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29-109 (7) BP-2023-1791 574 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-109-001 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-2023-1791 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: NAHLOVSKY JOANN Lot Size (sq.ft.) Zoning: WSP Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 6)4° -0.3011 i (, WHATLEY, MA 01093 ISSUED ON: 12/26/2023 TO PERFORM THE FOLLOWING WORK: WOODSTOVE 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: I I Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner z . pe eniC7 i i i9C1 City ::: tontts 49, °:"• ��,,w.�`e-... t} viz ., _ 5 7}� IPARTYN'S OF BIITLDTNG INSPECTIONS �:5 `� ea' .,�,�vf;' 21 Main Street • Municipal Building ' r \'mw$.etir '4/7� �� rthampton, MA 01060 '1:4 .. 0'4 P APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: JO ,llr AZtAiorf5k y Address: 3 !V ?ysn F/orrncc inO fc)4 z- (No.) (Street Address) Phone: Cell: 4//3' -43. Email: J6renn beg r'/fst/g-9rnrrr't c'nM Owners Signature: vx--. ..i / Date: za-//� Contractor's Information (If Applicable) Name: ---7)o /o5 Z'ec - ei-Xe /-i-� i)/1cc Phone: c'/3 3r, 3'IC 3 Construction Supervisor's License #: es5L- 'Y9t/o'/ Expiration: /-6 -a,/ Home Impr. Contractor License #: /ffG ii7� Expiration: /7-/1 2 Stove Information /f eT F Type of Fuel (check all that apply): Wood s Pellet Coal Location: rs ,'7a r Freestanding Insert Manufacturer: Lop/ Model: 47.5. -r �cxre-rl /ns7'<//rf, ink �x(Sires /71.2 5ctiiy i /Gec 4i/ 55 /inr /A/Cs vvc. FOR BUILDING DEPARTMENT USE ONLY Permit# ' 11'), —/ ?q/ Date Applied: Total all Fees: $ No eiGff( f) 7 f Building Official: Date Issued: 104b (1`..0 I 0 Ito Signature of Building Official: !� •: it f, ,Q . I • t The Commonwealth of Massachusetts Department of Industrial Accidents F moose Office of Investigations n t.� x; Lafayette City Center .,., ` '`f 2 Avenue de Lafayette, Boston, MA 02111-1750 „- `- 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.Ui I am a employer with 10 4. ❑ I am a general contractor and I 6. ❑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 10.0Electrical repairs or additions 3.E 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 12.0Roof 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. 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: 3- Z/ /fix An Wr) City/State/Zip: /2 Ytncc AN/ G/b. 2- 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 pain and penalties of perjury that the information provided above is true and correct. Signature: /Ceay. 3 Date: /r?• r, 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 3.00ity/Town Clerk 4.0 Electrical Inspector 5E:Plumbing Inspector 6.0Other Contact Person: Phone#: '0 Fireplace Insert al • On (for qualified installers only) Insert Dimensions 6"(152mm)Dia. 5-7/8" (149mm) / Small-28-1/2" ><r�� 23-5/8" (724m1 8-3/8" �\ (600mm) I (213mm) ,���\ 3/4" (19mm) Large-30-1/2" �` — (775mm) . ''' 11 (508mm) 1 �'� 20-3/4" /' t ��� (527mm) H. r i Small-40" III III (1016mm) `»>�. 31 ' 4 NI III 14-1/4" Large 42" (362mm) (1067mm) � 16-1/4" (413mm) ©Travis Industries 4/26/2021 - 1510 Answer Fireplace Insert Installation (for qualified installers only) 21 Fireplace Requirements Minimum fireplace size requirements are shown below. Minimum Fireplace Size Masonry Z.C. (Metal) Fireplace Fireplace (a)Height(front) 20-3/4" 20-3/4" (528mm) (528mm) C0 (b)Height(rear) 20-3/4" 20-3/4" 64 sfjb (528mm) (528mm) \ Ma�1e/ (c)Width(front) 23-5/8" 25-5/8'"'" (601mm) (651mm) (d)Width(rear) 23-5/8" 25-5/8"" (601mm) (651mm) oh.�, © (e)Depth* 14-1/2" 15-1/2""" orb (369mm) (394mm) \ �57�6/ (f)Hearth Depth" 18" 18" OF \ (Includes insert depth on hearth (458mm)(US) (458mm)(US) a 9_,L,,,. a c��� OOOO~ plus required hearth extension) 20" 20" \ ® (508mm)(Canada) (508mm)(Canada) (g)Hearth Width 35-5/8" 35-5/8" (905mm)(US) (905mm)(US) C \ 39-5/8" 39-5/8" \,/1.