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24A-242 (2) BP-2023-1790 21 TERRACE LN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-242-001 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-2023-1790 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: KELLY ST MARTIN DEVON & Lot Size (sq.ft.) Zoning: URB Applicant: THE FIRE PLACE Applicant Address Phone: Insurance: 100 STATE RD (413)397-3463 6) IOOSo 30))7 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: ` � ► IM Il Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / /9N \N 7.f e-rn al/ O C1 tr of Northampton r"H ti m:.sr ?:Y f" Fc �, Massachusetts Hwy * '4,e� l g .,0 ��PART2 N'1' O BUILDING INSPECTIONS yS , �1 r is ;;L \'S' G%i Mai Street • Municipal Building •vo a+ �\\ r.r ��;1^ f North npton, MA 01060 dSr ''r"). N)6 oON N / S / APPLICATION FOR:SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: - errn 5 I m iS f o Address: Zi /car,act Ian( (No.) (Street Address) Phone: "/./•5Yp• 13ZP Cell: Email: ,/sitn►•,irn e /-121�r.cicM • Owners Signature: ` Date: iot13/ 4 Contractor's Information (IfApplicable) Name: )o fei L ake - i(c Lr_i?/,tc.<_ Phone: //3 //V 516'S Construction Supervisor's License #: e5-51- '7? '/ Expiration: 7- 21 Home Impr, Contractor License #: /PGY77 Expiration: /( /7._it Stove Information Type of Fuel (check all that apply): Wood Pellet i - Coal Location: i . _ 6ejenV11.71- Freestanding ' Insert Manufacturer: /-�fi n Model: `75/3-C. e r/e i 5101" ,'/75,1er/ie, .✓r/-c4 /cr\71- ?(lC7 eArrnn1 - S��l he&a-0) r FOR BUILDING DEPARTMENT USE ONLY Permit# t'i , "/7 l Q Date Applied: • Total all Fees: $ 110 ( 1'13 76 Building Official: Date Issued: 1 /1,P,C./9-.3 (P .00) i I 1 4 I Signature of Building Official: EN: ' % • 4 .' 1 p� The Commonwealth of Massachusetts i Department of Industrial Accidents Pli);: ��r Office of Investigations :� �s Lafayette City Center -~ � rr 2 Avenue de Lafayette, Boston, MA 02111-1750 c'-'-,- www.mu , ov/dia v ss.g 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 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. ElRemodeling 2,El I am a sole proprietor or partner_ ship and have no employees These sub-contractors have 8. 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 11.❑ Plumbing repairs or additions 3,❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL y t c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] 13.❑ Other employees. [No workers' comp. insurance required.] *Any 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. Lic. #:0140000503301116 Expiration Date:1-1-24 ' Job Site Address: ,c,7/ /etric.c Gsnc City/State/Zip: /VortAervofon Ad woe() 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 and the pains and p nalties of perjury that the information provided above is true and correct. Signature: ',A1 44( /'"/P�3 Date: 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): 11:Board of Health 20 Building Department 3.0City/Town Clerk 4.0 Electrical Inspector 50'lumbing Inspector 6.❑Other Contact Person: Phone#: 3 Clearances A. Appliance Dimension Diagram Dimensions are actual appliance dimensions. Use for reference only. P43-C Freestanding Pellet Stove P61-C Freestanding Pellet Stove nIndO �Air ln4ks II • M1I ( M /I III `a�4�.,_.,,, •la f tim . . ...., _........ 5 1/8" 5 1/8" 22" 23 1/2" 0 s s 0 0 s 0 CO 00 M N O• N I r -. . -I 8 L ____1 20 3/4" I 1 r If P68-C Freestanding Pellet Stove 111 Outside Airintake N El ��•��`` e0._ /, � I III M -i ---- 5 1/4" 23-1/2" / 0 s t vvvvvvv�� 'v ��� 0 m M CO3 r v - - - I 1 6 ' NAMMIIMIF I I I Figure 3.1 8 Harman® • P-Series Installation Manual_R4 • 2018-_ • 04/21 8390-0441 B. Clearances to Combustibles Place the stove away from combustible walls at least as far When selecting a location for the appliance it is important to as shown in Figure 3.2. Please note the difference in side consider the required clearances to walls, Figure 3.2. wall clearance with and without side shields. Note that the clearances shown are minimum for safety but do A WARNING not leave much room for access when cleaning or servicing. Please take this into account when placing the stove. RISK OF FIRE OR BURNS! Provide adequate Due to high temperatures, the stove should be placed out of clearance around air openings and for service traffic and away from furniture and draperies. access. Due to high temperatures, the appliance should Children and adults should be alerted to the hazards of high be located out of traffic and away from furniture and surface temperatures and should stay away to avoid burns draperies. to skin and/or clothing. Young children should be carefully supervised when they are ACAUTION in the same room as the stove. Clothing and other flammable materials should not be placed THIS APPLIANCE MUST BE VENTED TO THE OUTSIDE. on or near this unit. NOTICE:Illustrations reflect typical installations and are FOR DESIGN PURPOSES