12C-049 (5) BP-2022-0872
260 NORTH MAPLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
12C-049-001 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-2022-0872 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: BUUCK MARILYN J
Lot Size (sq.ft.)
Zoning: RI/WSP Applicant: THE FIRE PLACE
Applicant Address Phone: Insurance:
PO BOX 606 (413)397-3463 014005033011 16
WHATLEY, MA 01093
ISSUED ON:07/25/2022
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 VIOL- TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I
;,r .1 •
I
Fees Paid: $40.00
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
City of Northampton
oH °^ r,
<; # Massachusetts
�:
f i
( , `' DEPARTMENT OF BUILDING INSPECTIONS �. i
\y Y i' 212 Main Street • Municipal Building �0', `b
1�`.-; e�y c' Northampton, MA 01060 rs7 1 aF5S..'
/ C - OW
APPLICATION FOR SOLID FUEL APPLIANCE INSTALS 1Vta
I
JUL 2 2022
Property Information
KEPT OF BUILDING
Owners Name: 61 AR/ y n/ 3
lJUC lC NORTHAMPTON INSPECTIONS
Address: ZGo n/or/h /gyp/c S/ F/ore77Cc 1) a/a‘,..
/
(No.) (Street Address)
Phone: $'i 5-f5-- 5717 Cell: Email:
Owners Signature: '7'77 , ,e,e.-,E__, Date: i/zz/-
Contractor's Information (If Applicable)
Name: 7)oop//S Z..R6x,. Phone: ///3 ,3rr7, 3 v
Construction Supervisor's License #: .7• 10'/ Expiration: /-'•�5i
Home Impr. Contractor License #: / 1 /77 Expiration: //-'P a.V
Stove Information
Type of Fuel (check all that apply): Wood Pellet V Coal
Location: /-5T /---I66r Freestanding x Insert
Manufacturer: gtrolGn Model: "/Ds/3- .
—FOR BUILDING DEPARTMENT USE ONLY-------------------__ _—___
Permit# &i-el 1'l 7.- Date Applied: Total all Fees: $ 110 eit.f/ vs"
Building Official: Kdth 720 Date Issued: -7- 25-202 2
(Print)/?/%/Z
Signature of Building Official: j
I lie Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
=7-- Lafayette City Center
2 Avenue de Lafayette, Boston.MA 02111-1750
w)vnLnr ass.h ov/(fire
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (BtlsinessfOrganizationilndividual):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 1 am 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
2.0 I am a sole proprietor or partner_ listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have S. 0 Demolition
working for me in any capacity. employees and have workers' y Building addition
[No workers" comp.insurance comp_insurance.:
required.] 5. 0 We arc 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.]' 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 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.Lic.#:01400503301116 Expiration Date:1-11-23
Job Site Address: , C0 aril) #97242.2/c City/State/Zip: P' erICC A46 O/0'1-7--
Attach a copy of the Ivorkers' 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 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 DR for insurance coverage verification.
I do hereby certify t!n er the pains and pela yes ofpe►jure that the infor'ttlatiotl provided above is true and correct.
. D �3a
Slvnaturc: _ .�°�+�' Date:
0,2
Phone 4:
413-397�463
Official use only. Do not write in this area,to he completed by city or town official. •
City or Town: Permit/License#
Issuing Authority(check one):
10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 50Plumbing
Inspector 6.DOther
Contact Person: Phone#:
3 Clearances
A. Appliance Dimension Diagram
Dimensions are actual appliance dimensions. Use for reference only.
P43-C Freestanding Pellet Stove P61-C Freestanding Pellet Stove
I
Outside 1L =e
•
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t . I ��� ?I! N
o •
51/8' 51/8"
22" e 231/2" r
sE! i
LN
iF
id I I !
vAimir
20 3/4" I I r
P68-C Freestanding Pellet Stove
•
•
_,
Outside
Air Intake 1 . li\
4,,, ,°�. -.;.;
t--III
,.,
cs
MEMENNE ---1 ----
51/4"-j--.i
23-1/2' I O O
9 '4
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Figure 3.1
8 Harman® • P-Series Installation Manual_R4 • 2018- • 04/21 8390-0441
B. Clearances to Combustibles Place the stove away from combustible walls at least as far
When selecting a location for the appliance it is important to as shown in Figure 3.2. Please note the difference in side
consider the required clearances to walls, Figure 3.2. wall clearance with and without side shields.
