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23C-012 (4) BP-2023-1393 591 RIVERSIDE DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23C-012-001 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-2023-1393 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: NORA MILLER Lot Size(sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 WHATLEY, MA 01093 ISSUED ON:10/06/2023 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: 4 • V • „2 _ Fees Paid: $40.00 • 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner City of Northam•t• ./ C,o H Oqr-, I , S, a ,r, j ` =' Massachusetts• /+� j �c� -i , - , °cr y r,,, b iItit ( y DEPARTMENT OF BUILDING NSPE TIONS 'S "1 r� k,' 212 Main Street • Munici al SQi,}•'•e C9O ti4 / :tea +k Northampton, MA 01' • �0�F© s •A " gjNq(gOON��SpPCT f-a3-13g3 .1 .c7.„, APPLICATION FOR SOLID FUEL APPLIANCE INSTAL • ION Property Information Owners Name: 7 0 rat_ /n j I/cr Address: 5 / ,-vrrscz Flo fat.,,,c /44 rA- (No.) (Street Address) Phone: 7/!-5 $- 6cf'2 Cell: Email: Owners Signature: , n Date: yJv"fI a 3 Contractor's Information (If Applicable) Name: /)01,743 Z./24ec Phone: 1/3 3 '-r 543 Construction Supervisor's License #: C55c- pFFy!c/ Expiration: /-6-29 Home Impr. Contractor License #: /Ya Y77 Expiration: 7/-/f7 1 Stove Information Type of Fuel (check all that apply): Wood Y Pellet Coal Location: i6, i rfoo r Freestanding V Insert Manufacturer: 7f 6j-/�,?S Model: ,4ir/ie io It- /n S 71ir/7i(7 fix/ St//rr'i/c nkel`a/b tQ) iXCi nens,,/ • ------------------------FOR BUILDING DEPARTMENT USE ONLY-----------------/------------ Permit# Date Applied: Total all Fees: $ l" Cr,I/t/210 Building Official: 4;,,) &,> Date Issued: /D-G-zoz3 (PrintV�/� Signature of Building Official: The Commonwealth of Massachusetts Department of Industrial Accidents ; 9i ► -- Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 ti.C14 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 1 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 working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ 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 y p 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. 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 WC GROUP INC Policy#or Self-ins. Lic. #:01400503301116 Expiration Date: 1-1-24 Job Site Address: -s'?f /C 1✓erSidc City/State/Zip: I/ef itct 0( ,v040 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 certify�nder the pains and nalties of perjury that the information provided above is true and correct. Signature: ,2 Date: O z Z 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 3❑City/Town Clerk 4.0 Electrical Inspector 5E:Plumbing Inspector 6.0Other Contact Person: Phone#: 3 Dimensions and Clearances A. Appliance Dimensions NOTE: Flue Collar size is 6" (152mm) diameter(ID) - 32" -. - " --- -_. _-813mm 1 ;f :N.0 �11> 21.718"I 1 556mm 25-3/4" 1 _ii �m "'!� ll r� U I \ 11 ' i 654mm ii �_ �.rn 8.314" AFr- 11. 222mm 24 7116" 1i�lr�,--,0 js�,� 632mm _ + i -- 1//11 1//// .__'�... _-- ---1��Id Flue Centerline 13.518" 1/1/I i////.i 1 7 7. to glass surface 346mm 11111 1//'. 5. h .1111I 11111 381mm I . 12.1�4•� ' j l l l,l,l h 41.14149 41�1 ' 7-1/4" .. i It /4.. ' 311mm � .. y 184mm ava" —�- 108mm 22-3/8" 13-114" 568mm - 337mm Door opening width Figure 3.1 -Front View Figure 3.3 -Top View 22-7/8" 581mm -- -1'b A:.- I o f., lP I/i .,_. ` is i 1 ./...11.11.111. : L is liciriIii::ii:: ::::i.::i::11' 1111111111•.••: ♦...11..1....1 �m 540mm ...eseseeeaaa• I�t '—��iJi— r \ A, . 1 14-5/16" 14-5/16" 364mm �' 364mm Figure 3.2-Side View Figure 3.4-Side View with horizontal flue 8 Vermont Castings • Intrepid FlexBurn"Installation Manual_R17 • 2018-_• 09/21 3-90-300073451 B. Hearth Protection Requirements *EXCEPTION: Non-combustible floor protections must FLOOR PROTECTION: It is necessary to install a Type I extend beneath the flue pipe when installed with horizontal floor protector. venting and extend 2" (51 mm) beyond each side. See Figure 3.7. In the US: The unit may be installed on a combustible floor if the bottom heat shield is installed and non-combustible A WARNING spark & ember protection is used. The bottom heat shield is required unless the unit will be installed on a completely Fire Risk non-combustible surface(example:unpainted concrete over bare earth). There is no required R or K value. The floor Hearth pads must be installed exactly as protector should extend 8" (203 mm)from either side of the specified. High temperatures or hot embers loading door, 16" (406 mm)from the front of the unit and 6" may ignite concealed combustibles. (152 mm) to the rear of the unit. The floor protector must extend underneath any horizontal run of chimney connector and extend 2"(51mm) beyond each side. In Canada,similar floor protection must be provided 18"(457 mm)in front,8"(203 mm)from the sides and 6"(152 mm)to the rear of the appliance. Figure 3.8 26-1/4in. Corner hearth pad dimensions with single wall pipe ir minimum bin .