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37-032 (3) BP-2023-1789 355 ROCKY HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-032-001 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-2023-1789 PERMISSION IS HEREBY GRANTED TO: Project# PELLET STOVE 2023 Contractor: License: Est. Cost: DOUGLAS L'ABBEE CSL99401 Const.Class: Exp.Date:01/06/2024 Use Group: Owner: SARAH BUHL MICHAEL& Lot Size (sq.ft.) Zoning: SR Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 0/6/005-03°)) ) 6 WHATLEY, MA 01093 ISSUED ON: 12/26/2023 TO PERFORM THE FOLLOWING 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: ,),S,i1 4 TttAil Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner /r' ' 3; City of Northampton `?°(";::. M 1 Massachusetts 41°' - rl{ r FC / N? { t yi DF.P�IRNT OF BUILDING INSPECTIONS a,S 'P k / 212 Main 'Btreet • Municipal Building i0‘; pa \� 'r -)0 Northampton, MA 01060 j:C.ii•..•ae APPLICATION FOR:SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: J,rr'. a-A/ Address: L55 Zki 4 t/ A) Ponncc duA 0/46 . (No.) (Street Address) ylr3.2or52 Phone: Cell: VI3 2/t/-YJV3 Email: yoarrinserrAe yntoi/.rir\-, Owners Signature: E.tA-A-2a)--0_. Date: 0-6 2 Contractor's Information (If Applicable) Name: /)or q/ J I/�-d&-c - l /4-c%l�cc Phone: V'3 3f," 3�t 3 Construction Supervisor's License #: C55't- affVo/ Expiration: /-G -7/ Home Impr. Contractor License #: / 'c % 7,7 Expiration: //- '? y Stove Information Type of Fuel (check all that apply): Wood Pellet ' Coal Location: �/541/a,r Freestanding Insert V Manufacturer: /4 frier Model: gee enan& 5.2; /4s/.€(//ny ,-,5 ile /'ntr- info 40c. FOR BUILDING DEPARTMENT USE ONLY Permit# 6,49,0'13" / 751 Date Applied: Total all Fees: $ 4O a ff 1,37g Building Official: Date Issued: I P:/?4,/D3 11.rint) � 1 Signature of Building Official: le , 1� , The Commonwealth of Massachusetts Department of Industrial Accidents �' —" _._` Office of Investigations 1, jai l `.n ..... Lafayette City Center ~� /�I/(`/`, 2 Avenue de Lafayette, Boston, MA 02111-1750 vc a/' ` ,t_ =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. 0 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. l Remodeling 2,El I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. 0 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 officers have exercised their 1 l.❑ Plumbing repairs or additions 3,❑ I am a homeowner doing all work [No workers .m self ' comp. right of exemption per MGL y P 12.❑ Roof repairs insurance required.] t c. l 52, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *My 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. 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. Lie. #:01400503301116 Expiration Date:1-1-24 Job Site Address: ASS g city f,/,/f �rj City/State/Zip: C/Grefice 1/h A Q/LK. 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 an penalties of perjury that the information provided above is true and correct. Signature: t,.- • 0G-tx . Date: /oI �-Z 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): 1E:Board of Health 20 Building Department 3.DCity/Town Clerk 4.0 Electrical Inspector 5DPlumbing Inspector 6.[]Other Contact Person: Phone#: 3 Clearances A. Appliance Dimension Diagram Dimensions are actual appliance dimensions. Use for reference only. 24-7/8" III- 0 I JI ')• •Ir 11 11 cn Y A INa) "' 14-3/8" N Y N d d V d V �- — Ln I, V▪ V V a a a ice— 12-3/4" — v v v To Top Edge Q 47 r,a Q r 22-3/4" 0 0 0 Measured from steel stove body _ _ _ — 10-1/2"--- IN N N To Glass v v a a T a —.__... I i lllll1421_I1"111111111111111111111111111 --- ICI iiuiiuiuuiiiiiiiiiiiiiiil - r t./ • ., • co I 7` N ,)‘ N (NI IN Oi I►��,I '' 1. I ch _( 1 iilui -.1 L r \, i I l'-' 1, i L I, 1 Ili.......�„.„„,' ,III„......�,..„„, I. III 1 _ „....,,,,„,„„. „„ L ., _ _.. ,_ , „..... L , -- F 13/16" s/ 4 CI s -- 15-9/16" - 14-3/8" — 29-15/16" - 41-13/16" Figure 3.1 8 Harman® • Accentra52i-TC Installation Manual_R15 • 2017- • 06/21 3-90-005841 B. Clearances to Combustibles&Floor Protection When selecting a location for the appliance it is important to NOTICE:Illustrations reflect typical installations and are FOR consider the required clearances to walls(see Figure 3.2). DESIGN PURPOSES ONLY. Illustrations/diagrams are not WARNING! Risk of Fire or Burns! Provide adequate drawn to scale.Actual installation may vary due to individual clearance around air openings and for service access. Due design preference. to high temperatures, the appliance should be located out of traffic and away from furniture and draperies. * Floor protection must be used from hearth opening to 6" (152mm) in front of door glass and 6" (152mm)to each side of the stove body OR 8" (203mm) to sides to protect combustibles from hot ashes.A minimum size will be 16.5"deep by 30"wide and be made of a non-combustible material or meet UL approval. Clearances: A B *C *D E (From Glass) From Insert Body: 12" (305 mm) 12" (305 mm) 0" 0" 6" (152 mm) *3/4 Trim,Zero Clearance to Cast Surround A=to sidewall B =to 12" mantel 12 1305111m)113ntel C =to 3/4"trim D =to3/4"trim B E =floor protection � u t . cu �' J,I ,� • E E 4111 • Figure 3.2 C. Minimum Opening - Masonry and Manufactured Fireplaces Location Inches Millimeters F Minimum Width 24-7/8 632 G Minimum Depth 15-9/16 395 H Minimum Height#1-90-574240 24 610 H H Minimum Height#1-90-574220 22 779 H Minimum Height#1-90-574200 20 508 • / F \ 1 9 Harman® • Accentra52i-TC