10D-021 (6) BP-2023-0301
159 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
10D-021-001 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-2023-0301 PERMISSION IS HEREBY GRANTED TO:
Project# WOOD STOVE 2023 Contractor: License:
Est. Cost: DOUGLAS L'ABBEE CSL99401
Const.Class: Exp.Date: 01/06/2024
Use Group: Owner: JENNIFER LANGHELD
Lot Size (sq.ft.)
Zoning: URB/WP Applicant: THE FIRE PLACE
Applicant Address Phone: Insurance:
100 STATE RD (413)397-3463
WHATLEY, MA 01093
ISSUED ON: 03/10/2023
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:
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: I � (�
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
v ___________
. .,_._ ._.
, , . City of Northampton
7 4u� a.
?f Massachusetts w,' ,<.
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PEA R 9 202 � OF BUILDING INSPECTIONS
w - ,, ` 212 Main Street • Municipal Building SJt' :;tea
\.s.,. 'ti_ Northampton, MA 01060 jiiiriiSi
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nrpr.of GUH-1,I iNSPEC i IONS
• r1._ THAMPToN.MA 0106 I
APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION
Property Information
Owners Name: Jenni{;r �,n 7/wit)
Address: /5 T fr)«m 55' iet o 5 i i-
(No.) (Street Address)
Phone: y/3 - 7YT- TiZ2 Cell: Email:
•
Owners Signature: >&�-- Date: or. 7- 3
Contractor's Information (If Applicable)
Name: �nif/tT ;066, Phone: 5//3 _07c Y'3
Construction Supervisor's License #: p',vol Expiration: / '--2Y
Home Impr. Contractor License #: /la`/77 Expiration: //-/r-7 y
Stove Information
Type of Fuel (check all that apply): Wood X Pellet Coal
Location: lit5 ' (/caor" Freestanding X Insert
Manufacturer: •rmori f Z..S tnir5 Model: )toAst--/ s.S
//IS i t/ //17 55 /tarr- i/t f p -`Ie/c d-42 G'ot1n<c4.'&7 k..l p/o‘.h( 0-'11 Pt'P
---------------------------FOR BUILDING DEPARTMENT USE ONLY-----------------_-_-_-_----
Permit# 4(-).3 J j Date A lied: • Total all Fees: $ 40 C° /3 f
Building Official: ICLv,,.s (k;c,-,s Date Issued: S )0-20Z-5
(Print)/�j/C--
Signature of Building Official:
The Commonwealth of Massachusetts
P •
...6— 1, Department of Industrial Accidents
�;g1el 1 Congress Street, Suite 100
y_i�= Boston, MA 02114-2017
,- , www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
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.E✓ I am a employer with 1 0 employees(full and/or part-time)." 7. 0 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. p Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
30 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 El Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0Roof repair's
These sub-contractors have employees and have workers'comp.insurance.t
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'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.
#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 GROUP INC
Policy#or Self-ins.Lic.#:01400503301116 Expiration Date:1-1-24
Job Site Address: /S9 "Thin City/State/Zip: /<en? /n a
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 a penalties of perjury that the information provided above is true and correct.
p. '.% � ..i!G. 3
Signature: t Date:
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(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
3 Dimensions and Clearances
A. Appliance Dimensions NOTE: Flue Collar size is 6" (152mm)diameter(ID)
24-518"
625 mm
I (r
25-3/4" Flue Centerline 17.1/2"
to glass surface 445 mm 18-7116"
654 mm 479 mm
i
I'I 4" 2:
' From 110 Glass
IN i I Rim 0 pri ' i
f 16 318"
!____ 416mm
23-1/16" Door opening
586 mm width
Figure 3.1 -Front View Figure 3.2-Top View
25-5/8"
651mm _t
,O lip �
�=
vas t
DAUNTLEN V nil__
11 � � 7/
I'
25-3/4" 686 mm
654 mm 22-5/8"
Vim,:Gs: I 575 mm
Vann.'cesrnmr II
rAmii-.%
_.,_______
j-1
ip
_.
ipt wil--%
13-3/8" -
340 mm - ,
Figure 3.2-Side View-Top Vent Figure 3.4-Side View-Rear Vent
8 Vermont Castings • Dauntless FlexBurn Installation Manual_R8 • 2020-_• 11/21 3-90-586000i
rr
B. Hearth Protection Requirements
' A CAUTION
FLOOR PROTECTION: It is necessary to install a Type I
floor protector. (Spark& Ember protection ONLY) Hearth and Home Technologies does not recommend adhesive
Floor protector must be non-combustible material extending based vinyl flooring due to thermal expansion. Floating style
under the appliance to a minimum of 16"(406 mm)in front of flooring(LVP-luxury vinyl plank or LVT—luxury vinyl tile)can be
glass,and 8"(203 mm)to both sides of the fuel loading door. used, but it will reach temperatures up to 110°F in a room with
ambient temperature of 70 F.Consult flooring specifications to
Open the door and measure 8"(203 mm)from the side edge ensure compatibility.
of the opening in the face of the appliance. *See exception.