Note that the clearances shown are minimum for safety but do
A WARNING not leave much room for access when cleaning or servicing.
Please take this into account when placing the stove.
RISK OF FIRE OR BURNS! Provide adequate Due to high temperatures,the stove should be placed out of
clearance around air openings and for service traffic and away from furniture and draperies.
access. Due to high temperatures, the appliance should Children and adults should be alerted to the hazards of high
be located out of traffic and away from furniture and surface temperatures and should stay away to avoid burns
draperies. to skin and/or clothing.
Young children should be carefully supervised when they are
ACAUTION in the same room as the stove.
Clothing and other flammable materials should not be placed
THIS APPLIANCE MUST BE VENTED TO THE OUTSIDE. on or near this unit.
NOTICE:Illustrations reflect typical installations and are FOR
DESIGN PURPOSES ONLY.Actual installation may vary due
to individual design preference.
P61-C & P68-C Freestanding Pellet Stove P43-C Freestanding Pellet Stove
14"(355mm)with 2"(51mm) "10"(254mm)with 2"(51mm)
side shields // �� ° side shields / \
20"(508mm) *16"(406mm)
without side shields o 14"(355mm) without side shields o *10"(254mm)
20"(508mm) 111. *16"(406mm)
•
36"(914mm) 36"(914mm)
9"(228mm)- 9"(228mm) _
13"(330mm)
1 1
N
�a fp N
w
w k
9"(228mm)With Side Shields
o 3
13"(330mm) Without Side Shields 9"(228mm) With or Without Side Shields
Figure 3.2
9 Harman® • P-Series Installation Manual_R4 • 2018-_ • 04/21 8390-0441
C. Floor Protection Corner Installation:
Parallel Installation: Minimum size floor protection for a corner installation hearth
pad is:
Place the stove on a noncombustible type floor or floor P43-C - Minimum size floor protection is 25-7/16" Wide by
protector that extends a minimum of 6 inches (152mm) to 26-3/4" Deep(646mm X 680mm).
the front of the load door opening, 6 inches (152mm)to the
sides of the door opening, and 6 inches to the rear. P61-C - Minimum size floor protection is 25-1/8" Wide by
The P-Series does not require R value floor protection.
27-3/4" Deep(638mm X 705mm).
The minimum floor protector material is 20 gauge sheet metal. P68-C - Minimum size floor protection is 25-3/16" Wide by
Other floor protector materials that can be used include Type 27-3/4" Deep (640mm X 705mm).
I hearth pads, ceramic tile, stone, brick, etc. Figure 3.3 Note: Floor protector WILL NOT touch the wall using
*Floor protection dimensions for the front and sides are minimum clearances.
measured from the appliance door opening in The United If corner floor protection is desired to touch the wall, the
States. In Canada,the side dimension is measured from the floor protection will need to be at least 40" x 40" (1016mm
widest part of the appliance. x 1016mm). Note: This will allow the floor protection to
P43-C - Minimum size rectangular floor protection is 25- touch the wall as shown. Figure 3.4.
7/16"Wide by 26-3/4" Deep (646mm X 680mm). Alternate floor protector dimension may be used as long as
P61-C-Minimum size rectangular floor protection is 25-1/8" they satisfy the measurement requirements shown below.
Wide by 27-3/4" Deep (638mm X 705mm).
P68-C - Minimum size rectangular floor protection is 25-
3/16"Wide by 27-3/4" Deep (640mm X 705mm).
Venting:
-Follow PL vent manufacturers recommendations when
configuring vent pipe installation.
Canada- Must extend 2" (51mm) beyond each side of any
horizontal flue pipe. o
e e
L
O
Figure 3.4
D. Mobile Home Installation
When installing this unit in a mobile home, several
11.11M- requirements must be followed:
J Floor Protector 1. The unit must be bolted to the floor. This can be done
K using an appropriate fastener for the application.
Figure 3.3 2. The unit must also be connected to outside air. See
"Termination Location and Vent Information" Section D.
Floor Protection US Canada 3. Floor protection and clearances must be followed as
Requirements shown.
J Sides 6" 152mm 4. The appliance must be properly grounded to the frame of
K Front 6" 152mm the mobile home using a minimum of 8 AWG copper solid
L Rear 6" 152mm or stranded, insulated or bare wire or equivalent.
10 Harman® • P-Series Installation Manual_R4 • 2018- • 04/21 8390-0441