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24C-109 (3) BP-2022-0215 119 MASSASOIT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-109-001 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-2022-0215 PERMISSION'S HEREBY GRANTED TO: Project# WOOD STOVE Contractor: License: Est. Cost: DOUGLAS L'ABBEE 99401 Const.Class: Exp.Date:01/06/2024 Use Group: Owner: MORRISON LEAH C &ARTHUR H MIDDLETON IV 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:03/04/2022 TO PERFORM THE FOLLOWING WORK: WOOD 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, it Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner City of Northampto . ,,, ja3�S r i• �\ S`S .y. SfC /; �'` Massachusetts \ w'' ,l{ 1 § �{J ma 1, ` DEPARTMENT OF BUILDING INSP CTION ' \ 212 Main Street • Municipal Bud. ing �]�, ..: ' Northampton, MA 01066 ,,`�, .� 'r jt•.N-�1A /�py��— � 1D OC;, , APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: ,/07L/ivv- /72 i-v is!an Address: //7 6'Y)ors5 c/f 5 /Ve r7A oni p/Br\ (No.) 1 (Street Address) Phone: S/a/- //53.O r/3Ce1l: Email: i Owners Signature:. 4.-70/ „� -� Date: \\t o\2 z Contractor's Information (IfApplicable) Name: 0 or 77 S L zc Phone: 1/ 3 �7 3 si''3 Construction Supervisor's License #: gg-tf0/ Expiration: /4.- / Home Impr. Contractor License #: /fOV 77 Expiration: `7/t ' Stove Information Type of Fuel (check all that apply): Wood ' Pellet Coal Location: /,T f/ter' Freestanding 4.------ Insert Manufacturer: j_api Model: /9n3 w c-r &rGco Y7"-Arc. /,.>7a'/•//Y 74AL top i ,ns&."Pr S'l?vC ail-7r/•C "Ylc.4.'[l e -yc5 Aich ry / / FOR BU LD11 G DEPARTMENT USE ONLY--------_-__-_-_--_-_-_- 4 HD Permit# 5P-,Z a-.)1 DateeAA plied: • Total all Fees: $ 132 - I Building Official: /e^U iiJ / ]<055 Date Issued: 3 14-ZOZZ (Prini•,i�iZ Signature of Building Official: m he Commonwealth of Massachusetts v Department of Industrial Accidents Office of Investigations M MINN 4 Y ='�1= 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: l'vpe of project(required): 1.❑■ lam a employer with 10 4. ❑ I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 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. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other 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. tContractors 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 ant 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: f19 /Y)a 55 A 501 5/ City/State/Zip: A,6r1 Atr iltf)710r1 vi°4° 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$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 penalties of perjury that the information provided above is true and correct. Signature: Date: Phone 4: 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): 10Board of Health 2❑Building Department 3❑City/Town Clerk 4.111 Electrical Inspector 511Plumbing Inspector 6.0Other Contact Person: Phone#: 6 Features & Specifications Installation Options Features • Freestanding • Single Operating Control • Freestanding in an Alcove • Steel Plate Construction (1/4"&3/16") • Freestanding in a Mobile Home • Heavy Duty Refractory Firebrick • Masonry Fireplace Insert • Optional High-Tech Blower • Zero-Clearance (Metal) Fireplace Insert Heating Specifications Approximate Maximum Heating Capacity(in square feet)* 750 to 1,400 (stove) 750 to 1,200 (insert) EPA Tested Cord Wood BTUs per Hour** 12,129 to 59,527 Maximum Burn Time Up to 8 Hours • Heating capacity will vary depending on the home's floor plan, degree of insulation, and the outside temperature. It is also affected by the quality and moisture level of the fuel. ** EPA tests to determine BTU output are achieved with a single load of wood at each burn rate. At home, you are likely to add more wood to your stove to maintain your desired comfort level. By the simple process of loading your stove with additional wood, you could achieve up to a 20% higher heat output than established during EPA testing. This model was tested for efficiency using method B415.1-10 and was determined to have a weighted average Higher Heating Value (HHV) Overall Heating Efficiency(OHE)of 72.4%. Overall efficiency of the heater may be lower if the heater is operated without a heat exchange blower or with the installed heat exchange blower turned off. Stove Dimensions 5-7/8" (149mm) 6"(152mm)Dia 23-5/8' 7�,(600mm) 3/4,,(19mm) 20„ (508mm) w 20-3/4" I al (527mm)1 Height: aIli I 27-7/8"(708mm) =''16-1/4" (413mm) Figure 1 NOTE: Measure all side, corner, and back clearances from the stovetop. Emissions This heater meets the 2020 U.S. EPA's cordwood emission limits for wood heaters. Tested to EPA Alt-125, ASTM E3053-17, ASTM 2515-11, CSA B415.1-10 this heater has been shown to deliver heat at rates ✓`'"� ranging from 12,129 to 59,527 BTU/hr and an emission value of 2.O0g/h. Report No. 0028WS047EL ©Travis Industries 4/26/2021 - 1510 Answer 10 Stove Installation (for qualified installers only) Clearances — Reduced Clearance Connector STRAIGHT INSTALLATIONS (reduced clearance connector) 1 NOTE: Measure rear and side stove clearances from the nearest edge of 11-1/2"(293mm) 9"(229mm) the stovetop. US s"(153mm) NOTE: Measure front floor Can.8"(204mm) protection from the face of the stove 23-5/8"(600mm) (unibody). • —7— ' • 13"(331 mm) 5-7/8"(149mm) •-- • NOTE: Reduced clearance connectors may require an 21-1/2"(547mm) N appliance adapter to connect to the 16-1/4"(413mm) Connector flue collar. App.7"(178mm)dia. TOP OF STOVE NOTE: Standard residential US 6"(153mm) • , ...... ........ ......... .................,� Can.8"(204mm) installations with reduced clearance 1 i connector may use the clearance determined by the manufacturer of US 16"(407mm) the connector for the connector to Can. 18"(458mm) wall clearance or the clearance listed in this manual. Offsets must FLOOR PROTECTION be used to maintain the stove to wall clearance. CORNER INSTALLATIONS NOTE: Vent diameter varies (reduced clearance connector) Approx.38-3/4"(985mm)from depending upon brand and model. Corner to Front of Stove NOTE: Reduced clearance installations require one of the chimneys and connectors listed below: •AMERI-TEC model DCC with model HS 16-1/2"(420mm) US 6"(153mm) chimney Can.8"(204mm) •DURAVENT model DVL with DURATEC or DURA-PLUS chimney •GSW Super Chimney Twenty-One 23-5/8"(600mm) connected directly to appliance 7-1/2"(191mm) •I.C.C.Excel(2100-2 Can.)(103-HT USA) 5-7/8" 149mm chimney with ULTRABIack connector •METALFAB model DW connector with TG chimney •OLIVER MACLEOD PROVENT model PV 16-1/4"(413mm) Connector US 6"(153mm) connector with model 3103 chimney App.7"(178mm)dia. Can.8"(204mm) •SECURITY model DP connector with SECURITY model ASHT or S2100 TOP OF STOVE chimney •SELKIRK METALBESTOS model DS connector with model SSII chimney — •Standard Masonry Chimney with any one of the above listed connectors US 16"(407mm) Can.1 8'(458mm) FLOOR PROTECTION ©Travis Industries 4/26/2021 - 1510 Answer Stove Installation (for qualified installers only) ., 11 Chimney Connector Requirements • Chimney connector is required from the flue collar of the stove to the factory-built chimney or masonry chimney. • The chimney connector must be 6"diameter and a minimum 24 gauge black steel, or one of the reduced-clearance connectors listed on page 10. NOTE:Aluminum or galvanized steel is not allowed—these materials can not'withstand the flue temperatures and may give off toxic fumes when heated. NOTE: Standard residential installations may use single-wall connector(Mobile-Homes may not). • The chimney connector may not pass through a ceiling, attic, roof, closet, or any other concealed space (use listed UL 103 HT chimney—see "Chimney Requirements for details). DO NOT USE CONNECTOR PIPE AS CHIMNEY. • IN CANADA:Where passage through a wall, or partition of combustible construction is desired, the installation shall conform to CAN/CSA-B365, Installation Code for Solid-Fuel-Burning Appliances and Equipment. • The chimney connector should be as short and direct as possible. No more than 180°of elbows (two 90°elbows, or two 45° &one 90°elbow, etc.) may be used for the entire system (connector and chimney). Horizontal runs should slope upwards 1/4" per foot and be a maximum 36" long. • The chimney connector must be installed with the crimped end pointing downwards. This prevents creosote from leaking to the exterior of the pipe. 411M 111111111111 • The chimney connector must be fastened to the stove and each adjoining section (and chimney). • Standard residential installations may use single-wall connector(Mobile-Homes may not) • Standard residential installations with reduced clearance connector may use the clearance determined by the manufacturer of the connector for the connector to wall clearance or the clearance listed in this manual. Offsets must be used to maintain the stove to wall clearance. Mobile homes must use the clearances listed in this manual under"Additional Requirements for Mobile Home Installations". © Travis Industries 4/26/2021 - 1510 Answer 12 Stove Installation (for qualified installers only) Chimney Requirements • DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER APPLIANCE. • DO NOT CONNECT TO OR USE IN CONJUNCTION WITH ANY AIR DISTRIBUTION DUCTWORK UNLESS SPECIFICALLY APPROVED FOR SUCH INSTALLATIONS. • IN CANADA: This appliance must be connected to a factory-built chimney conforming to CAN/ULC- S629, Standard for 650°C Factory-Built Chimneys. • UL 103 HT Chimney must be used from the first ceiling or floor penetration to the chimney cap. • Use 6"diameter type UL 103 HT chimney from one manufacturer(do not mix brands) or code approved masonry chimney with a flue liner. • Chimney must be fastened to each adjoining section. • Follow the chimney manufacturer's clearances and requirements. • Use the chimney manufacturer's fire stops, attic guards, roof supports, and flashings when passing through a ceiling (see"b" below). • No more than 180°of elbows (two 90°elbows, or two 45°&one 90°elbow, etc.) may be used for the entire system (connector and chimney). NOTE: Additional elbows may be allowed if draft is sufficient. Whenever elbows are used the draft is adversely affected. Additional chimney height may be required to boost draft. CO (a) Min. System Height 15' ..,� Max. System Height 33' ` �i. (b) Roof Penetration and Termination © ...... (See Chimney Manufacturer's Req.) 0 (c) Chimney Sections Q I �' (d) Ceiling Penetration (See Chimney Manufacturer's Req.) O (e) Min. air space to combustibles (See Chimney Manufacturer's Req. -Typ 2") O (f) Connector - see "Chimney Connector" on the previous page O Figure 2 Drafting Draft is the force that moves air from the appliance up through the chimney. The amount of Performance draft in your chimney depends on the length of the chimney, local geography, nearby obstructions, and other factors. Too much draft may cause excessive temperatures in the appliance and may damage the heater. Inadequate draft may cause back puffing into the room and 'plugging'of the chimney. Inadequate draft will cause the appliance to leak smoke into the room through appliance and chimney connector joints. An uncontrollable burn or excessive temperature indicates excessive draft. ©Travis Industries 4/26/2021 - 1510 Answer