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24D-067 (12) BP-2022-0107 32 PERKINS AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-067-001 CITY OF NORTHAMPTON Permit: Solid Fuel Appliance PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0107 PERMISSIONISHEREBYGRANTED TO: Project# Contractor: License: Est. Cost: DOUGLAS L'ABBEE 99401 Const.Class: Exp.Date:01/06/2024 MCKAY WILLIAM F& DANIELLE J& DENISE A Use Group: Owner: MCKAHN Lot Size (sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: PO BOX 606 (413)397-3463 01400503301116 WHATLEY, MA 01093 ISSUED ON:02/04/2022 TO PERFORM THE FOLLOWING WORK: WOOD STOVE INSERT 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: . (PTV Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner d� r ti City of Northampt k e'' Massachusetts / \\\\ � w, �i; �t M� s DEPARTMENT OF BUILDING INSPECTIONS 3t �' ? 212 Main Street • Municipal Bui,]ding / a t`:� , p' Northampton, MA 01.060 ,T,))� CQc� ss7 jy 48•0 JFyo / APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: DCPiS- 47C/CIA(-% Address: 3 ? i ,-reF n y /.9v At.Ir A iq' /Q') 111A 0 evo60 (No.) (Street Address) Phone: 4//3, 3 2O- f,1 Cell: Email: CO2A-124:-,L�� Date: Owners Signature: , / / 3) Contractor's Information (If Applicable) Name:' /)ov9/t) I Rb�xc- %7JC !-j/G ?/&c< Phone: e7/3 L3?i 35/4S Construction Supervisor's License #: 79'Vo/ Expiration: A-6 -� 1. Home Impr. Contractor License #: /Y15' 77 Expiration: it-/if' ' Stove Information Type of Fuel (check all that apply): Wood Y Pellet Coal Location: /r i' i/c)r Freestanding Insert Manufacturer: .eci ftc ( r Model: 5'oper Z F '/ 5' _ //),A/eo e 7,, 55 7'ncr /n/b f/c'c. FOR BUILDING DEPARTMENT USE ONLY-----------------..-_-___----- Permit# ,1 ?7--/07 Date Applied: Total all Fees: $ /O CS /390 Building Official: Date Issued: ;/1l .), (i.ring / Signature of Building Official: 10 i 4 : iI The Com mnonwealth of Massachusetts_ i, Department oflndustrialAccidents -.,_ t_ 1 Congress Street,Suite 100 4'_ = Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly . / Name(Business/Organization/Individual): / �/,� -/`r'e (---P/ Cam_ Address: /00 S74/t j City/State/Zip: lt/i / fbtrit 6,093 Phone#: ezt/1 3� 5 VZ ..- Are you an employer?Check the appropriate box: Type of project(required): I.t I am a employer with /0 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:/21 17 cc'T0 t I A)e•rcJ i'!73 G'7/c-ip I C Policy#or Self-ins.Lic.#: C/V 00S0.53 O//I 4 Expiration Date:^ / /-/- a3 Job Site Address: / 56 � /J-GtJG1, D rr City/State/Zip: ''rf trkplcr)i Al o/o60' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 an penalties of perjury that the information provided above is true and correct Signature: 44 Date: / ,f/e,7a Phone#: 0.-5 3 71 34, Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:_ Dimensions A A ~ 7 1/4" 185mm -___/ /I ll \ ._ —-= 7•1 g 21 3/8" • 545mm 20 7/8" if 530mm a 17" _ 430mm NI. _ f— 18 1/8" 9 7/8" 460mm f— 251/4" 0 ► . 645mm 250mm 22 1/8" 560mm 8 1/4" 210mm 14,' tE.A11111k:73 9 7/8" 355m m I 250mm 11111111 j 37„ The Insert is equipped with io 940mm ' a 6" I.D. Flue Collar. Figure 1: Super Insert LE -dimensions. Surround Dimensions REGULAR OVERSIZED SURROUND SURROUND A 43 3/8" 48" B 29 5/8" 33 5/8" SUPER INSERT LE 210619-28 11 100002686 PACIFIC ENERGY Minimum Fireplace Dimensions Hearth Requirements: The fireplace's non-combustible masonry hearth must extend 16" in front and 8" beyond each side of the existing fireplace opening. See Figure 2. