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31A-093 (5) BP-2023-1083 45 VERNON ST COMMONWEALTH OF M SSACHUSETTS Map:Block:Lot: 31A-093-001 CITY OF NORTHA PTON Permit: Solid Fuel Appliance PERSONS CONTRACTING WITH UNREGIS ERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARAN FUND (MGL c.142A) BUILDING P RMIT Permit# BP-2023-1083 PERMISSION S 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: FINKE RUCE S & ELIZABETH COATES Lot Size (sq.ft.) Zoning: URB/WP Applicant: THE FIR PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 WHATLEY, MA 01093 ISSUED ON: 08/11/2023 TO PERFORM THE FOLLOWING WORK: FREE STANDING 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: >2 . . Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner City of North p -C ,o�9M ,wh Massachusett / V5 TfGlc� ( , DEPARTMENT OF BUILDING NEP'CTI . ziel& 1' 212 Main Street • Munici al Bulding O 20 t) moo` ; 7 Northampton, MA. 01069 w s ;�11`1' EAT�F NO'T�M r)ON Mq SECTIONS 1pg: APPLICATION FOR SOLID FUEL APPLIANCE INSTALL • "ION Property Information Owners Name: 6/2/cc f /n/Cc Address: S/T 1rnon 5 , /✓ar A'rnn /an IW? a%4o (No.) (Street Address) Phone: W3 277-0'3°U/ Cell: Email: II Owners Signature: Date: t 41�1 Contractor's Information (If Applicable) Name: /DourArs Phone: //3 if;3 Construction Supervisor's License #: ff'fd/ Expiration: (-4-029 Home Impr. Contractor License #: /fc t/T 7 Expiration: /7-/r-9 Stove Information Type of Fuel (check all that apply): Wood )( Pellet Coal Location: fps-] c/c ( Freestanding ( Insert Manufacturer: lf)orso' Model: r//o • (454(lir SS , /c)c /tiler inv' Dae ----- ------- --FOR BUILDING DEPARTMENT USE ONLY---- --- n Permit# ,-�3''C Date A ` 674/W O/ � � Applied: Total all Fees: $ 'T %� Building Official: Date Issued: $- I I ZOZ3 (Print) 1/ / Signature of Building Official: I. The Commonwealth of Massachusetts 9 Department of Industrial Accidents• ,� Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 '.-ice/� 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.❑■ I am a employer with 10 4. ❑ I am a general contractor and T 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 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 workingfor me in anycapacity. employees and have workers' 9. [' Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ 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' 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.❑ 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 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: 4(.f l�Cr/)or) •5-71- City/State/Zip: /VrilA_n,p 74/l,, 01, d'd 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 cert/if- nder the pains and enalties of perjury that the information provided above is true and correct. Signature: 1 C.c-1--• al Date: 7 '4 -2 SJ 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): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 59Plumbing Inspector 6.❑Other Contact Person: Phone#: 1.2 The chimney/flue system Note that the flue system must be independently secured and must not rely on the stove for support. The stove must not be connected to a chimney flue serving any other appliance. (Several flues may run up a single chimney stack; use one flueway per appliance). Use a residential type masonry or listed type HT factory-built chimney. High Temperature (H.T.) Chimney Standard UL-103-1985 (2100° F.) or a code-approved masonry chimney with flue liner for the USA, and High Temperature(650°C)Standard ULC S-629 for Canada. The internal dimensions of the chimney connector and chimney must not be less than 6 inches diameter(or equivalent cross section),and should not be significantly larger than this.Too large a section will tend to allow the flue gases to cool excessively,causing sluggishness or unpredict- ability in the stove's performance. We recommend the length of the chimney system should be at least 16 feet (not required) above the stove in normal domestic situations, measured from the flue collar to the top of the chimney. Local conditions like for example - roof constructions, large trees nearby and high altitude, may influence the chimney draft and height.Therefore, contact the local professional chim- ney sweep or your Morse, dealer. Typical factory-built or masonry chimney installations 1115 00 ■ I w w � r1 n Ea elf it ■ m � w Chimnetor _ 11)1 s �..ir connec ' �� ♦ +� Clay life or um other liner um — Z111G ■ �r•�_rr --mew (Interior) )E)denor) , Ceiling supported Well supported Masonry Chimney 5 i.5 Positioning the stove Distance to walls and lintel When the stove is positioned near combustible materials, observe all current local and na- tional building regulations with regards to clearances. Whatever regulations apply to your area,do not in any case install the stove within 8 inches of combustible materials around the sides or i6 inches above the top of