When using LVP/LVT flooring, wood stove and inserts require
In Canada,similar floor protection must be provided 18"(457 57 inches of alternative flooring in front of the stove or insert
mm)in front and 8" (203 mm)from the sides and rear of the before using LVP/LVT. Whether the stove or insert sits flush
appliance, Figure 3.8 on the floor or is elevated on a raised hearth, 57 inches of
*EXCEPTION: Non-combustible floor protections must alternative flooring is required in front of the stove or insert.
extend beneath the flue pipe when installed with horizontal For allotherflooring,continuetofollowclearancetocombustible
venting and extend 2"(51 mm)beyond each side, Figure 3.7. requirements in the installation manual.
NOTICE:Clearances that do not meet the minimum guidelines
could result in damage or buckling to the vinyl flooring and is
AWARNING done at the installer's risk.
AFire Risk
Hearth pads must be installed exactly as
specified. High temperatures or hot embers
may ignite concealed combustibles.
as3,e;n. Corner hearth pad dimensions with single wall pipe
minimum
1111 0�
/ . ...1\
. ''''''' c§e
___N
1.
minimum ,gr e`
—8 in �� ,�6° ,eiay�`O .
16 in
(FRONT DOOR OPENING) 14# ,C� \/ ��`
USA USA /4, CANADA /9"�,
••./ --
!
Figure 3.5 Figure 3.6
Must extend51mm Corner hearth pad dimensions with double wall pipe
beyond each side
of pipe(shaded area)
1114mm
, „,'\ .0
min ma'
PIPM
''''''''' ' \ /.•
203MM
all ) 1\ __N
1.7N, ,.
IM minimum O
203MM
457MM \`��a ec� / r /
(FRONT DOOR OPENNG)
CANADA I USA yc� CANADA
/
Figure 3.7 Figure 3.8
3-90-586000i Vermont Castings • Dauntless FlexBurn Installation Manual_R8 • 2020- • 11/21 9
or
C. Clearances to Combustibles
Minimum Clearances to Combustible Materials
Note:A, C and F Dimensions are to the center of the flue collar
Installation: Full Vertical
A B C D E F G H*
Single Wall Pipe 18" 14" 26-1/2" 14" 15" 19-1/2" 57-1/2" 18"
Double Wall Pipe 16" 12" 24-1/2" 12" 7" 12" 57-1/2" 18"
Installation: 90 Degree Elbow off Top of Appliance through back wall
Single Wall Pipe 16" 12" 24-1/2" 12" 15" 19-1/2" 57-1/2" 18"
Installation: Horizontal Through the Wall
Single Wall Pipe 10" 26-1/2" 14"
For Factory Alcove: 6" diameter listed Double wall air insulated connector pipe with UL103 HT listed factory built Class A
Chimney or Masonry chimney. Maximum depth Alcove shall be no more than 48" (1219 mm) and the referenced Alcove
clearances. Canada must comply with CAN/ULC-S269 M87 for the 650°factory built chimney.
*Follow pipe manufacturers clearances as required.
Alcove Side View Back wall/Sidewall
B Horizontal Through Wall
G A Top and Side View
A ,/, ��:. C
` ; ,...,4 � I Mantel
r1,1 _ 12"Max
M. °
52-1/2"
IIIDL
m • 26-112" 1334 mm
673 mm
}
dol i
Alcove Top View Corner Installation �'-__� Ii m
10"F _ IV
1 t-- 1�1254 mm
0/,(3\__ ____...
fj s;11"11—$) FP;
L.... .1 \‘' . ' E
dim
•
Appliance to
PP Ceiling Clearance --
Figure 3.9
A WARNING 1 '' v
A Fire Risk lI
I.m
• Comply with all minimum clearances to
combustibles as specified. 'PP*
• Failure to comply may cause house fire.
Figure 3.10
10 Vermont Castings • Dauntless FlexBurn Installation Manual_R8 • 2020-_• 11/21 3-90-586000i