23D-012 (7) •
PERMIT APPLICATION CHECK LIST
PAGE �3D PLOT°/ Z- ZONE (.-LtS Gonef liC Ste. YES NO DATE
1 . ZONING FORM APPLICATION �` lore � ice L„, � �_ 3 _`fa
2 . PERMIT _1■PPLICATION
3 . OWNER OCCUPANT STATEMENT / LIC . # IF NOT
4 , 3 SETS OF PLANS /PLOT PLAN e c k
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR •
9, ADDITION
t0 . ACCESSORY STRUCTURE
1 1 . SIGN / ,LAWN I NG
I9
12 . PERMIT FEE CHECK ONLY - MONEY ORDER 47 Q_O. 0 � 1-
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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Date Filed //- a3 - 9 , File No. -'3 0 - Of .,
ZONING PERMIT APPLICATION (§10.2) u P r3
k
1. Name of Applicant: STAN/ etrnn44/
R
Address: iioMo Tv C,.X Sr. Telephone: SaY - t7OL
2 . Owner of Property: S It rw t
Address: Telephone:
3 . Status of Applicant: ✓Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# a,3 D Parcel# C f q- , .
Zoning District(s) (include overlays) (A RR
Street Address q Nc' nova ck St Fin .
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side T. R L R
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) r}E itAT+ A-Mb Wki,. PR.OT c.!IoN P-10 IR
FREE STA MAIN t,r WOep T1ufkm1.►♦ pi Re OIL/44X .
•
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. .
Date: 11 -23 - 9Z Applicant's Signature: &Lt44t
/ THIS SECTION FOR OFFICIAL USE ONLY:
�' A ove Mi 23N92
Approved d as presented/based on information presented
Denied as presented
'A j f o,00, . 1:
��1.7i .. �__ 2- 2
`igna a o" Build ns ector Dat�� _
P
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
7 /n2 T,`vAtZ
#_ `,� Clop o f 4 ;orthampton * = r
$ .��rl' �I`�
III a Aariprattfi —` Ie _ w ar**10/:.J`alb " i, ) ___ ,:
4 �� DEPAi f1�1ENT ON 131.J1!.DINC.: INSPECTIONS '!
L f
7 y
"�.11 _1 lii ` reel; ' Muni i1)ai Building. iQt �e"�e
INSPECTOR Norill nnptoaa, M ass. 01060 '
`301 11i FUEL BURNING APPLIANC; & CHIMNEY APPLICATION PERMIT NUMBER
.. P;il;r. —/ _ w Plot Zone
Location ?..... N`` 0A/070 CiK r
Owner or Lessee ST4N After/44N 0 !NOmDrNC{C ,Sr. S- via./70 4
(Name) (Melling Address) (Tele. No. )
Contractor 5CZF�
(Nam. !) (Address) (Tele. No. )
RESIDENTIAL NON-RESIDENTIAL
One family Home. Business
ie• Two or More __ ..� Other
Number of Units 2 Specify
Stories in Building
Type of Appliance
New V Wood burning
_
Used .r. _ Coal.
w
Labeled Combination
Date of Purchase Other
y Specify
Model or Type ViR MOW s 01sT'IN&S �I+u#TLESS f 1"ftlEet'
MAnufacturer V. -ks7-`__._��_.
Purchased From OL'DE i+AbL-E1611 1+0404
(Name of Firm) -�
1/tiell i t t / V T—._ • ) s, 1 .
(Address)
Cost - Construction & Appliance $ R O o
Chimney New _ __. Metal. Bestos
_ye Existing Interior chimney
—` Separate Flue _ Exterior chimney
__--_ Other appliance attached to flue
-_ Masonary Lined
Unlined
Notes & Data:, I/_ tf I it.it ♦VEA to aAMEk oARA tiI-RTH
yiK pi.o mose>TL se Act') 0 et 14 $ 1,0•A LOLLS
Signature of Applicant: ......... 14► ____ __. -__. q t10A10�"'ua( ST.
(Address)
Approved By: --
Title: Date:
TECH Dauntless SHEET
Minimum Wall Shield Requirements for Some Common Dauntless Installations
FH E
^. E ..---- D }
•4',`:.
A 13—*i
1;1--Al) � ll
-7-
.
P A. 20" (510 mm) A. 11"(280 mm)
B. 26" (660 mm) B. 18" (460 mm)
D C. 18" (460 mm) �- C. 5" (130 mm)
D. 5" (130 mm) D. 15"(380 mm)
E. 17" (430 mm) ��� E. 36" (910 mm)
F. 15" (380 nun)
*--H H
G
�o "irk s 1 �, . .