the stove (fireplace installations require greater clear- ances above the stove -see below in the clearance chart).These distances may need to be increased if the materials are sensitive to heat. Note also that wall paper and other decora- tive materials may become detached with the effects of heat and care should be taken to ensure that they do not fall towards the stove in such an event. When the stove is positioned near non-combustible materials, a gap of 4 inches or more is recommended for cleaning purposes and to ensure that heat circulates around the stove and out into the room. If using rear exit,the floor protection must extend beneath the chimney connector and 2-in beyond each side. CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION SINGLEWALL&DOUBLEWALL CONNECTOR USA CANADA A. Sidewall to unit 16" i8"-457 mm B. Backwall to unit 6.5" 9.5"-241 mm C. Cornerwall to unit 8.5" 8.5"-216 mm D. Sidewall to connector 23" 25"-635 mm E. Backwall to connector to" 13"-33o mm F. Cornerwall to connector 17.5" 17.5"-445 mm G. Unit to ceiling 56.5" 56.5"-1435 mm H. Floor to ceiling 84"I 84"-2134 mm MINIMUM CLEARANCES TO COMBUSTIBLES: DEGAGEMENTS MINIMAUX AUX MATERIAUX COMBUSTIBLES: BACKWALL I ADJACENT WALL/ MUR ARRIERE MUR ADJACENT o � 4O E B 45. D � s STOVE ' A4> • E O > Q POLE OF c z r- (7) � CLEARANCE REQUIREMENTS ALCOVE INSTALLATION WITH DOUBLE WALL CONNECTOR A. Sidewall to unit 19"(483 mm) B. Backwall to unit 9.5"(241 mm) C. Cornerwall to unit N/A D. Sidewall to connector 26"(66o mm) E. Backwall to connector i4"(356 mm) F. Cornerwall to connector • N/A G. Unit to ceiling 20.5"(521 mm) H. Floor to ceiling 48"(0219 mm) 8 NON-COMBUSTIBLE FLOOR PROTECTOR ALCOVE INSTALLATION t uomm ' aacKwat.L _( ) S70Y£ ( a 4D E f B G H 16" MIN. c� A STOVE o O (450ffirn) `n "' STOVE FLOOR PROTECTOR MUST BE NONCOMBUSTIBLE MATERIAL.IT MUST EXTEND BENEATH HEATER,AND 'Maximum alcove depth must be no more than 32" (813mm) TO THE FRONT/SIDES/REAR AS INDICATED. Distance to furniture The recommended minimum distance from stove to furniture is 3o inches. Note that some furniture is more easily affected by heat and may need to be moved to a greater distance. This is your responsibility. In addition other combustible materials, away from the stove. In general, a distance of 3o inches must be maintained between the stove and moveable combustible item such as dry- ing clothes, newspapers,firewood etc. 1.6 Mobile Home Installation The Morse) Trio can be installed in a mobile home if equipped with an outside combustion air kit, a terminal cap with a spark arrestor, and if it meets the following installation require- ments: - The stove must be secured to the mobile home structure by bolting through the hearth pad and into flooring. - The stove must be installed with a listed Type HT chimney connector, HT Chimney, and terminal cap with spark arrestor. Never use a single wall connector (stovepipe) in a mo- bile home installation. - Floor protection requirements in section 1.5 must be followed precisely. - In Canada,this appliance must be connected to a 6"(152 mm)factory-built chimney conform- ing to CAN/ULC-629M, STANDARD FOR FACTORY BUILT CHIMNEYS. Floor protection as referenced in section i.5 must be followed,as well as use of Canadian Floor Protector. - Follow the chimney and chimney connector manufacturer's instructions when installing the flue system for use in a mobile home. - Outside air kit should be installed according to installation guide in the kit. - Intake air piping can be installed through the floor into a vented crawl space or through the wall of the residence to obtain outside air. - Install in accordance with 24 CFR, Part 328o (HUD). - NOTE:Top sections of chimney must be removable to allow maximum clearance of i3.5' from ground level for transportation purposes. 9 THE FIRE PLACE PAGE NO 1 • 100 STATE ROAD P.O. BOX 606 WHATELY, MA 01093-0606 TERMS: Net 25 Days. All invoices are due on the PHONE: (413) 397-3463 25th of the following EOM statement. Past due accounts subject to Service Charge of 1 1/2%Per WE HAVE GRILLS, FIREPITS & OUTDOOR Month. Annual percentage rate of 18%. Minimum FURNITURE FOR YOUR BACKYARD FUN ! Finance Charge$2.00 DIANE PARTON CUST # 4375 INV # 023199/3 TERMS : NET 25 DAYS --EOM DATE : 8/04/23 175 MATHER RD CLERK: WZ BRATTLEBORO VT 05301 TERM # 560 REF. # ESTIMATE# 96406 TIME : 3 : 57 *************** * INVOICE * *************** QUANTITY UM ITEM DESCRIPTION SUG. PRICE PRICE/PER EXTENSION 1 EA PZRPRF02034120 PIAZETTA IGNITER 290W SC & SY ST 77 . 95 /EA 77 . 95 1 EA STOVEACC PZRPRF02010350 FEED MOTOR 179 . 99 /EA 179. 99 1 EA SERVICE LABOR CHARGE — SERVICE / REPAIR 95 . 00 /EA 95 . 00 N INSTALLED ABOVE PARTS BY DL. STOVE CHECKS GOOD. ** AMOUNT CHARGED TO ACCOUNT ** 369 . 06 TAXABLE 257 . 94 NON—TAXABLE 95 . 00 SUB—TOTAL 352 . 94 TAX AMOUNT 16. 12 TOTAL INVOICE 369 . 06 X Received By