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17A-148 (3) 20 FOX FARMS RD BP-2021-1008 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A- 148 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-2021-1008 Project# JS-2021-001723 Est.Cost: Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE FIRE PLACE 99401 Lot Size(sq.ft.): 14636.16 Owner: CARPENTER KATHRYN Zoning: URA(100)/ Applicant: THE FIRE PLACE AT: 20 FOX FARMS RD Applicant Address: Phone: Insurance: P O BOX 606 (413) 397-3463 O W(' WHATELYMA01093 ISSUED ON:3/16/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:PELLET INSERT 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. ( , r?- • r , , C sr Certificate of Occupancy Signature:' 110 FeeType: Date Paid: Amount: Building 3/16/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton ''':..Pk;,,,, ?� g?2 ram- / 1 i �5 " 5�. �'` Massachusetts �' \ wS c�{. C °� m *_b . d ( a« DEPARTMENT OF BUILDING/INSPECTIONS 7 S . i ', y 212 Main Street • Municipal Building cO, t l� dt'iO N45. Northampton, MA 01060 1 S;;;._; 1% 1liq - te-ig APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information Owners Name: Al,/e rt.nz (2r ryx n Y--e/` Address: 40 /-(-0x /gyms 2) / c/o fen cc_ /gyp Qioza (No.) (Street Address) Phone: 'Pi 552 7/d Cell: Email: Owners Signature: Ala A (2 /,,...„e„ Date: y/2/a/ Contractor's Information (If Applicable) Name: /)ovy it S L Abcc Phone: S//3 3 '71 3 y16. Construction Supervisor's License #: '77o/ Expiration: !-C-o Home Impr. Contractor License #: /roc/77 Expiration: //-/P Stove Information /nctt/�6 /fnv^(T '") (11 0 -11vc Type of Fuel (check all that apply): Wood Pellet V Coal Location: I'r5 J R cx ( Freestanding Insert .Y. Manufacturer: "la rote el Model: `f.3S/user - --------------------------FOR BUILDrNG DEPARTMENT USE ONLY Permit# (9 °1/-10-0 Date Applied: • Total all Fees: $ 410 CI(11/Z 7/ Building Official: K c-vir-J KoSS Date Issued: 3- /5-20Z/ (Print) J Signature of Building Official: The Commonwealth of Massachusetts Department of Industrial Accidents i=e i;� Office of Investigations `,, Lafayette City Center lad.. t" 2 Avenue de Lafayette,Boston,MA 02111-1750 �' www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly business/Organization Name: THE FIRE PLACE l Address: 100 STATE RD City/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 part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profit 3.0 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.❑ Manufacturing no employees. [No workers' comp. insurance required]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for m1•employees. Below is the policy information. Insurance Company Name: MA RETAIL MERCHANTS WC GROUP INC Insurer's Address:P.O. BOX 859222-9222 City/State/Zip: BRAINTREE, MA 02185 Policy#or Self-ins. Lic.#0.1400503301116 Expiration Date: 1-1-22 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§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, under the pains and p allies of perjury that the information provided above is true/ and correct. QQ `. / Signature: L � � Date: 3 ' S'. " Phone#: 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): 1.11Board of Health 2.0 Building Department 3.1=I City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia 3 Clearances A. Appliance Dimension Diagram Dimensions are actual appliance dimensions. Use for reference only. 9-1/4"(235mm) A Glass , 111000000 0 ` o • • ° . B lar v E O° E r. 'I o' A 0 ✓✓ I., E s) n l _� n N (O ,r n lV = nU 1- N 1 ° 24" . MMI o nl 1 610mm - - ____I__._._____- Standard Surround Oversized Surround #1-00-774221 #1-00-774250 22 - A 40"(1016mm) 46"(1168mm) 559mm B 31"(787 mm) 34"(864 mm) il `('za rE • i M 2„ I_ 50mm E O / ColA b E N l 4 N Figure 3.1 8 Harman® • P35i-C Installation Manual_R2 • 2019- • 02/20 8390-784i 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 8-7/8"deep by 24-5/8"wide and be made of a non-combustible material or meet UL approval. Location Inches Millimeters A Insert to combustible sidewall 13 330 B Surround top to face trim 0 0 C Surround side to face trim 1 25 Face Trim D Insert top to(max) 12"mantel 12 305 I E Door opening to front 6 152 a illI I I I I I I 1 I g� 1 I I 1 1 1 I 1 I � g 3 IIIIIIIII II . fllllllll F Door opening to side 6 152 w 73 l l l l i l l l I i i' l l i l t l l U) I1I D 1II IIII1 I 1f1 '7_200001100000 0m! A ; �� a �` CI 1 i • I I I I 1. ... it I _ .11 1II —tom . 111 E t7�F - Figure 3.2 C. Minimum Opening - Masonry and Manufactured Fireplaces Location. Inches Millimeters F Minimum Width 24 609 G Minimum Depth 14-1/2 368 H Minimum Height#1-70-774235 23-1/2 597 G H H Minimum Height#1-70-774195 19-1/2 495 F / 9 Harman® • P35i-C Installation Manual R2 • 2019- • 02/20 8390-784i 4 Termination Location and Vent Information A. Venting Termination Design #1 Installing into an existing fireplace chimney The chimney top must be capped to This method provides excellent venting with 100%outside air prevent rain and/or snow from entering which is the most efficient operation of this unit.This method the chimney. also provides natural draft in the event of a power failure. Ir_ii See Figure 4.8, for information on the A4"stainless steel flex pipe is needed for the flue pipe,and 3" 9 pP pp , 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 a CHIMNEY CONNECTOR PIPE MAY NOT PASS steel plate and it is recommended that THROUGH CONCEALED SPACES INCLUDING AN Kaowoll, mineral wool, or an equivalent ATTIC, ROOF SPACE, CLOSET, FLOOR OR CEILING. non-combustible insulation be placed � on top of the sealed area to reduce the possibility of condensation. Insulation A WARNING -- alone should not be used to seal the damper opening. For quick and easy DO NOT REMOVE BRICKS OR MORTAR FROM THE installation, purchase the steel Harman -I�I Block Off Plate, 1-00-25625. EXISTING FIREPLACE. 1 ,I11 1 +i:hil 1 I Height of existing hearth Figure 4.1 in rThe chimney top must be capped to #2 Installing into an existing fireplace chimney = I prevent rain and/or snow from entering Lthe 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 a steel plate and it is recommended that Kaowoll, mineral wool, or an equivalent feed system from around the wing and stove body spaces. non-combustible insulation be placed A WARNING on top of the sealed area to reduce the possibility of condensation. Insulation DO NOT REMOVE BRICKS OR MORTAR FROM THE alone should not be used to seal the EXISTING FIREPLACE. damper opening. For quick and easy installation, purchase the steel Harman Ih Block Off Plate, 1-00-25625. ajI_i I< I �A � 1=0 Figure 4.2 10 Harman® • P35i-C Installation Manual R2 •• 2019- • 02/20 8390-784i