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25A-085 (8) BP-2023-1632 359 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-085-001 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-2023-1632 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: J.CUNNINGHAM, MICHAEL Lot Size (sq.ft.) Zoning: SC/URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 WHATLEY, MA 01093 ISSUED ON: 11/20/2023 TO PERFORM THE FOLLOWING WORK: WOOD STOVE INSERT 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: 14 • Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner' City of Northampton E .assachusetts �S` g- G'c CEI VET *trV DEP TME OF WILDING INSPECTIONS 631. ain treet • Municipal Building NovvVY � 2023212 N thampton, MA 01060 APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: / i eAac / c einnff c//tSrr ) Address: 3 73ridz Si / n/ar1-i frtp for) nA-A (No.) (Street Address) Phone:6( 95- - 2 'Z1-. Cell: Email: Owners Signature: 0/2:ek„L, Date: -iz-23 Contractor's Information (If Applicable) Grhd f/ ?rint ii— �'''�' / '� rcP 4 ccr q .can- Name: ,/) . d3 L 'hh< Phone: ti3 ,91", 3V& Construction Supervisor's License #: ( 551--- 07f(101 Expiration: /‘ •-25/ Home Impr. Contractor License #: /roc'77 Expiration: //-/P Stove Information Type of Fuel (check all that apply): Wood Pellet Coal Location: ,4' / / - Freestanding Insert Manufacturer: Lop; Model: /-irre #%5)5 ,max- Gm ins jnsied/n7 — SS /r ncr i n7o 1/vC ------___------------------FOR BUILDING DEPARTMENT USE ONLY----------- Permit# �81°"''' /43.Date Applied: Total all Fees: $ 'f C G I4 3 Building Official: l4LUJv l K,,5 Date Issued: i i- W-W Z3 (Print) W Signature of Building Official: 1 . .. The Commonwealth of Massachusetts Department of Industrial Accidents ��Wirli►l=i_ Office of Investigations —'` = Lafayette City Center u �/� 2 Avenue de Lafayette, Boston, MA 02111-1750 `�=c s 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. ❑ I am a general contractor and 1 6. E New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. [' Remodeling 2.❑ I am a sole proprietor or partner- 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. t 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' cam right of exemption per MGL p 12.0 Roof repairs ` insurance required t c. 152, §1(4),and we have no .]t employees. [No workers' 13.❑ Other comp. insurance required.] _ *My 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: ,35-7 3rI.dec ST City/State/Zip: A r,4A«pfvn r At 0144-4 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 u der n�the pains and nalties of perjury that the information provided above is true and correct. Signature: � c'`'��` . /� Date: i/'11.s3 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): iD Board of Health zD Building Department 3ECity/Town Clerk 4.E Electrical Inspector 510Plumbing Inspector 6.0Other Contact Person: Phone#: • Stove Instal . on (for qualified installers only) Installation Options Features • Masonry Fireplace Insert • Single Air Control • Zero-Clearance (Metal) Fireplace Insert • Steel Plate Construction (Up to 5/16") • Heavy Duty Refractory Firebrick • High-Tech Blower- Standard Heating Specifications Approximate Maximum Heating Capacity(in square feet)* 1,500 to 2,500 EPA Tested Cord Wood BTUs per Hour** 17,900 to 66,736 Maximum Burn Time Up to 12 Hours *Heating capacity will vary depending on the home's floor plan,degree of insulation,and the outside temperature. It is also affected by the quality and moisture level of the fuel. ** EPA tests to determine BTU output are achieved with a single load of wood at each burn rate.At home,you are likely to add more wood to your insert to maintain your desired comfort level. By the simple process of loading your fireplace insert with additional wood,you could achieve up to a 20%higher heat output than established during EPA testing. This model was tested for efficiency using method B415.1-10 and was determined to have a weighted average Higher Heating Value(HHV)Overall Heating Efficiency(OHE)of 72.7%. Overall efficiency of the heater may be lower if the heater is operated without a heat exchange blower or with the installed heat exchange blower turned off. Dimensions 6" (153mm) Dia. 530 Lbs. (236 Kg) / 31" (788mm) '. , 20-3/4 (528mm) , 12-3 I;'° (324 mm) ( ' ; 2- I!