__N, 44-7/8 in. 1 _ __ _ _ I ���.�.,; —- - minimum ��� "V0. � �� t;4' / ate\ I• `die �p� �8 in—► pdt' p� o - 16 in (FRONT DOOR OPENING) USA I - L. USA 7 CANADA Figure 3.5 Figure 3.6 Must extend 51mm Corner hearth pad dimensions with double wall pipe beyond each side of pipe(shaded area) 962mm , \ ,e minimu'pm152MM , . _N , ler, _,t • . ,, , ...ay.,,, _.., I. -gmT - - I1 203MM minimum t,a4i3O _ `�<O 1..-t/, , 11 .,� (tip /.4. .., 4fe -/ 457MM (FRONT God+OPENING) USA CANADA CANADA '-- -- Figure 3.7 Figure 3.8 3-90-30007345i Vermont Castings • Intrepid FlexBurn®Installation Manual_R17 • 2018-_• 09/21 9 C. Clearances to Combustibles Minimum Clearances to Combustible Materials using 6" Connections A B C D E F G H* Top Flue-Single Wall 12" 14" 15" 22-1/2" 6-1/2" 12" 58-1/2" N/A Pipe (305mm) (356mm) (381mm) (572mm) (165mm) (305mm) (1486mm) Top Flue-Single Wall chimney connector heat 8" 10" 15" 22-1/2" 6" 11-1/2" 58-1/2" N/A shield', vertical flue (203mm) (254mm) (381mm) (572mm) (152mm) (292mm) (1486mm) collar h.s. installed Top Flue -Double Wall 10" 11-1/2" 11" 18" 6" 11" 58-1/2" N/A Pipe (254mm) (292mm) (280mm) (457mm) (152mm) (280mm) (1486mm) Alcove Double Wall, 12" 13-1/2" 17" 24" N/A N/A 37 1/2 N/A Top Flue, Ceiling Exit (305mm) (343mm) (432mm) (610mm) (953mm) Top Flue,90°Elbow 11" 13" 15" 22-1/2" N/A N/A 58-1/2" 18"* Wall Exit (280mm) (330mm) (381mm) (572mm) (1486mm) (457mm) Rear Flue Backwall 13" N/A 15" 22-1/2" N/A N/A 58 1/2 N/A Exit (330mm) (381mm) (572mm) (1486mm) 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. 1.The connector pipe heat shield must extend 36" (914 mm)above flue collar. 2. The Intrepid Flexburn was not tested for clearances to protected surfaces. For clearance reduction methods, refer to NFPA 211 or Local Codes. Top Vent Installation Rear Flue Horizontal -Wall Exit Side View Top View Top and Side View Center Dimension A B D c i : 25.1/2" I��1�g �1� AIM 648 mm 0- AllreC A _ ,_ ., • .,, imp ' , Alcove Top View Center Dimension Corner Installation Top Flue 90° Elbow-Wall Exit Side View 0- 28" _.I E k 711mm F illit is ..,. As A. H* !__. ilfio, 1 e ‘ ,4,,,, ill d r 1. Appliance to Ceiling Clearance Figure 3.9 A WARNING Fire Risk A - c!' 0 • Comply with all minimum clearances to �1combustibles as specified. � • Failure to comply may cause house fire. Figure 3.10 10 Vermont Castings • Intrepid FlexBurn®Installation Manual_R17 • 2018-_• 09/21 3-90-30007345i B. Venting Components C. Chimney Systems Chimney Connector: It is also known as flue pipe or Prefabricated Metal Chimney appliance pipe. The chimney connector joins the appliance • Must be minimum 6" (152 mm) diameter (ID) high to the chimney. It must be a 6" (152 mm) minimum diameter temperature chimney listed to UL 103 HT (2100 °F) or 24 gauge mild steel black or 26 gauge blued steel, or an ULC S629M. approved air-insulated double wall venting pipe. • Must use components required by the manufacturer for Thimble:A manufactured or site-constructed device installed installation. in combustible walls through which the chimney connector passes to the chimney. It is intended to keep the walls • Must maintain clearances required by the manufacturer from igniting. Site constructed thimbles must meet NFPA for installation. 211 Standards. Prefabricated must be suitable for use with • Refer to manufacturers instructions for installation. selected chimney and meet UL103 Type HT Standards.Follow instructions provided by the manufacturer for manufactured NOTE: In Canada when using a factory-built chimney it thimbles for masonry chimney and prefabricated chimneys. must be safety listed,Type UL103 HT(2100°F)CLASS Chimney: The chimney can be new or existing, masonry "A" or conforming to CAN/ULC-S629M, STANDARD or prefabricated and must meet the following minimum FOR 650 °C FACTORY-BUILT CHIMNEYS. requirements specified in section 4C "Chimney Systems". Listed Listed Termination Cap Aft Termination Cap mom di Roof Brace(if required) • MI Storm Collar __ '/Storm Collar A Flashing m. — Hashing mo, Listed Chimney I �. Vika Trim Collar on Inside Wall , Listed Chimney -- ---- II II. Insulated"T" OMMr 1,111111 __ Ceiling Support IIIChimney n. . I1i Irlk Wall Support Connector —_ Chimney Thimble Connector Floor �oi Protection II h, _. lII ....._ ......_ - - -' = Floor Protector 1_, IFigure 4.1 -Prefabricated Exterior Chimney \ � 1 IMINff M6MV ilkii . 111...111111 .1 Figure 4.2-Prefabricated Interior Chimney 3-90-30007345i Vermont Castings • Intrepid FlexBurn®Installation Manual_R17 • 2018-_• 09/21 15