E
D Is
i£:N"� T
Elevated \ir'--" F A. 34" (860 mm) Wilk E A. 98" (1220 rim)
r(25mm), t It —Li____G B. 48" (1200 mm) ->� B. 39" (990 mm)
! �' C. 39" (990 mm) � C. 22"(560 mm)
D. 26" (660 mm) - D. 9"(230 rnm)
E. 11" (280 mm) E. 18" (460 min)
F. 5" (130 mm) F. 4"(100 mm)
G. 6" (150 mm) G. 15" (380 mm)
H. 15.22" (380-560 mm)
Fireplace Installation Clearances Hearth Dimensions
411111111111111111 —I— —
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C _ F
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IP* T f—B A B�
I—B A B—I
Unprotected Protected U.S. Canada
A.Mantel 21"(530 nun) 18"(460 nun) A. Front 16" 18"(460 mm)
B. Top trim 19"(480 mm) 19"(480 mm) B. Side 6" 6"(150 mm)
C. Side trim 10"(250 rum) 10"(250 mm) C. Rear 6" 6"(150 mm)
*D. Chimney connector 2" 2"(50 mm)
' (to either side)
Maintain safe clearances to the surrounding combustible E. Floor protector width 42" 42"(1070 rum)
trim in fireplace installations. F. Floor protector depth 40" 42"(1070 mm)
The specifications and clearances Included in this tech sheet are for preliminary planning purposes only
Before beginning any installation, consult your local authorized Vermont Castings/Consolidated Dutchwest dealer.
Hearth Planning Guide—Page 17
The Leprechaun II
A compact, powerful woodstove so efficient it Maximum Heat Output* 32,400 BTU/hr.
Area Heated* Approx.800 sq.ft.
surpasses the toughest EPA emissions Total Burn Time* Approx.8 hours
standards without a catalytic combustor. *Actual heat output,space heated,and burn time are determined by climate,type of home construction,fuel
used,and the manner in which the stove is operated.The figures shown are approximate to aid in correctly sir
ing stove for individual heating steeds.
Minimum hearth dimensions 29"w x 48"d
Weight 240 lb. Flue Size 6"Diameter
Height 251/4" Venting Top or Rear
FLUE , Width 14" Height to Center
21/8"
'
EXIT i SECONDARY of Rear Outlet
Depth 20"
t4 COMBUSTION Rear
. Log Size 16" Heat Shield Standard
I ,! :, E 1,,.;:,
„ r ., . "1 PRIMARY PRIMARY Porcelain-Enamel Colors Available
la
AIR »
Majolica Gra
ASH BED
FUEL Brown :j,,,-..(,,,,,,in,,.),:;.,:
;.a
/
SECONDARY
AIR Blushstone Blue
*Available only
while stocks last
Unlike catalytic-equipped stoves which are difficult to operate and
expensive to maintain, this elegant all-cast iron woodstove, from 1990 EPA Phase II
Ireland's famed Waterford Foundry, utilizes built-in combustion tech- Certified (non-catalytic) 3.1 grams/hr.
nology to deliver more heat from less wood with a minimum of fuss! Efficiency 68.5% (Oregon DEQ tested)
Ordinary stoves often cannot generate combustion temperatures high Output Range 10,800 to 32,400 BTU/hr.(EPA)
enough to burn many of the fire's volatile gases.The Leprechaun II
can produce temperatures exceeding I500°F by precisely mixing pre-
heated primary and secondary air in its unique combustion chamber. The Leprechaun II(model 100B-199())has been successfully tested by the
The result:more gases are burned, your chimney stays cleaner, with Underwriters Laboratories to UL1482 and ULC627(UL approval#MH11048).
little or no flammable creosote build-up.
A Stove You'll Love Living With
With its top or rear-mounted flue collar, this attractive stove will fit Installation Clearances to Combustibles
snugly into many fireplaces, or it may be installed freestanding.The STOVE CLEARANCE: Side Rear Corner
Leprechaun II will enhance any room setting and you can choose (with rear heat shield fitted)
your stove in traditional black or one of four lustrous porcelain-enam Top Outlet 20" 14'/z" 13"
el colors to complement your decor! The full view of the fire's warm Rear Outlet 20" 141/2" _ N/A
glow, which the clean burning glass allows, will lift your spirits and Front Clearance to Combustibles 48"
brighten your home with good cheer. Note: This stove has been approved for alcove inaa Ilation.For reduced clearances and complete
clearance data,please consult your authorized Waterford dealer or the stove installation and oper-
ating instructions.
Outstanding Features x
• Surpasses the EPA's toughest anti-pollution standards (phase II t ,4v
1990), delivering high heat output (to 32,400 BTU/hr.) with superi- -- 6 S 66 U
or combustion efficiency (to 68.5%) without the use of a cumber-
..,k
some and expensive catalytic combustor.
• Airtight construction with metered air entry at front and rear ''
assures controlled heating and an all night burn! '„,-
• Special airwash system assures clean glass for maximum fire visibility! W .1 E21� D
• Elegant,durable all-cast iron construction-designed to last a lifetime!
Made m Ireland
• Ground cookplate for fast heat transfer to your teakettle or cookpot! Imported by Waterford Irish Stoves,Inc.
• Several color choices: select from one of our lustrous porcelain- 16 Airpark Road-Suite 3
West Lebanon,NH 03784
enamel colors or the equally elegant but less expensive traditional
flat black! Authorized Dealer
• Backed by Waterford's limited 3 year warranty! .
H€GGINS ENERGY
Note:The setting for the photograph on the reverse is for aesthetic pur- Route 122
poses only and does not comply with installation requirements.Contact BARRE. MASSAV!'LISr_':i S 01005
your authorized Waterford dealer for proper installation guidelines 1.50:31 l'--''...4 3 ?r . ... i?d-^.;a3
including hearth protection and clearances to combustible materials.
0 1992 Walertnrd Irish Stoves,Inc. I
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