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31C-005 (2)
36 WARD AVE BP-2017-1432 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31C-005 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Wood Stove BUILDING PERMIT Permit# BP-2017-1432 Project# JS-2017-002376 Est.Cost: $4000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: use Grouo: THE FIRE PLACE 99401 Lot Size(sq.ft.): 54450.00 Owner: LEDERMAN HARVEY M&ELIZABETH A ROSE Zoning:RR(78)/WP(62)/URA(26)/FFRm/ Applicant: THE FIRE PLACE AT: 36 WARD AVE Applicant Address: Phone: Insurance: P O BOX 606 (413)397-3463 0 WC WHATELYMA01093 ISSUED ON:6/7/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:PACIFIC ENERGY WOOD 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: Rouse# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: Date Paid: Amount: Building 6/7/2017 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton i`� Massachusetts t! '� '✓ k i. y I }'' DEPARTMENT 0 BUILDING T.VS2ECTIONS eA t- II .-1 ?. Maim =teat _ Lae_ a Ginn S / -��K. �X i \_itvemat = ._oi:� a'fl (Pl� Cr SINGLE OR TWO FAMILY SOLID F..-_ AFFIDANCE PERMIT APPLICATION jiFOR WOOD.COAL PELLET,CORN- RPA .V R FIRS-Ai ACPA Chad:- /0 WR Iqo Pre: - P..,fr - -y' --- ---- _. 1. Warne id Applicant: 20u"le S A ./ . bbcr - /Ac Y/tc f /roe_ Address:, 36 6,,A rn arc __ -_ 2. Owner of Property : rr e-icy /cabin a in ...... Addrese: ,36 Mr Crud t/or1A,hto /an -e.__-.- 49.-S - 3c,0-c>193 3. Status of Applicant: Owner Contractor b. Type or brand of Stove : CPI tt fib -iler,N/ _ Ake) / L LtiabD 37a0-b- 5. Estimated Cost: ¢/o00.00 If applicant is not the homeowner:: Contractor name r,lao ie3 /1Mcc Construction Supervisor's License Number 9 910 / zxclreden Date /_G JR' Home Improvement Contractor Registration Number / 8'OY 77 Expiration Date //- /9-/8 All Applicants must complete a Workers Compensation Insurance Affidavit before we can Issue a permit 6. Certification: I hearty certify that the information contained herein is true and accurate to the best of my knowledge. DATE: S'/0 / 1 APPLICANT'S SIGNATURE �� y fl. DATE:m .T/0 'li u HOMEOWNERS SIGNATU _.. 1 — APPROVED J-7-/7 ,....e-r40, y� � DATE: BUILtDlNG OFFI1 ' ..-411 Floor Protector Combustion Air The stove may be installed on a combustible floor provided Intake or combustion air can he supplied to the stove in one noncombustible ember protection is usedof two ways. Consult your local building rode or CAN/CSA- Thisprotection must extend as follows. 8365.Installation Codefor Solid-Fuel-Burning Appliances and Equipment before proceeding.The unit must have adequate In Canada 18 (457 mm) on the firing side and 8•(203 mm) air for combustion provided in the room the unit is installed In. to the other sides See Figure:A. below. 1_ Outside air supply-(Necessary for mobile home instal- lation. optional for residential installation.) Outside air may be drawn from either underneath the stove or from behind. FIG #4 Canada Only Non-combustible To draw outside air hrough theflr ,rleave the 4102m nit floor protector knockout or coverin late ince in the rear or the as' box Minimum Width-431/8'(t1m) / enclosure. p 4 Minimum Overall Depth-455/8"(1.16m) / 8" [203mm] Cut or drill a 4"(102mmi diameter hole directly below the bottom hole of the ash box enclosure. Connect enclosure L.. L to the floor with a short 4'(102mm) diameter pipe. If you wish to connect the outside air to the rear hole on the ash boxthen remove the 4 9102mm i knockout or cover plate E at the rear of the ash box E in m This hole must get its air from a ventilated craw: • FIG.#6 Single Wall Connector - Residential 1 18' 12" Residential 8. 457mm 305mm r203mm Minimum 20 i0 251/2- Clearance to c 1rrp+z 673mm _ Combustible - 203mm Double Wall Connector- Residential 11" 5" 11" 5" 279mm 127mm 279mm 127mm � '. I , /• _ 15. - , 1 3" I 8 203mn{� 3811117 76mm Q 203mm - — --- 1112 _ 3 9 r a r; _ - 21 1/2"- > - 211/2_ °°I" --549mm 549mm - - Alcove: Min.Height 7 — — 3' Max.Depth 3' Mobile Home Installation Warning:Under no circumstances is this heaterto be installed Clearances l a rt-Re sl f or temp lav mannel-It may be fired only atter the fu Ir i,ng conditions have been met- This heater must be instaled wits a fisted double-wall con- nector and compatible chimney system. DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE Clearancestocombustiblesurfaces and materials are shown SERVING ANOTHER APPLIANCE. in Figure 57 below. DO NOT INSTALL IN A SLEEPING ROOM. Clearances may be reduced with r t ions heat insulating ma -BOTH CHIMNEY SYSTEM AND CONNECTOR MUST BE terials-Consult local fire codes an .tither,ties for approval. LISTED TO: IN CANADA - ULC 5-641 LISTED CONNEC- TOR AND ULC-S-629 LISTED CHIMNEY, NOTE; Longer chimney lengths and eiterent pitch flashings IN USA - UL-103 HT LISTED CONNECTOR may be used. All other parts listeo must be installed (see AND CHIMNEY Figure "8. Page 13) Installall components to the connector or chimney manufacturer's installation requirements.Consult -Outside aii supply mu be used for Mobile Home installa- your chimney supplier for fnstalla`o:' advice. tions see Figure #8 Page 13. - Remove the chimney down to the cool flashing to allow for transportation of the mobile home- FIG.