Installation Manual_R15 • 2017-_ • 06/21 3-90-005841 4 Termination Location and Vent Information 4 A. Vent Termination Requirements Chimney connector shall not pass through an attic or roof space,closet or similar concealed space,or a floor or ceiling. D ego r NW �}C Brt�l ��������i. B ® Fled / B Porch or Deck CbsM Openable • . / fixed Openable Fi ed B�// Clo,ed Ti _ 5beernk "4 B v J A M 1.1.1111111k A K I 0=Vent Terminal O=Air Supply Inlet j =Area where termination is not permitted WARNING: Venting terminals must not be recessed into a I. The clearance to service regulator vent outlet must be a wall or siding. minimum of 6 feet. NOTE: Only PL or L vent pipe wall pass-throughs and fire J.The clearance to a non-mechanical air supply inlet to stops should be used when venting through combustible the building or the combustion air inlet to any other materials. appliance must be a minimum of 48". NOTE:Always take into consideration the affect the K.The clearance to a mechanical air supply inlet must be prevailing wind direction or other wind currents will cause a minimum of 10 feet. (with outside air installed, 6 with flyash and/or smoke when placing the termination. feet) In addition,the following must be observed: L. The clearance above a paved sidewalk or a paved A. The clearance above grade must be a minimum of 12". driveway located on public property must be a minimum of 7 feet. B. The clearance to a window or door that may be opened must be a minimum of 48"to the side and 48" below M. The clearance under a veranda, porch, deck or balcony the window/door, and 12"above the window/door. (with must be a minimum of 12". (B. also) outside air installed, 9"to side and below) NOTE: The clearance to vegetation and other exterior C.A 12"clearance to a permanently closed window is combustibles such as mulch is 36"as measured from the recommended to prevent condensation on the window. center of the outlet or cap.This 36" radius continues to grade or a minimum of 7 feet below the outlet. D. The vertical clearance to a ventilated soffit located above the terminal within a horizontal distance of 2 feet Certain Canadian and or Local codes or regulations may (607mm)from the center-line of the terminal must be a require different clearances. minimum of 18". A vent shall not terminate directly above a side-walk E. The clearance to an unventilated soffit must be a or paved driveway which is located between two minimum of 12". single family dwellings and serves both dwellings. F.The clearance to an outside corner is 11"from center of Only permitted if veranda, porch, deck, or balcony is fully pipe. open on a minimum of 2 sides beneath the floor. G.The clearance to an inside corner is 12". See NFPA 211 for more installation clearance reductions when using outside air. H. A vent must not be installed within 3 feet(914mm) above a gas meter/regulator assembly when measured NOTE: In Canada, where passage through a wall or from the horizontal center-line of the regulator. partition of combustible construction is desired, the installation shall conform to CAN/CSA-B365. 10 Harman® • Accentra52i-TC Installation Manual_R15 • 2017-_ • 06/21 3-90-005841 B. Venting Termination Design #1 Installing into an existing fireplace chimney . This method provides excellent venting with 100%outside air EN The chimney top must be capped to "- which is the most efficient operation of this unit.This method I;_El the chimney. also provides natural draft in the event of a power failure. See Figure 4.8, for information on the A4"stainless steel flex pipe is needed for the flue pipe,and 3" optional Harman®Adjustable Stainless aluminum or Stainless Steel Flex Pipe is used for the intake. Steel Intake Extension. A WARNING The damper area must be sealed with CHIMNEY CONNECTOR PIPE MAY NOT PASS a non-combustible material and it is THROUGH CONCEALED SPACES INCLUDING AN recommended that Kaowoll, mineral ATTIC, ROOF SPACE, CLOSET, FLOOR OR CEILING. wool, or an equivalent non-combustible 7, INN insulation be placed on top of the sealed area to reduce the possibility of A WARNING condensation. Insulation alone should .4 not be used to seal the damper opening. For quick and easy installation,purchase DO NOT REMOVE BRICKS OR MORTAR FROM 1 i... is Tt:::_r_ _ril( the steel Harman Block Off Plate, 1-00- THE EXISTING FIREPLACE. 25625. Height of existing hearth Figure 4.1 rr.rr.ir IN The chimney top must be capped to prevent rain and/or snow from entering #2 Installing into an existing fireplace chimney ILA the chimney. This method provides excellent venting for normal operation. This method also provides natural draft in the event of a power failure. A cap should be installed on the chimney to keep out rain. Combustion air is provided from the living area and enters the The damper area must be sealed with feed system from around the wing and stove body spaces. a non-combustible material and it is recommended that Kaowoll, mineral A WARNING 7 on/ DO NOT REMOVE BRICKS OR MORTAR FROM wool, or an equivalent non-combustible insulation be placed on top of the sealed area to reduce the possibility of -. condensation. Insulation alone should THE EXISTING FIREPLACE. not be used to seal the damper opening. quick easy lation, chase \ r steel Hadrman Block OffPlate,r the F 1-00- _ 25625. ��l III Figure 4.2 11 Harman® • Accentra52i-TC Installation Manual_R15 • 2017- • 06/21 3-90-005841