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44-085 (5) BP-2022-0464 23 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 44-085-001 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-2022-0464 PERMISSIONISHEREBYGRANTED TO: Project# PELLET STOVE Contractor: License: Est.Cost: DOUGLAS L'ABBEE 99401 Const.Class: Exp.Date:01/06/2024 Use Group: Owner: KHUTH PRAK KEVIN & SAVY Lot Size (sq.ft.) Zoning: WSP Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: PO BOX 606 (413)397-3463 01400503301116 WHATLEY, MA 01093 ISSUED ON:05/02/2022 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: II Fees Paid: $40.00 I 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner City of Northampton 1m .r ti. 5� SiC, z* Massachusetts 'l�_ 1 I ( z,'q 4 DEPARTMENT OF BUILDING INSPECTIONS ,. I!,7 J 212 Main Street • Municipal Building F , •• � ' Northampton, MA 01060 ss`tyt•--- C' APPLICATION FOR SOLID FUEL IWPLIANCE INSTALLATION j APR 9 Property Information • 2C22 Owners Name: / c-vir-) Yra./< r of• uiLniNG- s 2 3 (n h / Of �ON."1"0t050 Address: s �in��o n 2 � areRcc -. _�__aw« (No.) r (Street Address) Phone: 41/3- Str- 7ScYCe11: Email: • Owners Signature: .._ -e,-_ Date: 3 - /- 2 Z Contractor's Information (If Applicable) Name: iJ ocy/&s L bJ cc Phone: 4E/3 _397' 3 5/‘3 Construction Supervisor's License #: 97Vol Expiration: /- -29 Home Impr. Contractor License #: /(f0 S/77 Expiration: /7-/cP-2'2 Stove Information Type of Fuel (check all that apply): Wood Pellet X Coal Location: i2rs f G/oor Freestanding Insert Manufacturer: ilicrnion Model: �.�si (//7 i nsPrt . . /'i/t//co ;, zero c/rcran.cc lox .enf) a i rcc ve" .G , 'Y FOR BUILDING DEPARTMENT USE ONLY--------_-_/_�-w-_---_----- Permit# (- 42'yG Date pplied: • Total all Fees: $ `7 V C 133/0 Building Official: t=1)14J ,5 Date Issued: 5-2-20Z2 Signature of Building Official: Ar2-- . Ilie C,omntonwealtn of Massachusetts • r Department of Industrial Accidents �1: a, Office of Investigations ::17 = __, 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 Arc you an employer? Check the appropriate box: Type of project(required): 1.0 lam a employer with 10 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in anyca employees and have workers' capacity.Y. 9. 0 Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' right of exemption per MGL Y comp. 12.0 Roof repairs insurance required.] ' c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box=l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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:MA RETAIL MERCHANTS WC GROUP INC Policy#or Self-ins. Lie.#:01400503301116 Expiration Date:1-1-23 Job Site Address: 3 4S 71 er►'rp'f er) Xr) City/State/Zip: /'/o/'e-n,c_.. 4 aiO6' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration elate). 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 S 1500.00 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 certifi' order the pains an penalties of pedal),that the information provided above is true and correct. Signature: • •IW-- Date: '�7'�.Z 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 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: 3 Clearances A. Appliance Dimension Diagram Dimensions are actual appliance dimensions. Use for reference only. 9-1/4"(235mm) A Glass V -f o0 . 0 . r------ --------- 11- B gipp., mL'41\( to ,-. ---a ' - NS '7 h N= O Z.A.fit N r . I .- - I . 04 6 - • = 1 24" M �I O EM o - m 610mm Standard Surround Oversized Surround #1-00-774221 #1-00-774250 22" A 40"(1016 mm) 46"(1168 mm) 559mm ``'' B 31"(787 mm) 34"(864 mm) ® g• aL E M I� E r, 2 ; S 50mm coo cE N N f Figure 3.1 8 Harman® • P35i-C Installation Manual R6• 2019- • 06/21 8390-7841 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. Illustrations/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 8-7/8"deep by 24-5/8"wide and be made of a non-combustible material or meet UL approval. Location Inches Millimeters A Insert to combustible sidewall 13 330 B Surround top to face trim 0 0 C Surround side to face trim 1 25 Mantel Face Trim D Insert top to(max) 12"mantel 12 305 MIMINNIMMMIIMrnamillir E Door opening to front 6 152 u�Mv �IW�vvv 3 iuIME •u•■■u•11i1■•■■••■••I F Door opening to side 6 1521111111ThkinWIMMINIni Mai co 1■■■ • D ■■111 u1v• • — MIMI Iiri. �aa�0Panoon anaaa0Prn�,: . . �mem1 .:::,., A le INI 1 .... i. .... �iii i. ammo F E 11 Figure 3.2 C. Minimum Opening - Masonry and Manufactured Fireplaces Location Inches Millimeters F Minimum Width 24 609 A G Minimum Depth 14-1/2 368 G H Minimum Height#1-70-774235 23-1/2 597 H H Minimum Height#1-70-774195 19-1/2 495 T 7 \ .1.- F / 9 Harman® • P35i-C Installation Manual R6• 2019- • 06/21 8390-7841 • Installing the P35i-C Pellet Insert into a Harman Zero Clearance Cabinet If you don't have a factory built fireplace or masonry fireplace,the P35i-C Pellet Insert can also be installed into the Harman Zero Clearance Cabinet, Part# 1-00-774257. This is the only permissible way to install the P35i-C Pellet Insert without a suitable fireplace.After the Harman Zero Clearance Cabinet is installed,type PL vent pipe,wall pass-throughs and terminations are used (Note: Flex pipe is not approved these types of installation). Detailed installation instructions are included with the Zero Clearance Cabinet. These same installation instructions can also be found on-line at www.harmanstoves.com. Below are two sample installations using the Harman Zero Clearance Cabinet. C7 /o b A'SFgTM��.9 . Harman Zero Clearance Cabinet mom 1 Requirements for Terminating the Venting through an Exterior Wall. The clearance to a window or door that may be opened must be a minimum of 48"to the side and 48" below the window/ door, and 12" above the window/door. (with outside air installed, 12" to the side or below) "INN glin 4 .o PL Vent Pipe installed through a ceiling. PL Vent Pipe installed through an exterior wall 14 Harman® • P35i-C Installation Manual_R6• 2019- • 06/21 8390-7841