29-281 (5) BP 2022-1436
367 BROOKSIDE CIR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-281-001 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-2022-1436 PERMISSION IS HEREBY GRANT 4 D TO:
Project# PELLET STOSVE Contractor: License:
Est. Cost: DOUGLAS L'ABBEE CSL99401
Const.Class: Exp.Date: 01/06/2024
Use Group: Owner: MARIE ZADWORNY ALLEN M& i A
Lot Size (sq.ft.)
Zoning: WSP Applicant: THE FIRE PLACE
Applicant Address Phone: Insurance:
100 STATE RD (413)397-3463 01400503301116
WHATLEY, MA 01093
ISSUED ON: 11/02/2022
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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I I
>2 _ 3
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
City of Northampton
„ Massachusetts Cl' l ?
,. ,..: -.F„.....,..-
4K .x DEPARTMENT OF BUILDING INSPECTIONS
"' . • 212 Main Street • Municipal Buildin# NO ilk _'
`: pwi' Northampton, MA 01060 — ssy: - ^` '
202
.- / / f n J
APPLICATION FOR SOLID FUEL APPLIANCE INSTA L ttON
Property Information
Owners Name: 4//ten Zoz..°corn y
Address: 36 7 Oruoe5/pc- (Firc/c 1C/areAcc '
(No.) (Street Address)
Phone: #,1-5-91.-‘7/t Cell: Email:
•
Owners Signature: (itDate: yl/
°r\
Contractor's Information (If Applicable)
Name: '/dot•/j L iPi Phone: 4//3 g?1 343
Construction Supervisor's License #: ??Va/ Expiration: /-C•,9
Home Trnpr. Contractor License #: /to $I77 Expiration: //-i& 22
Stove Information
Type of Fuel (check all that apply): Wood Pellet Y Coal
Location: ii•r-34f 1/nor Freestanding y Insert
Manufacturer: /4rrx.n Model: i!//v r f,/ air rcc 74 ver
ova fie f C/4•no /
---------------FOR BUILDING DEPARTMENT USE ONLY---------__-_-_-_-_—
Permit# t'I *,1 - / S�
Date
455
Applied: • Total all Fees: $ Lf 0 (' .�k- t l 3 1
Building Official: ��» Date Issued: /I- Z-20ZZ
(Print)
Signature of Building Official: /// ---
I
A r{O 4.iwt{t/Grrtc rY6l6{Lr6 VJ 1rJ,ccd.YCObr6ccor.cco
at=•- Department of IndustPialAceMents
`'%'.' .,. ,,, Office of Investigations
'., :,.F r .+ Lafayette City Center
} - }' .• ',�' 2 Avenue de Lafayette, Boston,MA 0 91.11-1750
't'„►} r, t1 ►wi►una,s gov/diit
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrivians/Plumber§
applicant Information Please Print Legibly
\lame (Business/Orgeuization/tndividual):THE SIRE PLACE ____
ddress;100 STATE ROAD
3ity/State/Zip:WHATELY1 MA 01093 Phone#:413-397-3463
re you an employer'? Cheek the appropriate box: Type of project(required):
la I am a employer with 10 4. ® I am a general contractor and I 6. ElN
employees (full and/or part-time).* have hired the sub-contractors
New construction
❑ 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
working for me in any capacity. employees and have workers' y ❑ Building addition
[No workers' cotnp.insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its I0.0 Electrical repairs or additions
E I 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.]
ty applicant that checks box r l must also Oil out the section below showing their workers'compensation policy information.
omeowners who submit this affidavit indicating they arc doing all work and then bite outside contractors must submit a new affidavit indicating such.
mallows that check this box must attached an additional sheet showing the name of the sup-contractors and state whether or not those entities have
tloyees, If the sub-contractors have employees,they must provide their workers'comp,policy number.
in an employer that is pc'oo!ding wo!'kei's'compensation liz.cw'tttee for my employees. Below is the policy and job site
'bon
turanee Company Name:MA RETAIL MERCHANTS WC GROUP INC ____
hey#or Self ins. Lio.#:01400503301116 Expiration Date:1-1"2
36 •T/ . �'� .
b Site Address: �I6a/e 5t'de �'.�ek city/state/Zip:
:tack a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
ilure to secure coverage as required under Section 25A of MGT. c. 152 can lead to the imposition of criminal penalties of a
,e up to 31,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
vestigations of the DIA for insurance coverage verification.
to hereby CCrtifivu Cier the pains any penalt s ofpetjtu�'that the information provided above is true and correct.
snaturc: .. .. __ U ./ a Z
11-4 Date: ��
tone 4: 413-397-3463
Official use only. Do not write in this area, to he completed by thy nr town official.
City or Town: Permit/License#1
issuing Authority(check one):
1EBoardofHealth 2i:Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 5E1Plumbing i
Inspector 6.001-her�
Contact Person: Phone#:
i
3 Clearances '
A. Appliance Dimension Diagram
Dimensions are actual appliance dimensions. Use for reference only.
21-1/4" 1"-
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" CO3
, 7
o` /
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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-f o 0
0 0
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fI- M CI ==
= = i
01 0 0
gi
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0 0
0 0
o r JO =
r.
Ci: ,
I , \ --..,...-e-
R n
41\,. r 1-3/8"
• �- _ -\
e
1llL .0010 O:. IlU
b d �' E CD Q
N -
I Ji
1
ad' I
Col
•F ...I ,6 .2); --* ...-
u.