� _. (1007mm)(Canada) (1007mm)(Canada) o (h)Facing Width 42-5/8" 47-5/8" ��bvs��b� (1083mm) (1210mm) l�l) eye (i)Facing Height 32" 32" �\ ai7h (above base of Insert) (813mm) (813mm) CO (j)Mantel Height 35-1/2" 44" / (above base of Insert) (902mm) (1118mm) *This dimension is for a panel with no trim. If using the optional trim the insert will extend 3-1/4"(77mm)onto the hearth. ""1"(26mm)Clearance to fireplace walls is required for Z.C. Fireplaces 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. l --',.. ,,:„ ,,,44,„ I 1 \ I ©Travis Industries 4/26/2021 - 1510 Answer 2 Fireplace Insert Instal - On (for qualified installers only) Insert Placement Requirements • The insert must be placed so that no combustibles are within, or can swing within (e.g. drapes, doors), 36"of the front of the insert. • Insert and hearth must be installed on a level, secure floor • The minimum clearances,facing, and hearth requirements listed below must be met. Follow the clearances for the type of fireplace being used—(masonry or zero-clearance-metal). Minimum Clearances Masonry Z.C. (Metal) Fireplace Fireplace _.7-- (k)Sidewall 13" 13" nb (331mm) (331mm) -o°jb osbbeMa/)( (I)Side Facing 9-1/2" 12" `sbb.. e; (242mm) (305mm) e 2.. 0 0 pa . (m)Top Facing 32" 32" Side �ac;,� c�09 (813mm) (813mm) Wall (n)Mantel 35-1/2" 44" (889mm) (1118mm) ICIpl, 1 (o)Front Hearth(doesnot include 16" 16" insert extension"x" (407mm)(US) (407mm)(US) �, i 18" 18" I (458mm)(Canada) (458mm)(Canada) 0 E (p)Side Hearth 6" 6" O ` (153mm)(US) (153mm)(US) / 8" )8" ( (204mm)(Canada) (204mm)(Canada) �Oc° � (q)Front of Insert 36" 36" /!1 heaos��b� ��iQ (915mm) (915mm) 4� O (x)Extension onto Hearth* 2"* 2"* (51mm*) (51mm*) *This dimension is for a panel with no trim. If using the optional trim the insert will extend 3-1/4"(77mm)onto the hearth. Masonry Fireplace - Hearth Extension Requirements • Must extend 16" (USA)or 18" (Canada) in front of the insert and 6" (USA)or 8" (Canada)on both sides USA-min. 18" (458mm)deep by 35-5/8" (905mm) wide Canada- min. 20" (508mm)deep by 39-5/8"(1007mm)wide • Masonry hearth extensions must be non-combustible and at least .018"thick (26gauge). Masonry Fireplace Requirements CANADA ONLY: The fireplace insert must be installed with a continuous chimney liner of 6"diameter extending from the fireplace insert to the top of the chimney. The chimney liner must conform to the Class 3 requirement of Can/ULC S635, Standard Lining Systems for Existing Masonry or Factory- Built Chimney&Vents, or CAN/ULC S640, Standard for Lining Systems for New Masonry Chimneys. • Chimney must have a clay tile liner or a stainless steel liner(positive connection). • Entire fireplace, including chimney, must be clean and undamaged. Any damage must be repaired prior to installation of the insert. • Chimney height: 15' (4.5M) minimum; 33' (10M) maximum. • The fireplace insert must be placed on a masonry hearth built to UBC standards. ©Travis Industries 4/26/2021 - 1510 Answer Fireplace Insert Installation (for qualified installers only) 23 Zero-Clearance (Metal) Fireplace Requirements • Must be manufactured by one of the following manufacturers: • Marco • Majestic • Heatilator • Preway • Tempco • Superior • Heat N Glo • Lennox • Martin • Monesson • Entire fireplace, including chimney, must meet local building requirements • Chimney height: 15' minimum; 33'maximum. • The damper("A")and grate ("B")must be removed ©:,�•+.,��% (see illustration to the right). The smoke shelf("C"), internal baffles ("D"), screen ("E"), and metal or © Q glass doors ("F") may be removed (if applicable). Q The masonry lining ("G"), insulation ("H"), and any structured rigid frame members (metal sides, floor, 4© 0 door frame, face of the fireplace, etc.