12C-068 (7) BP-2022-0214
31 HAROLD ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
12C-068-001 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-2022-0214 PERMISSIONIS HEREBY GRANTED TO:
Project# PELLET STOVE Contractor: License:
Est. Cost: DOUGLAS L'ABBEE 99401
Const.Class: Exp.Date:01/06/2024
Use Group: Owner: COX SARA F
Lot Size (sq.ft.)
Zoning: RI/WSP Applicant: THE FIRE PLACE
Applicant Address Phone: Insurance:
PO BOX 606 (413)397-3463 01400503301116
WHATLEY, MA 01093
ISSUED ON:03/04/2022
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:
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: I
I )2
, 9-1
1 .
Fees Paid: $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
.. /
—�. City of Northamptpj s..
0; \ / . -� s f sr
'` tt kt Massachusetts �l •/I s. c'.
.?,
,` !6 # , ti DEPARTMENT OF BUILDING INSPECT r'
. 212 Main Street • Municipal:, ilding "� ' �b,
,-,,y....c� Northampton, MA 010�a0 s�% ^�+7Y1`�"
66
A414
T^G'tis,o6,
APPLICATION FOR SOLID FUEL APPLIANCEA TALLATION
Property Information
Owners Name: • . ;rec )(
Address: \_/ Altr f 0 0T/�c-t'- / ) .o/rrcG Oldt
(No.) (Street Address)
Phone: Vii 5 -/SPA Ce Email:
Owners Signature: 7 ( _r Date: /7.0/22_
Contractor's Information (If Applicable)
Name: <0 of q/6-3 L'HIhr ' Phone: 4/ _If.' 3 Si4,
Construction Supervisor's License #: ' 747/ Expiration: /—'-;, _
Home Impr. Contractor License #: /"0 cf 77 Expiration: ///,ff-,2,
Stove Information
Type of Fuel (check all that apply): Wood Pellet Coal
Location: f't,f Roar Freestanding c— Insert
Manufacturer: HAcCrn / Model: /1i7yi/vim (.13
//07h<ffr7 /CeJ drm-el v�(-I- 7xIlell- ehirtii -- 77ko he,riI) oil c". /- `ta�
FOR BUILDING DEPARTMENT USE ONLY--------------_--..-_-___----..
�4a
Permit# nJ - 2 t`1 Date Applied: Total all Fees: $ apft, 3.2.ZZ_
Building Official: /t.:-.vit....) oSS Date Issued: 3- q- -O Z Z
Signature of Building Official: ,1,- — _
Z'a Lhe commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston,MA 02111-1750
www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):THE FIRE PLACE
Address:100 STATE ROAD
City/State/Zip:WHATELY, MA 01093 Phone#:413-397-3463
Are you an employer? Check the appropriate box; Type of project(required):
1.0 I am a employer with 10 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. El New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in anycapacity. employees and have workers'
$ 9. El Building addition
[No workers' comp.insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.❑Other
comp.insurance required.]
*My 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 mn an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:MA RETAIL MERCHANTS WC GROUP INC
Policy#or Self-ins.Lic.#:01400503301116 Expiration Date:1-1-23
Job Site Address: 3/ Nte/617) '7- City/State/Zip: f/'tunic !M/ O/dm .2-
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$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 S250.00 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 and pe lties ofperjury that the information provided above is true and correct.
Signature: Date: ' A oV
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 20 Building Department 30City/Town Clerk 4.0 Electrical inspector 50'lumhing
Inspector 6.0Other
Contact Person: Phone#:
. . .
3 Clearances
A. Appliance Dimension Diagram
Dimensions are actual appliance dimensions. Use for reference only.
24-1/16" 1"--1
I 1 I=-I;
11
it
rrnN ( ik
LY
_ U0000
I. .I ti i
24-9/16"
i
-_ '�' - 1-1/4"
r
.1 Outside Air /� 1\
; BBBOUO �ODBBB�MB� Intake ' 0 - 0 ,
- 11 a— FOI.„rat..W..._-...rr14, a--.,ar
,i..
I -�
.2. 0 vi ___
Alt_.......3_,Iii -
1
rAcampation .1,
\,_ „,,,
I. .I , �_
J
6-1/8"
Figure 3.1
7 Harman® • Absolute43-C Installation Manual R8 • 2018- • 02/21 3-90-007721
B. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are
those consisting entirely of steel, iron, brick, tile, concrete, _ 2'f51mm)
slate, glass or plasters, or any combination thereof. ANIMA :
Materials that are reported as passing ASTM E 136, r 1----
1
Standard Test Method for Behavior of Materials in ® °
a Vertical Tube Furnace at 750° C and UL763 shall be
considered non-combustible materials. °
C. Combustible Materials Specification
Materials made of or surfaced with wood, compressed 4+ -4
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).
A WARNING ,
6.25" Ak
RISK OF FIRE OR BURNS! Provide adequate (159mm) \\
clearance around air openings and for service °
access. Due to high temperatures, the appliance should 4
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. V
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
■■■.■■.■ IMMENN■■■■■
����� I...-
approved THISAPPLIANCEMUSTBEVENTEDTOTHEOUTSIDE.
■ IMI U..
��j o� � NOTICE: Clearances may only be reduced by means
I: _ '�: by the regulatory authority having jurisdiction.
•�� EN
`* ••l Due to high temperatures, the stove should be placed away
U� lin from traffic, furniture and draperies.
NMI
■■ 36"Wide l n Children and adults should be alerted to the hazards of high
INN MINI surface temperatures and should stay away to avoid burns
MN � II to skin and/or clothing.
pm, 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-C Installation Manual_R8 • 2018- • 02/21 3-90-00772i
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 of Floor protector WILL NOT touch the wall using minimum
the load door opening, 6 inches(152mm)to the sides of the clearances.
door opening, and 1 inches to the rear. If corner floor protection is desired to touch the wall,the floor
4 The minimum floor protector material is 20 gauge sheet protection will need to be at least 36"x 36"(914mm x 914mm).
metal(Not sold by Harman). Note:When using this method, Note: This will allow the floor protection to touch the wall
installation of the included Bottom Heat Shield(1-00-777146) as shown. Figure 3.4.
must be used. Other floor protector materials are ceramic Alternate floor protector dimension may be used as long as
tile, stone, brick, etc. they satisfy the measurement requirements shown below.
Minimum Size floor protection is 25-7/8" wide By 28" deep
(658mm X 711mm). Figure 3.3
Venting: FLOORRROTECTOR
lS-Follow PL vent manufacturers recommendations when yk
configuring vent pipe installation.
Canada- Must extend 2" (51mm) beyond each side of any
horizontal flue pipe.
L iL
0
Figure 3.4
F. Mobile Home Installation
When installing this unit in a mobile home, several
requirements must be followed:
1. The unit must be bolted to the floor. This can be done
using an appropriate fastener for the application.
J 2. The unit must be connected to an outside combustion
FEOORPROrECTOR air inlet. Proper supports and spark arresters must be
K considered when installing venting. See "Termination
Figure 3.3 Location and Vent Information" Section D.
3. Floor protection and clearances must be followed as
Floor Protection shown.
US Canada 4. The appliance must be properly grounded to the frame of
Requirements PP� P P Y
J Sides 6" 152mm the mobile home using a minimum of 8 AWG copper solid
or stranded, insulated or bare wire or equivalent.
K Front 6" 152mm
L Rear 1" 25mm
0 �7
Install 1/4"lag bolts here.
Figure 3.5
9 Harman® • Absolute43-C Installation Manual R8 • 2018- • 02/21 3-90-007721