„ f 22„ l� 01 (559mm) o Po 1 ,t 23-1/2" iiili �'�' (597mm) o 9-3/4'' ;+ (248mm) Measure clearances 0 �e9 19„ from base of insert. (483mm) V Fireplace Opening` Figure 1 (a) Measure clearances from base of insert (b) Fireplace Opening Emissions and Efficiency This heater meets the 2020 U.S. EPA's cord wood emission limits for wood heaters.Tested to EPA Alt-125, ASTM E3053-17, ASTM 2515-11, CSA B415.1-10 this heater has been shown to deliver heat at rates `"' ranging from 17,900 to 66,736 BTU/hr and an emission value of 1.68g/h. Report No. 0028WN122E o n. ©Travis Industries 4/27/2021 - 1530 Large Flush Wood Insert NexGen • Fire • lace Insert Instal . On (for qualified installers only) Fireplace Requirements Figure 2 shows the minimum size requirements for the type of fireplace used. \ Minimum Fireplace Size (a)Height(front) 23-3/4" (604mm) �(jos7`be (b)Height(rear) 22-1/4" (566mm) 4101) ;(c)Width(front)-Without GreenStart Igniter 33"" ili) 1 (839mm') ' (c)Width(front)-With GreenStart Igniter 40" (measured 3"back from opening) (1016mm) o,�,co�, © / (d)Width(rear) (534 " 6m) �S74b/0 (e)Depth 19 1 l8„ © a�7�s I (486mm) a (f)Hearth Depth"" 16"-20""" - ''. ..,..,.. ',,,x(i].) • (407mm-508mm") th Width(g)Hear 47" 4,04 (1093mm) rett - (h)Facing Width 42" ' (1194mm) 4/0/1,c (i) Facing Height above Base of Insert 37" o'22b (940mm) ©St16 • 4 0')Mantel Height above Base of Insert 41" yea7h I —_ — (1042mm) 0 `Includes 2"(51mm)for power cord installation ""See Minimum Clearance table on page 9 for details. Figure 2 Fireplace Altered Tag Attach the"This fireplace has been altered..." plate to the fireplace (use two screws or other suitable method). You may wish to place it in a location where it will be covered by the surround panels. ,\ ©Travis Industries 10/13/2021 - 1530 Large Flush Wood Insert NexGen Fireplace Insert Installation (for qualified installers only) 9 Insert Placement Requirements • The insert must be placed so that no combustibles (e.g. drapes, doors)are within, or can swing within 36" (915mm)of the front of the insert(figure 3"q") • The insert and hearth must be installed on a level, secure floor. • The minimum clearances, facing, and hearth requirements in Figure 3 must be met. Minimum Clearances (k)Sidewall 10-1/2" c (267mm) °jh b4/4b/04,1_ (I)Side Facing(non-combustible) 5-1/2" (140mm) (m)Top Facing (non-combustible) 37" (940mm) Fa (n)Mantel (combustible) 41" °"9 C'obb (1042mm) Side © O `s.o.e T Wall r op (o)Front Hearth Raen9 -"1 -16"(407mm)hearth the base of the insert 16"(407mm*) Max.1 26mm must be 2"(51mm)above combustible to 26mm RI�� floor surfaces(carpet, wood,etc.). 20"(508mm`) © \\ -18"(458mm) hearth the base of the insert must be 1"(25mm)above combustible :II �' i• • floor surfaces(carpet,wood, etc.). X Min 16"(407mm) O I. -20"(508mm)hearth the base of insert may !LS be level with combustible floor surfaces O. ; (carpet,wood, etc.). Min 18"(458mm) ^6n, 44:45Co cAN• 0 a sg bbie a (p)Side Hearth 8" • (204mm) (q)Front of Insert 36" • (915mm) (r)Mantel Breastplate(max. 1"(26mm thick)) 37" (940mm) (s)Mantel Column (max. 8"204mm deep)) 5-1/2" (140mm) (x)Extension onto Hearth (from front edge of 0" insert) (0mm) Figure 3 ©Travis Industries 4/27/2021 - 1530 Large Flush Wood Insert NexGen Fireplace Insert Installation (for qualified installers only) 13 Flue Installation 41110 INTEGRITYTM Super Stove Starter Flue(flexible or rigid) INTEGRITY Venting Systems manufactures starter sections 44 Included in the in straight or angled owner's pack are(3) configurations to suit your Flue Brackets and � c (6)self-drilling application. They are secured screws. Use these`, ? from inside the firebox, making �a components to ',,y t Flue Bracket installation much easier. A, secure the flue to Contact INTEGRITY Venting the fireplace insert. 4.0 Cc.) Systems for additional details: ' integrityventingsystems.com ,‘1,,, - Z 1 ; Flue Opening Sealing the Flue to the Insert The flue connection is vitally important. To ensure proper draft, and to prevent smoke spillage during re- loading, it is crucial for the flue to be sealed with fireplace cement. If an adapter is used, both joints to the liner and the insert should be sealed. Use a generous amount of fireplace cement at every connection (where the flue connects to the insert and at every joint). In addition, we recommend using non-combustible fiberglass insulation to seal the fireplace enclosure. By sealing the top and bottom of the chimney, and the surround panels, you will be ensuring outside air is not pulled into the chimney. Install a non-combustible -- Cap(prevents water from cover plate to prevent water from entering the chimney f�:�:/./e' entering) - _ Flue Liner _i— - The liner must be stainless - steel connector or flexible vent. Follow the liner manufacturers insturctions for installation and `` l — support. Combustible Mantle _ . — Airtight Insulated _ .. — Clean-Out Remove damper or wire it open See the section insert scPkilT" c We recommend using non-combustible Placement Requirements"for Fob , fiberglass insulation to seal the fireplace minimum clearances and G0enclosure(chimney top and bottom,and hearth required. surround panels) I I I I I I I I I I • - -- Seal the flue connection to the insert � ©Travis Industries 6/22/2021 - 1530 Large Flush Wood Insert NexGen