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I A 26" I ow 660mm I I I I 22 1/2 " I -O► 570mm I 21 " I I 535mm I 18 3/8I I /./ 465mm X I I 16„ I /'8u' /11 Fireplace Hearth 406mm 200mm Figure 2: Fireplace opening dim. -Super Insert LE. PACIFIC ENERGY 100002687 12 SUPER INSERT LE 210619-28 , Ember Protection: Combustible flooring in front of the fireplace insert must be protected from hot embers by non-combustible material extending: • Canada - 18" to the firing side (From the Glass) and 8" to each side of the unit. • U.S.A. - 16" to the firing side (From the Glass) and 8" to each side of the door opening. Consult CAN/CSA-B365 Installation Code for Solid-Fuel-Burning appliances and equipment in Canada, and N.F.P.A. 211 Standard for chimneys, fireplaces, vents and Solid-Fuel-Burning appliances in USA. I I II IIP ` `` CAN. 24 1 /2n / 610mm � • 111 USA: 22 1 /2" FiC ,1 C CAN � lC 18 / 406 m m USA: 16" � �C Ember �[ Protection _ Masonry Hearth Figure 3: Super Insert LE - Ember protection. Optional Leveling Legs Leveling legs(bolts) are provided if you need them to level or steady the insert on an uneven hearth. • If you fireplace is lower than the hearth mount the rear leveling leg bolts. Prop the unit up to access threaded inserts under the sides towards the rear of the unit. Thread supplied bolts into inserts, set depth to correspond to depth of fireplace drop. • If your hearth is lower than the fireplace floor install the front leveling bolts. Prop the unit up to access the threaded inserts under the front, towards the sides of the unit. Thread the supplied bolts into inserts. • Push the Insert into position in the fireplace and adjust the leveling bolts as needed to level the Insert. PACIFIC SUPER INSERT LE 210619-28 13 100002686 ENERGY, Clearances The minimum required clearances to surrounding combustible materials when installed into a masonry or factory built fireplace are listed below and in Figure 4. Mantel or Mantel Facing _____— I I I t I I I I _I_ A 112„ I I a' 305mm L - I 33„ — n v— z0. .1 _ , -- -- I 840mm VVaII r P l I Adjacent 255mm z J _ _ zi 1 ®.,—,1 ',-.I Cr . . L.-_s r- -,11 7 / Fireplace Hearth 6" 155mm Figure 4: SUPER Insert LE Clearances. Minimum Clearances to Combustibles Side of Blower Cover to Adjacent Sidewall 10 in.(255 mm.) Side of Blower Cover to Side Facing (max 3-1/2 in. deep) 6 in.(155 mm.) Top of Cast top to Mantel Facing 12 in.(305 mm.) Top of Cast Top to Mantel (max 12in. deep) 12 in.(305 mm.) CAUTION: Unit hot while in operation. Parts of the appliance, especially the external surfaces, will be hot to touch when in operation. Keep children, clothing and furniture away. Contact may cause skin burns. PACIFIC ENERGY 100002687 14 SUPER INSERT LE 210619-28 Installation Your Insert is designed to be installed into a masonry or factory built zero-clearance wood burning fireplace. The masonry fireplace and chimney must be good working condition and built according to the requirements of the Standard of Chimneys, Fireplaces, Vents and Solid Fuel Burning appliances, N.F.P.A. 211 (Latest Edition) or applicable National, Provincial, State or local codes. The installation shall conform to CAN/CSA- B365, 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. DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVICING ANOTHER APPLIANCE. Fireplace Specifications See page 12 for the fireplace minimum size. Chimney height (from hearth) 15' (minimum). • The fireplace and chimney system must be suitable for wood burning use. Check for creosote build up or other obstructions. Have the chimney swept and inspected. Inspect your fireplace for cracks, loose mortar or other physical defects. If repairs are required, they should be completed before installing your insert. • The Insert must be installed in accordance with local and or national building codes. We recommend that our products be installed and/or serviced by professionals who are certified by a "Qualified agency"; NFI (National Fireplace Institute®) in the United States, CSIA (Chimney Safety Institute of America) in the United States and Canada, WETT(Wood Energy Technology Transfer) in Canada or APC (Association des Professionnels du Chauffage) in Quebec Caution: • The fireplace insert is heavy and should be installed by two people. • Place