41-074 (5) 1526 WESTHAMPTON RD BP-2019-0751
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 41 -074 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: woodstove BUILDING PERMIT
Permit# BP-2019-0751
Project# JS-2019-001234
Est. Cost: $3700.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE FIRE PLACE 99401
Lot Size(sq.ft.): 96049.80 Owner: MOSER MADELAINE
tonin : Applicant: THE FIRE PLACE
AT. 1526 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
P O BOX 606 (413) 397-3463 () WC
WHATELYMA01093 ISSUED ON:12/26/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:MORSO 2110 WOODSTOVE
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:
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 12/26/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
.. �, i�X.
s Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
R D 212 Main Street • Municipal Building
Northampton, MA 01060
DEC 2 6 2018
DEPT.OF BUILDING INSPECTIONS
NORTHAMPTON.MA 01060 SI GLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIgEPLACES
Check#. 11 4(A- 4 q(()
Please fillinall appropriate information
1. Name of Applicant :
Address: /0� � �)P0 AI-1-41 1 Telephone: 513 ;?73S
2. Owner of Property !r,
�rn , �o,5r-r
Address: /�����l/,'S/- /0- -/-Of) 06,re-11< Telephone:
3. Status of Applicant : Owner �< Contractor
4. Type or Brand of Stove or:5'0 .2/19 W JVO &ro NlF1
5. UL Listing : 000
6. Estimated Cost : 4D
7. Email :
If applicant is notthee homeowner::
Contractor name �Jaupl&_S �'/�h/�r� Email : a�G� �jcr7� Son-7r& -fir' SuFF(y
Construction Supervisor's License Number �`l'S�Q l Expiration Date 6'0;?0
Home Improvement Contractor Registration Number l XO 77 Expiration Date //-1,f'2I
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: /Z/1-0/4 APPLICANT'S SIGNATURE --
DATE: loo eol!8 HOMEOWNER'S SIGNATURE
APPROVED
DATE:_1Z�Zl- BUILDING OFFICIAL
The Corgi moinveaVdi of lYassachusetts
-- Department of lrzdumialAccidents
i Congress Street.Szih-e 100
Boston,if 0211:'-2017
—_ zin,vitLjnass gov1dia
+i'orkers-Compensaiion Assurance A davit:Geneaai Bust_nesses_
T O BE FILED VVI s B THE PEWHI TTING AUTHORITY-
�lca-i_ o-r;+aett Please Print Leg; IN,
O_���;zationNarae_THE FIRE PLACE
C. _ S i 1 E RD-P_0_B0�606
- _
V%1HA7i ELY, fv1A 01093 phone#;413-397-3463
p i o v er?Check the approp.-ti-2#e bon: Business Ty (required):
e:-oio•er i,ith 10 employees(full andl 5- Q Retail
_i•-�i.' 6- QRestaurant/SarlEating Establishment
_...:;.s e oroprietoc or partnerhip andhave no 7_ Q Office and/or Sales(incl_real estate,auto,etc.)
orking for me in any capacity.
o-_�zer;' comp.insurance required] s_ Q Non profit
-s:.. co-Doration and its officers have exercised 9- Entertainment
e-=-_1i_o exemption per c.l5?,§1(4),and we have 10_❑Manufacturing
no e-toioyees.0!tio workers-comp_insurance required] 11_Q Health Cate
a ao--p=oi7t organizafioli staffed by volunteers,
i;no employees_Pio workers' comp.insurance req] 12_C2 Other
- _. 1 t;ia:chucks box=1 must also fill out the section beloxv showing theinvorl;ers'compensation policy information
oft uccr;have excmoted themselves,but the corporation has other emplovees,a Jori es compensation policy is required and such m
=an;-:;n,scauld check box=1.
T aere err employer that is providing ivor hers'compensation iusrcrance for my employees Beloly is thepoffcy infor nratiorr.
:n-L_ance Comnany Name:MA RETAIL MERCHANTS WC GROUP INC
zddress_P_O.BOX 859222-922
aRAINTREE MA 02186
Jr Sal:ins_Lic.=0140050336011116 Expiration Date_
-h a cope of the workers' compensation policy declaration pane(showing the policy number and expiration date).
_-..__ :ecl re coverage as required under Section SA of MGL c_152 can lead to the imposition of eriininal penalties of a
S1.500.00 andlor one-year imprisonment as-well as civil penalties in the Form of a STOP WORT,'.ORDER and a fine
o-u,,to S250.00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Office of
ines�igatiors of the DIA for insurance coverage verification.
i do itereby certi 51,rr der the pains and p tr'es A o`p ei jWy that the information provided above is face and correct.
