24D-208 (8) BP-2023-0595
236 STATE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-208-001 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-2023-0595 PERMISSION IS HEREBY GRANTED TO:
Project# PELLET STOVE 2023 Contractor: License:
Est. Cost: DOUGLAS L'ABBEE CSL99401
Const.Class: Exp.Date: 01/06/202
Use Group: Owner: M KAL SH BENJAMIN
Lot Size (sq.ft.)
Zoning: URC Applicant: M KALI H BENJAMIN
Applicant Address Phone: Insurance:
236 STATE ST
NORTHAMPTON, MA 01060
ISSUED ON: 05/08/2023
TO PERFORM THE FOL L O WING 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:
, . 31017
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
--t-L pity of Northampton
,t
{� SAS' J}C
A Massachusetts �2� .�.- r�`
{ __ ' ,� - �J ` DEPARTMENT OF BUILDING INSPECTIONS 7 " ijo
.. FAA Main Street • Municipal Building S0%. •a
\�- �' f _� �Gr1Oh15 Northampton, MA 01060 sst jY-361'��.
F BUILDING I p,01060
I�cpT.O M1' �N:�-----
ORTHA T a,19- -23-.51 S
APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION
Property Information
Owners Name: �J •n f o rn in / el/s A
Address: a3C SSA 5-4 / /rfi(,n1p4l fill) au co
(No.) (Street Address)
Phone: '/3 A '- 7r3P Cell: Email:•
nn
Owners Signature: ',G Date: .13123
Contractor's Information (If Applicable)
Name: ovq/iS 4$6ec - 4 frrirc iZ/Fcr Phone: '// ' 3 77 3s/4 3
Construction Supervisor's License #: 9 ?sic)/ Expiration: /-6 --
Home Impr. Contractor License #: / ?O/77 Expiration: //' /F-i
Stove Information
Type of Fuel (check all that apply): Wood Pellet V Coal
Location: 1/1/5 4 Pa'r Freestanding k Insert
Manufacturer: /-/#in n Model: /M so/Sc 63
eLii1A d;ree-,z vYnf �e//cf c/rn,I y .
FOR BUILDING DEPARTMENT USE ONLY-------------._-_-_-_--_----
Permit#g a--#23"' l3-' Date AA lied: Total all Fees: $ �a ' YO 7t
Building Official: 4--1,+i s 714 Date Issued: 5-6-Z02 3
(Print) JP
'?
Signature of Building Official: /
l= The Commonwealth of Massachusetts
Department of Industrial Accidents
• e f� Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
'TC�.1`�/N. ``VOC
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: Type of project (required):
1,0 I am a employer with 10 4. 0 I am a general contractor and I b. 0 New construction
employees (full and/or part-time).* have hired the sub-contractors
2.E I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers' 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.
m se [No workers' right of exemption per MGL
y comp. 12.❑ 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.
I.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 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:1-1-24
Job Site Address: 136 6771S- eo City/State/Zip: /V O/2111 drxpitn 19
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 certif under the pains a penalties of perjury that the information provided above is true and correct.
Signature: c2 Date: V. /�-S 3
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(check one):
1DBoard of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5. Plumbing
Inspector 6.[DOther
Contact Person: Phone#:
3 Clearances
A. Appliance Dimension Diagram
Dimensions are actual appliance dimensions. Use for reference only.
28-1/16" 1"
fir---... a
l
II (1 _ J�C G / lLl Al
• r
- -
(O F
CO
g
if-
3..
CG y
ILD 1 iii N I 41(
27-5/8"
iiiii
__ V -= 1-1/4"
1l �II f 1
r I
Outside Air
Nil OO00000000� , Intake MI
[••=1.71.0i,qtr .rt.ruir:ili .Cri
. -. nA 7 L '
=� .11
.= nuel - N
\ v 4.,.
li.i
5-5/8"
Figure 3.1
7 Harman® • Absolute63 Installation Manual_R12 • 2016- • 08/21 3-90-999000i
B. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are — L 2"j51mm1
those consisting entirely of steel, iron, brick, tile, concrete, /WMslate, glass or plasters, or any combination thereof. j
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in
a Vertical Tube Furnace at 750° C and UL763 shall be •
considered non-combustible materials. ---6"(152mm)
C. Combustible Materials Specification 4 4
Materials made of or surfaced with wood, compressed
��--�
paper, plant fibers, plastics, or other material that can ignite
and burn, whether flame proofed or not, or plastered or un-
plastered shall be considered combustible materials. 6"(450mm)
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).
A WARNING 5 'k .
(159mm)
RISK OF FIRE OR BURNS! Provide adequate
clearance around air openings and for service ,'�
access. Due to high temperatures, the appliance should
be located out of traffic and away from furniture and = .
draperies.
Illustrations reflect typical installations and are FOR V I'
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.
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
■■IIIIMINE■■■■■■II■ M■M■ THISAPPLIANCEMUSTBEVENTEDTOTHEOUTSIDE.
MENEM./ I..-
••v��IINOTICE
1ME• Clearances may only be reduced by means approved by
:. �� the regulatory authority having jurisdiction.