•
6"
Figure 3.1
7 Harman® • Allure50 Installation Manual_R13 • 2016- • 06/22 3-90-888000i
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"(51mm)
slate, glass or plasters, or any combination thereof. ---/__
Materials that are reported as passing ASTM E 136, -- o 7NI
-
Standard Test Method for Behavior of Materials in
a Vertical Tube Furnace at 750° C and UL763 shall be - ('
considered non-combustible materials. k- !� ---6" 152mm)
C. Combustible Materials Specification
Materials made of or surfaced with wood, compressed ,,~ 'J
paper, plant fibers, plastics, or other material that can ignite
and burn,whether flame proofed or not, or plastered or un- 6"(450mm)
plastered shall be considered combustible materials.
D. Clearances to Combustibles
When selecting a location for the appliance it is important to
consider the required clearances to walls(see Figure 3.2).
6-1/4" 1
A WARNING (159mm)
RISK OF FIRE OR BURNS! Provide adequate /....
clearance around air openings and for service i 'j`\ pp
access. Due to high temperatures, the appliance should o
be located out of traffic and away from furniture and /�
draperies.
o>
NOTICE:Illustrations reflect typical installations and are FOR
• A
DESIGN PURPOSES ONLY.Actual installation may vary due
to individual design preference.
Place the stove away from combustible walls at least as far
as shown in Figure 3.2. I
Note that the clearances shown are minimum for safety but do
not leave much room for access when cleaning or servicing. NOTE: Top of unit must be a minimum of 12" (305mm)to
Please take this into account when placing the stove. ceiling
When installing the unit into an alcove it is important to Figure 3.2
consider the required clearances listed below.
A CAUTION
umummEmEmEmionnumm
NONMMEM■■■■■■■■UMME■ THISAPPLIANCE MUST BEVENTEDTOTHE OUTSIDE.
���
I..-
u. �M NOTICE: Clearances may only be reduced by means
1■I rMIIMI approved by the regulatory authority having jurisdiction.
1 _ ••l Due to high temperatures, the stove should be placed away
:E E from traffic,furniture and draperies.
MN • l Children and adults should be alerted to the hazards of high
MN
1E1 MEI surface temperatures and should stay away to avoid burns
111111 1 33-114"Wide MN to skin and/or clothing.
�. M I Young children should be carefully supervised when they are
1E1 MEI in the same room as the stove.
. . l•U Clothing and other flammable materials should not be placed
Height=42",Width=33-1/4",Depth=10" on or near this unit.
8 Harman® • Allure50 Installation Manual_R13 • 2016- • 06/22 3-90-888000i
E. Floor Protection Floor Protection
Requirements US anada
ACAUTION J Sides 6" 152mm
4 Hearth and Home Technologies does not recommend adhesive K Front 6" 152mm
based vinyl flooring due to thermal expansion. Floating-style L Rear 1" 25mm
flooring(LVP-luxury vinyl plank or LVT—luxury vinyl tile)can be
used,but it will reach temperatures up to 110°F in a room with Corner Installation:
ambient temperature of 70°F.Consult flooring specifications to Minimum size floor protection for a corner installation hearth
ensure compatibility. pad is 25-5/8" wide By 25-3/8" deep (651 mm X 645mm).
When using LVP/LVT flooring, HHT Recommends pellet stove Note: Floor protector WILL NOT touch the wall using
and inserts have 29 inches of alternative flooring in front of the
stove or insert before using LVP/LVT (luxury vinyl plank/tile minimum clearances.
flooring). Whether the stove or insert sits flush on the floor or is If corner floor protection is desired to touch the wall, the
elevated on a raised hearth, 29 inches of alternative flooring is floor protection will need to be at least 40" x 40" (1016mm
required in front of the stove or insert. x 1016mm). Note: This will allow the floor protection to
For all other flooring,continue to follow clearance to combustible touch the wall as shown. Figure 3.4.
requirements in the installation manual. Alternate floor protector dimension may be used as long as
NOTICE:Clearances that do not meet the minimum guidelines they satisfy the measurement requirements.
could result in damage or buckling to the vinyl flooring and is
done at the installer's risk. H
Parallel Installation:
FLOOR PROTECTOR
Place the stove on a noncombustible floor or floor protector
that extends a minimum of 6"(152mm)to the front of the load
door opening, 6" (152mm)to the sides of the door opening, \\\
and 1" (25mm)to the rear.
The minimum floor protector material is 20 gauge sheet metal. •�
Other floor protector materials are ceramic tile, stone, brick,
etc. Figure 3.3
Minimum Size floor protection is 25-5/8" wide By 25-3/8"
deep (651mm X 645mm).
*Floor protection dimensions for the front and sides are
measured from the appliance door opening in The United
States. In Canada,the side dimension is measured from the Figure 3.4
widest part of the appliance. F. Mobile Home Installation
Venting: When installing this unit in a mobile home,several requirements
-Follow PL vent manufacturers recommendations when must be followed:
configuring vent pipe installation. 1. The unit must be bolted to the floor.This can be done using
Canada- Must extend 2" (51mm) beyond each side of any an appropriate fastener for the application.
horizontal flue pipe. 2. The unit must be connected to an outside combustion
air inlet. Proper supports and spark arresters must be
I I considered when installing venting. See "Termination
Location and Vent Information"Section D.
1 3. Floor protection and clearances must be followed as shown.
° ' ° 4. Unit must be grounded to the metal frame of the mobile
Ilr-�I) home.
L Note:Use silicone or other sealant to create an effective vapor
0 barrier when the venting system or outside air duct passes
through to the exterior of the structure.
D w
010-
A
.I 7-
FLOOR PROTECTOR
Figure 3.3 .� '►
Install lag bolts here.
9 Harman® • Allure50 Installation Manual_R13 • 2016- • 06/22 3-90-888000i