—"I") may not be removed or altered. �Q • The chimney on the ZC fireplace must be listed per UL 127 or ULC 610-M87 for all installations. Any thermal protection component of the fireplace or chimney must remain in place. The fireplace and chimney must be inspected prior to installation. A NFPA 211 Level II inspection is recommended. Repairs must be made prior to insert installation. The base of the fireplace must be structurally sound and able to support the weight of the insert. • The stainless steel liner must be 6"diameter and extend the full height of the chimney(also called a positive connection or full re-line). This liner must meet type HT(2100°F) requirements per UL 1777 (USA)or ULC S635 with "0"clearance to masonry(Canada). The liner must be attached to the insert flue collar and to the top of the existing chimney. • We recommend using the listed Travis ZC Liner Kit from Duravent(SKU 98900046, 47, or 48). If you do not use this kit, you must use the original ZC chimney cap. • The liner support and cap at the top of the chimney must not reduce airflow for the existing air-cooled chimney system. The Travis ZC Liner Kit includes a cap that meets this provision. • To prevent air from passing up the ZC fireplace chimney(the gap between the liner and chimney)we recommend sealing the area near the damper. Use non-combustible material to seal this area (non- backed fiberglass insulation or kaowool). • The convection air channel on the fireplace must not be blocked. Do not block any louvers, grills, or air passages on the front of the fireplace. • Entire fireplace, including chimney, must meet local building requirements. Permits may be required for installation. Final approval is contingent upon the authority having local jurisdiction. Inform your insurance agent of this fireplace insert. • Factory-Built(Z.C.) Fireplace hearth floor protection must be 3/8" (9.5mm) minimum non-combustible material or equivalent, extending 16" in front of insert and 8"to both sides for US installations and 18" (458mm) in front of insert and 8" (204mm)to both sides in Canada. ©Travis Industries 4/26/2021 - 1510 Answer 4 Fireplace Insert Instal - On (for qualified installers only) Drafting Performance This appliance relies upon natural draft to operate. External forces, such as wind, barometric pressure, topography, or factors of the home (negative pressure from exhaust fans, chimneys, air infiltration, etc.), may adversely affect draft. Travis Industries can not be responsible for external forces leading to less than optimal performance. Leveling Bolt Installation Two leveling bolts are included (with the ODi panel kit)to level the insert if the fireplace 4 has a stepped-up hearth. To install, raise ii the rear of the insert and insert the el leveling bolts into the holes in the rear I corners of the insert. Adjust the bolts until , they extend the same height as the hearth Fireplace —.— (see illustration to right). After the insert is _'` installed, fine-tune the leveling bolts to l /����(level the insert. ( j j _j t ©Travis Industries 4/26/2021 - 1510 Answer Fireplace Insert Installation (for qualified installers only) 25 Insert with Positive Connection Insert with Direct Connection (Masonry REQUIRED IN CANADA. Fireplace) NOT ALLOWED IN CANADA. A block-off plate or other non-combustible sealing device (e.g. damper adapter) is required. It must seal the chimney to ensure smoke does not enter the home while providing the chimney system with sufficient draft. Se �•••••••••�•••••• • • �‘ _I—_ ]UI" J� r CC .0 CC DC =I DC OC DC �I �CC CC �I OC OC I DC �I OC DC QI C DC I CC DC QI OC O1 CC =C OC =C DC ICI DC )OI OC OC CC OC DC )OI C )OI CC =C CC =C DC )OI is r—; =I O =C O► =C ■c. )OI ■=V )OI Mill IN =C CI • I/ )OI N C N - JC ■ r COI S __ Iw OOI Z OOC Z II OOI OI ��OI O OC I C WIN CI Of _ IC -- COI JOI CI — JOI Figure 12 © Travis Industries 4/26/2021 - 1510 Answer