�� U•l Due to high temperatures,the stove should be placed away
ME
11113 NMI from traffic, furniture and draperies.
NM40 1116"Wide iui Children and adults should be alerted to the hazards of
NM MEI high surface temperatures and should stay away to avoid
INN
1■1 UM burns to skin and/or clothing.
�� _ lI Young children should be carefully supervised when they
Height=48",Width=40-1116",Depth=24" are in the same room as the stove.
Clothing and other flammable materials should not be
placed on or near this unit.
8 Harman® • Absolute63 Installation Manual R12 • 2016- • 08/21 3-90-999000i
E. Floor Protection Corner Installation:
Parallel Installation: Minimum size floor protection for a corner installation hearth
Place the stove on a noncombustible floor or floor protector pad is 28-1/2" Wide By 29-1/2" Deep (724mm X 749mm).
that extends a minimum of 6 inches (152mm)to the front of Note: Floor protector WILL NOT touch the wall using
the load door opening, 6 inches(152mm)to the sides of the minimum clearances.
door opening, and 0 inches to the rear. If corner floor protection is desired to touch the wall, the
Note:There is no required floor protection from the rear floor protection will need to be at least 42-5/16" x 42-5/16"
of the unit.The floor protection should be flush with the (1075mm x 1075mm). Note: This will allow the floor
rear most edge of the unit, but does not need to extend protection to touch the wall as shown. Figure 3.4.
any further. Alternate floor protector dimension may be used as long as
The minimum floor protector material is 20 gauge sheet they satisfy the measurement requirements.
metal.Other floor protector materials are ceramic tile,stone,
brick, etc.
Minimum Size floor protection is 28-1/2" Wide By 29-1/2"
Deep (724mm X 749mm). Figure 3.3. "
Alternate floor protector dimension may be used as long \
as they satisfy the measurement requirements shown °
below.
Af
Venting: o °
US-Follow PL vent manufacturers recommendations when �(
i
configuring vent pipe installation.
Canada- Must extend 2" (51mm) beyond each side of any
horizontal flue pipe.
Floor Protector
L . - ,
Figure 3.4
( 'h )
F. Mobile Home Installation
When installing this unit in a mobile home, several
requirements must be followed:
PM1. The unit must be bolted to the floor. This can be done
using an appropriate fastener for the application.
2. The unit must be connected to an outside combustion
air inlet. Proper supports and spark arresters must be
considered when installing venting. See "Termination
Location and Vent Information" Section D.
Door Open 3. Floor protection and clearances must be followed as
shown.
\'� I / 4. The appliance must be properly grounded to the frame of
`� Floor
Protector the mobile home using a minimum of 8 AWG copper solid
, Protector
J K or stranded, insulated or bare wire or equivalent.
iiim
Figure 3.3
y �.
Floor Protection �7
Requirements US Canada �/-_ ;, 41
J Sides 6" 152 mm \
o`, ;o
K Front 6" 152 mm
L Rear 0" 0 mm 71•.47
Install fasteners here.
Figure 3.5
9 Harman® • Absolute63 Installation Manual_R12 • 2016- • 08/21 3-90-999000i
4 Termination Location and Vent Information
A. Vent Termination Minimum Clearances Note: Follow venting manufacturer's recommendations for
sealing pipe joints.
---, #1 Preferred method (Figure 4.1)
—, This method provides excellent venting for normal operation
and allows the stove to be installed closest to the wall. Two
- inches from the wall is safe; however, four inches allows
- better access to remove the rear panel.The vertical portion of
the vent should be three to five feet high.This vertical section
will help provide natural draft in the event of a power failure.
Note: Do not place joints within wall pass-through.
♦IP. THE CHIMNEY MUST BE OF A TYPE SUITABLE FOR
3Ft. SOLID-FUEL BURNING.
to
combustibles A WARNING
u I rmIn•I�
1 THE CHIMNEY AND CONNECTOR MUST BE
MAINTAINEDINGOODCONDITIONANDKEPTCLEAN.
=auk /
J
-- IMENY A A CAUTION
li A• m
- DO NOT USE MAKESHIFT COMPROMISES WHEN
3Ft. ` INSTALLING THIS APPLIANCE. DAMAGE AND/OR
to Combustibles INJURY MAY RESULT.
Figure 4.1
#2 Preferred method (Figure 4.2)
This method also provides excellent venting for normal
operation but requires the stove to be installed farther from
the wall. The vertical portion of the vent should be three to
five feet high and at least 1" from a combustible wall. This
vertical section will provide natural draft in the event of a
power failure.
If the stove is installed below grade be sure the vent
termination is at least 12" above grade (with outside air
only). The outlet must also be 12"from the house/building.
(7 I Note: Do not place joints within wall pass-through.
3 Ft.
t° A CAUTION
,4 1 Combustibles
Keep combustible materials (such as grass, leaves,
-� etc.) at least 3 feet away from the flue outlet on the
outside of the building.
11 I-7 ,_ _ _.
0,0
(10
.
to Combustibles
Figure 4.2
10 Harman® • Absolute63 Installation Manual R12 • 2016- • 08/21 3-90-999000i