cardboard or heavy blanket on the hearth to prevent damage while installing. Into a Masonry Fireplace The existing fireplace damper is to be locked open or removed completely. WARNING: Do not remove bricks or mortar from your existing fireplace. • Exception: Masonry or steel, including the damper plate, may be removed from the smoke shelf and adjacent damper frame if necessary to accommodate a chimney liner, provided that their removal will not weaken the structure of the fireplace and chimney, and will not reduce protection for combustible materials to less than that required by the National Building Code. 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. PACIFIC SUPER INSERT LE 210619-28 15 100002686 ENERGY Full Flue Liner - (Required in Canada) In Canada, this Fireplace Insert must be installed with a continuous chimney liner extending from the Fireplace Insert's Flue Collar to the top of the chimney. The chimney liner must conform to the class 3 requirements of CAN/ULC-B365, Standard for Lining Systems for Existing Masonry or Factory-Built Chimneys and Vents, or CAN/ULC-5640, Standard for Lining Systems for New Masonry Chimneys. The Insert is equipped with a 6" I.D. Flue Collar. 1. Measure the chimney height from the top of the existing Chimney flue to the floor of the hearth. This will allow extra length of liner for flashing and rain cap. 2. Feed the stainless steel liner from top of the chimney, through the damper area and into the fireplace cav- ity. Attach a "stove to liner" adapter to the bottom of the liner as per the liner manufacturer's instructions. 3. The Flue Collar is packaged in the stove. Attach Rain Cap I ' the Flue Collar to the liner adapter and secure , . with three Stainless screws. Caulk around ,• 1 , connections with high temp stove cement. Stainless Steel Ensure the gasket is in good working shape. Chimney Flashing 4. Remove both the right & left blower covers. Remove the Torx screw on each side, located in Stainless Steel • the top rear corner. Lift up and pull the covers towards you, to release the tabs. Rigid or Flex Liner 5. Remove the Cast Top by loosening the two .-mr- r ME wing bolts and pulling toward you. Remove the �� Ili Baffle. . 6. Push unit into the fireplace. Use the front or rear I •_ _ NI adjustment legs, level the insert depending on Full Flue Liner • m your hearth configuration. (NOTE: Adjustment •1 • • NI legs are located in the bottom, sides, front and rear of the insert). /1.:_= 7. Reach through the flue opening and pull down = MI on the Flue Collar with the tool provided until � �� the bolts pass through the mounting holes in the i flue opening. Install the clamps and nuts. Center the collar on the opening and tighten the nuts. Flex Liner ju. 0 Connector 8. Measure, trim and shape a Chimney top flashing �_ to fit the existing chimney flue. Plan for a 1" to III 1-1/2" overlap on each side. Place flashing over r1III I top of the liner and seat firmly against the flue e tile. MI 9. Attach a rain cap to the end of the liner. A storm G collar may be used if desired. Figure 5: Super Insert LE full flue liner. 10. Install the surround See "Surround Assembly and Installation" on page 20, Re-Install the top and Blower covers in the reverse order they were removed. PACIFIC ENERGY 100002687 16 SUPER INSERT LE 210619-28 HEARTH&HOME c techaaiogees' LIMITED LIFETIME WARRANTY* The Hearth Experts Product Registration Sold to: Unit Owner Name Marcia Gary Address Line 1 10 Jenne Horr Rd. Address Line 2 City New Salem State MA Zip 01355 Country US Consumer Phone 413-205-9413 Consumer E-mail Registration Type Consumer Serial# HF2573089 Purchase Date 1/24/2022 Unit 0002505 Install Date 1/24/2022 HHT Invoice Invoiced Date 1/24/2022 Sales Rep Wendy Zadworny Registration Submitted 1/24/2022 Accessories/Parts Product Name Accessory Description *See your owner's manual for full warranty details