#7 Double Wall Connector- Mobile Home 11" 5' 279mm 127mm Mobile Home / 1 ; Minimum r 3!! Q 203mm Clearance to 381m 76mm Combustibles tm119 I YYY ®. 211/2" 3, \ : 549mm _ — 76mm NEC 1.6 ••El•16-24 PACIFIC ©PACIFIC ENERGY FIREPLACE 11 ENERGY PRODUCTS LID. Procedure: 4_ Cut a hole in the ceiling and root to suit the chimney system and frame in the sides. The chimney support is CAUTION: THE STRUCTURAL INTEGRITY OF THE MO- mounted to the framing. BILE HOME FLOOR. WALL AND CEILING/ROOF MUST 5 If the chimney connector exits the mobile home less then BE MAINTAINED. 7 feet above the ground then a guard must be installed to cover the connector up to a height of 7 feet(2.13m). -The services ut a competent or certified installer, (certified 6. The guard must not have opening larger than 318"(10rn(n) by the Wood Energy Technical Training program(WETT)-in and must maintain a space of 41,102rnm)minimum around Canada.Hearth Education Foundation l HEARTH)-in U.S.A_) the chimney are strongly recommended. connector. 7 Assemble chimney sections 44 tf nrnshedlength is_rest- Note S See Combustion Air section on page 10. ing on the support and protruding through the roof.Avoid having joints between ceiling and root. Install radiation t Pasiton sieve and floor protection with hole for ccmbua- sh eld.Assemble flaming and atomcoIiar and be sure to tion air in accordance troth the clearances as stated on maintain the vapour barrier al this point. (Seal securely) the label end in Figure rr7 Attach rain cap arid check flashing for leaks_ 2. Mark the postion for the note in the ceiling and roof by 8. Install connector as per manufacturer's instructions. using a string and plumb-bob. 9. Attach stove to flooring using two : 4 x 2" or longer lag 3. Check that the intended location will not interfere with floor screws- joists. ceding rusts or rafters before proceeding further _._. _... Sparkarrester T in rain sap 3mm) Minimum Chimney j Storm collar 3 et shah FIG. #8 Radiation shield ___ � Ch n'maw Suppe t Tne chimney may incor orate 12"(35mm) Minium p rabic ao onset `o do this safely.all Minimum Heig t sections of listed connector. Ceiling Heght , 425" (1207 mm) VH offset elbows and chimney Minimum s cti !mist be SCrewedAlmmateupand I*12"(9 5mm) ! camilaric- togethel by at least three Minimum firs sheet nista) screws per intsection of pip - Thechimneymustbesuitably t—f , Chlmrey r supported by the chimney ' manufacturer's listed offset Pft support 48 u ' (1219 mm) *Unit may be harder to start I Please provide as much vertu Non-cornb:,_:Lie cal length for the first section H,21, of pipe as possible Attachment to floor for_ - moDile homes 1 i Hcedeo tent or 4 diameter airinlet w if thee space extend rodent screen 90 ci t turned down p well ventilated u cessa , end air inlet to 12 PACIFIC NEO 1.6 ENERGY 4>. The Commonwealth of Massachusetts ?, Department of Industrial Accidents t_ail 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:THE FIRE PLACE Address:106 STATE ROAD Ciy/State/Zip:WHATELY, MA 01093 Phone#:413-397-3463 Are you an employer?Check the appropriate box: Business Type(required): I.❑/ I am a employer with 10 employees(full and/ 5. 0 Retail or pan-time).` 6. fRestaumnt/Bar/Eating Establishment 2.0 I am a sole proprietor or partnership and have no 7. Q Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] 8 ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. 0 Entertainment their right of exemption per c. 152,§1(4),and we have 10.0 Manufacturing no employees. [No workers'comp.insurance required]" 4.❑ We are a non-profit organization,staffed by volunteers, I1.0 Health Care with no employees.[No workers'comp.insurance req.] 12.0 Other °Mw applicant dial checks box tit must also fill out the section below showing their workers compensation pokey information. r[film corporate officers have exempted themselves.hut the corporation has other employees.a workers'compensation policy is required and such an zation should check box x I. urn an employer that is providing workers'compensation insurance for my employees. Below is the policy infornratimr. Insurance Company Name:MA RETAIL WC GROUP , INC Insurer's Address:P.O. BOX 859222-9222 City/State/Zip: BRAINTREE, MA 02185 Policy d or Self-ins.Lic.'4 014005033601115 Expiration Date:1-1-16 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 ofa fine up to S1500,00 and/or one-year imprisonment,as well as civil penalties in the form ofa 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 certtiiD, mder the pains and pen (Hiesof perjury that the information provided above is true and correct. Sianature: UJ !y �-f-'ri.,V— Date: In . 4 / 7 Phone=: d/3- 3Qy 3V 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: tnmw massgov/dia