney top must be capped to This method provides excellent venting with 100%outside air prevent rain and/or snow from entering which is the most efficient operation of this unit.This method the chimney. also provides natural draft in the event of a power failure. See Figure 4.8, for information on the A4"stainless steel flex pipe is needed for the flue pipe,and 3" optional Harman®Adjustable Stainless aluminum or Stainless Steel Flex Pipe is used for the intake. Steel Intake Extension. A WARNING The damper area must be sealed with a CHIMNEY CONNECTOR PIPE MAY NOT PASS steel plate and it is recommended that THROUGH CONCEALED SPACES INCLUDING AN Kaowoll, mineral wool, or an equivalent ATTIC, ROOF SPACE, CLOSET, FLOOR OR CEILING. non-combustible insulation be placed on top of the sealed area to reduce the possibility of condensation. Insulation A WARNING alone should not be used to seal the damper opening. For quick and easy/ DO NOT REMOVE BRICKS OR MORTAR FROM THE j installation, purchase the steel Harman Block Off Plate, 1-00-25625. EXISTING FIREPLACE. k. I ' - I .. r Height of existing hearth Figure 4.1 in r The chimneytopmust be capped. I1II to #2 Installing into an existing fireplace chimney prevent rain and/or snow from enterng the chimney. This method provides excellent venting for normal operation. This method also provides natural draft in the event of a power failure. A cap should be installed on the chimney to keep out rain. Combustion air is provided from the living area and enters the The damper area must be sealed with a feed system from around the wing and stove body spaces. steel plate and it is recommended that Kaowoll, mineral wool, or an equivalent [ 1 non-combustible insulation be placed A WARNING 7-! _—AZ on top of the sealed area to reduce the possibility of condensation. Insulation DO NOT REMOVE BRICKS OR MORTAR FROM THE alone should not be used to seal the EXISTING FIREPLACE. damper opening. For quick and easy installation, purchase the steel Harman / Block Off Plate, 1-00-25625. I=.1 ILLL■■,JJI!I Figure 4.2 10 Harman® • Accentra52i-TC Installation Manual R13 • 2017- • 01/21 3-90-00584i