`
Sis-tersrt:. l,?Date_
!� 0j j iCi_^I rise onflj Do not write in this area,'a be completed by city or tolulr official }
li
(� Cli�'Or TOF.n: PermitCakenser`l
ssulilcr .1iuthoi ity(circle one):
I.3oard of ealth 2.3 -tment 3.CityI T own Lierlc 4_Licensing B onrd�5_Selectin s Office
6.Caner
i
ConracrPerson: Phone-
tvrmmass Qovidia
1.6 Positioning the stove
Distance to walls and lintel
When the stove is positioned near combustible materials, observe all current local and na-
tional building regulations with regards to clearances. Whatever regulations apply to your
area, do not in any case install the stove within 8 inches of combustible materials around the
sides or 16 inches above the top of the stove (fireplace installations require greater clear-
ances above the stove - see below in the clearance chart). These distances may need to be
increased if the materials are sensitive to heat. Note also that wall paper and other decora-
tive materials may become detached with the effects of heat and care should be taken to
ensure that they do not fall towards the stove in such an event.
When the stove is positioned near non-combustible materials, a gap of 4 inches or more is
recommended for cleaning purposes and to ensure that heat circulates around the stove
and out into the room.
MINIMUM CLEARANCES TO COMBUSTIBLES:
DEGAGEMENTS MINIMAUX AUX MATERIAUX COMBUSTIBLES:
BACKWALL I ADJACENT WALL I
MUR ARRIERE MUR ADJACENT
...w c >v
w A
EEB
A*lp`� vw 0 0 z n
a =) —+ '-
r
CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION
SINGLEWALL CONNECTOR
USA CANADA
A, Sidewall to unit 22" 56o mm
B. Backwall to unit 20' 5io mm
C. Cornerwall to unit 16" 405 mm
D Sidewall to connector 31" 785^'M
E. Backwall to connector 22'' 560 mn)
F Cornerwall to connector 25" 635 mm
G. Unit to ceiling -
H. Floor to tailing
CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION
DOUBLEWALL CONNECTOR
USA CANADA
A. Sidewall to unit 20 510 mm
B. Backwall tc unit 16" 405 mm
C. Cornerwall to unit 14' 351_1111
D. Sidewall to connector - -
E- Backwall to connector
F Cornerwall to connector -
G Unit to ceilirg H. Floor to ceiline -
8
FIREPLACE HEARTH INSTALLATION(alcove)
INSTALLATION DU FOYER(NICHE)
MANTEL. 0
9ANTEAU
_J
or
CD
Q
.W
<O B C_j 0 = W
O
W A STOVE D Q o
POE a o
N ELLL m
F—►t E
HEARTH j EXTENSION
EXTENSION FOYER
CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION
FIREPLACE HEARTH INSTALLATION
(ALCOVE)
USA CANADA
A. Sidewall to unit 19, 48'-;mm
B. Combustil_>le rmntel to unit 31" 790 rnm
C Tnp facing 2/" 68mm
D. Side facing 18" 46o mm
E Hearth extending,front -
F Hcarth extending,side
NON-COMBUSTIBLE FLOOR PROTECTOR: Floor protector must be non-combus-
PROTECTUR DE PLANCHER INCOMBUSTIBLE tible material, with an R-Value of i.o.
It must extend beneath heater and to the
JA front/sides/rear as indicated.
'0"v�" STONE
POELE
D
FLOOR PROTECTION REQUIREMENTS NON-COMBUSTIBLE MATERIALS
BENEATH STOVE
USA CANADA
A. Extendhng distance,hack - 2oo mm
B. Extendino distance,rightside 6' co rnni
C. Extend!ng distance,left side zr:o mm
D, Extending distance,front 16 mm
9
Distance to furniture
The recommended minimum distance from stove to furniture is 30 inches. Note that some
furniture is more easily affected by heat and may need to be moved to a greater distance.
This is your responsibility.
In addition other combustible materials, away from the stove. In general, a distance of 30
inches must be maintained between the stove and moveable combustible item such as dry-
ing clothes, newspapers, firewood etc.
Note:
Acid Protection
If acid-washing the masonry around the stove, protect the stove surface with an acid-proof
cover.
Fresh Air Inlet
Unless there is deemed to be sufficient ambient leakage of air into the room via doorways,windows
and the like, a dedicated fresh air inlet will be needed. This inlet should have 2 square inches(1250
square mm)of free air space.This is particularly important where the room is well sealed,or where
an extractor hood or ventilation system disturbs the natural air pressure. Such an inlet should not
be on a wall that is usually subject to negative pressure from normal wind pattern.Avoid placing the
inlet directly across the room from the stove,thus causing a cold air draft.
10