ONLY.Actual installation may vary due to individual design preference. P61-C & P68-C Freestanding Pellet Stove P43-C Freestanding Pellet Stove 1 y 2"(51 mm) 2"(51 mm) 14"(355mm)with , "10"(254mm)with '_` , side shields / side shields /-� ' 20"(508mm) *16"(406mm) without side shields LimmaJolimumro 14"(355mm) without side shields L ° J "10"(254mm) 20"(508mm) *16"(406mm) idj- • 36"(914mm) 36"(914mm) 9"(228mm)- --1‘411119"(228mm) 13"(330mm) j I *\,. Nh. -Co' CO wnNi 3 ww S 9"(228mm)With Side Shields 3 13"(330mm) Without Side Shields 3 9"(228mm) With or Without Side Shields Figure 3.2 9 Harman® • P-Series Installation Manual_R4 • 2018- • 04/21 8390-0441 C. Floor Protection Corner Installation: Parallel Installation: Minimum size floor protection for a corner installation hearth pad is: Place the stove on a noncombustible type floor or floor P43-C - Minimum size floor protection is 25-7/16" Wide by protector that extends a minimum of 6 inches (152mm) to 26-3/4" Deep (646mm X 680mm). the front of the load door opening, 6 inches (152mm)to the sides of the door opening, and 6 inches to the rear. P61-C - Minimum size floor protection is 25-1/8" Wide by The P-Series does not require R value floor protection. 27-3/4" Deep (638mm X 705mm). The minimum floor protector material is 20 gauge sheet metal. P68-C - Minimum size floor protection is 25-3/16" Wide by Other floor protector materials that can be used include Type 27-3/4" Deep (640mm X 705mm). I hearth pads, ceramic tile, stone, brick, etc. Figure 3.3 Note: Floor protector WILL NOT touch the wall using `Floor protection dimensions for the front and sides are minimum clearances. measured from the appliance door opening in The United If corner floor protection is desired to touch the wall, the States. In Canada,the side dimension is measured from the floor protection will need to be at least 40" x 40" (1016mm widest part of the appliance. x 1016mm). Note: This will allow the floor protection to P43-C - Minimum size rectangular floor protection is 25- touch the wall as shown. Figure 3.4. 7/16"Wide by 26-3/4" Deep (646mm X 680mm). Alternate floor protector dimension may be used as long as P61-C-Minimum size rectangular floor protection is 25-1/8" they satisfy the measurement requirements shown below. Wide by 27-3/4" Deep (638mm X 705mm). P68-C - Minimum size rectangular floor protection is 25- 3/16"Wide by 27-3/4" Deep (640mm X 705mm). Venting: lj-Follow PL vent manufacturers recommendations when configuring vent pipe installation. Canada- Must extend 2" (51mm) beyond each side of any horizontal flue pipe. O O L 0 Figure 3.4 D. Mobile Home Installation When installing this unit in a mobile home, several requirements must be followed: J Floor Protector 1. The unit must be bolted to the floor. This can be done K using an appropriate fastener for the application. Figure 3.3 2. The unit must also be connected to outside air. See "Termination Location and Vent Information"Section D. Floor Protection US Canada 3. Floor protection and clearances must be followed as Requirements shown. J Sides 6" 152mm 4. The appliance must be properly grounded to the frame of K Front 6" 152mm the mobile home using a minimum of 8AWG copper solid L Rear 6" 152mm or stranded, insulated or bare wire or equivalent. 10 Harman® • P-Series Installation Manual_R4 • 2018-_ • 04/21 8390-0441 . . . 4 Termination Location and Vent Information A. Vent Termination Minimum Clearances Note: Follow venting manufacturer's recommendations for sealing pipe joints. #1 Preferred method (Figure 4.1) This method provides excellent venting for normal operation and allows the stove to be installed closest to the wall. Two inches from the wall is safe; however, four inches allows better access to remove the rear panel.The vertical portion of the vent should be three to five feet high.This vertical section will help provide natural draft in the event of a power failure. Do not place joints within wall pass-through. #11W 3 1,04/ to CombustFt.ibles liii /71:0:10 'I�rl�■i■111111111 3 Ft. to Combustibles Figure 4.1 #2 Preferred method (Figure 4.2) This method also provides excellent venting for normal operation but requires the stove to be installed farther from the wall. The vertical portion of the vent should be three to five feet high and at least 1" from a combustible wall. This vertical section will provide natural draft in the event of a I power failure. If the stove is installed below grade be sure the vent termination is at least 12"above grade. The outlet must also be 1 foot from the house/building. 3tot' Do not place joints within wall pass-through. Combustibles A CAUTION 511 Keep combustible materials (such as grass, leaves, etc.) at least 3 feet away from the flue outlet on the / outside of the building. � HI3 Ft. to Combustibles Figure 4.2 11 Harman® • P-Series Installation Manual_R4 • 2018- • 04/21 8390-0441